Addressing Inequity in Mental Health Provision for Children and Adolescents With Developmental Language Disorder.

Sarah Griffiths, Shaun Kok Yew Goh, Mark E Boyes, Elizabeth Hill, Essi Viding, Courtenay Norbury
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Abstract

The above case study is fictional, but Oliver's difficulties are representative of the experiences of many young people with a language disorder. Unfortunately, integrated mental health and speech-language therapy services are rare, and available research to inform evidence-based mental health intervention for this population is lacking. Children and adolescents with DLD have a 1.8- to 2.3-fold increased risk of mental health conditions compared with peers,1 and 45% to 64% of adolescents referred to mental health services have diagnosed or undiagnosed language disorder.2 Mental health assessments and psychological treatments are verbally mediated, making them difficult for youth such as Oliver to access.3 To address this inequality in mental health provision, we need increased understanding and awareness of language disorders and how they can affect mental health, novel language interventions aimed to prevent mental health problems in youth with language disorders, and adaptations to existing mental health treatments to make them suitable for youth with language disorders.

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解决为患有发育性语言障碍的儿童和青少年提供心理健康服务方面的不平等问题。
奥利弗是一名 12 岁的男孩,因拒绝上学而被转介到儿童和青少年心理健康服务机构。奥利弗在学校一直很努力。他经常因为上课不听讲而惹麻烦,当他在课间休息时想和同学们一起玩游戏时,同学们经常嘲笑他。有时他会发脾气,但当老师问他发生了什么事时,他又无法解释自己的想法。最近,奥利弗变得焦虑、孤僻,拒绝上学。儿童和青少年心理健康服务机构为奥利弗提供了谈话疗法,作为焦虑症的一线治疗方法。然而,奥利弗在治疗中表现得很不积极;他似乎不听治疗师在说什么,也很少回话。奥利弗的治疗师将他介绍给了同一组的语言病理学家,后者诊断奥利弗患有发育性语言障碍 (DLD)。现在,两位治疗师正与学校合作,为奥利弗的焦虑和语言障碍提供支持。
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来源期刊
CiteScore
21.00
自引率
1.50%
发文量
1383
审稿时长
53 days
期刊介绍: The Journal of the American Academy of Child & Adolescent Psychiatry (JAACAP) is dedicated to advancing the field of child and adolescent psychiatry through the publication of original research and papers of theoretical, scientific, and clinical significance. Our primary focus is on the mental health of children, adolescents, and families. We welcome unpublished manuscripts that explore various perspectives, ranging from genetic, epidemiological, neurobiological, and psychopathological research, to cognitive, behavioral, psychodynamic, and other psychotherapeutic investigations. We also encourage submissions that delve into parent-child, interpersonal, and family research, as well as clinical and empirical studies conducted in inpatient, outpatient, consultation-liaison, and school-based settings. In addition to publishing research, we aim to promote the well-being of children and families by featuring scholarly papers on topics such as health policy, legislation, advocacy, culture, society, and service provision in relation to mental health. At JAACAP, we strive to foster collaboration and dialogue among researchers, clinicians, and policy-makers in order to enhance our understanding and approach to child and adolescent mental health.
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