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Children’s mental health needs and access to specialized services in Mexico

Published online by Cambridge University Press:  13 August 2021

L. Díaz-Castro ,
M. Márquez-Caraveo ,
H. Cornú-Rojas ,
M. Martínez Jaimes ,
M. García-Andrade  and
H. Cabello-Rangel
L. Díaz-Castro*
Affiliation:
Direction Of Epidemiological And Psychosocial Research, National Institute of Psychiatry Ramon de la Fuente Muñiz, Ciudad de México, Mexico
M. Márquez-Caraveo
Affiliation:
Research Division, Child Psychiatric Hospital “Dr. Juan N. Navarro”, Ciudad de México, Mexico
H. Cornú-Rojas
Affiliation:
Division Of Medical Care, Psychiatric Hospital “Fray Bernardino Álvarez”, Ciudad de México, Mexico
M. Martínez Jaimes
Affiliation:
Research Division, Child Psychiatric Hospital “Dr. Juan N. Navarro”, Ciudad de México, Mexico
M. García-Andrade
Affiliation:
Direction Of Epidemiological And Psychosocial Research, National Institute of Psychiatry Ramon de la Fuente Muñiz, Ciudad de México, Mexico
H. Cabello-Rangel
Affiliation:
Division Of Medical Care, Psychiatric Hospital “Fray Bernardino Álvarez”, Ciudad de México, Mexico
*
*Corresponding author.

Abstract

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Introduction

The prevalence of mental disorders (MD) is greater in children; however, they are the population with less help-seeking and access to mental health-care services (MHS).

Objectives

To explore the characteristics of help-seeking and access to specialized MHS in children with MD.

Methods

A cross-sectional study was carried out from 2018 to 2019, in the Children’s Psychiatric Hospital and National Institute of Psychiatry in Mexico City. Sample 397 children and 397 caregivers. The project was approved by the Ethics Committee of both institutions. The patient’s family member was questioned on sociodemographic data and help-seeking to MHS. Sample’s descriptive statistics applying measures of central tendency, Inferential statistics with t-test for differences in means between groups (diagnosis), and one-way ANOVA to variables associated with the help-seeking to MHS.

Results

Children´s sample: 37% female, average age 12 years (SD± 3.6), 51% had diagnosis of hyperkinetic disorder (HD), 34% depressive disorder (DD). The children´s age at the time of seeking healthcare was different according to the diagnosis: DD 10.1 (SD ± 4.5) and HD 6.95 (SD ± 3.4), (T = -3.18, p = 0.000); and by sex: girls 10.9 (SD ± 4.5), boys 7.85 (SD ± 4.0); (T = -3.07, p = 0.000). The mother was the first person to notice the symptoms.

Conclusions

The search for MHS differs by sex, diagnosis and family history; it is necessary to design mental health interventions considering gender-based differences, namely, to integrate a gender perspective.

Disclosure

No significant relationships.

Keywords

ChildrenHelp-seekingMental disordersMental health-care services
Type
Abstract
Information
European Psychiatry , Volume 64 , Special Issue S1: Abstracts of the 29th European Congress of Psychiatry , April 2021 , pp. S87 - S88
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Author(s), 2021. Published by Cambridge University Press on behalf of the European Psychiatric Association
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