2 Mental Health Presentations and Referral Appointment Outcomes at a School Based Health Centre Program
Notice bibliographique
Résumé
According to WHO, mental health conditions are one of the leading causes of disability worldwide. In Ontario, 20% of children have a mental health condition. Growing evidence demonstrates that early intervention improves a child’s ability to function, prevents illness from worsening, and reduces morbidity and mortality. However, many parents face barriers including long wait times, accessibility issues and not knowing where to seek out help. In an effort to remedy this problem, The Model Schools Pediatric Health Initiative was established to open School Based Health Centres (SBHCs) in inner-city elementary schools. Students with health concerns, including mental health, can be referred to the SBHC by school staff or caregivers. Each SBHC is staffed by family doctors and developmental and general pediatricians who assess students and arrange for interventions and follow-up. The aims of this study were to 1) examine the characteristics of children presenting with mental health conditions to the SBHCs, with a focus on demographics and reason for choosing the SBHC and 2) review the referrals made by the SBHCs and assess attendance rate. A retrospective chart review was conducted, specifically examining a cohort of children who presented with a mental health concern(s) to SBHCs. Study data was collected from September 2012 to August 2016 and included all consented children enrolled in the clinics. Frequencies and means were used to summarize outcomes. 270 (28%) of 979 SBHC patients presented with a mental health concern, including but not limited to depression, anxiety, psychosocial trauma and emotional dysregulation. 85% of referrals were initiated by a teacher. The average age at presentation was 7.5 years old. A significant majority of patients and their families were immigrants to Canada. 63% of patients had an annual family income of <$30,000. Patients’ caregivers reported choosing the SBHC due to 1) teacher recommendation, 2) convenience factors and 3) lacking a family doctor. 273 referrals to other health care providers were made, including psychologists, occupational and physical therapists and developmental pediatricians. Of these referrals, 32% were attended, 30% were unattended, 10% were waitlisted and 28% were lost to follow up. Inner-city SBHCs address the need for timely and easily accessible services for children with mental health concerns. Future research will focus on referral appointments and barriers to attendance.
Récupéré en direct depuis OpenAlex et désinversé. Les résumés ne sont pas conservés dans cette base de données : les index inversés représentent 8,6 Go des 9,3 Go de texte de la base, et le serveur dispose de 13 Go libres.
Comment cette classification a été obtenuedéplier
Prédiction machine sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Le volet Gemma est une étiquette directe du modèle pour chaque travail de la base, lue sur la notice réduite au titre. Le volet Codex est un classifieur appris des 10 348 étiquettes directes de Codex et calibré sur les taux pondérés de l'échantillon; les champs sans appui suffisant ne portent aucun appel Codex. Le mode candidate est l'union des deux volets; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont pas des étiquettes humaines.
Scores du classifieur distillé par catégorie (deux têtes)
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,001 | 0,006 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,000 | 0,001 |
| Bibliométrie | 0,002 | 0,002 |
| Études des sciences et des technologies | 0,002 | 0,000 |
| Communication savante | 0,001 | 0,001 |
| Science ouverte | 0,001 | 0,002 |
| Intégrité de la recherche | 0,001 | 0,002 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,012 | 0,001 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule source (Gemma direct ou Codex distillé), pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».