Child and adolescent mental health care models: a scoping review

Jeindl R, Hofer V
Record ID 32018004196
Authors' objectives: Mental health disorders are one of the most common conditions among children and adolescents worldwide, with a prevalence between 9 and 22 percent. The increasing need for care in this group of patients, with concurrent staffing and infrastructural limitations in child and adolescent psychiatric care, leads to considerations of adapted care models.
Authors' results and conclusions: All included countries advocate a public mental health approach that is characterised by encouraging mental health promotion and prevention. For this aim, the educational sector plays an essential role and should be supported with additional staff and mental health training for educators. The included countries further highlight the importance of increased user participation, focusing on special support for vulnerable groups, and through creating structures within child and adolescent mental health services that promote coordination of services according to individual needs.
Authors' recommendations: For further adapting the Austrian care structures, the creation of a stand-alone, national strategy is recommended, which puts the mental health of children and adolescents in focus. The development of this strategy is preferably participatory and cross-sectoral (health, education, social and youth justice sectors). Further development of care pathways, workforce development, and evidence-based governance of programmes and initiatives are required. To address the current shortage of hospital beds and psychiatrists, the outpatient sector (e.g. home treatment) and other needs-based services should be expanded. Prioritised indicators and accompanying health services research should be used to better address vulnerable patient groups and current limitations in care.
Authors' methods: For the analysis in this report, twelve documents (out of 128), from seven countries, were selected. Data on the following topics were extracted: Information and awareness raising activities, mental health promotion, prevention, detection, treatment, telemedicine, care pathways, transitional psychiatry, vulnerable patient groups, patient participation, infrastructure, workforce development, implementation, digital tools for case management, and data acquisition/ research. In addition, 121 indicators specific to the mental health of children and adolescents were identified.
Project Status: Completed
Year Published: 2022
URL for additional information:
English language abstract: An English language summary is available
Publication Type: Full HTA
Country: Austria
MeSH Terms
  • Mental Health
  • Adolescent Health
  • Child Health
  • Adolescent Psychiatry
  • Child Psychiatry
  • Models, Biopsychosocial
  • Models, Psychological
  • Models, Organizational
  • Mental Health Services
  • Preventive Health Services
  • Preventive Psychiatry
  • Child
  • Adolescent
  • Child and adolescent mental health
  • prevention and care models
  • child and adolescent psychiatry
  • indicators
Organisation Name: Austrian Institute for Health Technology Assessment
Contact Address: Garnisongasse 7/20, A-1090 Vienna, Austria
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Copyright: HTA Austria - AIHTA GmbH
This is a bibliographic record of a published health technology assessment from a member of INAHTA or other HTA producer. No evaluation of the quality of this assessment has been made for the HTA database.