| Racial and ethnic differences in utilization of mental health services among high-risk youths. | |
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MedLine Citation:
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PMID: 15994717 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: Racial and ethnic disparities in mental health service use have been identified as a major public health problem. However, the extent to which these disparities may be accounted for by other confounding sociodemographic or clinical predictors of service use (e.g., family income, functional impairment, caregiver strain) is relatively unexplored, especially for youth services. The goal of this study was to test for racial/ethnic disparities in use of a variety of outpatient, inpatient, and informal mental health services among high-risk youths, with the effects of other predictive factors controlled. METHOD: Participants were 1,256 youths ages 6-18 years who received services in a large, publicly funded system of care (including the child welfare, juvenile justice, special education, alcohol and drug abuse, and mental health service sectors). Youths and caregivers were interviewed with established measures of mental health service use, psychiatric diagnoses, functional impairment, caregiver strain, and parental depression. RESULTS: Significant racial/ethnic group differences in likelihood of receiving any mental health service and, specifically, formal outpatient services were found after the effects of potentially confounding variables were controlled. Race/ethnicity did not exert a significant effect on the use of informal or 24-hour-care services. CONCLUSIONS: Racial/ethnic disparities in service use remain a public health problem. |
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Authors:
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Ann F Garland; Anna S Lau; May Yeh; Kristen M McCabe; Richard L Hough; John A Landsverk |
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Publication Detail:
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Type: Comparative Study; Journal Article; Research Support, N.I.H., Extramural; Research Support, U.S. Gov't, P.H.S. |
Journal Detail:
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Title: The American journal of psychiatry Volume: 162 ISSN: 0002-953X ISO Abbreviation: Am J Psychiatry Publication Date: 2005 Jul |
Date Detail:
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Created Date: 2005-07-04 Completed Date: 2005-08-17 Revised Date: 2007-11-14 |
Medline Journal Info:
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Nlm Unique ID: 0370512 Medline TA: Am J Psychiatry Country: United States |
Other Details:
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Languages: eng Pagination: 1336-43 Citation Subset: AIM; IM |
Affiliation:
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Child and Adolescent Services Research Center, Children's Hospital and Health Center, 3020 Children's Way (MC 5033), San Diego, CA 92123, USA. agarland@casrc.org |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Adolescent Behavior / psychology African Americans / statistics & numerical data Ambulatory Care / statistics & numerical data, utilization Asian Americans / statistics & numerical data Child Community Mental Health Services / utilization* Continental Population Groups / statistics & numerical data* Ethnic Groups / statistics & numerical data* European Continental Ancestry Group / statistics & numerical data Female Hispanic Americans / statistics & numerical data Hospitalization / statistics & numerical data Humans Male Mental Disorders / diagnosis, psychology, therapy* Psychiatric Status Rating Scales Public Health / statistics & numerical data Risk Factors United States / ethnology |
| Grant Support | |
ID/Acronym/Agency:
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MH 01544/MH/NIMH NIH HHS; MH 01767/MH/NIMH NIH HHS; MH 01924/MH/NIMH NIH HHS; MH 55282/MH/NIMH NIH HHS |
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