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VP190 A Review Of Best Practices In Five Mental Disorders In Youth

  • Ionela Gheorghiu, Alain Lesage, Leila Ben Amor, Patricia Conrod, Marie-Claude Geoffroy, Janusz Kackzorowski, Carmen Moga, Nina Mombo, Johanne Renaud, Helen-Maria Vasiliadis and Adam Mongodin...

Abstract

INTRODUCTION:

In order to support service planning of the youth program of the East of Montreal Health and Social Services Board, and potentially of the other twenty-five programs across the Quebec province, our hospital-based Health Technology Assessment (HTA) unit was asked to bring evidence of the effective interventions for five most common mental disorders in children and young populations, namely anxio-depressive disorders, attention deficit and hyperactivity disorder, oppositional and conduct disorders, substance abuse disorders, and suicide attempts.

METHODS:

A review of reviews was conducted for the five disorders in young populations aged 6 to 25 years. This was based exclusively on systematic reviews and meta-analysis of a minimum two randomized-controlled trials. The review was completed with examples of Quebec's good practices in youth mental health gathered from personal research experience of clinical researchers involved in the project. The project involved collaboration with three other hospital units and provincial HTA agencies.

RESULTS:

No review supporting screening and early detection for the five disorders was identified. Prevention, however, was better covered in the literature, and a clear distinction was made between universal, targeted and indicated interventions. In general, targeted and indicated prevention interventions were effective in the case of anxio-depressive (1) and substance use disorders, while universal prevention strategies seemed to reduce suicide attempts and suicide ideation (2). Effective treatments also exist for these mental disorders. In general, psychotherapies dominated for anxio-depressive and substance use disorders; parental skills dominated in oppositional disorders, whilst pharmacological treatment dominated in attention deficit and hyperactivity disorder (3). Evidence was limited for suicide attempts. The overview of Quebec's good practices allowed identification of interventions or practices already in use in the province.

CONCLUSIONS:

The review summarized effective interventions for five most common mental disorders in young populations. It also permitted to identify several research gaps, and therefore research recommendations were formulated for the province's health research agency.

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Copyright

Corresponding author

References

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1. Teubert, D, Pinquart, M. A meta-analytic review on the prevention of symptoms of anxiety in children and adolescents. J Anxiety Disord. 2011;25 (8):1046–59.
2. Bennett, K, Rhodes, AE, Duda, S, et al. A Youth Suicide Prevention Plan for Canada: A Systematic Review of Reviews. Can J Psychiatry (Revue canadienne de psychiatrie). 2015;60 (6):245–57.
3. Prasad, V, Brogan, E, Mulvaney, C, et al. How effective are drug treatments for children with ADHD at improving on-task behaviour and academic achievement in the school classroom? A systematic review and meta-analysis. Eur Child Adolesc Psychiatry. 2013;22 (4):203–16.

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