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Mental Health Screening and Measurement in Children and Adolescents
Marie Reilly1, Carol Weitzman1
1Division of Developmental Medicine, Boston Children's Hospital, 300 Longwood Avenue, BCH 3217, Boston, MA 02115, USA.
Insights
Pediatric mental health screening is crucial, with 20% of children affected annually. Early detection through routine visits and surveillance is recommended to identify and manage emotional and behavioral health issues in youth.
Area of Science:
- Pediatric Health
- Child Psychology
- Preventive Medicine
Background:
- High prevalence of childhood mental, emotional, and behavioral health problems, affecting 20% annually and 40% by age 18.
- Growing recognition of the importance of early identification and intervention for pediatric mental health disorders.
Purpose of the Study:
- To highlight the necessity of routine mental health screening for children.
- To align screening practices with established guidelines from leading health organizations.
Main Methods:
- Implementing global and domain-specific screening at all routine pediatric health maintenance visits, starting in infancy.
- Adhering to age-based screening recommendations for anxiety (post-8 years) and depression/suicide risk (post-12 years).
- Integrating screening with continuous surveillance for comprehensive mental health assessment.
Main Results:
- Current guidelines advocate for universal screening to address the high incidence of mental health issues in children.
- Specific age recommendations exist for screening different mental health conditions.
Conclusions:
- Routine screening and ongoing surveillance are essential for a comprehensive approach to detecting and managing mental, emotional, and behavioral problems in children.
- Early identification and intervention can significantly improve long-term child mental health outcomes.
Abstract:
Approximately 20% of children experience a mental, emotional, or behavioral health problem each year and 40% will meet criteria for a disorder by the age of 18 years. The American Academy of Pediatrics now recommends global and domain-specific screening at every routine health maintenance visit starting in infancy. Based on US Preventative Services Task Force recommendations, anxiety screening should begin after the age of 8 years and depression and suicide risk screening after the age of 12 years. Screening should be combined with ongoing surveillance to ensure a comprehensive program to detect children with mental, emotional, and behavior problems.
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