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Quelques données

Des études canadiennes et américaines estiment à environ 70% le nombre de jeunes ayant besoins de services en santé mentale jeunesse qui n’en recevraient pas et entre 50 à 75% le nombre de jeunes référés pour un traitement en SM qui ne débute pas ou ne complète pas le traitement (Kazdin et al., 1990). Parmi les familles qui commencent un traitement en SMJ, entre 40 à 60% y mettent fin de façon prématurée (Kazdin, 1996).

Bien que la recherche ait permis d’identifier les principales caractéristiques qui prédisent l’interruption des traitements en SMJ (un haut niveau de stress dans la famille, des circonstances de vie difficile, un statut migratoire,  la pauvreté économique, l’historique de comportement antisocial des parents et la sévérité des difficultés du jeune , c’est le cumul des facteurs de risques qui augmentent les risque d’interruption du traitement. La perception par les familles de barrières à la participation aux traitements (trop de stress, non pertinents, logistiquement difficile, etc.) et un faible lien avec le thérapeute représentent les éléments majeurs qui prédisent l’arrêt (Kazdin et al., 1997).

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