Simon Alan E, Pastor Patricia N, Reuben Cynthia A, Huang Larke N, Goldstrom Ingrid D
Dr. Simon, Dr. Pastor, and Ms. Reuben are with the Office of Analysis and Epidemiology, National Center for Health Statistics, Hyattsville, Maryland (e-mail:
Psychiatr Serv. 2015 Sep;66(9):930-7. doi: 10.1176/appi.ps.201400342. Epub 2015 May 15.
The authors reported use of mental health services among children in the United States between ages six and 11 who were described by their parents as having emotional or behavioral difficulties (EBDs).
Using data from the 2010-2012 National Health Interview Survey, the authors estimated the national percentage of children ages six to 11 with serious or minor EBDs (N=2,500) who received treatment for their difficulties, including only mental health services other than medication (psychosocial services), only medication, both psychosocial services and medication, and neither type of service. They calculated the percentage of children who received school-based and non-school-based psychosocial services in 2011-2012 and who had unmet need for psychosocial services in 2010-2012.
In 2010-2012, 5.8% of U.S. children ages six to 11 had serious EBDs and 17.3% had minor EBDs. Among children with EBDs, 17.8% were receiving both medication and psychosocial services, 28.8% psychosocial services only, 6.8% medication only, and 46.6% neither medication nor psychosocial services. Among children with EBDs in 2011-2012, 18.6% received school-based psychosocial services only, 11.4% non-school-based psychosocial services only, and 17.3% both school- and non-school-based psychosocial services. In 2010-2012, 8.2% of children with EBDs had unmet need for psychosocial services.
School-age children with EBDs received a range of mental health services, but nearly half received neither medication nor psychosocial services. School-based providers played a role in delivering psychosocial services, but parents reported an unmet need for psychosocial services among some children.
作者报告了美国6至11岁被父母描述为有情绪或行为障碍（EBD）的儿童使用心理健康服务的情况。
利用2010 - 2012年全国健康访谈调查的数据，作者估算了6至11岁有严重或轻微EBD的儿童（N = 2500）因自身问题接受治疗的全国比例，包括仅接受非药物心理健康服务（心理社会服务）、仅接受药物治疗、同时接受心理社会服务和药物治疗以及两种服务都未接受的情况。他们计算了2011 - 2012年接受校内和校外心理社会服务的儿童比例以及2010 - 2012年有心理社会服务未满足需求的儿童比例。
在2010 - 2012年，美国6至11岁儿童中5.8%有严重EBD，17.3%有轻微EBD。在有EBD的儿童中，17.8%同时接受药物和心理社会服务，28.8%仅接受心理社会服务，6.8%仅接受药物治疗，46.6%既未接受药物治疗也未接受心理社会服务。在2011 - 2012年有EBD的儿童中，18.6%仅接受校内心理社会服务，11.4%仅接受校外心理社会服务，17.3%同时接受校内和校外心理社会服务。在2010 - 2012年，8.2%有EBD的儿童有心理社会服务未满足需求。
有EBD的学龄儿童接受了一系列心理健康服务，但近一半儿童既未接受药物治疗也未接受心理社会服务。校内服务提供者在提供心理社会服务方面发挥了作用，但家长报告称部分儿童的心理社会服务需求未得到满足。
