The DOI matches its Crossref record; 34 of the 34 references it cites were found in a registry or an index.
Trends in Mental Health Care among Children and Adolescents
Open accessAbstract
BACKGROUND: Increasing mental health treatment of young people and broadening conceptualizations of psychopathology have triggered concerns about a disproportionate increase in the treatment of youths with low levels of mental health impairment. METHODS: We analyzed the 1996-1998, 2003-2005, and 2010-2012 Medical Expenditure Panel Surveys, which were nationally representative surveys of U.S. households, for trends in outpatient use of mental health services by persons 6 to 17 years of age; 53,622 persons were included in the analysis. Mental health impairment was measured with the use of the Columbia Impairment Scale (range, 0 to 52, with higher scores indicating more severe impairment); we classified youths with scores of 16 or higher as having more severe impairment and those with scores of less than 16 as having less severe impairment. RESULTS: The percentage of youths receiving any outpatient mental health service increased from 9.2% in 1996-1998 to 13.3% in 2010-2012 (odds ratio, 1.52; 95% confidence interval, 1.35 to 1.72). The proportionate increase in the use of mental health services among youths with more severe impairment (from 26.2% to 43.9%) was larger than that among youths with less severe or no impairment (from 6.7% to 9.6%). However, the absolute increase in annual service use was larger among youths with less severe or no impairment (from 2.74 million to 4.19 million) than among those with more severe impairment (from 1.56 million to 2.28 million). Significant overall increases occurred in the use of psychotherapy (from 4.2% to 6.0%) and psychotropic medications (from 5.5% to 8.9%), including stimulants and related medications (from 4.0% to 6.6%), antidepressants (from 1.5% to 2.6%), and antipsychotic drugs (from 0.2% to 1.2%). CONCLUSIONS: Outpatient mental health treatment and psychotropic-medication use in children and adolescents increased in the United States between 1996-1998 and 2010-2012. Although youths with less severe or no impairment accounted for most of the absolute increase in service use, youths with more severe impairment had the greatest relative increase in use, yet fewer than half accessed services in 2010-2012. (Funded by the Agency for Healthcare Research and Quality and the New York State Psychiatric Institute.).
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“most adolescents with mental disorders remain untreated or do not receive professional care, 3 especially those with subclinical symptoms”
From Group acceptance and commitment therapy for promoting mental health in schools: a feasibility study. (2025) · cites this paper as [3]
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Self-citationPrevalence and treatment of depression, anxiety, and conduct problems in US children
Ghandour, R. M., Sherman, L. J., Vladutiu, C. J., Ali, M. M., Lynch, S. E., Bitsko, R. H., & Blumberg, S. J. (2019) · The Journal of Pediatrics · doi:10.1016/j.jpeds.2018.09.021 · Cited by 1,135
The gut microbiota in anxiety and depression—A systematic review
Simpson, C. A., Diaz-Arteche, C., Eliby, D., Schwartz, O. S., Simmons, J. G., & Cowan, C. S. M. (2021) · Clinical Psychology Review · doi:10.1016/j.cpr.2020.101943 · Cited by 912
Recent increases in depressive symptoms among US adolescents: trends from 1991 to 2018
Keyes, K. M., Gary, D., O’Malley, P. M., Hamilton, A., & Schulenberg, J. (2019) · Social Psychiatry and Psychiatric Epidemiology · doi:10.1007/s00127-019-01697-8 · Cited by 465
Nutritional psychiatry: The present state of the evidence
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Metadata
- Authors
- Olfson, M., Druss, B. G., & Marcus, S. C.
- Affiliations
- Emory University (US)
- University of Pennsylvania (US)
- Venue
- New England Journal of Medicine
- Publisher
- Massachusetts Medical Society
- Published
- 2015-05-21
- Volume
- 372
- Issue
- 21
- Pages
- 2029-2038
- ISSN
- 0028-4793 (ISSN-L)
- 1533-4406
- OpenAlex
- W1559191608
- Cited by
- 408
- References
- 34
- Citations by year
- 2026: 17 · 2025: 32 · 2024: 35 · 2023: 29 · 2022: 32 · 2021: 37 · 2020: 44 · 2019: 63 · 2018: 50 · 2017: 32 · 2016: 30 · 2015: 5
- FWCI
- 63.97
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- New England Journal of Medicine (publishedVersion)
- PubMed (publishedVersion)
- Funders
- U.S. Department of Health and Human Services
- Agency for Healthcare Research and Quality (U19HS021112)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Mental Health Treatment and Access
- Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
- Social Sciences › Psychology › Clinical Psychology › Psychology and Mental Health
- Keywords
- outpatient mental health services, children and adolescents, psychotropic drug use, psychotherapy, stimulants, antidepressants, antipsychotic drugs, Medical Expenditure Panel Survey
- MeSH terms
- Adolescent, Mental Disorders, Child, Child Health Services, Humans, Mental Health Services, Psychotherapy, Psychotropic Drugs, United States, Adolescent Health Services
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