Assessing feasibility of routine identification tools for mental health disorder in neurology clinics

Arch Dis Child. 2019 Dec;104(12):1161-1166. doi: 10.1136/archdischild-2018-316595. Epub 2019 May 11.

Abstract

Objective: We aimed to test the feasibility of using an online parent-completed diagnostic assessment for detecting common mental health disorders in children attending neurology clinics. The assessment does not require intervention by a mental health professional or additional time in the clinic appointment.

Setting: Two parallel and related screening studies were undertaken: Study 1: Tertiary paediatric neurology clinics. Study 2: Secondary and tertiary paediatric neurology clinics.

Patients: Study 1: 406 Young people aged 7-18 attending paediatric neurology clinics. Study 2: 225 Young people aged 3-18 attending paediatric epilepsy clinics.

Interventions: Parents completed online versions of the Strengths and Difficulties Questionnaire (SDQ) and Development and Well-being Assessment (DAWBA).

Main outcome measures: We investigated: the willingness of families to complete the measures, proportion identified as having mental health disorders, time taken to complete the measures and acceptability to families and clinicians.

Results: The mean total difficulties score of those that had completed the SDQ fell in the 'high' and 'very high' ranges. 60% and 70% of the DAWBAS completed met criteria for at least one DSM-IV disorder in study 1 and 2 respectively. 98% of the parents reported that the screening methods used were acceptable.

Keywords: neurology; psychology; screening.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Child
  • Child, Preschool
  • Diagnostic and Statistical Manual of Mental Disorders
  • Epilepsy / diagnosis*
  • Feasibility Studies
  • Female
  • Health Surveys
  • Humans
  • Internet
  • Male
  • Mental Disorders / diagnosis*
  • Neurology / trends*
  • Online Systems*
  • Parents / education*