tailieunhanh - Báo cáo y học: "Pathways to child and adolescent psychiatric clinics: a multilevel study of the significance of ethnicity and neighbourhood social characteristics on source of referral"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Critical Care giúp cho các bạn có thêm kiến thức về ngành y học đề tài: Pathways to child and adolescent psychiatric clinics: a multilevel study of the significance of ethnicity and neighbourhood social characteristics on source of referral. | Ivert et al. Child and Adolescent Psychiatry and Mental Health 2011 5 6 http content 5 1 6 CHILD ADOLESCENT PSYCHIATRY MENTAL HEALTH RESEARCH Open Access Pathways to child and adolescent psychiatric clinics a multilevel study of the significance of ethnicity and neighbourhood social characteristics on source of referral 1 131 2 1 Anna-Karin Ivert Robert Svensson Hans Adler Sten Levander Per-Anders Rydelius Marie Torstensson Levander Abstract Background In the Swedish society as in many other societies many children and adolescents with mental health problems do not receive the help they need. As the Swedish society becomes increasingly multicultural and as ethnic and economic residential segregation become more pronounced this study utilises ethnicity and neighbourhood context to examine referral pathways to child and adolescent psychiatric CAP clinics. Methods The analysis examines four different sources of referrals family referrals social legal agency referrals school referrals and health mental health referrals. The referrals of 2054 children aged 11-19 from the Stockholm Child-Psychiatric Database were studied using multilevel logistic regression analyses. Results Results indicate that ethnicity played an important role in how children and adolescents were referred to CAP-clinics. Family referrals were more common among children and adolescents with a Swedish background than among those with an immigrant background. Referrals by social legal agencies were more common among children and adolescents with African and Asian backgrounds. Children with Asian or South American backgrounds were more likely to have been referred by schools or by the health mental health care sector. A significant neighbourhood effect was found in relation to family referrals. Children and adolescents from neighbourhoods with low levels of socioeconomic deprivation were more likely to be referred to CAP-clinics by their families in comparison to children from other .