Puzzling Findings in Studying the Outcome of "Real World" Adolescent Mental Health Services: The TRAILS Study

F Jorg, J Ormel, SA Reijneveld, DEMC Jansen, Frank Verhulst, AJ (A.) Oldehinkel

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Abstract

Background: The increased use and costs of specialist child and adolescent mental health services (MHS) urge us to assess the effectiveness of these services. The aim of this paper is to compare the course of emotional and behavioural problems in adolescents with and without MHS use in a naturalistic setting. Method and Findings: Participants are 2230 (pre)adolescents that enrolled in a prospective cohort study, the TRacking Adolescents' Individual Lives Survey (TRAILS). Response rate was 76%, mean age at baseline 11.09 (SD 0.56), 50.8% girls. We used data from the first three assessment waves, covering a six year period. Multiple linear regression analysis, propensity score matching, and data validation were used to compare the course of emotional and behavioural problems of adolescents with and wit Conclusions: The benefits of MHS are questionable. Replication studies should reveal whether a critical examination of everyday care is necessary or an artefact is responsible for these results.
Original languageUndefined/Unknown
JournalPLoS One (print)
Volume7
Issue number9
DOIs
Publication statusPublished - 2012

Research programs

  • EMC NIHES-04-55-01

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