Child and adolescent mental health care in Dutch general practice: time trend analyses

BMC Primary Care

Table 6 Referrals of youths with mental health problems to primary or secondary mental health care in 2004-2008

	Referrals^a					Linear time trend
	2004	2005	2006	2007	2008	X²	p
N general practices	37	51	37	41	49
N patients	1818	2416	2278	2136	3157
Any referral to mental health care
0-12 years	13.83	12.08	14.47	15.50	18.93	10.18	0.001
13-18 years	18.04	20.43	23.83	23.30	22.94	4.21	0.04
Primary mental health care
0-12 years	1.55	1.29	1.90	2.28	3.00	6.98	0.008
13-18 years	3.67	5.42	4.66	4.49	6.07	1.50	0.22
Social work
0-12 years	0.00	0.00	0.20	0.07	0.24	-	-
13-18 years	1.22	1.26	1.33	0.58	1.04	-	-
Primary care psychologist
0-12 years	1.55	1.29	1.51	2.21	2.76	5.64	0.02
13-18 years	2.45	3.66	2.53	3.62	4.74	3.35	0.07
Social psychiatric nurse
0-12 years	0.00	0.00	0.20	0.00	0.00	-	-
13-18 years	0.00	0.50	0.80	0.29	0.38	-	-
Secondary mental health care
0-12 years	12.37	10.84	12.77	13.36	15.98	5.76	0.02
13-18 years	14.98	15.38	19.31	18.96	17.44	1.53	0.22
Psychotherapist
0-12 years	2.49	1.66	2.23	2.21	4.47	3.81	0.05
13-18 years	2.75	3.15	3.60	3.91	6.07	5.01	0.03
Psychiatrist
0-12 years	6.87	6.96	7.40	8.24	8.28	1.93	0.16
13-18 years	7.03	7.69	10.39	10.56	7.58	0.43	0.51
Ambulatory mental health care org.
0-12 years	3.09	2.34	3.27	2.91	3.43	0.05	0.82
13-18 years	5.50	4.54	4.93	4.34	3.70	4.17	0.04
Org. for addiction treatment
0-12 years	0.00	0.00	0.00	0.00	0.00	-	-
13-18 years	0.00	0.25	0.40	0.43	0.28	-	-

Time trend analyses were adjusted for gender. Since recording of referrals to social psychiatric nurses, psychotherapists, and organisations for addiction treatment is optional, percentages of referrals to these types of care may have been underestimated. Referrals to social work, social psychiatric nurses and organisations for addiction treatment were too low to perform time trend analyses.
^a Percentages of children and adolescents with mental health problems (P01-P99) who were referred to primary or secondary mental health care.

ISSN: 2731-4553