Increasing access to child mental health treatment is an important national priority. A number of standardized assessment tools have been developed to assess the effectiveness of treatment and help in tracking outcomes. This information is valuable to families and to practitioners. It is also a means of addressing barriers to help-seeking efforts. To determine the best measures to use, the Adolescent Healthcare clinicians first select those that have been tested for reliability and validity. However, there is an uneven distribution of testing for validity across race and ethnicity. In order to address these differences, the US Department of Health and Human Services' National Quality Strategy was created to link care processes to meaningful clinical outcomes. This strategy is aimed at aligning financial incentives to promote effective care. DHCS agency partners prioritize measures that measure behavior and emotional health. These measures are also used internationally. The most frequently used measures are the SDQ, ASEBA, and CGAS. These measures were administered at intake, end of treatment, and at follow-up intervals. Some studies only administered the measures at the intake or end of treatment, but others administered them at both. Although follow-up intervals varied widely, they did not correspond to recommended use. In addition, over one-quarter of studies used a measure outside of the recommended age range. Parents are a critical component to the treatment process. They are the ones who know their child best and can contribute insight and expertise about strategies that work best in the home. They have a responsibility to be involved in their child's treatment and to ask questions and share concerns. Involving parents is a way to improve treatment for children with mental health disorders. In fact, the American Academy of Child & Adolescent Psychiatry has published a collection of "Facts for Families," which can provide resources to help families deal with specific challenges. In addition to determining which measures to use, the team should develop strategies for implementing the plan. This includes establishing treatment goals and how to assess treatment effectiveness. A case manager is also a key player in this process. The case manager can coordinate services, provide guidance, and make sure the child's treatment is a success. He or she can also identify other sources of support. In addition, treatment providers may be able to offer training, support, and other resources. The treatment provider can also help families navigate the system. In addition to selecting measures, the Meridian Adolescent Services clinicians take into consideration the barriers to child mental health treatment. Some of these include stigma, lack of knowledge from professionals, and negative attitudes toward mental health. Another barrier is attribution of the child's problems to parenting. This could lead to a focus on parenting skills instead of a problem that requires intervention. In addition, some parents believe that no one in the treatment system can effectively help their child. This may be due to the fact that parents have previously had bad experiences with professionals. Other parents worry about the effects of mental health on future employment and future insurance. You can get more enlightened on this topic by reading here: https://en.wikipedia.org/wiki/History_of_mental_disorders.
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