Role of Referrals in Mental Health Service Disparities for Racial and Ethnic Minority Youth

Autor/inn/en	Alegria, Margarita; Lin, Julia Y.; Green, Jennifer Greif; Sampson, Nancy A.; Gruber, Michael J.; Kessler, Ronald C.
Titel	Role of Referrals in Mental Health Service Disparities for Racial and Ethnic Minority Youth
Quelle	In: Journal of the American Academy of Child & Adolescent Psychiatry, 51 (2012) 7, S.703-711 (9 Seiten) PDF als Volltext Verfügbarkeit
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	0890-8567
DOI	10.1016/j.jaac.2012.05.005
Schlagwörter	Attention Deficit Hyperactivity Disorder; Anxiety Disorders; Health Services; African American Children; Identification; Adolescents; Racial Differences; Depression (Psychology); Separation Anxiety; Investigations; Feedback (Response); Surveys; African Americans; Whites + Suchen Sie Ihr Suchwort? Health service; Gesundheitsdienst; Gesundheitswesen; African Americans; Child; Children; Afroamerikaner; Kind; Kinder; Identifikation; Identifizierung; Adolescent; Adolescence; Adoleszenz; Jugend; Jugendalter; Jugendlicher; Rassenunterschied; Trennungsangst; Untersuchung; Survey; Umfrage; Befragung; White; Weißer
Abstract	Objective: To investigate racial/ethnic differences in teachers' and other adults' identification and/or encouragement of parents to seek treatment for psychiatric problems in their children and to evaluate if and whether identification/encouragement is associated with service use. Method: Data on identification/encouragement to seek treatment for externalizing disorders (i.e., attention-deficit/hyperactivity disorder, oppositional-defiant disorder, and/or conduct disorder) and internalizing disorders (i.e., major depressive episode/dysthymia and/or separation anxiety disorder) and services used were obtained for 6,112 adolescents (13-17 years of age) in the National Comorbidity Survey Adolescent Supplement. Racial/ethnic differences were examined for Latinos, non-Latino blacks, and non-Latino whites. Results: There were few racial/ethnic differences in rates of youth identification/encouragement and how identification/encouragement related to service use. Only non-Latino black youth with low severity internalizing disorders were less likely to be identified/encouraged to seek services compared with non-Latino white youth with the same characteristics (odds ratio [OR] = 0.4, 95% confidence interval [CI] = [0.2-0.7]). Identification/encouragement increased the likelihood of seeking services for externalizing and internalizing disorders for all youth. However, compared with their non-Latino white counterparts, non-Latino black youth who met criteria for internalizing disorders appeared less likely to have used any services (OR = 0.4, 95%, CI = 0.2-0.7), after adjusting for identification/encouragement, clinical, and sociodemographic characteristics. Non-Latino black youth with internalizing disorders and without identification/encouragement were less likely to use the specialty care sector than their non-Latino white counterparts. Conclusions: In this study of a nationally representative sample of adolescents, almost no ethnic/racial differences in identification/encouragement were found. However, identification/encouragement may increase service use for all youth. (Contains 6 tables.) (As Provided).
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Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2017/4/10