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Access to and perceived unmet need for mental health services and support in a community sample of UK adolescents with and without experience of childhood adversity

Epidemiology and psychiatric sciences, 2024-01, Vol.33, p.e1-e1, Article e1 [Peer Reviewed Journal]

The Author(s), 2024. Published by Cambridge University Press. ;The Author(s), 2024. Published by Cambridge University Press. This work is licensed under the Creative Commons Attribution License This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0), which permits unrestricted re-use, distribution and reproduction, provided the original article is properly cited. (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License. ;ISSN: 2045-7960 ;EISSN: 2045-7979 ;DOI: 10.1017/S2045796024000027 ;PMID: 38264958

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  • Title:
    Access to and perceived unmet need for mental health services and support in a community sample of UK adolescents with and without experience of childhood adversity
  • Author: Soneson, E. ; White, S. R. ; Howarth, E. ; Ford, T. ; Fazel, M. ; Jones, P. B.
  • Subjects: Access ; Adolescent ; Adolescents ; Adverse Childhood Experiences ; adversity ; Child ; Child abuse & neglect ; Childhood factors ; Children ; Children & youth ; Health behavior ; Health services ; Help seeking behavior ; help-seeking ; Households ; Humans ; Marginality ; Mental depression ; Mental Health ; Mental health care ; Mental Health Services ; Odds Ratio ; Original Article ; Peers ; Perceptions ; psychiatric services ; Questionnaires ; Schools ; Students ; Teenagers ; United Kingdom
  • Is Part Of: Epidemiology and psychiatric sciences, 2024-01, Vol.33, p.e1-e1, Article e1
  • Description: Children and adolescents with a history of adverse childhood experiences (ACEs) are more likely than their peers to develop mental health difficulties, but not enough is known about their help-seeking behaviours and preferences. We aimed to determine whether ACEs are associated with access to and perceived unmet need for mental health services and support amongst secondary school students. We used multi-level logistic regression with data from the 2020 OxWell Student Survey to assess whether ACEs were associated with (1) prior access to mental health support and (2) perceived unmet need for mental health services in a community sample of English secondary school students. We assessed ACEs as a cumulative score from the Center for Youth Wellness Adverse Childhood Experiences Questionnaire: Teen Self-Report version and accounted for current mental health difficulties as measured by the 25-item Revised Children's Anxiety and Depression Scale (RCADS). Our analysis included 2018 students across 64 schools, of whom 29.9% (598/2002) reported prior access to mental health support. Of those not reporting prior access, 34.1% (469/1377) reported a perceived unmet need for services. In the unadjusted models, cumulative ACE scores were significantly positively associated with both prior access to mental health support (odds ratio (OR) = 1.36; 95% confidence interval (CI): 1.29-1.43) and perceived unmet need for mental health services (OR = 1.47; 95% CI: 1.37-1.59), meaning that students who had experienced adversity had a greater chance of having previously accessed support as well as perceiving an unmet need for services. After adjusting for mental health difficulties and other sociodemographic variables, cumulative ACE scores were positively associated with prior access (adjusted OR (aOR) = 1.25; 95% CI: 1.17-1.34 with a significant interaction between RCADS and ACE scores, aOR = 0.88; 95% CI: 0.84-0.93) as well as perceived unmet need (aOR = 1.32; 95% CI: 1.21-1.43 with a significant interaction between RCADS and ACE scores, aOR = 0.85; 95% CI: 0.78-0.91). Although it is encouraging that adolescents with experience of adversity are more likely than their peers with similar levels of depression and anxiety symptoms to have accessed mental health support, there remains a concern that those who accessed support are more likely to perceive an as-yet unmet need for it. Mental health support must be available, accessible and acceptable to all who need it, especially for those groups that traditionally have not accessed services, including the more marginalised and vulnerable populations.
  • Publisher: Cambridge, UK: Cambridge University Press
  • Language: English;Italian
  • Identifier: ISSN: 2045-7960
    EISSN: 2045-7979
    DOI: 10.1017/S2045796024000027
    PMID: 38264958
  • Source: ProQuest One Psychology
    Journals@Ovid Open Access Journal Collection Rolling
    MEDLINE
    PubMed Central
    ProQuest Central
    DOAJ Directory of Open Access Journals
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