Brief mental health screening questionnaire for children and adolescents in primary care settings.
Early detection of mental health problems is important. The implication of primary care professionals and the adequacy of instruments could be of great help.


OBJECTIVE
To study the validity of a brief questionnaire based on psychosocial functioning to detect mental health problems in a high-risk general population.


METHODS
151 children and adolescents were assessed as part of a longitudinal 3 year follow-up study of two cohorts born in 1989 and 1993, respectively.


METHODS
semi-structured diagnostic interviews were used to evaluate their psychopathological condition, to test for functional impairment, and to determine whether it would be appropriate for them to be referred to Mental Health Services. Parents also answered a Brief Mental Health Screening Questionnaire (BMHSQ) containing questions about main psychosocial functioning areas. Logistic and multiple regressions were applied to study the predictive power of the questionnaire.


RESULTS
The BMHSQ showed good clinical screening properties and was useful in determining who should be addressed to a specialized psychopathological service.


CONCLUSIONS
General practitioners could play an essential role in detecting and referring such disorders if provided with the proper tools. The use of brief questionnaires on functioning and outcomes in pediatric practice could improve comprehensive health care for children and adolescents. Rapid detection of mental health problems in a primary care setting is possible, as is better use and planning of health services.
de la Osa
Nuria
N
Unit of Epidemiology and Diagnostic in Developmental Psychopathology, Universitat Autònoma de Barcelona, Barcelona, Spain. nuria.delaosa@uab.es
Ezpeleta
Lourdes
L
Granero
Roser
R
Doménech
José Maria
JM
D000293:Adolescent; D000367:Age Factors; D019540:Area Under Curve; D002648:Child; D002669:Child Welfare; D016001:Confidence Intervals; D005260:Female; D006305:Health Status Indicators; D006801:Humans; D016015:Logistic Models; D008297:Male; D008403:Mass Screening / Q000379:methods*; D001523:Mental Disorders / Q000175:diagnosis* / Q000453:epidemiology; D008603:Mental Health; D016017:Odds Ratio; D011320:Primary Health Care; D011446:Prospective Studies; D002666:Psychology, Child; D011594:Psychometrics; D012680:Sensitivity and Specificity; D013030:Spain / Q000453:epidemiology; D011795:Surveys and Questionnaires