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Contribution title 3201 - Discrepancy in assessment of mental health problems in pre-transitional service users in Croatia
Contribution code PS02-25 (P)
Authors
  1. Nikolina Vrljičak Davidović KBC Split Presenter
  2. Tomislav Franić KBC Split
  3. Vlatka Boričević Maršanić Psychiatric Hospital for Children and Adolescents
  4. Josipa Jukić Psychiatric Hospital for Children and Adolescents
  5. Katarina Dodig Ćurković KBC Osijek
  6. Vlatka Kovač KBC Osijek
  7. MILESTONE consortium MILESTONE study
Form of presentation Poster
Topic
  • Assessment
Abstract Objectives:
The main objective of this work is to investigate significant correlates and possible predictors of discrepancy in mental health assessment on pre-transitional child and adolescent mental health service users in Croatia.
Methods:
Data are collected as a part of a larger research project and presents baseline findings of a longitudinal cohort study. First time point assessments (out of 4 which will be done by February 2019) are being conducted from October 2015 by mid-January of 2017 in three Croatian psychiatric services (Zagreb, Split and Osijek). Sample of 80 adolescents aged 17 and 1/2, parents or carers and a corresponding primary clinicians in psychiatric care services for children and adolescents are members of triads that are units of analysis. Assessment is done throughout interviews with each member of a triad and throughout online scales and questionnaires. Scales used to measure the discrepancy are widely used ASEBA scales for adolescent and a parent. The main outcome measure is HONOSCA self-rate as well as HONOSCA (clinician’s version) rated from independent researcher based on at least two resources (interview with a parent, interview with an adolescent, interview with a clinician or paper version filled by a clinician and/or medical notes). Sociodemographic data are also collected via interview as well as information about clinical diagnosis.
Results:
Here we will present results in terms of hypothesis since first time point assessment is on-going and will end by mid-January 2017. In our poster results will be presented to confirm or to reject the following:
Discrepancy will be higher for boys and in internalizing disorders. The longer the patient is in treatment, the lower will be the discrepancy. The higher the discrepancy, the higher score will be on the outcome measure rated by an independent rater. We will also investigate whether discrepancy varies depending on gender of a parent.
Conclusion:
This work discusses correlates as possible predictors of discrepancy in pre-transitional psychiatric patients with a long-term aim to investigate and improve outcomes in post-transitional care.