Table 3 Logistic regression model: factors associated with rejection of referral from CAMHS
Rejected (unadjusted) | Rejected (adjusted)a | |||
|---|---|---|---|---|
OR | 95%CI | OR | 95%CI | |
Placement in care | ||||
- Lives with parents | Reference | Reference | ||
- Placed in foster care or residential home | 2.24 | (1.56–3.21) | 2.54 | (1.61–4.00) |
Previous contact for mental health problems | ||||
- First time referral | Reference | Reference | ||
- Previously rejected | 1.12 | (0.81–1.57) | 1.23 | (0.85–1.78) |
- Previously assessed | 0.74 | (0.57–0.96) | 0.71 | (0.52–0.98) |
Referral source | ||||
- General practitioner | 3.35 | (2.65–4.24) | 3.29 | (2.35–4.61) |
- Other medical doctor | 0.67 | (0.45–0.99) | 0.64 | (0.40–1.02) |
- Educational psychologist | 0.26 | (0.20–0.35) | 0.30 | (0.21–0.45) |
- Social worker | 0.86 | (0.54–1.39) | 0.81 | (0.48–1.38) |
Primary referral diagnosis | ||||
- Affective disorder | 0.54 | (0.38–0.77) | 0.37 | (0.25–0.55) |
- Anxiety disorder | 1.29 | (0.94–1.76) | 1.00 | (0.70–1.45) |
- Adjustment disorder | 0.28 | (0.14–0.57) | 0.23 | (0.11–0.46) |
- Eating disorder | 0.84 | (0.50–1.39) | 0.52 | (0.30–0.90) |
- Autism | 0.41 | (0.31–0.56) | 0.54 | (0.38–0.76) |
- ADHD/ADD | 0.93 | (0.73–1.18) | 1.18 | (0.90–1.55) |
- Other | 2.12 | (1.52–2.94) | 1.76 | (1.22–2.54) |
Previous support/interventions | ||||
In school | ||||
- No support | Reference | Reference | ||
- Extra attention from teacher | 0.66 | (0.41–1.04) | 1.18 | (0.65–2.15) |
- Educational psychologist involved | 0.53 | (0.41–0.68) | 0.96 | (0.68–1.36) |
- Part time support teacher in class | 0.32 | (0.20–0.54) | 0.53 | (0.30–0.95) |
- Full time special needs education program | 0.50 | (0.36–0.68) | 0.86 | (0.56–1.30) |
Psychosocial | ||||
- No interventions | Reference | Reference | ||
- for the child | 0.61 | (0.47–0.80) | 0.83 | (0.61–1.13) |
- for the family/parents | 0.69 | (0.48–0.99) | 0.98 | (0.65–1.49) |
- for both the child and the family/parents | 0.79 | (0.41–1.53) | 1.56 | (0.75–3.22) |
Healthcare | ||||
- No support | Reference | Reference | ||
- Allied health professionals | 0.48 | (0.30–0.77) | 0.60 | (0.37–0.99) |
- Medical doctor | 0.67 | (0.51–0.89) | 0.41 | (0.18–0.89) |
- Allied health professionals + medical doctor | 0.31 | (0.15–0.67) | 0.70 | (0.51–0.95) |
Description of cognitive level of functioning | ||||
None | Reference | Reference | ||
Cognitive testing | 0.31 | (0.24–0.40) | 0.34 | (0.23–0.50) |
Impact on schooling | ||||
No description | Reference | Reference | ||
Academic problems | 0.49 | (0.35–0.69) | 0.81 | (0.55–1.18) |
Absence on some days | 0.72 | (0.52–0.98) | 0.90 | (0.63–1.27) |
Complete school absence | 0.55 | (0.37–0.82) | 0.85 | (0.54–1.35) |
Self-harm and suicidal ideations | ||||
No description | Reference | |||
Self-harm without suicidal ideations | 1.04 | (0.66–1.62) | 0.83 | (0.50–1.40) |
Suicidal ideations | 0.69 | (0.49–0.98) | 0.80 | (0.54–1.19) |