Prevalence of mental disorders and associated service variables among Ontario children who are permanent wards.

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Title:	Prevalence of mental disorders and associated service variables among Ontario children who are permanent wards.
Alternate Title:	La prévalence des troubles mentaux et des variables de service associées chez les enfants ontariens qui sont en tutelle permanente.
Authors:	Burge, Philip
Source:	Canadian Journal of Psychiatry. May2007, Vol. 52 Issue 5, p305-314. 10p.
Subjects:	Mental illness, Mathematical variables, Child abuse, Adoption, Adoption agencies, Regression analysis, Children, Standard deviations, Analysis of variance, Foster children, Child psychiatry
Geographic Terms:	Ontario
Abstract (English):	Objective: To identify the prevalence rate of mental disorders among Ontario children who are permanent wards and also the key practice and descriptive variables associated with their diagnostic status.Method: I reviewed case files from a stratified random sample of 429 Ontario children who were permanent wards with no access to biological parents on December 31, 2003. Data abstracted from files included information on descriptive variables (such as age, sex, and type of permanent ward), all disorders (that is, mental and other current medical diagnoses and disabilities), family history, maltreatment experiences, service history (such as age at admission to care and current residential placement type), and permanency plans.Results: The prevalence of mental disorders was 31.7%. A significantly higher proportion of children with mental disorders experienced maltreatment. Children with mental disorders were almost 3 times more likely than those without mental disorders to be placed by Children's Aid Societies in privately operated resources, such as group homes, and almost 10 times less likely to be living in a probationary adoption home. Although children with mental disorders were less likely to have a permanency plan of adoption than were children without mental disorders, regression analysis found that only 2 variables--age on becoming a permanent ward and age at the time of the study--were predictive of children's adoption plans.Conclusions: The findings support the need for improved monitoring of the aggregate mental health needs of children who are permanent wards. Numerous implications for service delivery and future research are discussed. [ABSTRACT FROM AUTHOR]
Abstract (French):	Objectif: Déterminer le taux de prévalence des troubles mentaux chez les enfants en tutelle permanente en Ontario ainsi que les principales variables de pratique et descriptives associées à leur statut diagnostique. Méthode : J'ai examiné les dossiers d'un échantillon aléatoire stratiflé de 429 enfants qui étaient en tutelle permanente sans accès aux parents biologiques le 31 décembre 2003, en Ontario. Les données tirées des dossiers comprenaient de l'information sur les variables descriptives (comme l'âge, le sexe et le type de tutelle permanente), tous les troubles (mentaux et autres diagnostics médicaux et incapacités actuels), les antécédents familiaux, les experiences de mauvais traitements, les antécédents de service (comme l'âge à l'admission aux soins et le type de placement résidentiel actuel), et les plans de permanence. Résuttats : La prévalence des troubles mentaux était de 31,7 %. Une proportion significativement plus élevée d'enfants souffrant de troubles mentaux avaient subi des mauvais traitements. Les enfants souffrant de troubles mentaux étaient presque 3 fois plus susceptibles que ceux sans troubles mentaux d'être places par les sociétés d'aide à l'enfance dans des ressources exploitées par le secteur privé, comme des foyers de groupe, et presque 10 fois moms susceptibles de vivre dans un foyer d'adoption à l'essai. Même si les enfants souffrant de troubles mentaux étaient moins susceptibles d'avoir un plan d'adoption permanente, l'analyse de régression a indiqué que seulement 2 variables, l'âge d'entrée en tutelle permanente et l'âge à l'époque de l'étude, étaient prédictives de plans de permanence. Conclusions : Les résultats appuient le besoin d'une meilleure surveillance de l'ensemble des besoins en santé mentale des enfants en tutelle permanente. Les nombreuses implications pour la prestation de services et la future recherche sont présentées. [ABSTRACT FROM AUTHOR]
	Copyright of Canadian Journal of Psychiatry is the property of Sage Publications Inc. and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database:	Psychology and Behavioral Sciences Collection

FullText	Links: – Type: pdflink Text: Availability: 0
Header	DbId: pbh DbLabel: Psychology and Behavioral Sciences Collection An: 25245555 AccessLevel: 6 PubType: Academic Journal PubTypeId: academicJournal PreciseRelevancyScore: 0
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Items	– Name: Title Label: Title Group: Ti Data: Prevalence of mental disorders and associated service variables among Ontario children who are permanent wards. – Name: TitleAlt Label: Alternate Title Group: TiAlt Data: La prévalence des troubles mentaux et des variables de service associées chez les enfants ontariens qui sont en tutelle permanente. – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AR" term="%22Burge%2C+Philip%22">Burge, Philip</searchLink> – Name: TitleSource Label: Source Group: Src Data: <searchLink fieldCode="JN" term="%22Canadian+Journal+of+Psychiatry%22">Canadian Journal of Psychiatry</searchLink>. May2007, Vol. 52 Issue 5, p305-314. 10p. – Name: Subject Label: Subjects Group: Su Data: <searchLink fieldCode="DE" term="%22Mental+illness%22">Mental illness</searchLink><br /><searchLink fieldCode="DE" term="%22Mathematical+variables%22">Mathematical variables</searchLink><br /><searchLink fieldCode="DE" term="%22Child+abuse%22">Child abuse</searchLink><br /><searchLink fieldCode="DE" term="%22Adoption%22">Adoption</searchLink><br /><searchLink fieldCode="DE" term="%22Adoption+agencies%22">Adoption agencies</searchLink><br /><searchLink fieldCode="DE" term="%22Regression+analysis%22">Regression analysis</searchLink><br /><searchLink fieldCode="DE" term="%22Children%22">Children</searchLink><br /><searchLink fieldCode="DE" term="%22Standard+deviations%22">Standard deviations</searchLink><br /><searchLink fieldCode="DE" term="%22Analysis+of+variance%22">Analysis of variance</searchLink><br /><searchLink fieldCode="DE" term="%22Foster+children%22">Foster children</searchLink><br /><searchLink fieldCode="DE" term="%22Child+psychiatry%22">Child psychiatry</searchLink> – Name: SubjectGeographic Label: Geographic Terms Group: Su Data: <searchLink fieldCode="DE" term="%22Ontario%22">Ontario</searchLink> – Name: Abstract Label: Abstract (English) Group: Ab Data: <bold>Objective: </bold>To identify the prevalence rate of mental disorders among Ontario children who are permanent wards and also the key practice and descriptive variables associated with their diagnostic status.<bold>Method: </bold>I reviewed case files from a stratified random sample of 429 Ontario children who were permanent wards with no access to biological parents on December 31, 2003. Data abstracted from files included information on descriptive variables (such as age, sex, and type of permanent ward), all disorders (that is, mental and other current medical diagnoses and disabilities), family history, maltreatment experiences, service history (such as age at admission to care and current residential placement type), and permanency plans.<bold>Results: </bold>The prevalence of mental disorders was 31.7%. A significantly higher proportion of children with mental disorders experienced maltreatment. Children with mental disorders were almost 3 times more likely than those without mental disorders to be placed by Children's Aid Societies in privately operated resources, such as group homes, and almost 10 times less likely to be living in a probationary adoption home. Although children with mental disorders were less likely to have a permanency plan of adoption than were children without mental disorders, regression analysis found that only 2 variables--age on becoming a permanent ward and age at the time of the study--were predictive of children's adoption plans.<bold>Conclusions: </bold>The findings support the need for improved monitoring of the aggregate mental health needs of children who are permanent wards. Numerous implications for service delivery and future research are discussed. [ABSTRACT FROM AUTHOR] – Name: Abstract Label: Abstract (French) Group: Ab Data: Objectif: Déterminer le taux de prévalence des troubles mentaux chez les enfants en tutelle permanente en Ontario ainsi que les principales variables de pratique et descriptives associées à leur statut diagnostique. Méthode : J'ai examiné les dossiers d'un échantillon aléatoire stratiflé de 429 enfants qui étaient en tutelle permanente sans accès aux parents biologiques le 31 décembre 2003, en Ontario. Les données tirées des dossiers comprenaient de l'information sur les variables descriptives (comme l'âge, le sexe et le type de tutelle permanente), tous les troubles (mentaux et autres diagnostics médicaux et incapacités actuels), les antécédents familiaux, les experiences de mauvais traitements, les antécédents de service (comme l'âge à l'admission aux soins et le type de placement résidentiel actuel), et les plans de permanence. Résuttats : La prévalence des troubles mentaux était de 31,7 %. Une proportion significativement plus élevée d'enfants souffrant de troubles mentaux avaient subi des mauvais traitements. Les enfants souffrant de troubles mentaux étaient presque 3 fois plus susceptibles que ceux sans troubles mentaux d'être places par les sociétés d'aide à l'enfance dans des ressources exploitées par le secteur privé, comme des foyers de groupe, et presque 10 fois moms susceptibles de vivre dans un foyer d'adoption à l'essai. Même si les enfants souffrant de troubles mentaux étaient moins susceptibles d'avoir un plan d'adoption permanente, l'analyse de régression a indiqué que seulement 2 variables, l'âge d'entrée en tutelle permanente et l'âge à l'époque de l'étude, étaient prédictives de plans de permanence. Conclusions : Les résultats appuient le besoin d'une meilleure surveillance de l'ensemble des besoins en santé mentale des enfants en tutelle permanente. Les nombreuses implications pour la prestation de services et la future recherche sont présentées. [ABSTRACT FROM AUTHOR] – Name: AbstractSuppliedCopyright Label: Group: Ab Data: <i>Copyright of Canadian Journal of Psychiatry is the property of Sage Publications Inc. and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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RecordInfo	BibRecord: BibEntity: Identifiers: – Type: doi Value: 10.1177/070674370705200505 Languages: – Code: eng Text: English PhysicalDescription: Pagination: PageCount: 10 StartPage: 305 Subjects: – SubjectFull: Mental illness Type: general – SubjectFull: Mathematical variables Type: general – SubjectFull: Child abuse Type: general – SubjectFull: Adoption Type: general – SubjectFull: Adoption agencies Type: general – SubjectFull: Regression analysis Type: general – SubjectFull: Children Type: general – SubjectFull: Standard deviations Type: general – SubjectFull: Analysis of variance Type: general – SubjectFull: Foster children Type: general – SubjectFull: Child psychiatry Type: general – SubjectFull: Ontario Type: general Titles: – TitleFull: Prevalence of mental disorders and associated service variables among Ontario children who are permanent wards. Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: Burge, Philip IsPartOfRelationships: – BibEntity: Dates: – D: 01 M: 05 Text: May2007 Type: published Y: 2007 Identifiers: – Type: issn-print Value: 07067437 Numbering: – Type: volume Value: 52 – Type: issue Value: 5 Titles: – TitleFull: Canadian Journal of Psychiatry Type: main
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