Publication

A new approach to child mental healthcare within general practice

Verhaak, P. F. M., van Dijk, M., Walstock, D. & Zwaanswijk, M., 9-Oct-2015, In : BMC Family Practice. 16, 10 p., 132.

Research output: Contribution to journalArticleAcademicpeer-review

APA

Verhaak, P. F. M., van Dijk, M., Walstock, D., & Zwaanswijk, M. (2015). A new approach to child mental healthcare within general practice. BMC Family Practice, 16, [132]. https://doi.org/10.1186/s12875-015-0354-2

Author

Verhaak, Peter F. M. ; van Dijk, Marloes ; Walstock, Dick ; Zwaanswijk, Marieke. / A new approach to child mental healthcare within general practice. In: BMC Family Practice. 2015 ; Vol. 16.

Harvard

Verhaak, PFM, van Dijk, M, Walstock, D & Zwaanswijk, M 2015, 'A new approach to child mental healthcare within general practice', BMC Family Practice, vol. 16, 132. https://doi.org/10.1186/s12875-015-0354-2

Standard

A new approach to child mental healthcare within general practice. / Verhaak, Peter F. M.; van Dijk, Marloes; Walstock, Dick; Zwaanswijk, Marieke.

In: BMC Family Practice, Vol. 16, 132, 09.10.2015.

Research output: Contribution to journalArticleAcademicpeer-review

Vancouver

Verhaak PFM, van Dijk M, Walstock D, Zwaanswijk M. A new approach to child mental healthcare within general practice. BMC Family Practice. 2015 Oct 9;16. 132. https://doi.org/10.1186/s12875-015-0354-2


BibTeX

@article{54c7f72b76b04e59bf09a972965d0eb9,
title = "A new approach to child mental healthcare within general practice",
abstract = "Background: Child and adolescent mental health problems are frequently not identified and properly treated within general practice. Politicians in the Netherlands are promoting more primary healthcare treatment for mental health problems. The current study aims to evaluate an integrated primary mental healthcare approach for child and adolescent emotional and behavioural problems. This integrated approach allows general practitioners (GPs) to comprehensively explore the request for help, followed by an informed decision to refer, offer short-term treatment within general practice or postpone a decision by asking for additional consultations with youth mental health specialists.Method: The study is a naturalistic evaluation of Dutch general practices with pre-test and post-test comparison with controls based on data from Electronic Medical Records (EMR). The intervention started in September 2010. EMR data of all GP contacts with children aged 4 to 18 (including diagnosis, prescriptions, referrals) from practices involved in the intervention was used from 1 January 2009 to 31 December 2012. Extra codes were added to the EMR to record aspects of the intervention. Comparable EMR data was used in control practices in 2011.Results: GPs in the intervention group were able to identify more emotional and behavioural problems after the integrated service had started. They also identified more problems than GPs in the control practices. They were already reluctant to prescribe psychopharmacological medication to children before the intervention, and levels of prescription at intervention GP practices remained low for psychotropic drugs compared to control practices. Referral rates to mental healthcare remained relatively steady after the introduction of the integrated service, but referrals switched from specialized to primary mental healthcare.Conclusion: An integrated mental healthcare approach within general practice may lead to an increase in detected psychosocial problems among children, and these problems can mainly be treated within the primary care setting.",
keywords = "SUPPLEMENT NCS-A, YOUNG-PEOPLE, PSYCHOLOGICAL-PROBLEMS, FOLLOW-UP, DISORDERS, ADOLESCENTS, PREVALENCE, ADULTHOOD, SERVICES",
author = "Verhaak, {Peter F. M.} and {van Dijk}, Marloes and Dick Walstock and Marieke Zwaanswijk",
year = "2015",
month = "10",
day = "9",
doi = "10.1186/s12875-015-0354-2",
language = "English",
volume = "16",
journal = "BMC Family Practice",
issn = "1471-2296",
publisher = "BioMed Central Ltd.",

}

RIS

TY - JOUR

T1 - A new approach to child mental healthcare within general practice

AU - Verhaak, Peter F. M.

AU - van Dijk, Marloes

AU - Walstock, Dick

AU - Zwaanswijk, Marieke

PY - 2015/10/9

Y1 - 2015/10/9

N2 - Background: Child and adolescent mental health problems are frequently not identified and properly treated within general practice. Politicians in the Netherlands are promoting more primary healthcare treatment for mental health problems. The current study aims to evaluate an integrated primary mental healthcare approach for child and adolescent emotional and behavioural problems. This integrated approach allows general practitioners (GPs) to comprehensively explore the request for help, followed by an informed decision to refer, offer short-term treatment within general practice or postpone a decision by asking for additional consultations with youth mental health specialists.Method: The study is a naturalistic evaluation of Dutch general practices with pre-test and post-test comparison with controls based on data from Electronic Medical Records (EMR). The intervention started in September 2010. EMR data of all GP contacts with children aged 4 to 18 (including diagnosis, prescriptions, referrals) from practices involved in the intervention was used from 1 January 2009 to 31 December 2012. Extra codes were added to the EMR to record aspects of the intervention. Comparable EMR data was used in control practices in 2011.Results: GPs in the intervention group were able to identify more emotional and behavioural problems after the integrated service had started. They also identified more problems than GPs in the control practices. They were already reluctant to prescribe psychopharmacological medication to children before the intervention, and levels of prescription at intervention GP practices remained low for psychotropic drugs compared to control practices. Referral rates to mental healthcare remained relatively steady after the introduction of the integrated service, but referrals switched from specialized to primary mental healthcare.Conclusion: An integrated mental healthcare approach within general practice may lead to an increase in detected psychosocial problems among children, and these problems can mainly be treated within the primary care setting.

AB - Background: Child and adolescent mental health problems are frequently not identified and properly treated within general practice. Politicians in the Netherlands are promoting more primary healthcare treatment for mental health problems. The current study aims to evaluate an integrated primary mental healthcare approach for child and adolescent emotional and behavioural problems. This integrated approach allows general practitioners (GPs) to comprehensively explore the request for help, followed by an informed decision to refer, offer short-term treatment within general practice or postpone a decision by asking for additional consultations with youth mental health specialists.Method: The study is a naturalistic evaluation of Dutch general practices with pre-test and post-test comparison with controls based on data from Electronic Medical Records (EMR). The intervention started in September 2010. EMR data of all GP contacts with children aged 4 to 18 (including diagnosis, prescriptions, referrals) from practices involved in the intervention was used from 1 January 2009 to 31 December 2012. Extra codes were added to the EMR to record aspects of the intervention. Comparable EMR data was used in control practices in 2011.Results: GPs in the intervention group were able to identify more emotional and behavioural problems after the integrated service had started. They also identified more problems than GPs in the control practices. They were already reluctant to prescribe psychopharmacological medication to children before the intervention, and levels of prescription at intervention GP practices remained low for psychotropic drugs compared to control practices. Referral rates to mental healthcare remained relatively steady after the introduction of the integrated service, but referrals switched from specialized to primary mental healthcare.Conclusion: An integrated mental healthcare approach within general practice may lead to an increase in detected psychosocial problems among children, and these problems can mainly be treated within the primary care setting.

KW - SUPPLEMENT NCS-A

KW - YOUNG-PEOPLE

KW - PSYCHOLOGICAL-PROBLEMS

KW - FOLLOW-UP

KW - DISORDERS

KW - ADOLESCENTS

KW - PREVALENCE

KW - ADULTHOOD

KW - SERVICES

U2 - 10.1186/s12875-015-0354-2

DO - 10.1186/s12875-015-0354-2

M3 - Article

VL - 16

JO - BMC Family Practice

JF - BMC Family Practice

SN - 1471-2296

M1 - 132

ER -

ID: 25411076