Universität zu Köln

Karow, A., Bock, T., Naber, D., Loewe, B., Schulte-Markwort, M., Schaefer, I., Gumz, A., Degkwitz, P., Schulte, B., Koenig, H. H., Konnopka, A., Bauer, M., Bechdolf, A., Correll, C., Juckel, G., Klosterkoetter, J., Leopold, K., Pfennig, A. and Lambert, M. (2013). Mental Health of Children, Adolescents and Young Adults - Part 2: Burden of Illness, Deficits of the German Health Care System and Efficacy and Effectiveness of Early Intervention Services. Forschritte Neurol. Psychiatr., 81 (11). S. 628 - 639. STUTTGART: GEORG THIEME VERLAG KG. ISSN 1439-3522

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Abstract

Numerous birth-control studies, epidemiological studies, and observational studies investigated mental health and health care in childhood, adolescence and early adulthood, including prevalence, age at onset, adversities, illness persistence, service use, treatment delay and course of illness. Moreover, the impact of the burden of illness, of deficits of present health care systems, and the efficacy and effectiveness of early intervention services on mental health were evaluated. According to these data, most mental disorders start during childhood, adolescence and early adulthood. Many children, adolescents and young adults are exposed to single or multiple adversities, which increase the risk for (early) manifestations of mental diseases as well as for their chronicity. Early-onset mental disorders often persist into adulthood. Service use of children, adolescents and young adults is low, even lower than in adult patients. Moreover, there is often a long delay between onset of illness and first adequate treatment with a variety of linked consequences for poorer psychosocial prognosis. This leads to a large burden of illness with respect to disability and costs. As a consequence several countries have implemented so-called early intervention services at the border of child and adolescent and adult psychiatry. Emerging studies show that these health care structures are effective and efficient. Part 2 of the present review focuses on illness burden including disability and costs, deficits of the present health care system in Germany, and efficacy and efficiency of early intervention services.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Karow, A. UNSPECIFIED UNSPECIFIED UNSPECIFIED Bock, T. UNSPECIFIED UNSPECIFIED UNSPECIFIED Naber, D. UNSPECIFIED UNSPECIFIED UNSPECIFIED Loewe, B. UNSPECIFIED UNSPECIFIED UNSPECIFIED Schulte-Markwort, M. UNSPECIFIED UNSPECIFIED UNSPECIFIED Schaefer, I. UNSPECIFIED UNSPECIFIED UNSPECIFIED Gumz, A. UNSPECIFIED UNSPECIFIED UNSPECIFIED Degkwitz, P. UNSPECIFIED UNSPECIFIED UNSPECIFIED Schulte, B. UNSPECIFIED UNSPECIFIED UNSPECIFIED Koenig, H. H. UNSPECIFIED UNSPECIFIED UNSPECIFIED Konnopka, A. UNSPECIFIED UNSPECIFIED UNSPECIFIED Bauer, M. UNSPECIFIED UNSPECIFIED UNSPECIFIED Bechdolf, A. UNSPECIFIED UNSPECIFIED UNSPECIFIED Correll, C. UNSPECIFIED UNSPECIFIED UNSPECIFIED Juckel, G. UNSPECIFIED UNSPECIFIED UNSPECIFIED Klosterkoetter, J. UNSPECIFIED UNSPECIFIED UNSPECIFIED Leopold, K. UNSPECIFIED UNSPECIFIED UNSPECIFIED Pfennig, A. UNSPECIFIED UNSPECIFIED UNSPECIFIED Lambert, M. UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-473441
DOI:	10.1055/s-0033-1355840
Journal or Publication Title:	Forschritte Neurol. Psychiatr.
Volume:	81
Number:	11
Page Range:	S. 628 - 639
Date:	2013
Publisher:	GEORG THIEME VERLAG KG
Place of Publication:	STUTTGART
ISSN:	1439-3522
Language:	German
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language ASSERTIVE COMMUNITY TREATMENT; GENERAL-PRACTITIONER EDUCATION; RANDOMIZED MULTICENTER TRIAL; 5-YEAR FOLLOW-UP; 1ST-EPISODE PSYCHOSIS; COST-EFFECTIVENESS; UNTREATED PSYCHOSIS; STANDARD TREATMENT; 1ST EPISODE; PATIENT CHARACTERISTICS Multiple languages Clinical Neurology; Psychiatry Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/47344