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dc.contributor.authorWolf, Rasmus
dc.contributor.authorPuggaard, Louise
dc.contributor.authorPedersen, Mette Maria Agner
dc.contributor.authorPagsberg, Anne Katrine
dc.contributor.authorSilverman, Wendy K.
dc.contributor.authorCorrell, Christoph U.
dc.contributor.authorPlessen, Kerstin J.
dc.contributor.authorNeumer, Simon-Peter
dc.contributor.authorGyrd-Hansen, Dorte
dc.contributor.authorThastum, Mikael
dc.contributor.authorBilenberg, Niels
dc.contributor.authorThomsen, Per Hove
dc.contributor.authorJeppesen, Pia
dc.date.accessioned2021-06-16T10:12:12Z
dc.date.available2021-06-16T10:12:12Z
dc.date.issued2021-01-18
dc.description.abstractWe investigated whether a novel visitation model for school-aged youth with mental health problems based on a stage-based stepped-care approach facilitated a systematic identification and stratification process without problems with equity in access. The visitation model was developed within the context of evaluating a new transdiagnostic early treatment for youth with anxiety, depressive symptoms, and/or behavioural problems. The model aimed to identify youth with mental health problems requiring an intervention, and to stratify the youth into three groups with increasing severity of problems. This was accomplished using a two-phase stratification process involving a web-based assessment and a semi-structured psychopathological interview of the youth and parents. To assess problems with inequity in access, individual-level socioeconomic data were obtained from national registers with data on both the youth participating in the visitation and the background population. Altogether, 573 youth and their parents took part in the visitation process. Seventy-five (13%) youth had mental health problems below the intervention threshold, 396 (69%) were deemed eligible for the early treatment, and 52 (9%) had symptoms of severe mental health problems. Fifty (9%) youth were excluded for other reasons. Eighty percent of the 396 youth eligible for early treatment fulfilled criteria of a mental disorder. The severity of mental health problems highlights the urgent need for a systematic approach. Potential problems in reaching youth of less resourceful parents, and older youth were identified. These findings can help ensure that actions are taken to avoid equity problems in future mental health care implementations.en_US
dc.identifier.citationWolf, Puggaard, Pedersen, Pagsberg, Silverman, Correll, Plessen, Neumer, Gyrd-Hansen, Thastum, Bilenberg, Thomsen, Jeppesen. Systematic identification and stratification of help-seeking school-aged youth with mental health problems: a novel approach to stage-based stepped-care. European Child and Adolescent Psychiatry. 2021:1-13en_US
dc.identifier.cristinIDFRIDAID 1873456
dc.identifier.doi10.1007/s00787-021-01718-5
dc.identifier.issn1018-8827
dc.identifier.issn1435-165X
dc.identifier.urihttps://hdl.handle.net/10037/21450
dc.language.isoengen_US
dc.publisherSpringeren_US
dc.relation.journalEuropean Child and Adolescent Psychiatry
dc.rights.accessRightsopenAccessen_US
dc.rights.holderCopyright 2021 The Author(s)en_US
dc.subjectVDP::Social science: 200::Psychology: 260en_US
dc.subjectVDP::Samfunnsvitenskap: 200::Psykologi: 260en_US
dc.titleSystematic identification and stratification of help-seeking school-aged youth with mental health problems: a novel approach to stage-based stepped-careen_US
dc.type.versionpublishedVersionen_US
dc.typeJournal articleen_US
dc.typeTidsskriftartikkelen_US
dc.typePeer revieweden_US


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