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Burden of psychiatric disorders in the pediatric population.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Clavenna, Antonio Cartabia, Massimo Sequi, Marco Costantino, Maria Antonella Bortolotti, Angela Fortino, Ida Merlino, Luca Bonati, Maurizio
Spatial Coverage	Italy
Description	Country affiliation: Italy Author Affiliation: Clavenna A ( Laboratory for Mother and Child Health, Department of Public Health, Mario Negri Institute for Pharmacological Research, Milan, Italy. antonio.clavenna@marionegri.it)
Abstract	In order to estimate the burden of mental disorders in a representative Italian pediatric population, an epidemiological study was performed using three administrative databases: a drug prescription, a hospital discharge form, and an outpatient ambulatory visit database. The population target was 1,616,268 children and adolescents under 18 years living in the Lombardy Region, Italy. A youth was defined as a case if during 2008 he/she received at least one psychotropic drug prescription or was hospitalized for a psychiatric disorder (International Classification of Disease codes 290-319), or attended a child neuropsychiatric outpatient unit for a visit and/or a psychological intervention or rehabilitation at least once. Epileptic children were excluded. In all, 63,550 youths (39.3 per 1000; 95%CI 39.1-39.7) were identified as users of health care resources for a putative mental disorder. The prevalence was higher in boys than in girls (47.0 versus 31.3) and the highest value was recorded in children 8 years old (60.2). A total of 59,987 youths (37.1) attended a child and adolescent neuropsychiatry service at least once, 3605 (2.2) were admitted to hospital, and 2761 (1.7) received at least one psychotropic drug prescription, 57% of which did not attend a child neuropsychiatry service. In all, 14,741 youths (23.1% of users) had a disorder that required a high intensity of care (e.g. recurrent prescriptions for drugs and/or ambulatory care). The proportion of youths who received care for mental disorders in the Lombardy Region seems lower than in other countries. However, the fact that many children were prescribed psychotropic drugs without the supervision of a child psychiatrist is a reason for concern.
File Format	HTM / HTML
ISSN	0924977X
Issue Number	2
Volume Number	23
e-ISSN	18737862
Journal	European Neuropsychopharmacology
Language	English
Publisher	Elsevier
Publisher Date	2013-02-01
Publisher Place	Netherlands
Access Restriction	One Nation One Subscription (ONOS)
Subject Keyword	Discipline Psychopharmacology Child Health Services Utilization Mental Disorders Epidemiology Mental Health Services Adolescent Adolescent Health Services Child Child, Preschool Databases, Factual Female Hospitalization Humans Infant Italy Male Drug Therapy National Health Programs Prescription Drugs Therapeutic Use Prevalence Sex Characteristics Journal Article Research Support, Non-u.s. Gov't
Content Type	Text
Resource Type	Article
Subject	Neurology Biological Psychiatry Neurology (clinical) Pharmacology Pharmacology (medical) Psychiatry and Mental Health

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