School-Based Anxiety Treatments for Children and Adolescents

摘要

Anxiety disorders are common among children and adolescents; however, anxious youth are rarely identified. Unlike disruptive behavior disorders, anxiety disorders often go unnoticed by teachers and parents because clinically anxious youth are generally compliant, follow rules, and do not draw attention. Therefore, it is not surprising that anxious youth are the least likely among youth with psychiatric disorders to receive treatment. Furthermore, even when youth access services, it is unclear what type of treatment they receive. Although several empirically supported treatments for anxious youth exist, more than 80% of community-based treatment for anxious youth is not supported by scientific evidence. There are also many barriers to treatment in traditional settings (eg, community clinics and independent clinicians), including stigma, long waitlists, and high costs.