Characteristics of the demand in the mental health unit of children and the adolescence of the Santiago sanitary area (public health system): evolutionary analysis

Published

2018-08-15

How to Cite

Varela Reboiras, L., Mondragón Vicente, R., Ramos Viúdez, I., Ramos García, I., & Domínguez Santos, M. (2018). Characteristics of the demand in the mental health unit of children and the adolescence of the Santiago sanitary area (public health system): evolutionary analysis. Revista De Psiquiatría Infanto-Juvenil, 34(3), 316–331. https://doi.org/10.31766/revpsij.v34n3a2

Issue

Section

Orginial article

Authors

  • L. Varela Reboiras Complejo Hospitalario Universitario de Santiago de Compostela
  • R. Mondragón Vicente Complejo Hospitalario Universitario de Santiago de Compostela
  • I. Ramos Viúdez Complejo Hospitalario Universitario de Santiago de Compostela
  • I. Ramos García Complejo Hospitalario Universitario de Santiago de Compostela
  • MD. Domínguez Santos Complejo Hospitalario Universitario de Santiago de Compostela

DOI:

https://doi.org/10.31766/revpsij.v34n3a2

Keywords:

Analysis of demand, Mental health, Childhood and adolescence

Abstract

Introduction: The analysis and evaluation of the demand that is carried out in a Mental Health Unit of Childhood and Adolescence (MHUCA) is fundamental to improve the quality of the professional attention and the effectiveness of the treatments. In this paper we present the data of an evaluation performed during fifteen years in a MHUCA.

Objectives: To determine the sociodemographic and clinical characteristics of the children and adolescents who consulted in the MHUCA of the Santiago Area during the period 2000-2015.

Analyze the differences between sociodemographic and clinical variables between the first years of this period (2000-2012), with the results observed in the last years (2013-2015) and their relationship with the increase in demand.

Material and Methods: The sample used is 6026 subjects consulted. The studied variables: sociodemographic and clinical. We analyze these variables in two time sections to evaluate if there is a different demand over the years.

Results. We found a notable increase in the demand for care in the last 3 years, there are no differences in the sociodemographic profile. Regarding the clinical characteristics, we obtained differences in the prevalence of the diagnoses and in the follow-up of the patients.

Conclusions: The fundamental difference between the two periods is determined by the increase in demand that determines a higher prevalence of Absence of Psychiatric Diagnosis and a higher number of discharges that suggest an inadequate use of the demand for care.

Downloads

Download data is not yet available.

References

1. Domínguez Santos MD, Gómez Gracia A, Mazaira Castro JA. Análisis de la demanda en población infanto-juvenil en Galicia. Rev Psiquiatr Infanto-Juv 1994; 3: 177-186.

2. Domínguez Santos MD, López P, Gómez A. Demanda de Salud Mental de los Adolescentes en una Unidad especializada durante un período de veinte años. Siso/Salde 1997; 29: 24-37.

3. OMS. The ICD 10 Classification of Mental and Behavioral disorders: clinical descriptions and diagnostic guidelines. Ginebra, 1992.

4. American Psychiatric Association. Diagnostic and statistical manual of mental disorders: DSM-IVTR, Washington, DC. 2002.

5. Ortiz Lobo A, González González R, Rodríguez Salvanés F. La derivación a salud mental de pacientes sin un trastorno psíquico diagnosticable. Atención Primaria 2006; 38 (10): 563-569.

6. Wu P, Hoven CW, Bird HR, Moore RE, Cohen P, Alegría M, et al. Depressive and disruptive disorders and mental health services utilization in children and adolescents. J Am Acad Child Adolesc Psychiatry 1999; 38: 1081-1090.

7. Alday J, Alonso V, Fernández-Calatrava B, García-Baró R, González- Juárez C, Pérez Pérez E, Poza A. Variaciones del consumo de recursos ambulatorios en la atención especializada de salud mental a niños y adolescentes. Instituto Psiquiátrico José Germain. Leganés. Madrid. España. Gac Sanit 2005; 19 (6): 448-455.

8. Juszczak L, Melinkovich P, Kaplan D. Use of health and mental health services by adolescents across multiple delivery sites. J Adolesc Health 2003; 32S: 108-118.

9. Weller W, Minkovitz C, Anderson G. Utilization of medical and health-related services among school-age children and adolescents with special health care needs (1994 National Health Interview Survey on Disability [NHIS-D] Baseline Data). Pediatrics 2003; 102: 593-603.

10. Armbruster P, Lichtman J. Are school based mental health services effective? Evidence from 36 inner city schools. Community Ment Health J 1999; 35: 493-504.

11. Angold A, Costello EJ, Burns BJ, Erkanli A, Farmer E. Effectiveness of non-residential specialty mental health services for children and adolescents in the «real world». J Am Acad Child Adolesc Psychiatry 2000; 39: 154-160.

12. Andrade AR, Lambert EW, Bickman L. Dose effect in child psychotherapy: Outcomes associated with negligible treatment. J Am Acad Child Adolesc Psychiatry 2000; 39: 161-168.

13. Hoagwood K. Commentary: The dose effect in children’s mental health services. J Am Acad Child Adolesc Psychiatry 2000; 39: 172-175.

14. Petti T. Commentary: More outcomes studies are needed. J.Am Acad Child Adolesc Psychiatry 2000; 39: 169-171.

15. Pedreira JL, Rodríguez-Sacristán J, Zaplana J. Diferencias sexuales en la demanda a servicios comunitarios de Salud Mental infanto-juvenil en un territorio de una comunidad autónoma española. Rev Asoc Esp Neuropsiq 1992; 12 (43): 275- 282.

16. Espín Jaime JC, Belloso Ropero JJ. Estudio descriptivo de los niños y adolescentes nuevos vistos en un servicio de salud mental en el periodo de un año. Rev Asoc Esp Neuropsiq 2009; 29 (104): 329-354.

17. Domínguez MD, López P, Vázquez M. Códigos V en la adolescencia: características generales y consumo de servicios especializados. Rev Psiquiatr Infanto-Juv 1997; 2: 82-91.

18. Caraveo-Anduaga JJ, MC, MSP, Colmenares-Bermúdez E, MC, Martínez-Vélez NA, Lic Psic. Síntomas, percepción y demanda de atención en salud mental en niños y adolescentes de la Ciudad de México. Salud Pública Mex 2002; 44 (6): 492-498.

19. Ho TP, Chung SY. Help-seeking behaviors among child psychiatry clinic attenders in Hong Kong. Soc Psychiatry Psychiatr Epidemiol 1996; 31: 292-298.

20. Kilic C, Rezaki M, Ustun TB, Gater RA. Pathways to psychiatric care in Ankara. Soc Psychiatry Psychiatr Epidemiol 1994; 29: 131-136.

21. Leaf P, Alegría M, Cohen P, Goodman S, Horwitz S, Hoven C et al. Mental Health service use in the community and schools: Results from fourcommunity MECA study. J Acad Child Adolesc Psychiatry 1996; 35 (7): 889-897.

22. McKelvey RS, Baldassar LV, Sang DL, Roberts L. Vietnamese parental perceptions of child and adolescent mental illness. J Acad Child Adolesc Psychiatry 1999; 38 (10): 1302-1309.

23. Bragado C, Carrasco I,, Sánchez-Bernardos M, Bersabe R, Loriga A, Monsalve T. Prevalencia de los trastornos psicopatológicos en niños y adolescentes: resultados preliminares. Clínica y Salud 1995; 6 (1): 67-82.

24. Alaez Fernández M, Martínez-Arias R, Rodriguez Sutil C. Prevalencia de trastornos psicológicos en niños y adolescentes, su relación con la edad y el género. Psicothema 2000; 12 (4): 525-532.

25. Castro M, Lago S. Estudio da demanda dos usuarios de saúde mental: Unidade de Saúde Mental II de Carranza- Ferrol. Cadernos de Psicoloxía 1996; 20:35-45.

26. Acero González A, Vásquez R. Psiquiatría infantil en el hospital pediátrico. Rev Colomb Psiquiatr 2007; 26: 460-470.