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

Sophie D Bennett1, Isobel Heyman1,2, Anna E Coughtrey1,2

  • 1UCL Great Ormond Street Institute of Child Health, London, UK.

Archives of Disease in Childhood
|May 13, 2019
PubMed

Insights

Online assessments effectively identified common mental health disorders in children at neurology clinics. Parents found the Strengths and Difficulties Questionnaire (SDQ) and Development and Well-being Assessment (DAWBA) feasible and acceptable.

Area of Science:

  • Child neurology
  • Pediatric mental health
  • Digital health assessments

Background:

  • Children with neurological conditions often have co-occurring mental health disorders.
  • Early detection of these disorders is crucial for effective management.
  • Current screening methods may not be integrated into routine neurology clinic workflows.

Purpose of the Study:

  • To assess the feasibility of an online, parent-completed diagnostic assessment for child mental health disorders.
  • To evaluate the acceptability and efficiency of digital screening tools in pediatric neurology settings.
  • To determine the prevalence of mental health disorders identified through online assessments in this population.

Main Methods:

  • Two parallel screening studies conducted in pediatric neurology clinics (tertiary and secondary/tertiary settings).
  • Parents of children aged 3-18 completed online versions of the Strengths and Difficulties Questionnaire (SDQ) and Development and Well-being Assessment (DAWBA).
  • Feasibility was measured by family willingness, time to complete, and clinician/family acceptability.

Main Results:

  • High mean total difficulties scores on the SDQ indicated significant challenges.
  • 60% (Study 1) and 70% (Study 2) of DAWBA assessments met criteria for at least one DSM-IV disorder.
  • 98% of parents reported the screening methods were acceptable.

Conclusions:

  • Online, parent-completed assessments are a feasible and acceptable method for detecting mental health disorders in children attending neurology clinics.
  • These digital tools can be integrated into clinic appointments without requiring additional professional time.
  • The high prevalence of identified disorders underscores the need for such screening in pediatric neurology settings.
Abstract

Keywords:
neurologypsychologyscreening

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