TY  - JOUR
PY  - 2019//
TI  - Assessment and treatment of depression in children and young people in the United Kingdom: comparison of access to services and provision at two time points
JO  - Clinical child psychology and psychiatry
A1  - Pile, Victoria
A1  - Shammas, Diana
A1  - Smith, Patrick
SP  - 1359104519858112
EP  - 1359104519858112
VL  - ePub
IS  - ePub
N2  - Depression in young people is common and impairing. There have been significant service changes in the United Kingdom in the last decade, aiming to improve access to evidence-based interventions for depression. However, it is unclear whether youth with depression, first, access services and, second, receive appropriate interventions. In the current study, anonymised data from child and adolescent mental health services were extracted from a 1-year period at two time points (time 1: <i>n</i> = 770; time 2: <i>n</i> = 733). First, these were compared with prevalence and population data. Second, a subsample (<i>n</i> = 45 at each time point) was evaluated against National Institute for Clinical Excellence (NICE) guidelines. Approximately, one-quarter of the expected number of cases (according to population and prevalence data) were seen in the 12 to 18-years age group, and only 2% of expected cases were seen in the 0 to 11-years age group. This was consistent across time points. Adherence to NICE guidance was mostly good at both time points, but there were concerns raised by this evaluation, in particular the use of medication in this population. From time 1 to 2, there was an increase in use of questionnaire measures, but a decrease in the correct completion of risk assessments.<p />  <p>Language: en</p>
LA  - en
SN  - 1359-1045
UR  - http://dx.doi.org/10.1177/1359104519858112
ID  - ref1
ER  -