Table 1
Registration data of the CandA team over the years 2015, 2016, 2017.
| CandA TEAM CASES | TOTAL | 2015 | 2016 | 2017 | |
|---|---|---|---|---|---|
| N = 706 | N = 217 | N = 279 | N = 210 | Chi2 | |
| Age: Mean (SD) | 10.6 (4.3) Range 0–18 | 11.0 (4.0) Range 2–18 | 10.7 (4.6) Range 0–18 | 10.2 (4.3) Range 0–17 | |
| Age group 0–12 | 338 (48%) | 83 (38%) | 127 (46%) | 128 (61%) | |
| Age group 13–18 | 217 (31%) | 56 (26%) | 90 (32%) | 71 (34%) | |
| missing | 150 (21%) | 77 (36%) | 62(22%) | 11 (5%) | |
| Gender | |||||
| Male | 338 (48%) | 99 (46%) | 135 (48%) | 104 (50%) | |
| Female | 270 (38%) | 89 (41%) | 87 (31%) | 94 (45%) | |
| missing | 98 (14%) | 29 (13%) | 57 (20%) | 12 (6%) | |
| Problems/symptoms (ICPC code)1 | |||||
| Other behavioural/mental problems (P22, P23, P29) | 287 (41%) | 69 (32%) | 106 (38%) | 112 (54%) | 14.54** |
| Irritable/angry (P04) | 95 (14%) | 26 (12%) | 44 (16%) | 25 (12%) | 1.73 |
| Anxious/nervous (P1, P74) | 68 (10%) | 30 (14%) | 19 (7%) | 19 (9%) | 15.48*** |
| Overactivity (P21) | 53 (8%) | 21 (10%) | 16 (6%) | 16 (8%) | 6.37* |
| Down/depressed (P03, P76) | 44 (6%) | 9 (4%) | 18 (6%) | 17 (8%) | 1.12 |
| missing | 166 (24%) | 81 (37%) | 48 (17%) | 37 (18%) | |
| Referrers | |||||
| General Practitioner | 339 (48%) | 121 (56%) | 115 (41%) | 103 (49%) | 10.47** |
| Youth Welfare | 139 (20%) | 42 (19%) | 65 (23%) | 32 (15%) | 4.94 |
| YMH Practice Nurse | 35 (5%) | 7 (3%) | 6 (2%) | 22 (10%) | 19.62*** |
| Preventive YHC | 76 (11%) | 19 (8%) | 28 (10%) | 29 (14%) | 3.09 |
| other | 116 (16%) | 28 (13%) | 65 (23%) | 23 (11%) | 16.14*** |
| missing | 1 (0.1%) | 0 | 0 | 1 (0.5%) | |
| Request for | |||||
| Consultation | 398 (56%) | 102 (47%) | 179 (64%) | 117 (56%) | 5.20 |
| Exploring problem and advise | 259 (37%) | 75 (35%) | 95 (34%) | 89 (42%) | 4.17 |
| Short-term treatment | 4 (1%) | 2 (1%) | 1 (0.5%) | 2 (1%) | 2.90 |
| missing | 44 (6%) | 38 (18%) | 4 (1%) | 2 (1%) | |
| Resulting in | |||||
| Advise | 446 (63%) | 106 (49%) | 199 (71%) | 141 (67%) | 9.55** |
| Direct referral | 129 (18%) | 41 (19%) | 50 (18%) | 38 (18%) | 1.79 |
| Short- term treatment | 33 (5%) | 16 (7%) | 10 (4%) | 7 (3%) | 7.93* |
| Monitoring/watchful waiting | 15 (2%) | 7 (3%) | 6 (2%) | 2 (1%) | 3.61 |
| missing | 82 (12%) | 47 (22%) | 14 (5%) | 21 (10%) | |
| Referral to | |||||
| Primary MHC | 58 (8%) | 19 (9%) | 17 (6%) | 22 (11%) | 6.97* |
| Specialized MHC | 116 (16%) | 35 (16%) | 46 (17%) | 35 (17%) | 2.87 |
| Youth welfare and care | 31 (4%) | 7 (3%) | 9 (3%) | 15 (7%) | 5.99* |
| Front line support | 107 (15%) | 19 (9%) | 44 (16%) | 44 (21%) | 9.27* |
| Other | 128 (18%) | 33 (15%) | 64 (23%) | 31 (15%) | 2.38 |
| No referral | 108 (15%) | 23 (11%) | 70 (25%) | 15 (7%) | 22.71*** |
| missing | 158 (22%) | 80 (37%) | 29 (10%) | 43 (23%) | |
[i] 1 The five most prevalent categories of ICPC problems/symptoms. Other problems were prevalent in <2%. For some cases, more than one code was registered, hence percentages may add up to >100%.
* p-value < .05; **p-value < .01; *** p-value < .001.
Table 2
Evaluation of the CandA team expressed in focus groups with GPs (N = 5), youth professionals (N = 7), parents (N = 4), and youths (N = 4).
| POSITIVE OPINION | NEGATIVE OPINION | SUGGESTION FOR IMPROVEMENT | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| GP | Pr | Pa | Y | GP | Pr | Pa | Y | GP | Pr | Pa | Y | |
| General satisfaction with the CandA team | ||||||||||||
| Execution of CandA tasks and working methods | X | X | X | X | ||||||||
| Being treated with respect by CandA team | X | X | X | X | ||||||||
| Perceived aims and tasks of the CandA team | ||||||||||||
| Supporting youths parents in exploring and defining their mental health problems and care needs | X | X | X | X | ||||||||
| Supporting GPs and youth professionals with consultation and guidance to appropriate care | X | X | X | X | X | X | X | |||||
| Offering short-term support or treatment to youths parents | X | X | X | X | ||||||||
| Providing care counselling during waiting time for other type of care | X | X | X | X | ||||||||
| Cooperation with schools | X | X | ||||||||||
| Composition and accessibility of the CandA team | ||||||||||||
| The CandA team is a multidisciplinary expert team | X | X | X | X | X | |||||||
| Workload of CandA team members | X | X | X | X | ||||||||
| Accessibility of CandA team for professionals | X | X | X | X | X | X | ||||||
| Accessibility of CandA team for youths and parents | X | X | X | X | X | |||||||
| Short waiting time for support of CandA team | X | X | X | X | X | X | ||||||
| Information exchange and privacy | ||||||||||||
| Ensuring privacy by professional secrecy codes | X | X | ||||||||||
| Ways of information exchange between professionals | X | X | X | |||||||||
| Ensuring privacy in interprofessional information exchange by using an informed consent form | X | X | ||||||||||
| Opinions on who should (not) be informed or have access to information | X | |||||||||||
[i] GP: general practitioners; Pr: professionals; Pa: parents; Y: youths.
X denotes whether an aspect is mentioned in the respective focus group and which evaluation (positive or negative) is given to this aspect, or whether any suggestion for improvement is mentioned.