Racial and ethnic differences in utilization of mental health services among high-risk youths.

@article{Garland2005RacialAE,
  title={Racial and ethnic differences in utilization of mental health services among high-risk youths.},
  author={Ann F Garland and Anna S. Lau and May Yeh and Kristen M. McCabe and Richard L. Hough and John A. Landsverk},
  journal={The American journal of psychiatry},
  year={2005},
  volume={162 7},
  pages={
          1336-43
        }
}
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… 

Figures and Tables from this paper

Racial and ethnic disparities in caregiver strain and the use of child mental health services: a structural equation model.

TLDR
Intervention efforts to reduce disparities in use of services across racial or ethnic groups need to be informed by a better understanding of the causes of group differences in reporting caregiver strain and the relationship between reported caregIVER strain and use of child mental health services.

Understanding Racial/Ethnic Disparities in Youth Mental Health Services

TLDR
Greater disparities in mental health service receipt were evident for internalizing problems, with non-Hispanic White youth more likely to receive services in response to internalizing symptoms than minority youth and African American youth were particularly likely to have need for externalizing problems met.

Racial/Ethnic Disparities in the Decision Points of Mental Health Service Use and Psychotropic Medication Receipt Among Depressed Youth

TLDR
The findings reveal possibly two levels of racial/ethnic disparities at the decision points of accessing specialty mental health services and subsequent treatment methods choice and implications for mental health policies and practices are discussed.

Racial/Ethnic Disparities in Mental Health Service Utilization among Youth Participating in Negative Externalizing Behaviors.

TLDR
Racial/ethnic minority youth in the United States continue to use outpatient mental health services at lower rates, which may lead to high prevalence of untreated negative externalizing behaviors among minority adolescent groups and, in turn, lead to use of inpatient services from systems such as juvenile justice and foster care.

Racial and Ethnic Disparities in the Continuation of Community-Based Children’s Mental Health Services

TLDR
With the exception of children of Asian descent, non-English speaking children and youth of diverse racial/ethnic background were significantly less likely to continue receiving mental health services compared with White English-speaking peers, even after controlling for sociodemographic, clinical and county characteristics.

Immigrant Status, Mental Health Need, and Mental Health Service Utilization Among High-Risk Hispanic and Asian Pacific Islander Youth

TLDR
Family immigrant status moderated the association between youth need and specialty MHS use such that immigrant youth were more likely to receive services for externalizing need and less likely to receiving services for internalizing need relative to non-immigrant youth.

Patterns and Predictors of Mental Healthcare Utilization in Schools and Other Service Sectors Among Adolescents at Risk for Depression

TLDR
This study examined racial/ethnic and socioeconomic differences in service utilization across sectors for youth at risk for depression and suggests that racial disparities in service access generally appear to be reduced through the availability of education sector mental health services.
...

References

SHOWING 1-10 OF 38 REFERENCES

Unmet need for mental health care among U.S. children: variation by ethnicity and insurance status.

TLDR
It is revealed that most children who need a mental health evaluation do not receive services and that Latinos and the uninsured have especially high rates of unmet need relative to other children.

Demographic factors in the use of children's mental health services.

TLDR
Significant lags in mental health service use were found for youth 18 to 21 years of age, for those living in rural and semirural areas, and for those in middle-income families.

Racial/Ethnic Differences in Caregiver Strain and Perceived Social Support Among Parents of Youth with Emotional and Behavioral Problems

TLDR
Testing hypotheses related to racial/ethnic variations in caregiver strain and perceived social support among parents caring for children with emotional/behavioral problems found that cultural variables such as familism and tolerance should be examined to identify processes that result in reduced perception of caregivers strain.

Ethnic minority adolescents and the use of community mental health care services

TLDR
Analyses showed that Asian Americans and Hispanics are underrepresented in existing public mental health facilities while African Americans are overrepresented; but, for length of treatment, Asian Americans tend to stay longer in treatment while African American tends to stay in treatment for a shorter period of time than whites.

Diagnostic profiles associated with use of mental health and substance abuse services among high-risk youths.

TLDR
Unmet need for mental health services was greatest among youth with substance use disorders only, and use of professional services was most likely for youths with non-substance use psychiatric disorders, those with comorbid disorders, and those for whom high caregiver strain was reported.

Youths' Access to Mental Health Services: The Role of Providers' Training, Resource Connectivity, and Assessment of Need

TLDR
It is proposed that providers with training in and knowledge of mental health resources are more likely to recognize youths' mental health problems, and provide youths with services, and that inservice training should be offered to all who work with youths.

Prevalence of adolescent substance use disorders across five sectors of care.

TLDR
SUDs are highly prevalent among youths receiving care in the AD service sector as well as other sectors, particularly JJ and MH, and have implications for assessment, treatment, and service coordination for youths with SUDs in diverse sectors of public care.

Mental health service use in the community and schools: Results from the four-community MECA study

TLDR
Community surveys show great promise for monitoring the need for mental health and substance abuse services and for identifying patterns of use that varied in the four communities surveyed.

Prevalence of psychiatric disorders in youths across five sectors of care.

TLDR
Youths who were active in the MH and SED sectors were more likely than those not in these sectors to meet criteria for a disorder; youths in the CW sector were least likely.

Racial/Ethnic Representation Across Five Public Sectors of Care for Youth

We examined service representation patterns of four racial/ethnic groups (African Americans, Asian/ Pacific Islander Americans, Caucasian Americans, and Latinos) across five public youth service