Barriers to health care research for children and youth with psychosocial problems

Sarah McCue Horwitz, Kelly Kelleher, Thomas Boyce, Peter Jensen, Michael Murphy, Ellen Perrin, Ruth E K Stein, Michael Weitzman

Research output: Contribution to journalArticle

40 Citations (Scopus)

Abstract

Context: The 1999 surgeon general's report on mental health concluded that insufficient attention to mental health disorders is being paid in children's primary medical care services. This lack of attention has occurred despite considerable attention to this issue in the planning documents of many federal agencies. Objective: To assess the extent to which federal agencies' portfolios of funded research grants were consistent with the directives for primary care-based mental health services for children and adolescents featured in their planning documents. Data Source: A cross-sectional review of the 66749 abstracts listed in the April 2001 Computer Retrieval of Information on Scientific Projects (CRISP) database of currently funded research grants supported by the US Department of Health and Human Services. Abstracts were rated by whether they targeted primary care, examined behavioral or emotional issues, and examined or modified a facet of primary care. Data Synthesis: Of the 45022 research abstracts in the CRISP database, 2720 (6%) contained the words children, adolescents, or youth. Sixty-three abstracts contained work on children, adolescents, or youth in primary care (0.14% of the portfolio). Of these 63 abstracts, only 21 (0.05% of the portfolio) addressed behavioral or emotional issues. Of the 21 projects, only 11 examined aspects of the primary care process. When the distribution of child and adult studies on the treatment of depression within primary care settings was examined, it was found that adults received 15 times the research attention compared with children. Conclusion: Even though the importance of primary care as a system for identifying and treating behavioral and emotional problems in children has been recognized for more than 20 years, little attention is being paid to this topic in the research portfolios of the National Institutes of Health and other federal agencies that support research.

Original languageEnglish (US)
Pages (from-to)1508-1512
Number of pages5
JournalJournal of the American Medical Association
Volume288
Issue number12
StatePublished - Sep 25 2002
Externally publishedYes

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Health Services Research
Primary Health Care
Information Storage and Retrieval
Research
Organized Financing
Mental Health
Databases
United States Dept. of Health and Human Services
National Institutes of Health (U.S.)
Mental Health Services
Mental Disorders
Depression

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Horwitz, S. M., Kelleher, K., Boyce, T., Jensen, P., Murphy, M., Perrin, E., ... Weitzman, M. (2002). Barriers to health care research for children and youth with psychosocial problems. Journal of the American Medical Association, 288(12), 1508-1512.

Barriers to health care research for children and youth with psychosocial problems. / Horwitz, Sarah McCue; Kelleher, Kelly; Boyce, Thomas; Jensen, Peter; Murphy, Michael; Perrin, Ellen; Stein, Ruth E K; Weitzman, Michael.

In: Journal of the American Medical Association, Vol. 288, No. 12, 25.09.2002, p. 1508-1512.

Research output: Contribution to journalArticle

Horwitz, SM, Kelleher, K, Boyce, T, Jensen, P, Murphy, M, Perrin, E, Stein, REK & Weitzman, M 2002, 'Barriers to health care research for children and youth with psychosocial problems', Journal of the American Medical Association, vol. 288, no. 12, pp. 1508-1512.
Horwitz SM, Kelleher K, Boyce T, Jensen P, Murphy M, Perrin E et al. Barriers to health care research for children and youth with psychosocial problems. Journal of the American Medical Association. 2002 Sep 25;288(12):1508-1512.
Horwitz, Sarah McCue ; Kelleher, Kelly ; Boyce, Thomas ; Jensen, Peter ; Murphy, Michael ; Perrin, Ellen ; Stein, Ruth E K ; Weitzman, Michael. / Barriers to health care research for children and youth with psychosocial problems. In: Journal of the American Medical Association. 2002 ; Vol. 288, No. 12. pp. 1508-1512.
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