Use and predictors of health services among Australian children with mental health problems: a national prospective study

Objective: Retrospective, parent-reported data suggest that 50% of Australian children with mental health disorders miss out on care. In a national sample, we aimed to determine the proportion receiving mental health services and associated characteristics, using prospective, objective data. Method: Prospective analysis of linked Medicare Benefits Scheme (MBS)-rebated mental health service use in children aged 8–9, 10–11, and 12–13 years, from the Longitudinal Study of Australian Children K cohort (N = 4,983). Analyses were conducted separately for children scoring above the cut points on the Strength and Difficulties Questionnaire (SDQ) emotional and externalising problems subscales. Characteristics were compared using logistic regressions. Results: Nine to 27% of children scoring above SDQ cut points accessed MBS-rebated mental health services, typically from general practitioners, psychologists and paediatricians. Greater symptom severity, parent perception that child needs help, being a young boy and older were associated with increased service use. Children from more disadvantaged families or families speaking a language other than English were less likely to receive services for internalising problems. Conclusion: In the first prospective, objective analysis, most children do not receive mental health services.