Evaluation of a screening algorithm using the Strengths and Difficulties Questionnaire to identify children with mental health problems

A five-year register-based follow-up on school performance and healthcare use

CCC2000 Study Group

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

Resumé

BACKGROUND: Treatment of mental health problems (MHP) is often delayed or absent due to the lack of systematic detection and early intervention. This study evaluates the potential of a new screening algorithm to identify children with MHP.

METHODS: The study population comprises 2,015 children from the Copenhagen Child Cohort 2000 whose mental health was assessed at age 11-12 years and who had no prior use of specialised mental health services. A new algorithm based on the Strengths and Difficulties Questionnaire (SDQ) is utilised to identify MHP by combining parent-reported scores of emotional and behavioural problems and functional impairments. The screening is done on historical data, implying that neither parents, teachers nor health care professionals received any feedback on the screening status. The screening status and results of an IQ-test were linked to individual-level data from national registries. These national registers include records of each child's school performance at the end of compulsory schooling, their health care utilisation, as well as their parents' socio-economic status and health care utilisation.

RESULTS: 10% of the children screen positive for MHP. The children with MHP achieve a significantly lower Grade Point Average on their exams, independently of their IQ-score, perinatal factors and parental characteristics. On average, the children with MHP also carry higher health care costs over a five-year follow-up period. The higher health care costs are only attributed to 23% of these children, while the remaining children with MHP also show poorer school performance but receive no additional health care.

CONCLUSIONS: The results demonstrate that children with MHP and a poor prognosis can be identified by the use of the brief standardised questionnaire SDQ combined with a screening algorithm.

OriginalsprogEngelsk
TidsskriftPLOS ONE
Vol/bind14
Udgave nummer10
Sider (fra-til)e0223314
ISSN1932-6203
DOI
StatusUdgivet - 2019

Fingeraftryk

academic achievement
mental health
Medical problems
health services
Mental Health
Screening
questionnaires
Health care
screening
Delivery of Health Care
health care costs
Health
Parents
Surveys and Questionnaires
behavior problems
Mental Health Services
Costs
socioeconomic status
health care workers
teachers

Citer dette

@article{ff19fc33d9f54eccaaf4283b9e90521b,
title = "Evaluation of a screening algorithm using the Strengths and Difficulties Questionnaire to identify children with mental health problems: A five-year register-based follow-up on school performance and healthcare use",
abstract = "BACKGROUND: Treatment of mental health problems (MHP) is often delayed or absent due to the lack of systematic detection and early intervention. This study evaluates the potential of a new screening algorithm to identify children with MHP.METHODS: The study population comprises 2,015 children from the Copenhagen Child Cohort 2000 whose mental health was assessed at age 11-12 years and who had no prior use of specialised mental health services. A new algorithm based on the Strengths and Difficulties Questionnaire (SDQ) is utilised to identify MHP by combining parent-reported scores of emotional and behavioural problems and functional impairments. The screening is done on historical data, implying that neither parents, teachers nor health care professionals received any feedback on the screening status. The screening status and results of an IQ-test were linked to individual-level data from national registries. These national registers include records of each child's school performance at the end of compulsory schooling, their health care utilisation, as well as their parents' socio-economic status and health care utilisation.RESULTS: 10{\%} of the children screen positive for MHP. The children with MHP achieve a significantly lower Grade Point Average on their exams, independently of their IQ-score, perinatal factors and parental characteristics. On average, the children with MHP also carry higher health care costs over a five-year follow-up period. The higher health care costs are only attributed to 23{\%} of these children, while the remaining children with MHP also show poorer school performance but receive no additional health care.CONCLUSIONS: The results demonstrate that children with MHP and a poor prognosis can be identified by the use of the brief standardised questionnaire SDQ combined with a screening algorithm.",
author = "Wolf, {Rasmus Trap} and Pia Jeppesen and Dorte Gyrd-Hansen and Oxholm, {Anne Sophie} and {CCC2000 Study Group}",
year = "2019",
doi = "10.1371/journal.pone.0223314",
language = "English",
volume = "14",
pages = "e0223314",
journal = "P L o S One",
issn = "1932-6203",
publisher = "Public Library of Science",
number = "10",

}

Evaluation of a screening algorithm using the Strengths and Difficulties Questionnaire to identify children with mental health problems : A five-year register-based follow-up on school performance and healthcare use. / CCC2000 Study Group.

I: PLOS ONE, Bind 14, Nr. 10, 2019, s. e0223314.

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

TY - JOUR

T1 - Evaluation of a screening algorithm using the Strengths and Difficulties Questionnaire to identify children with mental health problems

T2 - A five-year register-based follow-up on school performance and healthcare use

AU - Wolf, Rasmus Trap

AU - Jeppesen, Pia

AU - Gyrd-Hansen, Dorte

AU - Oxholm, Anne Sophie

AU - CCC2000 Study Group

PY - 2019

Y1 - 2019

N2 - BACKGROUND: Treatment of mental health problems (MHP) is often delayed or absent due to the lack of systematic detection and early intervention. This study evaluates the potential of a new screening algorithm to identify children with MHP.METHODS: The study population comprises 2,015 children from the Copenhagen Child Cohort 2000 whose mental health was assessed at age 11-12 years and who had no prior use of specialised mental health services. A new algorithm based on the Strengths and Difficulties Questionnaire (SDQ) is utilised to identify MHP by combining parent-reported scores of emotional and behavioural problems and functional impairments. The screening is done on historical data, implying that neither parents, teachers nor health care professionals received any feedback on the screening status. The screening status and results of an IQ-test were linked to individual-level data from national registries. These national registers include records of each child's school performance at the end of compulsory schooling, their health care utilisation, as well as their parents' socio-economic status and health care utilisation.RESULTS: 10% of the children screen positive for MHP. The children with MHP achieve a significantly lower Grade Point Average on their exams, independently of their IQ-score, perinatal factors and parental characteristics. On average, the children with MHP also carry higher health care costs over a five-year follow-up period. The higher health care costs are only attributed to 23% of these children, while the remaining children with MHP also show poorer school performance but receive no additional health care.CONCLUSIONS: The results demonstrate that children with MHP and a poor prognosis can be identified by the use of the brief standardised questionnaire SDQ combined with a screening algorithm.

AB - BACKGROUND: Treatment of mental health problems (MHP) is often delayed or absent due to the lack of systematic detection and early intervention. This study evaluates the potential of a new screening algorithm to identify children with MHP.METHODS: The study population comprises 2,015 children from the Copenhagen Child Cohort 2000 whose mental health was assessed at age 11-12 years and who had no prior use of specialised mental health services. A new algorithm based on the Strengths and Difficulties Questionnaire (SDQ) is utilised to identify MHP by combining parent-reported scores of emotional and behavioural problems and functional impairments. The screening is done on historical data, implying that neither parents, teachers nor health care professionals received any feedback on the screening status. The screening status and results of an IQ-test were linked to individual-level data from national registries. These national registers include records of each child's school performance at the end of compulsory schooling, their health care utilisation, as well as their parents' socio-economic status and health care utilisation.RESULTS: 10% of the children screen positive for MHP. The children with MHP achieve a significantly lower Grade Point Average on their exams, independently of their IQ-score, perinatal factors and parental characteristics. On average, the children with MHP also carry higher health care costs over a five-year follow-up period. The higher health care costs are only attributed to 23% of these children, while the remaining children with MHP also show poorer school performance but receive no additional health care.CONCLUSIONS: The results demonstrate that children with MHP and a poor prognosis can be identified by the use of the brief standardised questionnaire SDQ combined with a screening algorithm.

U2 - 10.1371/journal.pone.0223314

DO - 10.1371/journal.pone.0223314

M3 - Journal article

VL - 14

SP - e0223314

JO - P L o S One

JF - P L o S One

SN - 1932-6203

IS - 10

ER -