Magazine article Clinical Psychiatry News

'Headspace' Is an Alternative

Magazine article Clinical Psychiatry News

'Headspace' Is an Alternative

Article excerpt

Adolescence is a time of increased risk for many serious mental health problems, including suicide and substance abuse. The Wisconsin school-based screening initiative evaluated in this study is an important effort to identify adolescents who are at risk and to link them with appropriate services in the school or in the community.

This study, although limited because of its retrospective case design, provides some important information about the pervasiveness of the problem and some clues about the factors that may impede access to care.

It is alarming that only 42% of the teens referred for community-based care and 80% of the children referred for school-based treatment had one contact with a treatment provider. The percentages were even lower for both groups who received minimally adequate treatment (defined as three or more visits). Although there is no information on outcomes for the children who were identified as being at risk, the "adequacy" of treatment remains a significant question. It is also interesting to note that teens referred for community-based care, despite some evidence of higher acuity (rates of suicide and self-injurious behavior), were even less likely to access services. …

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