title: Mental health care use among children and adolescents in Germany: results of the longitudinal BELLA study.
abstract: Data on mental health care use of children and adolescents in Germany is scarce. This study investigates the degree of mental health care use, its trajectories and influencing factors among children and adolescents in Germany, using longitudinal data of the BELLA study. The BELLA study is the mental health module of the representative German National Health Interview and Examination Survey for children and adolescents (KiGGS). Baseline data of N = 2,863 participants aged 7-17 years were collected between 2003 and 2006. The study sample was followed up in three additional measurement points, assessing general mental health problems and impairment, specific mental health problems, and mental health care use. In the current study, we analysed data from the first three measurement points. At baseline, 5.9 % of all participants used mental health care in the past 12 months. Among those with general mental health problems, 29.5 % sought professional help. Only a minority of participants reporting mental health care use at baseline also sought help at the following two measurement points. Analysing a random intercept only model, mental health care use was found to be more likely among participants living in larger communities as well as in the Eastern part of Germany, among those participants with impairment of mental health problems, and signs of externalizing problems. Our results indicate a temporary character of mental health care use. Participants' impairment was identified to be the strongest predictor of mental health care use.
authors: Department of Child and Adolescent Psychiatry, Psychotherapy, and Psychosomatics, University Medical Center Hamburg-Eppendorf, Martinistr. 52, 20246, Hamburg, Germany, b.hintzpeter@uke.de.
authors: Birte
authors: B
authors: Hintzpeter
authors: Fionna
authors: F
authors: Klasen
authors: Gerhard
authors: G
authors: Schön
authors: Catharina
authors: C
authors: Voss
authors: Heike
authors: H
authors: Hölling
authors: Ulrike
authors: U
authors: Ravens-Sieberer
mesh_terms: D000293:Adolescent; D002648:Child; D015331:Cohort Studies; D003430:Cross-Sectional Studies; D005260:Female; D005858:Germany / Q000453:epidemiology; D006306:Health Surveys / Q000639:trends*; D006801:Humans; D008137:Longitudinal Studies; D008297:Male; D001523:Mental Disorders / Q000453:epidemiology* / Q000523:psychology / Q000628:therapy*; D008603:Mental Health / Q000639:trends*; D010342:Patient Acceptance of Health Care / Q000523:psychology; D012307:Risk Factors
references: J Abnorm Child Psychol. 1998 Aug;26(4):279-91
references: 9700520
references: Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz. 2007 May-Jun;50(5-6):590-9
references: 17514443
references: Arch Gen Psychiatry. 2004 Jan;61(1):85-93
references: 14706947
references: J Child Psychol Psychiatry. 1997 Jul;38(5):581-6
references: 9255702
references: Ment Health Serv Res. 2004 Dec;6(4):189-98
references: 15588030
references: J Epidemiol Community Health. 2012 Mar;66(3):194-203
references: 20889591
references: J Health Soc Behav. 1995 Mar;36(1):1-10
references: 7738325
references: J Am Acad Child Adolesc Psychiatry. 1999 Oct;38(10):1230-6
references: 10517055
references: J Child Psychol Psychiatry. 2008 Dec;49(12):1304-12
references: 19120709
references: Am J Public Health. 1993 Jan;83(1):49-52
references: 8417606
references: J Am Acad Child Adolesc Psychiatry. 1996 Jul;35(7):889-97
references: 8768348
references: Psychiatr Serv. 2014 Mar 1;65(3):359-66
references: 24233052
references: Lancet. 2007 Sep 8;370(9590):841-50
references: 17826169
references: Arch Gen Psychiatry. 2012 Apr;69(4):372-80
references: 22147808
references: J Am Acad Child Adolesc Psychiatry. 2003 Jun;42(6):692-700
references: 12921477
references: Eur Child Adolesc Psychiatry. 2008 Dec;17 Suppl 1:42-51
references: 19132303
references: Community Ment Health J. 1999 Feb;35(1):31-46
references: 10094508
references: Eur Child Adolesc Psychiatry. 2000 Dec;9(4):271-6
references: 11202102
references: J Abnorm Child Psychol. 1998 Aug;26(4):257-68
references: 9700518
references: Gesundheitswesen. 1999 Dec;61 Spec No:S178-83
references: 10726418
references: ScientificWorldJournal. 2013 Apr 04;2013:247283
references: 23690740
references: J Am Acad Child Adolesc Psychiatry. 2011 Jan;50(1):32-45
references: 21156268
references: Eur Child Adolesc Psychiatry. 2014 Sep;23(9):753-64
references: 24585346
references: Z Kinder Jugendpsychiatr Psychother. 2002 May;30(2):105-12
references: 12053874
references: Ambul Pediatr. 2004 Jul-Aug;4(4 Suppl):371-6
references: 15264962
references: Eur Child Adolesc Psychiatry. 2004;13 Suppl 2:II3-10
references: 15243780
references: Am J Epidemiol. 1997 Sep 1;146(5):418-28
references: 9290502
references: J Am Acad Child Adolesc Psychiatry. 1999 Sep;38(9):1081-90; discussion 1090-2
references: 10504806
references: Depress Anxiety. 2005;22(3):130-7
references: 16175563
references: Am J Psychiatry. 1986 Aug;143(8):1024-7
references: 3728717
references: J Am Acad Child Adolesc Psychiatry. 1997 Jul;36(7):901-9
references: 9204667
references: Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz. 2007 May-Jun;50(5-6):578-89
references: 17514442
references: J Am Acad Child Adolesc Psychiatry. 2001 Nov;40(11):1337-45
references: 11699809
references: Eur Child Adolesc Psychiatry. 2015 Jun;24(6):651-63
references: 25428179
references: Eur Child Adolesc Psychiatry. 2004 Dec;13(6):395-401
references: 15619054
references: World Psychiatry. 2007 Oct;6(3):168-76
references: 18188442
references: J Am Acad Child Adolesc Psychiatry. 2007 Apr;46(4):438-47
references: 17420678
references: J Am Acad Child Adolesc Psychiatry. 2000 Jul;39(7):841-9
references: 10892225
references: Soc Psychiatry Psychiatr Epidemiol. 2001 Jun;36(6):294-8
references: 11583459
references: J Nerv Ment Dis. 1980 Dec;168(12):736-40
references: 7452212
references: J Child Psychol Psychiatry. 1999 Jul;40(5):791-9
references: 10433412
references: Eur Child Adolesc Psychiatry. 2008 Dec;17 Suppl 1:116-24
references: 19132311
references: Eur Child Adolesc Psychiatry. 2008 Dec;17 Suppl 1:22-33
references: 19132301
references: J Child Psychol Psychiatry. 2008 Mar;49(3):226-36
references: 18221350
references: Health Serv Res. 2001 Dec;36(6 Pt 1):987-1007
references: 11775672
references: J Abnorm Child Psychol. 1997 Dec;25(6):425-51
references: 9468105
references: J Am Acad Child Adolesc Psychiatry. 1994 Jun;33(5):718-28
references: 8056735