Contextual determinants associated with children's and adolescents' mental health care utilization: a systematic review.

ABSTRACT: Determinants at the contextual level are important for children's and adolescents' mental health care utilization, as this is the level where policy makers and care providers can intervene to improve access to and provision of care. The objective of this review was to summarize the evidence on contextual determinants associated with mental health care utilization in children and adolescents. A systematic literature search in five electronic databases was conducted in August 2021 and retrieved 6439 unique records. Based on eight inclusion criteria, 74 studies were included. Most studies were rated as high quality (79.7%) and adjusted for mental health problems (66.2%). The determinants that were identified were categorized into four levels: organizational, community, public policy or macro-

SUBMITTER: Verhoog S 

PROVIDER: S-EPMC9490713 | biostudies-literature | 2022 Sep

REPOSITORIES: biostudies-literature