title: [Children and adolescents after child abuse and neglect: Do they receive appropriate treatment?].
abstract: BACKGROUND
  Child abuse and neglect (CAN) is a risk factor for the development of psychiatric disorders. Untreated, disorders can sustain into adulthood.
  
  
  OBJECTIVE
  This study compares rates of psychiatric disorders to mental health care utilization in victims of CAN.
  
  
  METHODS
  From three regions in Germany, 322 children and adolescents aged between 4 and 17 and a non-abusive caregiver were assessed for the child's history of CAN, mental health and mental health care utilization via semi-structured interviews.
  
  
  RESULTS
  Approximately two thirds of the participants (present state 64.29 %; lifetime 69.57 %) suffered from a psychiatric disorder classifiable with ICD-10. Posttraumatic stress disorder (25.16 %), conduct disorders (21.34 %) and attention and hyperactivity disorders (16.15 %) were most frequently diagnosed. Merely 19.88 % were using mental health care at the time of the assessment.
  
  
  CONCLUSIONS
  The provision of mental health care for victims of CAN is insufficient. To improve access to appropriate services for this vulnerable clientele, cooperation between psychiatrists and psychotherapists and the child welfare system is essential. The implementation and dissemination of evidence-based diagnostic methods and treatments must be further advanced.
authors.affiliation: Kinder- und Jugendpsychiatrie/-psychotherapie am Universitätsklinikum Ulm, Steinhövelstraße 1, 89075, Ulm, Deutschland. helene.ganser@uniklinik-ulm.de.
authors.forename: Helene Gertrud
authors.initials: HG
authors.lastname: Ganser
authors.affiliation: Kinder- und Jugendpsychiatrie/-psychotherapie am Universitätsklinikum Ulm, Steinhövelstraße 1, 89075, Ulm, Deutschland.
authors.forename: Annika
authors.initials: A
authors.lastname: Münzer
authors.affiliation: Kinder- und Jugendpsychiatrie/-psychotherapie am Universitätsklinikum Ulm, Steinhövelstraße 1, 89075, Ulm, Deutschland.
authors.forename: Paul Lukas
authors.initials: PL
authors.lastname: Plener
authors.affiliation: Kinder- und Jugendpsychiatrie/-psychotherapie am Universitätsklinikum Ulm, Steinhövelstraße 1, 89075, Ulm, Deutschland.
authors.forename: Andreas
authors.initials: A
authors.lastname: Witt
authors.affiliation: Kinder- und Jugendpsychiatrie/-psychotherapie am Universitätsklinikum Ulm, Steinhövelstraße 1, 89075, Ulm, Deutschland.
authors.forename: Lutz
authors.initials: L
authors.lastname: Goldbeck
mesh_terms: D000293:Adolescent; D019958:Attention Deficit and Disruptive Behavior Disorders / Q000175:diagnosis / Q000453:epidemiology*; D015984:Causality; D002648:Child; D002649:Child Abuse / Q000175:diagnosis / Q000706:statistics & numerical data* / Q000628:therapy*; D002675:Child, Preschool; D015897:Comorbidity; D005260:Female; D005858:Germany / Q000453:epidemiology; D006801:Humans; D015994:Incidence; D008297:Male; D001523:Mental Disorders / Q000175:diagnosis / Q000453:epidemiology*; D013313:Stress Disorders, Post-Traumatic / Q000175:diagnosis / Q000453:epidemiology*; D016896:Treatment Outcome
keywords: Child abuse; Disorders; Mental health; Neglect; Service use