Influence of stigma, sociodemographic and clinical characteristics on mental health-related service use and associated costs among young people in the United Kingdom

Silva Ribeiro, Wagner ORCID: 0000-0001-6735-3861, Romeo, Renee, King, Derek ORCID: 0000-0002-2408-4558, Owens, Shanise, Gronholm, Petra C, Fisher, Helen L, Laurens, Kristin R. and Evans-Lacko, Sara ORCID: 0000-0003-4691-2630 (2022) Influence of stigma, sociodemographic and clinical characteristics on mental health-related service use and associated costs among young people in the United Kingdom. European Child and Adolescent Psychiatry. ISSN 1018-8827

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Abstract

This study examined the influence of stigma, psychopathology, and sociodemographic characteristics on mental health-related service use and costs related to service use in a cohort of young people in the UK. Using data from a community sample of young people aged 9–17 years and their caregivers, we assessed 407 young people’s use of services due to mental health problems, young people’s psychopathology, demographic characteristics, maternal education and caregivers’ stigma-related beliefs. Unit costs related to services were gathered from national annual compendia and other widely used sources. We assessed predictors of service use through logistic regression analysis and developed generalised linear models to identify factors associated with costs of mental health-related service utilisation. Persistent psychopathology, socioeconomic disadvantage, and low caregiver intended stigma-related behaviour were associated with increased likelihood of service use among young people. Older age and socioeconomic disadvantage were associated with increased costs. Different factors influenced contact with services and the cost associated with their use — persistent psychopathology and socioeconomic disadvantage increased, and caregivers’ intended stigma-related behaviour decreased the likelihood of using services, whereas socioeconomic disadvantage and older age were associated with increased costs. Social determinants of mental health problems play an important role in the use and costs of different types of mental health-related services for young people. Discordance between drivers of service use and costs implies that young people who are more likely to access services due to mental health problems do not necessarily receive care at the intensity they need.

Item Type:	Article
Official URL:	https://www.springer.com/journal/787
Additional Information:	© 2022 The Authors
Divisions:	Care Policy and Evaluation Centre
Subjects:	R Medicine > RJ Pediatrics > RJ101 Child Health. Child health services H Social Sciences > HQ The family. Marriage. Woman B Philosophy. Psychology. Religion > BF Psychology
Date Deposited:	21 Jan 2022 10:06
Last Modified:	16 Nov 2024 07:42
URI:	http://eprints.lse.ac.uk/id/eprint/113497

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