Clinical decision support systems in child and adolescent psychiatry: a systematic review

Roman Koposov, Sturla Fossum, Thomas Frodl, Øystein Nytrø, Bennett Leventhal, Andre Sourander, Silvana Quaglini, Massimo Molteni, María de la Iglesia Vayá, Hans Ulrich Prokosch, Nicola Barbarini, Michael Peter Milham, Francisco Xavier Castellanos, Norbert Skokauskas

Research output: Contribution to journalReview article

Abstract

Psychiatric disorders are amongst the most prevalent and impairing conditions in childhood and adolescence. Unfortunately, it is well known that general practitioners (GPs) and other frontline health providers (i.e., child protection workers, public health nurses, and pediatricians) are not adequately trained to address these ubiquitous problems (Braddick et al. Child and Adolescent mental health in Europe: infrastructures, policy and programmes, European Communities, 2009; Levav et al. Eur Child Adolesc Psychiatry 13:395–401, 2004). Advances in technology may offer a solution to this problem with clinical decision support systems (CDSS) that are designed to help professionals make sound clinical decisions in real time. This paper offers a systematic review of currently available CDSS for child and adolescent mental health disorders prepared according to the PRISMA-Protocols (Preferred Reporting Items for Systematic Reviews and Meta-Analyses Protocols). Applying strict eligibility criteria, the identified studies (n = 5048) were screened. Ten studies, describing eight original clinical decision support systems for child and adolescent psychiatric disorders, fulfilled inclusion criteria. Based on this systematic review, there appears to be a need for a new, readily available CDSS for child neuropsychiatric disorder which promotes evidence-based, best practices, while enabling consideration of national variation in practices by leveraging data-reuse to generate predictions regarding treatment outcome, addressing a broader cluster of clinical disorders, and targeting frontline practice environments.

Original languageEnglish
Pages (from-to)1309-1317
Number of pages9
JournalEuropean Child and Adolescent Psychiatry
Volume26
Issue number11
DOIs
Publication statusPublished - Nov 1 2017

Keywords

  • Clinical decision support system
  • Electronic health records
  • Mental health informatics
  • Neurodevelopmental disorders

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Developmental and Educational Psychology
  • Psychiatry and Mental health

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  • Cite this

    Koposov, R., Fossum, S., Frodl, T., Nytrø, Ø., Leventhal, B., Sourander, A., Quaglini, S., Molteni, M., de la Iglesia Vayá, M., Prokosch, H. U., Barbarini, N., Milham, M. P., Castellanos, F. X., & Skokauskas, N. (2017). Clinical decision support systems in child and adolescent psychiatry: a systematic review. European Child and Adolescent Psychiatry, 26(11), 1309-1317. https://doi.org/10.1007/s00787-017-0992-0