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Approximately 20% of children and adolescents in the U.S. have a diagnosable mental health disorder — more than the total number of children with cancer, diabetes and AIDS combined. Suicide is the leading cause of death in Colorado for kids ages 10 to 14, an all-time high, and Colorado has the ninth-highest suicide rate in the nation.
Half of all lifetime cases of mental health issues begin by age 14, but on average, eight to 10 years pass before children access services. More than half (55%) of the youth in Colorado with mental health concerns are not receiving mental health treatment. Youth experiencing both mental health concerns and severe functional impairment are even less likely to receive treatment — their treatment rate is just 22%.
Untreated mental health concerns are associated with lower academic achievement, poor health outcomes, increased legal trouble, greater family conflict and poorer social functioning during childhood and into adulthood.
Standardized mental health screenings are critical to identify youth needing support. Research has shown that relying solely on clinical judgment positively identifies only 30% of clinical patients, whereas providers identify 70% of patients when using a validated screening measure. Pediatric providers should consider having all patients complete a brief behavioral health screening at their well-child visits. Many are effective and available for free:
Empirical evidence shows that psychological interventions provided by trained pediatric mental health providers are especially effective in reducing mental health concerns in youth. This is particularly true when treatment is timely. Early intervention can change the trajectory of the child's emotional and behavioral development, thereby preventing possible lifelong mental health concerns.
Evidence-based interventions for children and adolescents include behavior therapy, cognitive behavioral therapy, dialectical behavior therapy and acceptance and commitment therapy. Parent involvement in treatment is critical to ensuring positive patient outcomes.
When medical providers identify mental health concerns, it's important to destigmatize these concerns with the family. Emphasize that mental health concerns are common and that seeking support for these concerns promotes overall health and well-being.
If providers feel a referral for psychiatric evaluation and treatment is appropriate, Children's Hospital Colorado's Pediatric Mental Health Institute provides evidence-based, family-focused comprehensive mental health services. For more information, call (720) 777-6200.