Document Detail

Race/ethnicity, parent-identified emotional difficulties, and mental health visits among California children.
MedLine Citation:
PMID:  23070565     Owner:  NLM     Status:  MEDLINE    
Variability in mental health services utilization by race/ethnicity was evaluated with a Behavioral Model approach. Subjects were 17,705 children 5 to 11 years of age in the 2005, 2007, and 2009 California Health Interview Surveys. Parents identified minor emotional difficulties in 18.7% of these children (ranging from 14.8% in Asians to 24.4% in African Americans) and definite or severe difficulties in 7.4% (5.5% in Asians to 9.7% in "other race"). Overall, 7.6% of children had at least one mental health visit in the prior year (2.3% in Asians to 11.2% in African Americans). Parent-identified need was the most salient predictor of mental health visits for all racial/ethnic groups. Beyond need, no consistent patterns could be determined across racial/ethnic groups with regard to the relationship between contextual, predisposing, and enabling measures and mental health service utilization. Different factors operated for each racial/ethnic group, suggesting the need for studies to examine mental health need, mental health service use, and determinants by racial/ethnic subgroup. These findings suggest that a "one-size-fits-all approach" with regard to policies and practices aimed at reducing mental health disparities will not be effective for all racial/ethnic groups.
Jim E Banta; Sigrid James; Mark G Haviland; Ronald M Andersen
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Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't; Research Support, U.S. Gov't, Non-P.H.S.    
Journal Detail:
Title:  The journal of behavioral health services & research     Volume:  40     ISSN:  1556-3308     ISO Abbreviation:  J Behav Health Serv Res     Publication Date:  2013 Jan 
Date Detail:
Created Date:  2013-02-08     Completed Date:  2013-06-18     Revised Date:  2014-01-09    
Medline Journal Info:
Nlm Unique ID:  9803531     Medline TA:  J Behav Health Serv Res     Country:  United States    
Other Details:
Languages:  eng     Pagination:  5-19     Citation Subset:  IM    
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MeSH Terms
African Americans / statistics & numerical data
Child Behavior Disorders / ethnology*,  psychology,  therapy
Child, Preschool
Continental Population Groups
Ethnic Groups
European Continental Ancestry Group / statistics & numerical data
Health Care Surveys
Health Services Accessibility / statistics & numerical data*
Health Services Needs and Demand
Healthcare Disparities / statistics & numerical data*
Hispanic Americans / statistics & numerical data
Interviews as Topic
Mental Health Services / statistics & numerical data,  utilization*
Office Visits / statistics & numerical data,  utilization*
Socioeconomic Factors
Grant Support
K01 MH077732/MH/NIMH NIH HHS; K01 MH077732-01A1/MH/NIMH NIH HHS; P20 MD000182/MD/NIMHD NIH HHS; P30-AG021684/AG/NIA NIH HHS; R25 MH080916/MH/NIMH NIH HHS; R25 MH080916‐01A2/MH/NIMH NIH HHS

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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