AUTHOR=Hanson Jessica , Heslon Kayla , Ogourtsova Tatiana 

TITLE=Mental health services and resources for children with developmental disabilities and their families: scan of local practices, gaps, and opportunities created

JOURNAL=Frontiers in Rehabilitation Sciences

VOLUME=4

YEAR=2023

URL=https://www.frontiersin.org/journals/rehabilitation-sciences/articles/10.3389/fresc.2023.1118769

DOI=10.3389/fresc.2023.1118769

ISSN=2673-6861

ABSTRACT=<sec><title>Background</title><p>Mental health concerns in children with disabilities are common and have a significant and negative impact. Clinicians have reported high demand for this population to receive early, targeted, and family-centred mental health interventions.</p></sec><sec><title>Objective</title><p>We sought to map out and describe existing pediatric mental health services/resources for children with disabilities and their families across clinical sites and local and online communities.</p></sec><sec><title>Methods</title><p>Using a mixed-method triangulation study design, we outreached to clinical managers at the participating clinical sites and conducted a rapid online search of local in-person, telehealth, and web-based information. The nature, access method, admission criteria, target, focus, and other pertinent information were recorded and analyzed using descriptive statistics and a narrative synthesis approach.</p></sec><sec><title>Results</title><p>Eighty-one (<italic>n</italic> = 81) services/resources (in-person, <italic>n</italic> = 48; telehealth, <italic>n</italic> = 10; web-based information, <italic>n</italic> = 33) were identified. Few (<italic>n</italic> = 6, 13%) in-person services had a method of care access through an online booking portal. Nearly half of in-person resources (<italic>n</italic> = 23, 47%) had admission criteria specific for children with disabilities (e.g., diagnosis, age limit), and many (<italic>n</italic> = 32, 67%) required a formal referral. A small number of in-person and telehealth services targeted the mental health concerns of the entire family (<italic>n</italic> = 23, 47%; <italic>n</italic> = 2, 20%). Very few (<italic>n</italic> = 13, 16%) services incorporated follow-up support. Important gaps emerged for certain populations (e.g., children with cerebral palsy). Practitioners’ inadequate training when intervening with co-existing mental health demands of children with disabilities was noted by clinical managers.</p></sec><sec><title>Conclusion</title><p>Findings could be used to create a user-friendly database to easily identify suitable services and to advocate for services/resources that are lacking.</p></sec>