Services according to mental health needs for youth in foster care? – A multi-informant study

Table 5 Associations between CAMHS and Primary Health Care Service Contact and youth mental health

			CAMHS utilization			Primary Health Care Service utilization
		n	%	RR	95% CI	%	RR	95% CI
Carer reported mental health
Internalizing problems		291		1.22	[1.15, 1.30]		1.11	[1.08, 1.13]
Externalizing problems		291		1.10	[1.02, 1.19]		1.11	[1.07, 1.15]
Impact		291		1.19	[1.08, 1.31]		1.18	[1.13, 1.25]
Total difficulties^a	Below	149	21.5	1.00		43.0	1.00
Total difficulties^a	Above	142	43.0	2.00	[1.39, 2.87]	78.2	1.82	[1.48, 2.23]
Youth reported mental health
Internalizing problems		228		1.09	[1.00, 1.19]		1.09	[1.05, 1.13]
Externalizing problems		228		1.02	[0.92, 1.13]		1.08	[1.03, 1.13]
Impact		228		1.11	[0.94, 1.32]		1.13	[1.05, 1.21]

Note: RR relative risk, CI confidence interval. Log-binominal regression with CAMHS and Primary Health Care Service utilization (No =0, Yes =1) as dependent variables, separate models for each independent variable. Primary Health Care includes the following services: school health service, educational psychology service, general practitioner, and adolescent health clinic. Mental health is measured with the Strength and Difficulties Questionnaire
^aTotal difficulties: below and above cut off
Significant associations are marked in boldface

ISSN: 1472-6963