TY - JOUR KW - children KW - Mental Health KW - primary care AU - Nynke R. Koning AU - Frederike L. Buchner AU - Marjolein E. A. Verbiest AU - Robert R J M Vermeiren AU - Mattijs E. Numans AU - Mathilde R. Crone A1 - AB - Background: Although common and often with long-lasting effects, child mental health problems (MHPs) are still under-recognized and under-treated. A better understanding of the factors associated with the identification of MHPs in primary care may improve the recognition of MHPs. Objectives: To review studies on factors associated with the identification of child MHPs in primary care. Methods: Six leading databases were systematically searched until 1 October 2018. Two independent researchers selected articles and extracted data on study characteristics and factors associated with MHP identification. Inclusion criteria were the investigation of factors associated with MHP identification by primary care professionals (PCPs) in children aged 0-18 years. Results: Of the 6215 articles identified, 26 were included. Prevalence rates of PCP-identified MHPs varied between 7 and 30%. PCPs identified 26-60% of children with an increased risk of MHPs as indicated by MHP assessment tools, but associated factors were investigated in relatively few studies. MHPs were more often identified in children with a family composition other than married parents, with worse mental health symptoms, prior MHPs, among boys in elementary school, when contact with PCPs was related to parental psychosocial concerns or routine health check-ups, when PCPs were recently trained in MHPs or when PCPs felt less burdened treating MHPs. Conclusion: MHP identification varied substantially between studies and PCPs and was related to several child, family and practice factors. Future studies should systematically investigate factors associated with MHP identification by PCPs and specifically in children with an increased risk of MHPs according to mental health assessment tools. AD - a Department of Public Health and Primary Care , Leiden University Medical Centre , Leiden , The Netherlands.; a Department of Public Health and Primary Care , Leiden University Medical Centre , Leiden , The Netherlands.; b Centre for Longitudinal Research-He Ara ki Mua , The University of Auckland , Auckland , New Zealand.; c National Institute for Health Innovation , The University of Auckland , Auckland , New Zealand.; d Department of Child and Adolescent Psychiatry, Leiden University Medical Centre , Curium-LUMC , Oegstgeest , The Netherlands.; e Department of Child and Adolescent Psychiatry Amsterdam , UMC location VU , Amsterdam , The Netherlands.; a Department of Public Health and Primary Care , Leiden University Medical Centre , Leiden , The Netherlands.; a Department of Public Health and Primary Care , Leiden University Medical Centre , Leiden , The Netherlands. BT - The European journal of general practice C5 - Healthcare Disparities CY - England DO - 10.1080/13814788.2019.1623199 JF - The European journal of general practice LA - eng M1 - Journal Article N2 - Background: Although common and often with long-lasting effects, child mental health problems (MHPs) are still under-recognized and under-treated. A better understanding of the factors associated with the identification of MHPs in primary care may improve the recognition of MHPs. Objectives: To review studies on factors associated with the identification of child MHPs in primary care. Methods: Six leading databases were systematically searched until 1 October 2018. Two independent researchers selected articles and extracted data on study characteristics and factors associated with MHP identification. Inclusion criteria were the investigation of factors associated with MHP identification by primary care professionals (PCPs) in children aged 0-18 years. Results: Of the 6215 articles identified, 26 were included. Prevalence rates of PCP-identified MHPs varied between 7 and 30%. PCPs identified 26-60% of children with an increased risk of MHPs as indicated by MHP assessment tools, but associated factors were investigated in relatively few studies. MHPs were more often identified in children with a family composition other than married parents, with worse mental health symptoms, prior MHPs, among boys in elementary school, when contact with PCPs was related to parental psychosocial concerns or routine health check-ups, when PCPs were recently trained in MHPs or when PCPs felt less burdened treating MHPs. Conclusion: MHP identification varied substantially between studies and PCPs and was related to several child, family and practice factors. Future studies should systematically investigate factors associated with MHP identification by PCPs and specifically in children with an increased risk of MHPs according to mental health assessment tools. PP - England PY - 2019 SN - 1751-1402; 1381-4788 SP - 1 EP - 12 EP - T1 - Factors associated with the identification of child mental health problems in primary care-a systematic review T2 - The European journal of general practice TI - Factors associated with the identification of child mental health problems in primary care-a systematic review U1 - Healthcare Disparities U2 - 31246106 U3 - 10.1080/13814788.2019.1623199 VO - 1751-1402; 1381-4788 Y1 - 2019 Y2 - Jun 27 ER -