Objectives: Distributions in children's or adolescents' mental disorders or in psychosocial pressures were demonstrated.
Methods: The health care population in child- and adolescent psychiatric institutions of Bremen in 2005 - 2012 (N = 7190) was analyzed.
Results: Amongst other burden factors pressures in school context or abnormal social environments increased significantly. Adjustment stress disorders or externalizing disorders were dominant, but the prevalence in affective and anxiety disorders increased considerably.
Conclusion: The co-operation with school authorities or agencies should be intensified.
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