Journal of the American Academy of Child & Adolescent Psychiatry
ARTICLESThe British Child and Adolescent Mental Health Survey 1999: The Prevalence of DSM-IV Disorders
Section snippets
Participants
In Great Britain (England, Wales, and Scotland, but not Northern Ireland), “child benefit” is a universal state benefit payable for each child in the family, and it has an extremely high uptake. The child benefit register was used to develop a sampling frame of postal sectors from England, Wales, and Scotland that, after excluding families with no recorded ZIP code or subject to current revision of their record, was estimated to represent 90% of all British children (Meltzer et al., 2000). Four
Prevalence of Childhood Psychiatric Disorder
At least one DSM-IV diagnosis was present in 983 children, representing a weighted prevalence of 9.5% (95% confidence interval [CI] 8.8–10.1%). A fifth of these children (2.1%) had nonoperationalized or “not otherwise specified” diagnoses (anxiety NOS, depression NOS, or disruptive disorder NOS) that failed to meet current DSM-IV criteria but were causing the child significant impairment or distress.
Table 1 presents the prevalence of individual diagnoses and diagnostic groupings by age and
Prevalence of Childhood Psychiatric Disorders
The British Child and Mental Health Survey in 1999 (BCAMHS 99) was completed in one phase, so that all parents, most teachers, and the great majority of 11- to 15-year-olds contributed information that was used to decide whether the child had a disorder. This approach avoided the loss of precision that may occur with a two-phase design deploying a screening measure before a more in-depth diagnostic assessment. The advantages of a highly structured interview that can be administered by
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The British Department of Health funded the original survey and Dr. Ford completed the work while on a Wellcome Trust Fellowship.