Skip to main content

01.11.2009 | Original Paper

Adolescent Behavioral Risk Screening and Use of Health Services

verfasst von: Deena J. Chisolm, Jennifer Klima, William Gardner, Kelly J. Kelleher

Erschienen in: Administration and Policy in Mental Health and Mental Health Services Research | Ausgabe 6/2009

Einloggen, um Zugang zu erhalten

Abstract

This study assessed whether primary care based computerized screening for substance use, mental health issues and suicidal thoughts affects subsequent use of medical and behavioral health care services in adolescents. Administrative claims data were used to determine service use 6 months after a visit where screening could have occurred. Controlling for previous service use, screened youths were more likely to have post screening use than those not screened. Among the screened patients, medical service use did not differ by screening result. However, behavioral service use was higher for screened youths who screened positive for depression or suicidal thoughts.
Literatur
Zurück zum Zitat Bagley, C., & Genuis, M. (1991). Psychology of computer use: XX. Sexual abuse recalled: evaluation of a computerized questionnaire in a population of young adults males. Perceptual and Motor Skills, 21(1), 287–288.CrossRef Bagley, C., & Genuis, M. (1991). Psychology of computer use: XX. Sexual abuse recalled: evaluation of a computerized questionnaire in a population of young adults males. Perceptual and Motor Skills, 21(1), 287–288.CrossRef
Zurück zum Zitat Brener, N. D., Collins, J. L., Kann, L., Warren, C. W., & Williams, B. I. (1995). Reliability of the youth risk behavior survey questionnaire. American Journal of Epidemiology, 141(6), 575–580.PubMed Brener, N. D., Collins, J. L., Kann, L., Warren, C. W., & Williams, B. I. (1995). Reliability of the youth risk behavior survey questionnaire. American Journal of Epidemiology, 141(6), 575–580.PubMed
Zurück zum Zitat Chevarley, F. M. (2001). Statistical brief #12: Children’s access to necessary health care, fall 2001. Rockville, MD: Agency for Health Care Quality and Research. Chevarley, F. M. (2001). Statistical brief #12: Children’s access to necessary health care, fall 2001. Rockville, MD: Agency for Health Care Quality and Research.
Zurück zum Zitat Chisolm, D. J., Gardner, W., Julian, T., Wang, Y., & Kelleher, K. J. (2008). Adolescent satisfaction with computer-assisted risk screening in primary care. Child and Adolescent Mental Health, 13(4), 163–168.CrossRefPubMed Chisolm, D. J., Gardner, W., Julian, T., Wang, Y., & Kelleher, K. J. (2008). Adolescent satisfaction with computer-assisted risk screening in primary care. Child and Adolescent Mental Health, 13(4), 163–168.CrossRefPubMed
Zurück zum Zitat D’Agostino, R. B. (1998). Propensity score methods for bias reduction in the comparison of a treatment to a non-randomized control group. Statistics in Medicine, 17, 2265–2281.CrossRefPubMed D’Agostino, R. B. (1998). Propensity score methods for bias reduction in the comparison of a treatment to a non-randomized control group. Statistics in Medicine, 17, 2265–2281.CrossRefPubMed
Zurück zum Zitat Faulstich, M., Carey, M., & Ruggiero, L. (1986). Assessment of depression in childhood and adolescence: An evaluation of center for epidemiologic studies depression scale for children (CES-DC). American Journal of Psychiatry, 143(8), 1024–1027.PubMed Faulstich, M., Carey, M., & Ruggiero, L. (1986). Assessment of depression in childhood and adolescence: An evaluation of center for epidemiologic studies depression scale for children (CES-DC). American Journal of Psychiatry, 143(8), 1024–1027.PubMed
Zurück zum Zitat Fendrich, M., Weissman, M. M., & Warner, V. (1990). Screening for depressive disorder in children and adolescents: Validating the center for epidemiologic studies depression scale for children. American Journal of Epidemiology, 131(3), 538–551.PubMed Fendrich, M., Weissman, M. M., & Warner, V. (1990). Screening for depressive disorder in children and adolescents: Validating the center for epidemiologic studies depression scale for children. American Journal of Epidemiology, 131(3), 538–551.PubMed
Zurück zum Zitat Green, M., & Palfrey, J. (Eds.). (2002). Bright futures: Guidelines for health supervision of infants, children, and adolescents (2nd ed.). Arlington, VA: National Center for Education in Maternal and Child Health. Green, M., & Palfrey, J. (Eds.). (2002). Bright futures: Guidelines for health supervision of infants, children, and adolescents (2nd ed.). Arlington, VA: National Center for Education in Maternal and Child Health.
Zurück zum Zitat Johnson, J., Harris, E., Spitzer, R., & Williams, J. (2002). The patient health questionnaire for adolescents: Validation of an instrument for the assessment of mental disorders among adolescent primary care patients. Journal of Adolescent Health, 30(3), 196–204.CrossRefPubMed Johnson, J., Harris, E., Spitzer, R., & Williams, J. (2002). The patient health questionnaire for adolescents: Validation of an instrument for the assessment of mental disorders among adolescent primary care patients. Journal of Adolescent Health, 30(3), 196–204.CrossRefPubMed
Zurück zum Zitat Julian, T., Kelleher, K. J., Julian, D. A., & Chisolm, D. J. (2007). Using technology to enhance prevention services for children in primary care. Journal of Primary Prevention, 28(2), 155–165.CrossRefPubMed Julian, T., Kelleher, K. J., Julian, D. A., & Chisolm, D. J. (2007). Using technology to enhance prevention services for children in primary care. Journal of Primary Prevention, 28(2), 155–165.CrossRefPubMed
Zurück zum Zitat Kim, W. J. (2003). Child and adolescent psychiatry workforce: A critical shortage and national challenge. Academic Psychiatry, 27(4), 277–282.CrossRefPubMed Kim, W. J. (2003). Child and adolescent psychiatry workforce: A critical shortage and national challenge. Academic Psychiatry, 27(4), 277–282.CrossRefPubMed
Zurück zum Zitat Koopmans, G. T., & Lamers, L. M. (2006). Is the impact of depressive complaints on the use of general health care services dependent on severity of somatic morbidity? Journal of Psychosomatic Research, 61(1), 41–50.CrossRefPubMed Koopmans, G. T., & Lamers, L. M. (2006). Is the impact of depressive complaints on the use of general health care services dependent on severity of somatic morbidity? Journal of Psychosomatic Research, 61(1), 41–50.CrossRefPubMed
Zurück zum Zitat Lucas, R., Mullin, P., Luna, C., & McInroy, D. (1977). Psychiatrist and a computer as interrogators of patients with alcohol-related illnesses: A comparison. The British Journal of Psychiatry, 131, 160–167.CrossRefPubMed Lucas, R., Mullin, P., Luna, C., & McInroy, D. (1977). Psychiatrist and a computer as interrogators of patients with alcohol-related illnesses: A comparison. The British Journal of Psychiatry, 131, 160–167.CrossRefPubMed
Zurück zum Zitat Meyers, K., McLellan, A. T., Jaeger, J. L., & Pettinati, H. M. (1995). The development of the comprehensive addiction severity index for adolescents (CASI-A). An interview for assessing multiple problems of adolescents. Journal of Substance Abuse Treatment, 12(3), 181–193.CrossRefPubMed Meyers, K., McLellan, A. T., Jaeger, J. L., & Pettinati, H. M. (1995). The development of the comprehensive addiction severity index for adolescents (CASI-A). An interview for assessing multiple problems of adolescents. Journal of Substance Abuse Treatment, 12(3), 181–193.CrossRefPubMed
Zurück zum Zitat Murray, D. M., Varnell, S. P., & Biltstein, J. (2004). Design and analysis of group-randimized trials: A review of recent methodological developments. American Journal of Public Health, 94(3), 423–432.CrossRefPubMed Murray, D. M., Varnell, S. P., & Biltstein, J. (2004). Design and analysis of group-randimized trials: A review of recent methodological developments. American Journal of Public Health, 94(3), 423–432.CrossRefPubMed
Zurück zum Zitat Neighbors, C. J., Zywiak, W. H., Stout, R. L., & Hoffmann, N. G. (2005). Psychobehavioral risk factors, substance treatment engagement and clinical outcomes as predictors of emergency department use and medical hospitalization. J Stud Alcohol, 66(2), 295–304.PubMed Neighbors, C. J., Zywiak, W. H., Stout, R. L., & Hoffmann, N. G. (2005). Psychobehavioral risk factors, substance treatment engagement and clinical outcomes as predictors of emergency department use and medical hospitalization. J Stud Alcohol, 66(2), 295–304.PubMed
Zurück zum Zitat Porter, S. C., Zhaohui, C., Gribbons, W., Goldmann, D. A., & Kohane, I. (2004). The asthma kiosk: A patient centered technology for collaborative decision support in the emergency department. Journal of the American Medical Informatics Association, 11(6), 458–467.CrossRefPubMed Porter, S. C., Zhaohui, C., Gribbons, W., Goldmann, D. A., & Kohane, I. (2004). The asthma kiosk: A patient centered technology for collaborative decision support in the emergency department. Journal of the American Medical Informatics Association, 11(6), 458–467.CrossRefPubMed
Zurück zum Zitat Rhodes, K. V., Lauderdale, D. S., He, T., Howes, D. S., & Levinson, W. (2002). “Between me and the computer”: Increased detection of intimate partner violence using a computer questionnaire. Annals of Emergency Medicine, 40(5), 476–484.CrossRefPubMed Rhodes, K. V., Lauderdale, D. S., He, T., Howes, D. S., & Levinson, W. (2002). “Between me and the computer”: Increased detection of intimate partner violence using a computer questionnaire. Annals of Emergency Medicine, 40(5), 476–484.CrossRefPubMed
Zurück zum Zitat Rhodes, K., Lauderdale, D., Stocking, C., Howes, D., Roizen, M., & Levinson, W. (2001). Better health while you wait: A controlled trial of a computer based intervention for screening and health promotion in the emergency department. Annals of Emergency Medicine, 37(3), 284–291.CrossRef Rhodes, K., Lauderdale, D., Stocking, C., Howes, D., Roizen, M., & Levinson, W. (2001). Better health while you wait: A controlled trial of a computer based intervention for screening and health promotion in the emergency department. Annals of Emergency Medicine, 37(3), 284–291.CrossRef
Zurück zum Zitat Rief, W., Martin, A., Klaiberg, A., & Brahler, E. (2005). Specific effects of depression, panic, and somatic symptoms on illness behavior. Psychosomatic Medicine, 67(4), 596–601.CrossRefPubMed Rief, W., Martin, A., Klaiberg, A., & Brahler, E. (2005). Specific effects of depression, panic, and somatic symptoms on illness behavior. Psychosomatic Medicine, 67(4), 596–601.CrossRefPubMed
Zurück zum Zitat Rogers, W. H. (1993). Regression standard errors in cluster samples. Stata Technical Bulletin, 13, 19–23. Rogers, W. H. (1993). Regression standard errors in cluster samples. Stata Technical Bulletin, 13, 19–23.
Zurück zum Zitat Sciamanna, C., Novak, S., & Marcus, B. (2005). Effects of using a computer in a doctor’s office on the patient attitude toward using computerized prompts in routine care. International Journal of Medical Informatics, 74, 357–365.CrossRefPubMed Sciamanna, C., Novak, S., & Marcus, B. (2005). Effects of using a computer in a doctor’s office on the patient attitude toward using computerized prompts in routine care. International Journal of Medical Informatics, 74, 357–365.CrossRefPubMed
Zurück zum Zitat Staller, J. A. (2008). Service delivery in child psychiatry: Provider shortage isn’t the only problem. Clinical Child Psychology and Psychiatry, 13(1), 171–178.CrossRefPubMed Staller, J. A. (2008). Service delivery in child psychiatry: Provider shortage isn’t the only problem. Clinical Child Psychology and Psychiatry, 13(1), 171–178.CrossRefPubMed
Zurück zum Zitat Stevens, J., Kelleher, K. J., Gardner, W., Chisolm, D. J., McGeehan, J., Pajer, K., et al. (2008). Trial of computerized screening for adolescent behavioral concerns. Pediatrics, 121(6), 1099–1105.CrossRefPubMed Stevens, J., Kelleher, K. J., Gardner, W., Chisolm, D. J., McGeehan, J., Pajer, K., et al. (2008). Trial of computerized screening for adolescent behavioral concerns. Pediatrics, 121(6), 1099–1105.CrossRefPubMed
Zurück zum Zitat Thomas, C. R., & Holzer, C. E. (2006). The continuing shortage of child and adolescent psychiatrics. Journal of the American Academy of Child and Adolescent Psychiatry, 45(9), 1023–1031.CrossRefPubMed Thomas, C. R., & Holzer, C. E. (2006). The continuing shortage of child and adolescent psychiatrics. Journal of the American Academy of Child and Adolescent Psychiatry, 45(9), 1023–1031.CrossRefPubMed
Zurück zum Zitat US Department of Health, Human Services. (1999). Mental health: A report of the surgeon general chapter 3 children and mental health. Rockville, MD: US Department of Health and Human Services, Substance Abuse and Mental Health Services Administration, Center for Mental Health Services, National Institutes of Health, National Institute of Mental Health. US Department of Health, Human Services. (1999). Mental health: A report of the surgeon general chapter 3 children and mental health. Rockville, MD: US Department of Health and Human Services, Substance Abuse and Mental Health Services Administration, Center for Mental Health Services, National Institutes of Health, National Institute of Mental Health.
Zurück zum Zitat US Public Health Service. (2000). Report of the surgeon general’s conference on children’s mental health: A national agenda. Washington, DC: Department of Health and Human Services. US Public Health Service. (2000). Report of the surgeon general’s conference on children’s mental health: A national agenda. Washington, DC: Department of Health and Human Services.
Zurück zum Zitat Williams, R. L. (2000). A more robust variance estimation for cluster correlated data. Biometrics, 56, 645–646.CrossRefPubMed Williams, R. L. (2000). A more robust variance estimation for cluster correlated data. Biometrics, 56, 645–646.CrossRefPubMed
Zurück zum Zitat Williams, C. A., Templin, T., & Mosley-Williams, A. D. (2004). Useability of a computer-assisted interview system for the unaided entry of patent data in an urban rheumatology clinic. Journal of the American Medical Informatics Association, 11(4), 249–259.CrossRefPubMed Williams, C. A., Templin, T., & Mosley-Williams, A. D. (2004). Useability of a computer-assisted interview system for the unaided entry of patent data in an urban rheumatology clinic. Journal of the American Medical Informatics Association, 11(4), 249–259.CrossRefPubMed
Zurück zum Zitat Woodwell, D., & Cherry, D. (2004). National ambulatory medical care survey: 2002 summary. Atlanta, GA: Centers for Disease Control and Prevention. Woodwell, D., & Cherry, D. (2004). National ambulatory medical care survey: 2002 summary. Atlanta, GA: Centers for Disease Control and Prevention.
Zurück zum Zitat Zachrisson, H. D., Rodje, K., & Mykletun, A. (2006). Utilization of health services in relation to mental health problems in adolescents: A population based survey. BMC Public Health, 6, 34.CrossRefPubMed Zachrisson, H. D., Rodje, K., & Mykletun, A. (2006). Utilization of health services in relation to mental health problems in adolescents: A population based survey. BMC Public Health, 6, 34.CrossRefPubMed
Metadaten
Titel
Adolescent Behavioral Risk Screening and Use of Health Services
verfasst von
Deena J. Chisolm
Jennifer Klima
William Gardner
Kelly J. Kelleher
Publikationsdatum
01.11.2009
Verlag
Springer US
Erschienen in
Administration and Policy in Mental Health and Mental Health Services Research / Ausgabe 6/2009
Print ISSN: 0894-587X
Elektronische ISSN: 1573-3289
DOI
https://doi.org/10.1007/s10488-009-0245-8

Demenzkranke durch Antipsychotika vielfach gefährdet

23.04.2024 Demenz Nachrichten

Wenn Demenzkranke aufgrund von Symptomen wie Agitation oder Aggressivität mit Antipsychotika behandelt werden, sind damit offenbar noch mehr Risiken verbunden als bislang angenommen.

Weniger postpartale Depressionen nach Esketamin-Einmalgabe

Bislang gibt es kein Medikament zur Prävention von Wochenbettdepressionen. Das Injektionsanästhetikum Esketamin könnte womöglich diese Lücke füllen.

„Psychotherapie ist auch bei sehr alten Menschen hochwirksam!“

22.04.2024 DGIM 2024 Kongressbericht

Die Kombination aus Medikamenten und Psychotherapie gilt als effektivster Ansatz bei Depressionen. Das ist bei betagten Menschen nicht anders, trotz Besonderheiten.

Auf diese Krankheiten bei Geflüchteten sollten Sie vorbereitet sein

22.04.2024 DGIM 2024 Nachrichten

Um Menschen nach der Flucht aus einem Krisengebiet bestmöglich medizinisch betreuen zu können, ist es gut zu wissen, welche Erkrankungen im jeweiligen Herkunftsland häufig sind. Dabei hilft eine Internetseite der CDC (Centers for Disease Control and Prevention).

Update Psychiatrie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.