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Do "Real World" Childhood Mental Health Services Reduce Risk for Adult Psychiatric Disorders?

Publication ,  Journal Article
Copeland, WE; Tong, G; Shanahan, L
Published in: J Am Acad Child Adolesc Psychiatry
August 2022

OBJECTIVE: This study tested the "intervention as prevention" hypothesis: that treatment of childhood psychopathology in the community might reduce risk for adult psychopathology. METHOD: Analyses were based on a prospective, population-based study of 1,420 children followed up to 8 times during childhood (ages 9-16 years; 6,674 observations) about psychiatric status and specialty mental health services use. Participants were followed up 4 times in adulthood (ages 19, 21, 25, and 30 years; 4,556 observations of 1,336 participants) to assess adult psychopathology. RESULTS: Participants with a childhood psychiatric disorder who used childhood specialty mental health services were at similar risk for adult emotional (odds ratio [OR] = 0.7; 95% CI = 0.3-1.4, p = .29) disorders and at higher risk for adult substance disorders (OR = 2.1; 95% CI = 1.1-4.2, p = .03) as compared those with a childhood disorder who did not use services. The risk for substance disorders was driven by children with behavioral disorders (OR = 3.6; 95% CI = 1.6-8.1, p = .002). Sensitivity analyses suggest that an unmeasured confounder would have to have an E value of 3.26 or risk ratio of 1.92 to alter this finding. Higher "dose" of services use (defined at 6+ visits) was not associated with improved outcomes. CONCLUSION: Community services use may reduce psychopathology within childhood, but they do not necessarily prevent adult psychiatric problems. These findings are consistent with the notion of mental health problems as chronic conditions that often begin in childhood but that may recur in different forms across the lifespan even when treated.

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Published In

J Am Acad Child Adolesc Psychiatry

DOI

EISSN

1527-5418

Publication Date

August 2022

Volume

61

Issue

8

Start / End Page

1041 / 1049.e7

Location

United States

Related Subject Headings

  • Psychopathology
  • Prospective Studies
  • Mental Health Services
  • Mental Disorders
  • Humans
  • Developmental & Child Psychology
  • Child
  • Causality
  • Adult
  • Adolescent
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Copeland, W. E., Tong, G., & Shanahan, L. (2022). Do "Real World" Childhood Mental Health Services Reduce Risk for Adult Psychiatric Disorders? J Am Acad Child Adolesc Psychiatry, 61(8), 1041-1049.e7. https://doi.org/10.1016/j.jaac.2021.12.014
Copeland, William E., Guangyu Tong, and Lilly Shanahan. “Do "Real World" Childhood Mental Health Services Reduce Risk for Adult Psychiatric Disorders?J Am Acad Child Adolesc Psychiatry 61, no. 8 (August 2022): 1041-1049.e7. https://doi.org/10.1016/j.jaac.2021.12.014.
Copeland WE, Tong G, Shanahan L. Do "Real World" Childhood Mental Health Services Reduce Risk for Adult Psychiatric Disorders? J Am Acad Child Adolesc Psychiatry. 2022 Aug;61(8):1041-1049.e7.
Copeland, William E., et al. “Do "Real World" Childhood Mental Health Services Reduce Risk for Adult Psychiatric Disorders?J Am Acad Child Adolesc Psychiatry, vol. 61, no. 8, Aug. 2022, pp. 1041-1049.e7. Pubmed, doi:10.1016/j.jaac.2021.12.014.
Copeland WE, Tong G, Shanahan L. Do "Real World" Childhood Mental Health Services Reduce Risk for Adult Psychiatric Disorders? J Am Acad Child Adolesc Psychiatry. 2022 Aug;61(8):1041-1049.e7.
Journal cover image

Published In

J Am Acad Child Adolesc Psychiatry

DOI

EISSN

1527-5418

Publication Date

August 2022

Volume

61

Issue

8

Start / End Page

1041 / 1049.e7

Location

United States

Related Subject Headings

  • Psychopathology
  • Prospective Studies
  • Mental Health Services
  • Mental Disorders
  • Humans
  • Developmental & Child Psychology
  • Child
  • Causality
  • Adult
  • Adolescent