Swipe om te navigeren naar een ander artikel
For children and youth making a mental health crisis visit, we investigated ethnic disparities in whether the children and youth were currently in treatment or whether this crisis visit was an entry or reentry point into mental health treatment. We gathered Medicaid claims for mental health services provided to 20,110 public-sector clients ages 17 and younger and divided them into foster care and non-foster care subsamples. We then employed logistic regression to analyze our data with sociodemographic and clinical controls. Among children and youth who were not placed in foster care, African Americans, Latinos, and Asian Americans were significantly less likely than Caucasians to have received mental health care during the three months preceding a crisis visit. Disparities among children and youth in foster care were not statistically significant. Ethnic minority children and youth were more likely than Caucasians to use emergency care as an entry or reentry point into the mental health treatment, thereby exhibiting a crisis-oriented pattern of care.
California Department of Mental Health. (2001). DMH letter 01–03. CA: Sacramento. August 8th, 2001.
Center for Social Services Research. (2007). In and out of county placement grids. http://cssr.berkeley.edu/ucb_childwelfare/placementgrids.aspx.
Cohen, E., Snowden, L. R., Libby, A., & Ma, Y. (2006). The effects of capitation on outpatient mental health episodes of young children. Journal of Child and Family Studies, 15, 13–26. CrossRef
Elster, A., Jarosik, J., Van Geest, J., & Fleming, M. (2003). Racial and ethnic disparities in health care for adolescents: A systematic review of the literature. Archives of Pediatric and Adolescent Medicine, 157, 867–874. CrossRef
Foster, E. M. (2000). Does the continuum of care reduce inpatient length of stay? Evaluation and Program Planning, 23, 53–65. CrossRef
Goldman, H. H., Scheffler, R. M., & Cheadle, A. (1987). Demand for psychiatric services: A clinical model for specifying “the product”. Advances in Health Economics and Health Services Research, 8, 255–273. PubMed
Halfon, N., Berkowitz, G., & Klee, L. (1992). Mental health service utilization by children in foster care in California. Pediatrics, 89, 1238–1244. PubMed
Hargreaves, W. A., Shumway, M., Hu, T., & Cuffel, B. (1998). Cost-outcome methods for mental health. New York: Academic Press.
Harman, J. S., Childs, G. E., & Kellcher, K. J. (2000). Mental health care utilization and expenditures among children in foster care. Archives of Pediatrics and Adolescent Medicine, 154, 1114–1117. PubMed
Kalogerakis, M. G. (1992). Emergency evaluation of adolescents. Hospital and Community Psychiatry, 43, 617–621. PubMed
Libby, A. M. (2004). Mental health care and foster care interaction. CA: California HealthCare Foundation.
Roberts, R. E., Alegria, M., Roberts, C. R., & Chen, I. G. (2005). Mental health problems of adolescents as reported by their caregivers: A comparison of European, African, and Latino Americans. Journal of Behavioral Health Services & Research, 32, 1–13. CrossRef
Thompson, V. L., Bazile, A., & Akbar, M. (2004). African Americans’ perceptions of psychotherapy and psychotherapists. Professional Psychology- Research and Practice, 35, 19–26. CrossRef
U.S. Public Health Service, Department of Health and Human Services. (2001). Mental health: Culture, race, and ethnicity- a supplement to mental health: A report of the surgeon general. Md: Rockville.
- Ethnic Differences in Children’s Entry into Public Mental Health Care via Emergency Mental Health Services
Lonnie R. Snowden
Mary C. Masland
- Springer US