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Table 2 Association between parent reported barriers, age and referral diagnosis

From: Parent-perceived barriers to accessing services for their child’s mental health problems

  Agea Referral diagnosisb
10–14 years 15–17 years Emotional disorders
Crude Adjusted Crude Adjusted Crude Adjusted
Barriers related to the parents
Worried about the child having a record 1.29 (0.59–2.82) 1.46 (0.58–3.71) 0.95 (0.37–2.45) 1.05 (0.35–3.14) 0.93 (0.40–2.16) 1.02 (0.36–2.89)
Worried about what others think if they seek help 0.57 (0.29–1.14) 0.68 (0.32–1.46) 0.32 (0.100.97) 0.37 (0.11–1.25) 0.37 (0.140.98) 0.21 (0.050.88)
Worried about the child being removed if they seek help 0.65 (0.29–1.43) 0.62 (0.25–1.51) 0.48 (0.15–1.46) 0.40 (0.12–1.37) 0.53 (0.18–1.54) 0.70 (0.21–2.35)
Worried about confidentiality 0.68 (0.22–2.06) 0.71 (0.22–2.29) 0.59 (0.15–2.39) 0.43 (0.11–1.66) 0.79 (0.25–2.47) 1.35 (0.28–6.47)
Barriers related to services
Lack of information about where to seek help 2.16 (1.263.71) 2.10 (0.99–4.47) 1.30 (0.63–2.68) 1.32 (0.54–3.23) 0.73 (0.39–1.35) 0.69 (0.25–1.86)
Services unavailable 1.43 (0.72–2.85) 1.29 (0.65–2.57) 0.71 (0.32–1.61) 0.71 (0.30–1.70) 1.19 (0.65–2.18) 2.06 (0.84–5.05)
No one can help 1.41 (0.74–2.70) 1.34 (0.66–2.74) 1.09 (0.49–2.46) 1.13 (0.43–2.94) 0.76 (0.38–1.50) 0.62 (0.25–1.58)
Worried about the cost of getting help 0.72 (0.34–1.51) 0.60 (0.24–1.48) 0.76 (0.26–2.21) 0.65 (0.22–1.94) 1.28 (0.60–2.72) 1.36 (0.52–3.57)
Help not available at convenient time 1.37 (0.45–4.19) 1.17 (0.36–3.77) 0.88 (0.21–3.64) 0.90 (0.21–3.96) 0.74 (0.27–2.02) 1.43 (0.32–6.40)
Barriers related to cooperation with professionals
Professionals do not listen 0.96 (0.51–1.82) 0.86 (0.39–1.92) 0.79 (0.37–1.70) 0.77 (0.33–1.79) 0.70 (0.39–1.29) 0.81 (0.31–2.08)
Professionals refuse to initiate intervention/provide referral 1.45 (0.75–2.80) 1.61 (0.82–3.17) 0.52 (0.24–1.11) 0.64 (0.29–1.42) 0.60 (0.33–1.09) 1.00 (0.39–2.57)
Lack of communication between services 1.30 (0.71–2.39) 1.18 (0.62–2.26) 0.93 (0.42–2.05) 0.96 (0.39–2.36) 0.54 (0.29–1.01) 0.76 (0.30–1.92)
Bad previous experience with professionals 0.94 (0.52–1.73) 0.85 (0.40–1.80) 0.74 (0.36–1.54) 0.75 (0.33–1.74) 0.60 (0.30–1.22) 1.10 (0.46–2.59)
  1. aReference: Age < 10 years; Adjusted for sex, placement outside the home, symptom duration, impairment score on SDQ and referral diagnosis
  2. bReference: Neurodevelopmental disorder; Adjusted for sex, age, placement outside the home, symptom duration and impairment score on SDQ.