Primary mental health workers addressing youth mental health problems and referrals in general practice: a seven-year time-trend study

The significant increase in emotional problems as assessed by PMHWs is reason for concern. Referrals by PMHWs gradually developed to less intensive and less costly types of care. Since over one third of youths were helped by PMHWs without referral, implementing PMHWs in general practice may be a valuable way to support general practitioners in providing care for youths with mental health problems.