Kids missing care
A study has found that a majority of Australian children with mental health disorders are not accessing care.
Experts from Murdoch Children’s Research Institute have looked at the mental health of 4,983 children from the ongoing Longitudinal Study of Australian Children.
“We found that fewer than one in four children with mental health problems saw a health professional in the 18 months after they were identified as having a problem,” said lead author Professor Harriet Hiscock.
The key findings included;
- Girls were less likely to receive care than boys (30 per cent of children who received support for emotional problems at ages 8/9 and 10/11 were female despite 50 per cent of those needing help being girls)
- Families from non-English speaking backgrounds are unlikely to receive help (14 per cent of children with emotional problems came from a non-English speaking background but only 2 per cent received help)
- Younger children were less likely to access services than older children (Parents filled out the questionnaires when their child was aged 8/9, 10/11 and 12/13 years)
Prof Hiscock said families may delay getting help for young children in the hope that they will ‘grow out’ of the mental disorder, but as the situation worsens, they seek treatment.
“The gradual onset and increase in severity over time of many mental health problems means that children and their parents are more likely to seek services when the symptoms become severe or impact significantly on the child’s ability to function, typically as they grow older,” she said.
“However, left untreated, problems can become more entrenched and in turn harder to treat.”
Prof Hiscock said boys are more likely to access health support than females, particularly paediatrician services, despite having similar levels of mental health symptoms.
“Boys are more likely to externalise problems, whereas girls are more likely to have emotional problems, which are harder to detect,” she said.
Prof Hiscock said the reluctance of parents from non-English speaking backgrounds to get help may be because of different cultural norms and they may struggle to find services for their child in their own language.
“Their quietness in the classroom may also be mistaken for a language issue rather than a mental health issue,” she said.
Prof Hiscock said it was also important to acknowledge that mental health disorders don’t just start in adolescence but can begin in early childhood.
“Young children respond to and process emotional experiences and traumatic events in ways that are very different from adults and older children. Consequently, diagnosis in early childhood can be much more difficult than it is in adults,” Prof Hiscock said.