Community-Based Prevalence of Externalizing and Internalizing Disorders among School-Aged Children and Adolescents in Four Geographically Dispersed School Districts in the United States

Child Psychiatry Hum Dev. 2021 Jun;52(3):500-514. doi: 10.1007/s10578-020-01027-z.

Abstract

The Project to Learn About Youth-Mental Health (PLAY-MH; 2014-2018) is a school-based, two-stage study designed to estimate the prevalence of selected mental disorders among K-12 students in four U.S.-based sites (Colorado, Florida, Ohio, and South Carolina). In Stage 1, teachers completed validated screeners to determine student risk status for externalizing or internalizing problems or tics; the percentage of students identified as being at high risk ranged from 17.8% to 34.4%. In Stage 2, parents completed a structured diagnostic interview to determine whether their child met criteria for fourteen externalizing or internalizing disorders; weighted prevalence estimates of meeting criteria for any disorder were similar in three sites (14.8%-17.8%) and higher in Ohio (33.3%). PLAY-MH produced point-in-time estimates of mental disorders in K-12 students, which may be used to supplement estimates from other modes of mental disorder surveillance and inform mental health screening and healthcare and educational services.

Keywords: Adolescents; Children; Mental disorders; Population-based; Screening.

Publication types

  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Adolescent
  • Anxiety Disorders / epidemiology*
  • Anxiety, Separation / epidemiology
  • Attention Deficit Disorder with Hyperactivity / epidemiology
  • Attention Deficit and Disruptive Behavior Disorders / epidemiology*
  • Child
  • Colorado / epidemiology
  • Conduct Disorder / epidemiology
  • Defense Mechanisms
  • Depressive Disorder / epidemiology*
  • Family
  • Female
  • Florida / epidemiology
  • Humans
  • Male
  • Mental Disorders / epidemiology
  • Ohio / epidemiology
  • Parents
  • Phobia, Social / epidemiology
  • Prevalence
  • Risk Assessment
  • School Teachers
  • Schools
  • South Carolina / epidemiology
  • Students / psychology
  • United States / epidemiology