QUESTION: What interventions are effective for treating mental health problems in children and adolescents in primary care?
Studies were identified by searching Medline, PsycINFO, CINAHL, EMBASE/Excerpta Medica, and the Cochrane Controlled Trials Register in August 1999; scanning the reference lists of relevant studies; and contacting 34 subject experts and authors of included studies.
Studies were selected if they were randomised controlled trials (RCTs), controlled before and after studies, or before and after studies without controls and participants were [less than or equal to] 18 years of age and were treated in primary care for mental health problems.
Data were extracted on design, study population, sample size, and results.
Educational studies involving the primary care team: 8 studies (1 RCT) were included. The RCT compared an introduction to the use of behaviour modification techniques (12 sessions) with a wait list control group in 14 health visitors who worked with 205 families. Groups did not differ for child behaviour. Studies involving treatment by the primary care team: 6 studies (3 RCTs) were included. 1 RCT compared 12 brief preschool interviews (20--30 mm) with no interviews over 5 years in a community sample of 246 non-distressed parents (and children). The intervention group showed improvement in some behaviour and...