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Waitlist management in child and adolescent mental health care: A scoping review

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  • Eichstedt, Julie A.
  • Turcotte, Kara
  • Golden, Grace
  • Arbuthnott, Alexis E.
  • Chen, Samantha
  • Collins, Kerry A.
  • Mowat, Stephanie
  • Reid, Graham J.

Abstract

Background: Although many mental health disorders first emerge during early childhood or adolescence, there is a significant gap between demand and availability of mental health resources, leading to long waitlists for services. Objective: The objective of this scoping review was to identify and characterize the research literature related to the range of waitlist management strategies that have been implemented in outpatient child and adolescent mental health care. Methods: Electronic databases reviewed included: Medline (Ovid), Embase (Ovid), PubMed, PsychINFO, SCOPUS, CINAHL, and ISI Web of Science. Grey literature databases included: OpenGrey, Conference Papers Index, and Proquest Digital Dissertations. Articles were screened by two reviewers in two steps: first by title and abstract, then full text level.Data were extracted using an a-priori developed data extraction framework, which was piloted and modified iteratively. Results: A total of 119 papers related to waitlist interventions in child and adolescent mental health were reviewed. Of these 119 papers, 11% were reviews, summary, or theoretical papers; 8% used a randomized control trial design and 2.5% were trial protocols. Most studies used less rigorous designs, such as uncontrolled before-and- after designs. The large majority focused on just one waitlist strategy each. The most commonly used approaches included: prioritization/triage and initial assessment; brief consultation and advice or brief therapy approaches; group-based models; interim services; increasing capacity; and strategies to decrease non-attendance. Most studies were conducted in the United Kingdom or Canada. Discussion: While mental health systems are complex, most studies examining waitlist initiatives explored the implementation of single initiatives. It is unlikely that a single waitlist strategy can be effective in managing wait times for children’s mental health. Rather, consistent and systemic approaches to address wait times that consider the impact of the reduction approach on the patient, the program, and the community are needed.

Suggested Citation

  • Eichstedt, Julie A. & Turcotte, Kara & Golden, Grace & Arbuthnott, Alexis E. & Chen, Samantha & Collins, Kerry A. & Mowat, Stephanie & Reid, Graham J., 2024. "Waitlist management in child and adolescent mental health care: A scoping review," Children and Youth Services Review, Elsevier, vol. 160(C).
    • Handle: RePEc:eee:cysrev:v:160:y:2024:i:c:s0190740924001014
    DOI: 10.1016/j.childyouth.2024.107529
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    References listed on IDEAS

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    1. Anderson, Joanna K. & Howarth, Emma & Vainre, Maris & Jones, Peter B. & Humphrey, Ayla, 2017. "A scoping literature review of service-level barriers for access and engagement with mental health services for children and young people," Children and Youth Services Review, Elsevier, vol. 77(C), pages 164-176.
    2. Angold, A. & Farmer, E.M.Z. & Costello, E.J. & Burns, B.J. & Stangl, D. & Messer, S.C., 1998. "Perceived parental burden and service use for child and adolescent psychiatric disorders," American Journal of Public Health, American Public Health Association, vol. 88(1), pages 75-80.
    3. Kaukonen, Pälvi & Salmelin, Raili K. & Luoma, Ilona & Puura, Kaija & Rutanen, Mervi & Pukuri, Tarja & Tamminen, Tuula, 2010. "Child psychiatry in the Finnish health care reform: National criteria for treatment access," Health Policy, Elsevier, vol. 96(1), pages 20-27, June.
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