{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,20]],"date-time":"2026-10-20T15:48:29Z","timestamp":1792511309410,"version":"4.5.0"},"reference-count":23,"publisher":"SAGE Publications","issue":"7","license":[{"start":{"date-parts":[[2023,11,21]],"date-time":"2023-11-21T00:00:00Z","timestamp":1700524800000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Hand Surg Eur Vol"],"published-print":{"date-parts":[[2024,7]]},"abstract":"<jats:p>This study describes mental health and psychosocial screening processes, access to care and interventions provided to children with upper limb musculoskeletal conditions. A cross-sectional e-survey study was conducted of 107 healthcare professionals who work with children with congenital hand and upper limb differences and brachial plexus birth injuries. Of them, 41 (38%) reported that they routinely screen for mental health and psychosocial concerns. Few (12%) reported the use of standardized outcome measures. In total, 51 (48%) healthcare professionals reported that there was a waiting list for mental health services at their institution. Collectively, healthcare professionals were unsatisfied with the staffing, access to care and types of interventions available. Reported barriers to care included the growing need for mental health support, lack of resources and poor continuity of care after referrals. Future research should focus on identifying and validating a mental health screening tool and investigating the processes affecting access to mental health care.<\/jats:p>\n                  <jats:p>Level of evidence: IV<\/jats:p>","DOI":"10.1177\/17531934231214138","type":"journal-article","created":{"date-parts":[[2023,11,21]],"date-time":"2023-11-21T10:04:43Z","timestamp":1700561083000},"page":"885-891","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":4,"title":["Mental health and psychosocial support for children with upper limb musculoskeletal conditions"],"prefix":"10.1177","volume":"49","author":[{"given":"Deanna","family":"Persaud","sequence":"first","affiliation":[{"name":"Department of Occupational Science and Occupational Therapy, University of Toronto, Toronto, ON, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tamsen","family":"Hutchison","sequence":"additional","affiliation":[{"name":"Department of Occupational Science and Occupational Therapy, University of Toronto, Toronto, ON, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Samantha J.","family":"Anthony","sequence":"additional","affiliation":[{"name":"Factor-Inwentash Faculty of Social Work, University of Toronto, Toronto, ON, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kristen M.","family":"Davidge","sequence":"additional","affiliation":[{"name":"Division of Plastic and Reconstructive Surgery, The Hospital for Sick Children, Toronto, ON, Canada"},{"name":"Department of Surgery, University of Toronto, Toronto, ON, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Howard M.","family":"Clarke","sequence":"additional","affiliation":[{"name":"Division of Plastic and Reconstructive Surgery, The Hospital for Sick Children, Toronto, ON, Canada"},{"name":"Department of Surgery, University of Toronto, Toronto, ON, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4082-1770","authenticated-orcid":false,"given":"Emily S.","family":"Ho","sequence":"additional","affiliation":[{"name":"Department of Occupational Science and Occupational Therapy, University of Toronto, Toronto, ON, Canada"},{"name":"Division of Plastic and Reconstructive Surgery, The Hospital for Sick Children, Toronto, ON, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2023,11,21]]},"reference":[{"key":"bibr1-17531934231214138","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2012.09.036"},{"key":"bibr2-17531934231214138","doi-asserted-by":"publisher","DOI":"10.1016\/j.apmr.2011.09.004"},{"key":"bibr3-17531934231214138","doi-asserted-by":"publisher","DOI":"10.1191\/1478088706qp063oa"},{"key":"bibr4-17531934231214138","doi-asserted-by":"publisher","DOI":"10.1080\/09638288.2016.1243159"},{"key":"bibr5-17531934231214138","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2016-014141"},{"key":"bibr6-17531934231214138","doi-asserted-by":"publisher","DOI":"10.1080\/09638280701400375"},{"key":"bibr7-17531934231214138","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0000000000001047"},{"key":"bibr8-17531934231214138","doi-asserted-by":"publisher","DOI":"10.1037\/a0025105"},{"key":"bibr9-17531934231214138","doi-asserted-by":"publisher","DOI":"10.1177\/1049732305276687"},{"key":"bibr10-17531934231214138","first-page":"17","volume":"42","author":"Keyes CL.","year":"2010","journal-title":"Can J Nurs Res"},{"key":"bibr11-17531934231214138","doi-asserted-by":"publisher","DOI":"10.1097\/BTH.0b013e3181d79f2e"},{"key":"bibr12-17531934231214138","doi-asserted-by":"publisher","DOI":"10.1080\/23311908.2021.1938439"},{"key":"bibr13-17531934231214138","doi-asserted-by":"publisher","DOI":"10.4097\/kja.d.18.00242"},{"key":"bibr14-17531934231214138","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2021.07.001"},{"key":"bibr15-17531934231214138","doi-asserted-by":"publisher","DOI":"10.1186\/s12961-018-0282-4"},{"key":"bibr16-17531934231214138","doi-asserted-by":"publisher","DOI":"10.1177\/1753193420967527"},{"key":"bibr17-17531934231214138","doi-asserted-by":"publisher","DOI":"10.1186\/s13012-015-0242-0"},{"key":"bibr18-17531934231214138","doi-asserted-by":"publisher","DOI":"10.1097\/SCS.0000000000001990"},{"key":"bibr19-17531934231214138","doi-asserted-by":"publisher","DOI":"10.1177\/17589983231168034"},{"key":"bibr20-17531934231214138","doi-asserted-by":"publisher","DOI":"10.1111\/j.1083-6101.2001.tb00117.x"},{"key":"bibr21-17531934231214138","doi-asserted-by":"publisher","DOI":"10.1111\/j.1651-2227.2003.tb00611.x"},{"key":"bibr22-17531934231214138","doi-asserted-by":"publisher","DOI":"10.1177\/0269215517709890"},{"key":"bibr23-17531934231214138","unstructured":"World Health Organization. ICF classification of functioning, disability and health. \nGeneva, Switzerland, \nWorld Health Organization, 2001: 299."}],"container-title":["Journal of Hand Surgery (European Volume)"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/17531934231214138","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/17531934231214138","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/17531934231214138","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T22:47:04Z","timestamp":1777502824000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/17531934231214138"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,11,21]]},"references-count":23,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2024,7]]}},"alternative-id":["10.1177\/17531934231214138"],"URL":"https:\/\/doi.org\/10.1177\/17531934231214138","relation":{},"ISSN":["1753-1934","2043-6289"],"issn-type":[{"value":"1753-1934","type":"print"},{"value":"2043-6289","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,11,21]]}}}