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      Evaluation of Interactive Voice Response (IVR) and postal survey in follow-up of children and adolescents discharged from psychiatric outpatient treatment: a randomized controlled trial

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          Abstract

          Systematic evaluation of child and adolescent psychiatric outpatient treatment is important but time-consuming. The aim of this paper was to study whether Interactive Voice Response (IVR) is a more effective method than a questionnaire sent by post when following up outpatient treatment in child and adolescent psychiatry. Eighty patients were recruited from a child and adolescent psychiatric outpatient unit in Sweden. One parent of each of the patients was randomized to complete the BCFPI follow-up form, using either IVR (n = 40) or postal survey (n = 40) one month after discharge. The response rate for complete answers was 65% in the IVR group and 38% in the postal survey group (p = 0.014). There was less need for reminders in the IVR group (p = 0.000). IVR is a promising and cost-effective method for evaluating evidence-based treatment in child and adolescent psychiatric care.

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          Practical statistics for medical researched

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            Prevalence and treatment of mental disorders among US children in the 2001-2004 NHANES.

            This article presents the 12-month prevalence estimates of specific mental disorders, their social and demographic correlates, and service use patterns in children and adolescents from the National Health and Nutrition Examination Survey, a nationally representative probability sample of noninstitutionalized US civilians. The sample includes 3042 participants 8 to 15 years of age from cross-sectional surveys conducted from 2001 to 2004. Data on Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition criteria for mental disorders were derived from administration of selected modules of the National Institute of Mental Health Diagnostic Interview Schedule for Children, version IV, a structured diagnostic interview administered by lay interviewers to assess psychiatric diagnoses of children and adolescents. Twelve-month prevalence rates of Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition-defined disorders in this sample were 8.6% for attention-deficit/hyperactivity disorder, 3.7% for mood disorders, 2.1% for conduct disorder, 0.7% for panic disorder or generalized anxiety disorder, and 0.1% for eating disorders. Boys had 2.1 times greater prevalence of attention-deficit/hyperactivity disorder than girls, girls had twofold higher rates of mood disorders than boys, and there were no gender differences in the rates of anxiety disorders or conduct disorder. Only approximately one half of those with one of the disorders assessed had sought treatment with a mental health professional. These data constitute a first step in building a national database on mental health in children and adolescents.
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              Development of the social brain during adolescence.

              Adolescence is usually defined as the period of psychological and social transition between childhood and adulthood. The beginning of adolescence, around the onset of puberty, is characterized by large hormonal and physical changes. The transition from childhood to adulthood is also characterized by psychological changes in terms of identity, self-consciousness, and cognitive flexibility. In the past decade, it has been demonstrated that various regions of the human brain undergo development during adolescence and beyond. Some of the brain regions that undergo particularly protracted development are involved in social cognitive function in adults. In the first section of this paper, I briefly describe evidence for a circumscribed network of brain regions involved in understanding other people. Next, I describe evidence that some of these brain regions undergo structural development during adolescence. Finally, I discuss recent studies that have investigated social cognitive development during adolescence.
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                Author and article information

                Contributors
                claes.andersson@mah.se
                Susanne.E.Danielsson@skane.se
                Gunilla.Silfverberg-Dymling@skane.se
                Gunnel.Londahl@skane.se
                bjorn_axel.johansson@med.lu.se
                Journal
                Springerplus
                Springerplus
                SpringerPlus
                Springer International Publishing (Cham )
                2193-1801
                8 February 2014
                8 February 2014
                2014
                : 3
                : 77
                Affiliations
                [ ]Health and Society, Department of Criminology, Malmö University, SE-205 06 Malmö, Sweden
                [ ]Division of Psychiatry, Department of Clinical Sciences, Lund University, Lund, Sweden
                [ ]Psychiatry Skåne, Department of Child & Adolescent Psychiatry, Skåne University Hospital, Malmö, Sweden
                [ ]Division of Child & Adolescent Psychiatry, Department of Clinical Sciences, Lund University, Lund, Sweden
                [ ]Clinical Health Promotion Centre, Department of Health Sciences, Lund University, Lund, Sweden
                Article
                826
                10.1186/2193-1801-3-77
                3926947
                1a66bfa3-2bd2-4e80-a6b7-aaede045db45
                © Andersson et al.; licensee Springer. 2014

                This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited.

                History
                : 28 November 2013
                : 7 February 2014
                Categories
                Research
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                © The Author(s) 2014

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                evaluation,interactive voice response (ivr),postal survey,child and adolescent psychiatry,brief child and family phone interview (bcfpi)

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