Journal of the American Academy of Child & Adolescent Psychiatry
ArticlesPrevalence of Psychiatric Disorders in Youths Across Five Sectors of Care
Section snippets
Participants
The Patterns of Care study included a survey of a random sample of 1,715 children and adolescents aged 6–17 years from open cases of youths active in one or more of five San Diego County public sectors of care (AD, CW, JJ, MH, SED) during the second half of fiscal year 1996–1997. All children and youths aged 6–17 years and enrolled in AD, MH, and school SED services were included in the eligible sampling frame. In JJ and CW, only children whose placement was under court jurisdiction (JJ “wards
Prevalence of Diagnoses for Total Sample and by Service Sector
The past year prevalence of psychiatric disorders was high, with 54% of the total sample meeting criteria for at least one of the study diagnoses; 23% met criteria for two or more disorders. Rates of ADHD, ODD, and CD were much higher than rates of anxiety or mood disorders (49.7% compared with 9.9% and 7.0%, respectively). The disorders with the highest prevalence overall were CD and ADHD. Table 3 presents the prevalence estimates for each diagnosis for the total sample (far right column) and
DISCUSSION
This study reports the past year prevalence estimates for selected DSM-IV psychiatric disorders among 1,618 youths aged 6–18 years identified from five public sectors of care (AD, CW, JJ, MH, and SED). The prevalence of psychiatric disorders in this multiservice, public sector, high-risk sample was very high, with 54% of the youths meeting criteria for at least one study disorder. This is much higher than most estimates of community rates of psychiatric disorders, which approximate 20% (
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This research was supported by NIMH grant U01MH 55282 to Dr. Hough and by grants MH01544, MH01767, MH01695, and MH01924.