ERIC Number: EJ836887
Record Type: Journal
Publication Date: 2009-May
Abstractor: As Provided
Screening for Childhood Mental Health Problems: Outcomes and Early Identification
Essex, Marilyn J.; Kraemer, Helena C.; Slattery, Marcia J.; Burk, Linnea R.; Boyce, W. Thomas; Woodward, Hermi R.; Kupfer, David J.
Journal of Child Psychology and Psychiatry, v50 n5 p562-570 May 2009
Background: Many childhood psychiatric problems are transient. Consequently, screening procedures to accurately identify children with problems unlikely to remit and thus, in need of intervention, are of major public health concern. This study aimed to develop a universal school-based screening procedure based on the answers to three questions: (1) What are the broad patterns of mental health problems from kindergarten to grade 5? (2) What are the grade 5 outcomes of these patterns? (3) How early in school can children likely to develop the most impairing patterns be identified accurately? Methods: Mothers and teachers reported on a community sample (N = 328) of children's internalizing and externalizing symptoms in kindergarten and grades 1, 3, and 5. In grade 5, teachers reported on children's school-based functional impairments, physical health problems, and service use; mothers reported on children's specialty mental health care. Results: Four patterns distinguished children who (1) never evidenced symptoms; (2) evidenced only isolated symptoms; or evidenced recurrent symptoms, either (3) without or (4) with comorbid internalizing and externalizing. By grade 5, children with recurrent comorbid symptoms had the greatest impairments, physical health problems, and service use. These children can be identified quite accurately by grade 1. Conclusions: Universal screening at school entry can effectively identify children likely to develop recurrent comorbid symptoms, and would provide a basis for developing optimal targeted intervention programs.
Descriptors: Intervention, Mothers, Symptoms (Individual Disorders), Elementary School Students, Behavior Problems, Physical Health, Access to Health Care, Student Needs, Mental Health, Identification, Children, Screening Tests, Mental Disorders, Child Health, Psychiatry, Disability Identification, School Health Services, Age Differences
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Publication Type: Journal Articles; Reports - Research
Education Level: Elementary Education; Grade 1; Grade 2; Grade 3; Grade 4; Grade 5; Kindergarten
Authoring Institution: N/A