Barger Brian, Rice Catherine, Roach Andrew
Center for Leadership in Disability, Georgia State University, School of Public Health, Atlanta, Georgia, USA.
Emory Autism Center, Emory University, Atlanta, GA, USA.
Child Adolesc Ment Health. 2018 Sep;23(3):206-213. doi: 10.1111/camh.12240. Epub 2017 Oct 5.
Widely recommended socioemotional developmental surveillance methods include monitoring and development screening techniques. Currently, very little research has compared the effectiveness of monitoring and screening together, and existing research primarily focuses on the relationship between surveillance techniques and referrals or receipt of early intervention (EI). This study investigates the relationship between monitoring and screening and mental health treatment receipt in 3-5 year olds.
The authors conducted logistic regression analyses on data from the National Surveys of Children's Health (NSCH; 2007) and NSCH (2011/2012) on the odds of mental health treatment receipt in children aged 3-5 years of age who either received (a) screening only, (b) monitoring only, (c) both monitoring and screening, or (d) no monitoring or screening. Sociodemographic control variables were also considered.
In both 2007 and 2011/2012 datasets, monitoring and screening together was the best predictor of mental health treatment receipt. Neither screening alone nor monitoring alone was associated with mental health treatment receipt.
Children who received monitoring and screening together had the greatest odds of treatment receipt compared with children receiving screening only, monitoring only, or no monitoring or screening.
广泛推荐的社会情感发展监测方法包括监测和发育筛查技术。目前，很少有研究对监测和筛查的有效性进行比较，现有研究主要关注监测技术与转介或接受早期干预（EI）之间的关系。本研究调查了3至5岁儿童中监测和筛查与接受心理健康治疗之间的关系。
作者对来自全国儿童健康调查（NSCH；2007年）和NSCH（2011/2012年）的数据进行了逻辑回归分析，以探讨3至5岁儿童接受心理健康治疗的几率，这些儿童分别接受了（a）仅筛查、（b）仅监测、（c）监测和筛查两者、或（d）未进行监测或筛查。同时也考虑了社会人口统计学控制变量。
在2007年和2011/2012年的数据集中，监测和筛查同时进行是接受心理健康治疗的最佳预测因素。单独筛查或单独监测均与接受心理健康治疗无关。
与仅接受筛查、仅接受监测或未进行监测或筛查的儿童相比，同时接受监测和筛查的儿童接受治疗的几率最大。
