Universität zu Köln

Abbas, Sascha, Ihle, Peter, Adler, Juergen-Bernhard, Engel, Susanne, Guenster, Christian, Holtmann, Martin, Kortevoss, Axel, Linder, Roland, Maier, Werner ORCID: 0000-0003-4356-7296, Lehmkuhl, Gerd and Schubert, Ingrid (2017). Predictors of non-drug psychiatric/psychotherapeutic treatment in children and adolescents with mental or behavioural disorders. Eur. Child Adolesc. Psych., 26 (4). S. 433 - 445. NEW YORK: SPRINGER. ISSN 1435-165X

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Abstract

Children and adolescents with mental health problems need effective and safe therapies to support their emotional and social development and to avoid functional impairment and progress of social deficits. Though psychotropic drugs seem to be the preferential treatment, psychotherapy and psychosocial interventions are essential in mental health care. For Germany, current data on the utilization of psychotherapy and psychosocial interventions in children with mental health problems is lacking. To analyse why certain children and adolescents with mental or behavioural disorders do and others do not receive non-drug treatment, we assessed predictors associated with specific non-drug psychiatric/psychotherapeutic treatment including psychosocial interventions, psychotherapy and other non-drug treatments. The study is based on data of two large German health insurance funds, AOK and TK, comprising 30 % of the German child and adolescent population. Predictors of non-drug psychiatric/psychotherapeutic treatment were analysed for 23,795 cases and two controls for every case of the same age and sex in children aged 0-17 years following a new diagnosis of mental or behavioural disorder in 2010. Predictors were divided according to Andersen's behavioural model into predisposing, need and enabling factors. The most prominent and significant predictors positively associated with non-drug psychiatric/psychotherapeutic treatment were the residential region as predisposing factor; specific, both ex- and internalizing, mental and behavioural disorders, psychiatric co-morbidity and psychotropic drug use as need factors; and low area deprivation and high accessibility to outpatient physicians and inpatient institutions with non-drug psychiatric/psychotherapeutic department as enabling factors. In conclusion, the present study suggests that the residential region as proxy for supply of therapist and socioeconomic situation is an influencing factor for the use of psychotherapy. The analysis sheds further light on predisposing, need and enabling factors as predictors of non-drug psychotherapeutic/psychiatric treatment in children and adolescents with mental or behavioural health disorders in Germany. More research is needed to further understand the factors promoting the gap between the need and utilization of mental health care.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Abbas, Sascha UNSPECIFIED UNSPECIFIED UNSPECIFIED Ihle, Peter UNSPECIFIED UNSPECIFIED UNSPECIFIED Adler, Juergen-Bernhard UNSPECIFIED UNSPECIFIED UNSPECIFIED Engel, Susanne UNSPECIFIED UNSPECIFIED UNSPECIFIED Guenster, Christian UNSPECIFIED UNSPECIFIED UNSPECIFIED Holtmann, Martin UNSPECIFIED UNSPECIFIED UNSPECIFIED Kortevoss, Axel UNSPECIFIED UNSPECIFIED UNSPECIFIED Linder, Roland UNSPECIFIED UNSPECIFIED UNSPECIFIED Maier, Werner UNSPECIFIED orcid.org/0000-0003-4356-7296 UNSPECIFIED Lehmkuhl, Gerd UNSPECIFIED UNSPECIFIED UNSPECIFIED Schubert, Ingrid UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-235290
DOI:	10.1007/s00787-016-0900-z
Journal or Publication Title:	Eur. Child Adolesc. Psych.
Volume:	26
Number:	4
Page Range:	S. 433 - 445
Date:	2017
Publisher:	SPRINGER
Place of Publication:	NEW YORK
ISSN:	1435-165X
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language HEALTH-SERVICE USE; DEFICIT HYPERACTIVITY DISORDER; SPATIAL ACCESSIBILITY; REGIONAL DEPRIVATION; NATIONAL TRENDS; PSYCHOTHERAPY; CARE; PREVALENCE; GERMANY; ACCESS Multiple languages Psychology, Developmental; Pediatrics; Psychiatry Multiple languages
Refereed:	Yes
URI:	http://kups.ub.uni-koeln.de/id/eprint/23529