Anxiety and Family Functioning: An Examination of Factors Associated with Mental Health Service Complexity for Clinically Referred Children and Youth
Bibliographic record
Abstract
Objective: Service complexity refers to the intensity of services an individual needs, influenced by mental health and psychosocial factors. Anxiety is a prevalent mental health condition affecting youth. This study examined the relationship between anxiety and other risk factors—family functioning and interpersonal trauma and polyvictimization—with service complexity while controlling for age and sex. Method: A secondary analysis was conducted using data obtained from interRAI Child and Youth Mental Health (ChYMH) assessments from Canadian mental health agencies. The sample was comprised of 26,800 youth aged 4–18 years old, who were assessed by trained professionals. Results: Higher anxiety, family functioning concerns, and interpersonal trauma were all associated with increased service complexity. Conclusion: The findings of this study highlight the importance of addressing mental health, family, social and service variables when examining mental health utilization across multiple care settings.
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How this classification was reachedexpand
Full frame distilled prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.001 | 0.000 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.000 | 0.000 |
| Science and technology studies | 0.001 | 0.000 |
| Scholarly communication | 0.000 | 0.001 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.000 |
| Insufficient payload (model declined to judge) | 0.000 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one teacher head, not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".