Offord D R, Boyle M H, Szatmari P, Rae-Grant N I, Links P S, Cadman D T, Byles J A, Crawford J W, Blum H M, Byrne C
Arch Gen Psychiatry. 1987 Sep;44(9):832-6. doi: 10.1001/archpsyc.1987.01800210084013.
We studied the six-month prevalence of four child psychiatric disorders (conduct disorder, hyperactivity, emotional disorder, and somatization) and patterns of service utilization for mental health and social services, ambulatory medical care and special education by different regions of Ontario, urban-rural residence, and age and sex groupings. Among children 4 to 16 years of age, the overall six-month prevalence rate of one or more of these disorders was 18.1%. The prevalences of hyperactivity and one or more disorders were significantly higher in urban areas than rural areas. The utilization data indicated that children with these psychiatric disorders, compared with children without these disorders, were almost four times more likely to have received mental health or social services in the six months preceding this study. However, five of six of these children had not received these specialized services in the previous six-month period. Over 50% of the children in the province had received ambulatory medical care in the last six months. Over 15% of the children in the province had received special education services at some time thus far in their school careers. Implications of these findings, especially for the provision of child mental health services, are discussed.
我们研究了四种儿童精神疾病（品行障碍、多动、情绪障碍和躯体化障碍）的六个月患病率，以及安大略省不同地区、城乡居住地、年龄和性别分组在心理健康和社会服务、门诊医疗护理及特殊教育方面的服务利用模式。在4至16岁的儿童中，这些疾病中一种或多种的总体六个月患病率为18.1%。多动以及一种或多种疾病的患病率在城市地区显著高于农村地区。利用数据表明，与没有这些疾病的儿童相比，患有这些精神疾病的儿童在本研究前六个月接受心理健康或社会服务的可能性几乎高出四倍。然而，这些儿童中有六分之五在之前的六个月期间未接受过这些专门服务。该省超过50%的儿童在过去六个月接受过门诊医疗护理。该省超过15%的儿童在其学业生涯中的某个时候接受过特殊教育服务。本文讨论了这些研究结果的意义，尤其是对儿童心理健康服务提供方面的意义。
