Accessibility and need for children’s mental health services in Aotearoa New Zealand

Objective: Demand for children’s mental health services has increased in New Zealand, yet little is known of young children’s experience of psychological difficulties and treatment. This study investigated psychological symptoms and treatment experiences among primary-aged children. Method: An online survey of parents assessed children’s anxiety, depression, attentional, emotional, conduct and peer problems, and experiences seeking psychological treatment. Results: Based on 382 parental reports, between 24.9 - 34.6% of children experienced abnormal-range symptoms. Older children had higher distress, depression and anxiety. Boys had more conduct, hyperactivity and peer problems. Ethnicity was not associated with the incidence of symptoms, but parents of Pākeha children reported greater impact than Māori parents. One-third of children had been referred for assessment; more often older children, and those with higher hyperactivity, impact, and anxiety. Parents reported difficulties accessing assessment, common barriers included waitlists (53%), cost (43%), and not knowing who to contact (36%). Following intervention, only 51% of parents reported improvements. Conclusion: NZ primary-aged children are experiencing more symptoms of psychological distress than previously reported, and extensive difficulties accessing treatment. Implications for Public Health: There is a need for further screening and increased access to treatment to prevent worsening mental health outcomes in children.