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Mental Health Service Use Among Children with Chronic Physical Illness
Lauren Gosse1, Chloe Bedard1, Scott Leatherdale1
1School of Public Health Sciences, University of Waterloo.
Summary
Children with chronic physical illness often need mental health services, but usage varies. Factors like age, comorbidities, disability, and parental education influence service access for these children.
Area of Science:
- Pediatric Health
- Mental Health Services Research
- Chronic Illness Management
Background:
- Children with chronic physical illnesses face higher risks of adverse mental health outcomes.
- Understanding their mental health service utilization is crucial but remains under-researched.
Purpose of the Study:
- To examine mental health service use patterns in children with chronic physical illness over 24 months.
- To identify sociodemographic and health-related factors linked to these service use patterns.
Main Methods:
- Longitudinal study involving 263 children (ages 2-16) with chronic physical illnesses.
- Parent-reported data on mental health service utilization.
- Latent class analysis to identify service use trajectories.
Main Results:
- Approximately one-quarter of children had contact with a health professional for mental health concerns.
- Two distinct service use classes emerged: any service contact (11.4-16.4%) and no service use (88.6-83.7%).
- Child age, comorbid mental health conditions, elevated disability, and higher parental education were associated with service use.
Conclusions:
- Mental health needs are prevalent in children with chronic physical conditions.
- Service utilization is influenced by a combination of patient and family factors.
- Integration of physical and mental health services is recommended; further research with diverse samples and objective data is needed.
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