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Table 3 Logistic regression model: factors associated with rejection of referral from CAMHS

From: Referral patterns to outpatient child and adolescent mental health services and factors associated with referrals being rejected. A cross-sectional observational study

  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)
  1. aAdjusted for age, sex, placement in care, previous contacts for mental health problems, referral source, primary referral diagnosis, previous support/interventions, description of cognitive level, impact on schooling and self-harm/suicidal ideations