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High-income countries failing to do their part for kids' mental health

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Peer-reviewed: This work was reviewed and scrutinised by relevant independent experts.

Systematic review: This type of study is a structured approach to reviewing all the evidence to answer a specific question. It can include a meta-analysis which is a statistical method of combining the data from multiple studies to get an overall result.

People: This is a study based on research using people.

Canadian scientists suggest high-income countries are lagging behind on treating mental disorders in kids, as their research has found that most of the one in eight children that have mental health issues will not have access to services to treat them. The team looked at data from 14 studies across 11 countries, including Australia, and found that only 44.2 per cent of the kids investigated with mental disorders received any services for their conditions.

Journal/conference: Evidence-Based Mental Health

Link to research (DOI): 10.1136/ebmental-2021-300277

Organisation/s: Simon Fraser University, Vancouver, British Columbia, Canada

Funder: The British Columbia Ministry for Children and Family Development, Child and Youth Mental Health Branch

Media release

From: The BMJ

High-income countries are failing to provide adequate mental health services for children

At any given time one in eight children have mental disorders requiring treatment

One in eight children have mental disorders that cause symptoms and impairment and therefore require treatment, but even in high-income countries most of these children will not gain access to services to treat them, reports a study published in the journal Evidence-Based Mental Health.

Mental disorders that start in childhood and adolescence can significantly interfere with wellbeing and development. 

Despite the social and economic implications of not addressing these disorders, including long-term healthcare costs, justice system costs and the loss of human potential, mental health service provision for children continues to lag behind provision of services for physical health conditions, even in high-income countries.

To gain a better understanding of the burden of mental disorders in children and their treatment, the authors analysed data from 14 studies in 11 countries published between 2003 and 2020. The countries were the US (four studies) and Australia, Canada, Chile, Denmark, Great Britain, Israel, Lithuania, Norway, South Korea and Taiwan (one study each). 

The studies included 61,545 children aged 18 years or younger and the analysis showed that the overall prevalence of childhood mental disorder was 12.7%. 

The most common mental disorders were anxiety (5.2%), attention-deficit/hyperactivity disorder (ADHD) (3.7%), oppositional defiant disorder (e.g. argumentative behaviour) (3.3%), substance use disorder (e.g. problematic use of alcohol or cannabis) (2.3%), conduct disorder (1.3%) and depression (1.3%).

“Concerningly, only 44.2% of children with mental disorders received any services for these conditions,” the authors say. “In contrast, robust services are in place for child physical health problems such as cancer, diabetes and infectious diseases in most of these countries.” 

These shortages also exist despite considerable research evidence on effective interventions for preventing and treating childhood mental disorders.

They say their findings have illuminated “an invisible crisis in children’s mental health.” “We have depicted a high prevalence of childhood mental disorders coupled with unacceptable service shortfalls in high-income countries—to a degree that violates children’s rights.” 

High-income countries can “afford to do better,” they add. “Many countries will need to substantially increase children’s mental health budgets.” They noted, “This is particularly urgent given documented increases in children’s mental health needs since COVID-19—needs which are predicted to continue.”

The authors note several limitations in their paper, particularly variations in methods used in the included studies, including their diagnostic approaches and how they assessed service use. Nevertheless, all studies reported data on children who had not only symptoms but also impairment as a result of their mental disorders, underscoring the need for treatment.

“We believe that our review can enable policymakers to better understand the mental health needs of children in high-income countries,” they say. “In particular, policymakers can use our prevalence figures as benchmarks—calculating the numbers needing treatment at any given time within a given population or jurisdiction, then comparing the numbers in need with the numbers actually receiving mental-health services.”

They point out that families may seek services for children experiencing distress who do not meet diagnostic criteria meaning the prevalence data may under-represent service need.

The studies which assessed service use mainly captured contact data, so there were limited data on the type, duration and intensity of any treatment intervention which would be useful for service planning, the authors add. They stressed that it is also crucial for policymakers to ensure that effective services are offered, whether for prevention or treatment.

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