Global Pediatrics (Dec 2023)
Pediatric Mental Disorders and Related Screening Practices: Qualitative Insights from Early Childhood Educators
Abstract
Objective: The purpose of this research is to qualitatively identify perceived concerns about mental disorders among children and related screening practices for mental illness among early childcare and education providers. Design: Qualitative research design with a phenomenological approach was used. Sample: 53 early childcare and education providers from Nebraska participated in semi-structured interviews focused on mental disorders and related screening practices among children. Methods: The recorded interviews were transcribed, coded, and systematically analyzed through thematic content analysis. Results: The analysis identified two themes concerning pediatric mental health disorders and screening practices. The first theme, mental health concerns, includes three categories: perceived level of mental disorder (n=39; 74 %), most common (attention-deficit disorder [n=28; 53.8 %] and anxiety [n=13; 25.6 %]), and least common (mood disorders [n=5; 10.2 %] and substance abuse [n=8; 15.4 %]). The second theme, screening practices, reflects the use of screening tools and their implication to screen mental disorders and suggested one category: screening measure usage (Ages and Stages and the Modified Checklist for Autism in Toddlers). Conclusion: Among the 53 participants, 39 or 74 % of them stated their concern about pediatric mental health disorders in their organization, with some of the most commonly reported disorders including attention-deficit/hyperactivity disorder (ADHD) (53.8 %), anxiety (25.6 %), depression (17.9 %), and substance use (15.4 %). Participants were also concerned about the lack of standard screening instruments for mental health issues among children of ages 0 to 5. There is a need for early childcare organizations, healthcare providers, and educational organizations to collaborate and implement a coordinated approach to improving Nebraska's pediatric mental health.