Community-Based Prevalence of Externalizing and Internalizing Disorders among School-Aged Children and Adolescents in Four Geographically Dispersed School Districts in the United States

The Project to Learn About Youth-Mental Health (PLAY–MH; 2014–2018) is a school-based, two-stage study designed to estimate the prevalence of selected mental disorders among K-12 students in four U.S.-based sites (Colorado, Florida, Ohio, and South Carolina). In Stage 1, teachers completed validated...

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Published inChild psychiatry and human development Vol. 52; no. 3; pp. 500 - 514
Main Authors Danielson, Melissa L., Bitsko, Rebecca H., Holbrook, Joseph R., Charania, Sana N., Claussen, Angelika H., McKeown, Robert E., Cuffe, Steven P., Owens, Julie Sarno, Evans, Steven W., Kubicek, Lorraine, Flory, Kate
Format Journal Article
LanguageEnglish
Published New York Springer US 01.06.2021
Springer Nature B.V
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Abstract The Project to Learn About Youth-Mental Health (PLAY–MH; 2014–2018) is a school-based, two-stage study designed to estimate the prevalence of selected mental disorders among K-12 students in four U.S.-based sites (Colorado, Florida, Ohio, and South Carolina). In Stage 1, teachers completed validated screeners to determine student risk status for externalizing or internalizing problems or tics; the percentage of students identified as being at high risk ranged from 17.8% to 34.4%. In Stage 2, parents completed a structured diagnostic interview to determine whether their child met criteria for fourteen externalizing or internalizing disorders; weighted prevalence estimates of meeting criteria for any disorder were similar in three sites (14.8%–17.8%) and higher in Ohio (33.3%). PLAY–MH produced point-in-time estimates of mental disorders in K-12 students, which may be used to supplement estimates from other modes of mental disorder surveillance and inform mental health screening and healthcare and educational services.
AbstractList The Project to Learn About Youth-Mental Health (PLAY-MH; 2014-2018) is a school-based, two-stage study designed to estimate the prevalence of selected mental disorders among K-12 students in four U.S.-based sites (Colorado, Florida, Ohio, and South Carolina). In Stage 1, teachers completed validated screeners to determine student risk status for externalizing or internalizing problems or tics; the percentage of students identified as being at high risk ranged from 17.8% to 34.4%. In Stage 2, parents completed a structured diagnostic interview to determine whether their child met criteria for fourteen externalizing or internalizing disorders; weighted prevalence estimates of meeting criteria for any disorder were similar in three sites (14.8%-17.8%) and higher in Ohio (33.3%). PLAY-MH produced point-in-time estimates of mental disorders in K-12 students, which may be used to supplement estimates from other modes of mental disorder surveillance and inform mental health screening and healthcare and educational services.
Author McKeown, Robert E.
Holbrook, Joseph R.
Bitsko, Rebecca H.
Charania, Sana N.
Cuffe, Steven P.
Claussen, Angelika H.
Kubicek, Lorraine
Danielson, Melissa L.
Evans, Steven W.
Owens, Julie Sarno
Flory, Kate
AuthorAffiliation 2 Oak Ridge Institute for Science and Education, Oak Ridge, TN, USA
3 Department of Epidemiology and Biostatistics, Arnold School of Public Health, University of South Carolina, Columbia, SC, USA
6 Department of Pediatrics and Department of Psychiatry, University of Colorado School of Medicine, Aurora, CO, USA
7 Department of Psychology, University of South Carolina, Columbia, SC, USA
5 Department of Psychology, Ohio University, Athens, OH, USA
1 Division of Human Development and Disability, National Center On Birth Defects and Developmental Disabilities, Centers for Disease Control and Prevention, 4770 Buford Highway NE MS S106-4, Atlanta, GA 30341-3717, USA
4 Department of Psychiatry, University of Florida College of Medicine–Jacksonville, Jacksonville, FL, USA
AuthorAffiliation_xml – name: 7 Department of Psychology, University of South Carolina, Columbia, SC, USA
– name: 1 Division of Human Development and Disability, National Center On Birth Defects and Developmental Disabilities, Centers for Disease Control and Prevention, 4770 Buford Highway NE MS S106-4, Atlanta, GA 30341-3717, USA
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– name: 3 Department of Epidemiology and Biostatistics, Arnold School of Public Health, University of South Carolina, Columbia, SC, USA
– name: 2 Oak Ridge Institute for Science and Education, Oak Ridge, TN, USA
– name: 4 Department of Psychiatry, University of Florida College of Medicine–Jacksonville, Jacksonville, FL, USA
– name: 6 Department of Pediatrics and Department of Psychiatry, University of Colorado School of Medicine, Aurora, CO, USA
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  givenname: Melissa L.
  orcidid: 0000-0001-9461-0341
  surname: Danielson
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  email: MDanielson@cdc.gov
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  givenname: Sana N.
  surname: Charania
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  givenname: Angelika H.
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  organization: Department of Epidemiology and Biostatistics, Arnold School of Public Health, University of South Carolina
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  givenname: Steven P.
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  fullname: Cuffe, Steven P.
  organization: Department of Psychiatry, University of Florida College of Medicine–Jacksonville
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  givenname: Julie Sarno
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  givenname: Kate
  surname: Flory
  fullname: Flory, Kate
  organization: Department of Psychology, University of South Carolina
BackLink https://www.ncbi.nlm.nih.gov/pubmed/32734339$$D View this record in MEDLINE/PubMed
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ContentType Journal Article
Copyright This is a U.S. government work and not under copyright protection in the U.S.; foreign copyright protection may apply. 2020
This is a U.S. government work and not under copyright protection in the U.S.; foreign copyright protection may apply. 2020.
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Issue 3
Keywords Screening
Population-based
Children
Mental disorders
Adolescents
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  year: 2021
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PublicationTitle Child psychiatry and human development
PublicationTitleAbbrev Child Psychiatry Hum Dev
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PublicationYear 2021
Publisher Springer US
Springer Nature B.V
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Snippet The Project to Learn About Youth-Mental Health (PLAY–MH; 2014–2018) is a school-based, two-stage study designed to estimate the prevalence of selected mental...
The Project to Learn About Youth-Mental Health (PLAY-MH; 2014-2018) is a school-based, two-stage study designed to estimate the prevalence of selected mental...
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StartPage 500
SubjectTerms Adolescents
Behavioral Science and Psychology
Child & adolescent psychiatry
Child and School Psychology
Children
Community mental health services
Estimates
Health care
High risk
Internalization
Internalizing disorders
Medical screening
Mental disorders
Mental health
Mental health services
Movement disorders
Original Article
Psychiatry
Psychological assessment
Psychology
School districts
Students
Surveillance
Teachers
Teenagers
Tests
Tics
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Title Community-Based Prevalence of Externalizing and Internalizing Disorders among School-Aged Children and Adolescents in Four Geographically Dispersed School Districts in the United States
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