Mental health issues in children and adolescents with chronic illness
Abstract
Purpose: The purpose of this paper is to consider mental health issues in children and adolescents with chronic illness or health conditions, including their treatment, and issues related to delivery of services. Design/methodology/approach: A selective review of the literature was conducted to highlight significant mental health issues and their treatment in youth with various types of chronic illness. Findings: A significant portion of youth experience mental health problems related to their chronic health conditions. While evidence-based treatments are available to address these problems, significant barriers exist that impede the delivery of psychological and behavioral interventions for many youth. Research limitations/implications: More controlled studies are needed to demonstrate the effectiveness and cost offset of delivering psychological and behavioral interventions for the population of youth with various types of chronic health conditions, particularly in clinical and community settings. Social implications: Policy reform can ensure that mental health issues are effectively addressed for children with chronic illness. Policy is needed that promotes integrated health care, whereby psychological and behavioral interventions are delivered in health care settings along with medical interventions to reduce barriers to care. Originality/value: Significant numbers of children and adolescents have chronic health conditions and many experience mental health problems related to their conditions. While evidence-based treatments are available to address these problems, significant barriers impede the delivery of psychological and behavioral interventions for many youth. Health care policy promoting integrated health care to deliver psychological and behavioral interventions in health care settings along with medical interventions should reduce barriers to care and improve both physical and mental health outcomes for youth.
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Only a small proportion of adolescents and young adults with chronic conditions in need of mental health services actually receives professional support.
“Only a small proportion of AYA with chronic conditions in need of mental health services actually receives professional support [6, 14, 15].”
Only a small portion of affected AYA ultimately receive psychotherapeutic treatment.
“However, access to those evidence-based interventions is often limited (Stiles-Shields et al., 2016), and only a small portion of affected AYA ultimately receive psychotherapeutic treatment (Delamater et al., 2017).”
From Involving patients' perspective in the development of an internet- and mobile-based CBT intervention for adolescents with chronic medical conditions: Findings from a qualitative study (2021) · cites this paper as Delamater et al., 2017
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- Authors
- Delamater, A. M., Guzman, A., & Aparicio, K.
- Affiliations
- University of Miami (US)
- ORCID
- Delamater, Alan M.
- Venue
- International Journal of Human Rights in Healthcare
- Publisher
- Emerald
- Published
- 2017-07-10
- Volume
- 10
- Issue
- 3
- Pages
- 163-173
- ISSN
- 2056-4902 (ISSN-L)
- OpenAlex
- W2623951732
- Cited by
- 52
- References
- 89
- Citations by year
- 2026: 2 · 2025: 14 · 2024: 6 · 2023: 6 · 2022: 7 · 2021: 9 · 2020: 4 · 2019: 3 · 2018: 1
- FWCI
- 4.34
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- International Journal of Human Rights in Healthcare (publishedVersion)
- Topics
- Health Sciences › Health Professions › Speech and Hearing › Adolescent and Pediatric Healthcare
- Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
- Social Sciences › Sociology and Political Science › Family Support in Illness
- Keywords
- child and adolescent mental health, chronic disease, psychological intervention, behavioral interventions, barriers to care, integrated care, health policy, evidence-based treatment
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