The Role of Ontario's First School-Based Health Clinic in Accessing Developmental and Mental Health Care for Children from Inner City Elementary Schools: A Retrospective Chart Review.
CPS ePoster Library. Cheung A. Jun 1, 2017; 176576
Arnold Cheung
Arnold Cheung
Login now to access Regular content available to all registered users.
Abstract
Rate & Comment (0)

Background: Children with developmental and mental health challenges face an uphill battle to reach the academic milestones of their peers. These challenges are exacerbated by social inequity. Early access to developmental and mental health assessments has been shown to improve long-term outcomes. Unfortunately, the wait-time for developmental assessment in Ontario is 15.5 months and the wait-time for mental health assessment in Ontario has not been well documented. The first School-Based Health Clinic (SBHC) in Ontario was established through the Model Schools Pediatric Health Initiative as a partnership between St. Michael's Hospital and the Toronto District School Board. The clinic was modeled after SBHCs in the United States which provide comprehensive medical and mental health care to underserved children. A feasibility study conducted in 2012 during the first eight months of the program demonstrated 20% of SBHC users went on to receive a developmental assessment. The current proportion of users receiving a developmental or mental health assessment at the SBHC and wait-times to assessment has not been explored.

Objectives: To assess the impact of a School-Based Health Clinic on wait-times for developmental assessments and mental health care for inner-city children.

Methods: A retrospective chart review was performed on 404 children aged 4-14 with at least one visit to an inner-city School-Based Health Clinic from 2011-2014. Developmental impact measures included the proportion of children presenting with a developmental concern and the wait-time for receiving a developmental assessment. Mental health impact measures included the proportion of children with mental health concerns, proportion of children with new mental health diagnoses, proportion of children receiving a referral to a mental health professional, and wait-times for receiving a mental health diagnosis.

Results: Of the 404 children with at least one visit to the School-Based Health Clinic, 71.3% had a developmental concern and the wait-time for receiving a developmental assessment was 27.6 weeks. Mean age of children receiving a developmental assessment was 7.0 years. With respect to mental health impact, 55.9% presented to the school clinic with at least one mental health concern, 13.6% received a new mental health diagnosis including at least one of attention deficit hyperactivity disorder, oppositional defiant disorder, conduct disorder, depression, anxiety disorder, or selective mutism, and 25.7% of the children received a referral to a psychiatrist or psychologist. The wait-time for receiving a mental health diagnosis was 27.1 weeks.

Conclusion: School-Based Health Clinics are an effective and feasible model to decrease wait-times for receiving developmental assessments and to provide mental health services to inner-city children.

    This eLearning portal is powered by:
    This eLearning portal is powered by MULTIEPORTAL
Anonymous User Privacy Preferences

Strictly Necessary Cookies (Always Active)

MULTILEARNING platforms and tools hereinafter referred as “MLG SOFTWARE” are provided to you as pure educational platforms/services requiring cookies to operate. In the case of the MLG SOFTWARE, cookies are essential for the Platform to function properly for the provision of education. If these cookies are disabled, a large subset of the functionality provided by the Platform will either be unavailable or cease to work as expected. The MLG SOFTWARE do not capture non-essential activities such as menu items and listings you click on or pages viewed.


Performance Cookies

Performance cookies are used to analyse how visitors use a website in order to provide a better user experience.


Save Settings