Clinical decision support methods for children and youths with mental health disorders in primary care.
Authorvan Venrooij, Lennard T; Rusu, Vlad R; Vermeiren, Robert; Koposov, Roman A; Skokauskas, Norbert; Crone, Matty R
Objectives: This review aimed to identify CDSMs in the literature and describe their functionalities and quality.
Methods: In this review, a search strategy was performed to access all available studies in PubMed, PsychINFO, Embase, Web of Science, and COCHRANE using keywords. Studies that involved CDSMs for PCP clinical decision-making regarding psychosocial or psychiatric problems among children and youths (0–24 years old) were included. The search was conducted according to PRISMA-Protocols.
Results: Of 1,294 studies identifed, 25 were eligible for inclusion and varied in quality. Eighteen CDSMs were described. Fourteen studies described computer-based methods with decision support, focusing on self-help, probable diagnosis, and treatment suggestions. Nine studies described telecommunication methods, which offered support through interdisciplinary (video) calls. Two studies described CDSMs with a combination of components related to the two CDSM categories.
Conclusion: Easy-to-use CDSMs of good quality are valuable for advising PCPs on the detection and referral of children and youths with mental health disorders. However, valid multicentre research on a combination of computer-based methods and telecommunication is still needed.