Assessing feasibility of routine identification tools for mental health disorder in neurology clinics

ObjectiveWe aimed to test the feasibility of using an online parent-completed diagnostic assessment for detecting common mental health disorders in children attending neurology clinics. The assessment does not require intervention by a mental health professional or additional time in the clinic appo...

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Bibliographic Details
Published in:Archives of disease in childhood 2019-12, Vol.104 (12), p.1161-1166
Main Authors: Bennett, Sophie D, Heyman, Isobel, Coughtrey, Anna E, Buszewicz, Marta, Byford, Sarah, Dore, Caroline J, Fonagy, Peter, Ford, Tamsin, Moss-Morris, Rona, Stephenson, Terence, Varadkar, Sophia, Walker, Erin, Shafran, Roz
Format: Article
Language:English
Subjects:
Adolescent
Autism
Child
Child Health
Child, Preschool
Children & youth
Chronic illnesses
Clinics
Diagnostic and Statistical Manual of Mental Disorders
Epilepsy
Epilepsy - diagnosis
Feasibility Studies
Female
Health services
Health Surveys
Humans
Identification
Internet
Male
Medical personnel
Medical research
Mental disorders
Mental Disorders - diagnosis
Mental health
Mental Health Workers
Neurology
Neurology - trends
Online Systems
Original article
Parents - education
Pediatrics
Psychiatry
psychology
screening
Well being
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Summary:ObjectiveWe aimed to test the feasibility of using an online parent-completed diagnostic assessment for detecting common mental health disorders in children attending neurology clinics. The assessment does not require intervention by a mental health professional or additional time in the clinic appointment.SettingTwo parallel and related screening studies were undertaken: Study 1: Tertiary paediatric neurology clinics. Study 2: Secondary and tertiary paediatric neurology clinics.PatientsStudy 1: 406 Young people aged 7–18 attending paediatric neurology clinics. Study 2: 225 Young people aged 3–18 attending paediatric epilepsy clinics.InterventionsParents completed online versions of the Strengths and Difficulties Questionnaire (SDQ) and Development and Well-being Assessment (DAWBA).Main outcome measuresWe investigated: the willingness of families to complete the measures, proportion identified as having mental health disorders, time taken to complete the measures and acceptability to families and clinicians.ResultsThe mean total difficulties score of those that had completed the SDQ fell in the ‘high’ and ‘very high’ ranges. 60% and 70% of the DAWBAS completed met criteria for at least one DSM-IV disorder in study 1 and 2 respectively. 98% of the parents reported that the screening methods used were acceptable.
ISSN:0003-9888
1468-2044
DOI:10.1136/archdischild-2018-316595