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Christine Polihronis1,2,3, Paula Cloutier2,4, Lori Kempe5

  • 1Knowledge Institute on Child and Youth Mental Health and Addictions, Ottawa, Ontario, Canada.

Infant Mental Health Journal
|August 10, 2024
PubMed
Summary

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A new screening tool, HEADS-ED Under 6, effectively identifies mental health and developmental needs in young children. It helps clinicians determine the necessary intensity of services for better patient care.

Area of Science:

  • Child Psychology
  • Developmental Pediatrics
  • Mental Health Services Research

Background:

  • Limited tools exist for identifying mental health (MH) and developmental needs in young children.
  • Communimetric screening tools are vital for assessing patient needs and guiding clinical action.

Purpose of the Study:

  • To implement and evaluate the HEADS-ED Under 6, a novel communimetric screening tool for children under six.
  • To assess the tool's utility in a community mental health agency setting.

Main Methods:

  • Prospective cohort design from November 2019 to March 2021 in Ontario, Canada.
  • Intake workers utilized the HEADS-ED Under 6 for screening children under six.
  • Analysis of tool usage, score concordance, and prediction of service intensity.
Keywords:
EntwicklungsproblemeKleinkinderPsychische GesundheitSanté mentaleScreening‐Instrumentasuntos del desarrollocommunimetriccommunimétriquecomunimétricadevelopmental concernsherramienta de evaluaciónjeunes enfantskommunimetrischmental healthniños pequeñosoutil de dépistageproblèmes de développementsalud mentalscreening toolyoung childrenالكلمات المفتاحيةالصحة النفسية، مخاوف النمو ، أداة الفحص، الأطفال الصغارメンタルヘルス、発達上の問題、コミュニメトリック、スクリーニングツール、幼児心理健康, 发育问题, 社区测量, 筛查工具, 幼儿

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Main Results:

  • 94.5% of children (n=535/566) were screened using the HEADS-ED at intake.
  • Total scores and specific domains (Eating & sleeping, Development, speech/language/motor, Emotions & behaviors) predicted service intensity.
  • The tool demonstrated good concordance with the InterRAI Early Years for children under four.

Conclusions:

  • The HEADS-ED Under 6 is a brief, easy-to-use, and valid screening tool.
  • It effectively identifies MH and developmental domains, rates needs severity, and informs service intensity for young children.