Falling Through the Cracks: How Service Gaps Leave Children with Neurodevelopmental Disorders and Mental Health Difficulties Without the Care They Need
August 05, 2019 | NWI
Citation: Ono, E., Friedlander, R., & Salih, T. (2019). Falling Through the Cracks: How Service Gaps Leave Children with Neurodevelopmental Disorders and Mental Health Difficulties Without the Care They Need. British Columbia Medical Journal, 61(3), 114–124.
Abstract: Children with neurodevelopmental disorders are at increased risk of developing mental health difficulties, and when neurodevelopmental and psychiatric disorders do co-occur, children and their families frequently face multiple barriers as they try to access services and resources. A literature review indicates that there is a lack of specialized mental health services for patients with a dual diagnosis, and the resulting inadequate level of community supports has placed the burden of care on families. Four clinical vignettes illustrate how children and their families trying to access support face barriers, including bureaucratic processes, lack of respite, out-of-home service obstacles, and limited specialized training for care providers. Policy changes are needed to ensure a wraparound approach to care based on integrative interagency and cross-agency practices.