Should we be screening every 8-year-old for anxiety?

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Should we be screening every 8-year-old for anxiety?
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Public health experts say universal mental health screenings are integral in the youth mental health crisis. But most kids aren’t getting them.

edition of the 8 to 3 newsletter about school, kids and parenting. Like what you’re reading?Earlier this month, an influential group of experts recommended that everyBehind the advice is the U.S. Preventive Services Task Force, an independent volunteer panel of national experts in disease prevention and evidence-based medicine. Although the group has no regulatory authority,has made national headlines and carries a lot of weight with pediatricians.

Eight years old is around the age when most kids are able to read and reliably report anxiety symptoms, which explains the task force’s age cutoff, said Bruce Chorpita, professor of psychology and psychiatry at UCLA, who studies mental health service systems and treatment design for children. The surveys are designed to flag children who are experiencing anxiety symptoms, which exist along a spectrum from mild to severe and may be situational or more generalized. In other words, screenings aren’t a diagnosis.Additional assessments provide specific information on the extent of the anxiety and the level of support a kid needs — if any at all, Chorpita said.

There is some concern that the inability to provide kids with therapeutic interventions — which tend to be more time- and resource-intensive — will lead to an over-reliance on psychiatric medications. This has been the case for children with attention deficit and hyperactivity disorder, said Allen Frances, chairman emeritus of the Department of Psychiatry and Behavioral Sciences at Duke University.

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