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Gepubliceerd in: Journal of Youth and Adolescence 9/2011

01-09-2011 | Empirical Research

Examining Perceptions About Mental Health Care and Help-Seeking Among Rural African American Families of Adolescents

Auteurs: Velma McBride Murry, Craig Anne Heflinger, Sarah V. Suiter, Gene H. Brody

Gepubliceerd in: Journal of Youth and Adolescence | Uitgave 9/2011

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Abstract

Rural African American children living in poverty have a higher prevalence rate of mental health disorders than their urban counterparts. While access to mental health services is lacking in resource scarce rural communities, African American rural residents may also be the most likely to confront significant barriers to care and help-seeking. Studies of mental health help-seeking behavior among rural families are rare, even rarer are studies of African Americans living in these areas. To address this gap, the current study examined perceptions about help-seeking for adolescents with mental health problems among rural African American families. Data were obtained from African American mothers in rural Georgia to assess their perceptions of the mental health service system, help-seeking processes, and service experiences. A mixed-method approach was implemented, integrating a quantitative survey (n = 163) with qualitative interviews (subsample n = 21). Most of the mothers expressed confidence in mental health care providers’ to help. Preferred sources of support, however, were family, church, and schools. Community stigma towards children with mental health problems and their families was a frequently endorsed perceived barrier to help-seeking. Although cultural mistrust was one of the two most frequently endorsed barriers in the survey, it did not emerge as a universal barrier to help-seeking for the mothers in this sample. Implications for research, policy, and practice include addressing family concerns about stigma, preferences for informal support and non-specialty services in addressing adolescents’ mental health problems, and building community resources to enable all youth to participate in community life.
Literatuur
go back to reference Achenbach, T. (1991). Manual for the child behavior checklist/4–18 and 1991 profile. Burlington, VT: University of Vermont Research Center for Children, Youth, and Families. Achenbach, T. (1991). Manual for the child behavior checklist/4–18 and 1991 profile. Burlington, VT: University of Vermont Research Center for Children, Youth, and Families.
go back to reference Aday, L. A., & Andersen, R. A. (1974). A framework for the study of access to medical care. Health Services Research, 9, 208–220.PubMed Aday, L. A., & Andersen, R. A. (1974). A framework for the study of access to medical care. Health Services Research, 9, 208–220.PubMed
go back to reference Aday, L. A., & Awe, W. C. (1997). Health services utilization models. In handbook of health behavior research I: personal and social determinants. Gochman, D.S. New York, NY: Plenum Press. Aday, L. A., & Awe, W. C. (1997). Health services utilization models. In handbook of health behavior research I: personal and social determinants. Gochman, D.S. New York, NY: Plenum Press.
go back to reference Allen, A. J., Davey, M. P., & Davey, A. (2010). Being examples to the flock: The role of church leaders and African American families seeking mental health care services. Contemporary Family Therapy, 32, 117–134.CrossRef Allen, A. J., Davey, M. P., & Davey, A. (2010). Being examples to the flock: The role of church leaders and African American families seeking mental health care services. Contemporary Family Therapy, 32, 117–134.CrossRef
go back to reference Anderson, R. L. (2003). Use of community-based services by rural adolescents with mental health and substance use disorders. Psychiatric Services, 54, 1339–1341.PubMedCrossRef Anderson, R. L. (2003). Use of community-based services by rural adolescents with mental health and substance use disorders. Psychiatric Services, 54, 1339–1341.PubMedCrossRef
go back to reference Angold, A., Erklani, A., Farmer, E. M. Z., Fairbank, J. A., Burns, B. J., Keeler, G., et al. (2002). Psychiatric disorder, impairment, and service use in rural African American and White youth. Archives of General Psychiatry, 59, 893–901.PubMedCrossRef Angold, A., Erklani, A., Farmer, E. M. Z., Fairbank, J. A., Burns, B. J., Keeler, G., et al. (2002). Psychiatric disorder, impairment, and service use in rural African American and White youth. Archives of General Psychiatry, 59, 893–901.PubMedCrossRef
go back to reference Anonymous. (2005). Rural nurses not equipped for mental health. Australian Nursing Journal, 13, 7. Anonymous. (2005). Rural nurses not equipped for mental health. Australian Nursing Journal, 13, 7.
go back to reference Badger, L., Robinson, H., & Farley, T. (1999). Management of mental disorders in rural primary care: A proposal for integrated psychosocial services. Journal of Family Practice, 48, 813–818.PubMed Badger, L., Robinson, H., & Farley, T. (1999). Management of mental disorders in rural primary care: A proposal for integrated psychosocial services. Journal of Family Practice, 48, 813–818.PubMed
go back to reference Beale, C. L., & Gibbs, R. M. (2006). Severity and concentration of persistent high poverty in nonmetro areas. Amber Waves, 4, 10–11. Beale, C. L., & Gibbs, R. M. (2006). Severity and concentration of persistent high poverty in nonmetro areas. Amber Waves, 4, 10–11.
go back to reference Belue, R., Taylor-Richardson, K. D., Lin, J., Rivera, A. T., & Grandison, D. (2006). African Americans and participation in clinical trials: Differences in beliefs and attitudes by gender. Contemporary Clinical Trials, 27, 498–505.PubMedCrossRef Belue, R., Taylor-Richardson, K. D., Lin, J., Rivera, A. T., & Grandison, D. (2006). African Americans and participation in clinical trials: Differences in beliefs and attitudes by gender. Contemporary Clinical Trials, 27, 498–505.PubMedCrossRef
go back to reference Benson, P. L., Donahue, M. J., & Erickson, J. A. (1989). Adolescence and religion: A review of the literature from 1970 to 1986. Research in the Social Scientific Study of Religion, 1, 153–181. Benson, P. L., Donahue, M. J., & Erickson, J. A. (1989). Adolescence and religion: A review of the literature from 1970 to 1986. Research in the Social Scientific Study of Religion, 1, 153–181.
go back to reference Bird, D. C., Lambert, D., Hartley, D., Beeson, P. G., & Coburn, A. F. (1998). Rural models for integrating primary care and mental health services. Administration and Policy In Mental Health, 25, 287–308.PubMedCrossRef Bird, D. C., Lambert, D., Hartley, D., Beeson, P. G., & Coburn, A. F. (1998). Rural models for integrating primary care and mental health services. Administration and Policy In Mental Health, 25, 287–308.PubMedCrossRef
go back to reference Boatright, S. R. (2003). The Georgia county guide: 2004. Athens, GA: Center for Agribusiness and Economic Development. Boatright, S. R. (2003). The Georgia county guide: 2004. Athens, GA: Center for Agribusiness and Economic Development.
go back to reference Brannan, A. M., & Heflinger, C. A. (2006). Caregiver, child, family, and service system contributors to caregiver strain in two child mental health service systems. Journal of Behavioral Health Services and Research, 33(4), 408–422.PubMedCrossRef Brannan, A. M., & Heflinger, C. A. (2006). Caregiver, child, family, and service system contributors to caregiver strain in two child mental health service systems. Journal of Behavioral Health Services and Research, 33(4), 408–422.PubMedCrossRef
go back to reference Brody, G. H., Stoneman, Z., Flor, D., McCrary, C., Hastings, L., & Conyer, O. (1994). Financial resources, parent psychological functioning, parent co-caregiving, and early adolescent competence in rural two-parent African-American families. Child Development, 65, 590–605.PubMedCrossRef Brody, G. H., Stoneman, Z., Flor, D., McCrary, C., Hastings, L., & Conyer, O. (1994). Financial resources, parent psychological functioning, parent co-caregiving, and early adolescent competence in rural two-parent African-American families. Child Development, 65, 590–605.PubMedCrossRef
go back to reference Brody, G. H., Kim, S., Murry, V. M., & Brown, A. C. (2003). Longitudinal direct and indirect pathways linking older sibling competence to the development of younger sibling competence. Developmental Psychology, 39, 618–628.PubMedCrossRef Brody, G. H., Kim, S., Murry, V. M., & Brown, A. C. (2003). Longitudinal direct and indirect pathways linking older sibling competence to the development of younger sibling competence. Developmental Psychology, 39, 618–628.PubMedCrossRef
go back to reference Bronfenbrenner, U. (1979). The ecology of human development. Cambridge, MA: Harvard University Press. Bronfenbrenner, U. (1979). The ecology of human development. Cambridge, MA: Harvard University Press.
go back to reference Brown, D. R., & Keith, V. M. (2003). In and out of our right minds: The mental health of African American women. New York: Columbia Press. Brown, D. R., & Keith, V. M. (2003). In and out of our right minds: The mental health of African American women. New York: Columbia Press.
go back to reference Busch, S. B., & Barry, C. L. (2007). Mental health disorders in childhood: Assessing the burden on families. Health Affairs, 26, 1088–1095.PubMedCrossRef Busch, S. B., & Barry, C. L. (2007). Mental health disorders in childhood: Assessing the burden on families. Health Affairs, 26, 1088–1095.PubMedCrossRef
go back to reference Carey, J. W. (1996). Intercoder agreement in analysis of responses to open-ended interview questions: Examples from tuberculosis research. Cultural Anthropology Methods, 8(3), 1–5. Carey, J. W. (1996). Intercoder agreement in analysis of responses to open-ended interview questions: Examples from tuberculosis research. Cultural Anthropology Methods, 8(3), 1–5.
go back to reference Cauce, A. M., Domenech-Rodriguez, M., Paradise, M., Cochran, B. N., Shea, J. M., Srebrik, D., et al. (2002). Cultural and contextual influences in mental health help seeking: A focus on ethnic minority youth. Journal of Consulting and Clinical Psychology, 70(1), 44–55.PubMedCrossRef Cauce, A. M., Domenech-Rodriguez, M., Paradise, M., Cochran, B. N., Shea, J. M., Srebrik, D., et al. (2002). Cultural and contextual influences in mental health help seeking: A focus on ethnic minority youth. Journal of Consulting and Clinical Psychology, 70(1), 44–55.PubMedCrossRef
go back to reference Centers for Disease Control and Prevention. (2005). Mental health in the United States: Health care and well being of children with chronic emotional, behavioral, or developmental problems—United States, 2001. Morbidity and Morality Weekly Report. Centers for Disease Control and Prevention. (2005). Mental health in the United States: Health care and well being of children with chronic emotional, behavioral, or developmental problems—United States, 2001. Morbidity and Morality Weekly Report.
go back to reference Chandra, A., & Minkovitz, C. S. (2007). Factors that influence mental health stigma among 8th grade adolescents. Journal of Youth and Adolescence, 36, 763–774.CrossRef Chandra, A., & Minkovitz, C. S. (2007). Factors that influence mental health stigma among 8th grade adolescents. Journal of Youth and Adolescence, 36, 763–774.CrossRef
go back to reference Clark, R., Anderson, N. B., Clark, V. R., & Williams, D. R. (1999). Racism as a stressor for African Americans. A biopsychosocial model. American Psychologist, 54, 805–816.PubMedCrossRef Clark, R., Anderson, N. B., Clark, V. R., & Williams, D. R. (1999). Racism as a stressor for African Americans. A biopsychosocial model. American Psychologist, 54, 805–816.PubMedCrossRef
go back to reference Coard, S. I., Wallace, S. A., Stevenson, H. C., & Brotman, L. M. (2004). Towards culturally relevant preventive interventions: The consideration of racial socialization in parent training with African American families. Journal of Child and Family Studies, 13, 277–293.CrossRef Coard, S. I., Wallace, S. A., Stevenson, H. C., & Brotman, L. M. (2004). Towards culturally relevant preventive interventions: The consideration of racial socialization in parent training with African American families. Journal of Child and Family Studies, 13, 277–293.CrossRef
go back to reference Coburn, A. F., Kilbreth, E. H., Long, S. H., & Marquis, H. S. (1998). Urban-rural differences in employer-based health insurance coverage of workers. Medical Care Research and Review, 55, 484–496.PubMedCrossRef Coburn, A. F., Kilbreth, E. H., Long, S. H., & Marquis, H. S. (1998). Urban-rural differences in employer-based health insurance coverage of workers. Medical Care Research and Review, 55, 484–496.PubMedCrossRef
go back to reference Cole, D. A., & Carpentieri, S. (1990). Social status and the comorbidity of child depression and conduct disorder. Journal of Consulting and Clinical Psychology, 58, 748–757.PubMedCrossRef Cole, D. A., & Carpentieri, S. (1990). Social status and the comorbidity of child depression and conduct disorder. Journal of Consulting and Clinical Psychology, 58, 748–757.PubMedCrossRef
go back to reference Costello, E. J., Gordon, P., Keeler, M. S., & Angold, A. (2001). Poverty, race/ethnicity, and psychiatric disorder: A study of rural children. American Journal of Public Health, 91, 1494–1498.PubMedCrossRef Costello, E. J., Gordon, P., Keeler, M. S., & Angold, A. (2001). Poverty, race/ethnicity, and psychiatric disorder: A study of rural children. American Journal of Public Health, 91, 1494–1498.PubMedCrossRef
go back to reference Costello, E. J., Egger, H., & Angold, A. (2005). 10 year research update review: The epidemiology of child and adolescent psychiatric disorders: I. Methods and public health burden. Journal of the American Academy of Adolescent Psychiatry, 44, 972–986.CrossRef Costello, E. J., Egger, H., & Angold, A. (2005). 10 year research update review: The epidemiology of child and adolescent psychiatric disorders: I. Methods and public health burden. Journal of the American Academy of Adolescent Psychiatry, 44, 972–986.CrossRef
go back to reference Creswell, J. W. (2003). Research design: Qualitative, quantitative, and mixed methods approaches. Thousand Oaks, CA: Sage. Creswell, J. W. (2003). Research design: Qualitative, quantitative, and mixed methods approaches. Thousand Oaks, CA: Sage.
go back to reference Cuffe, S. P., Waller, J. L., Cuccaro, M. L., Pumariega, A. J., & Garrison, C. Z. (1995). Race and gender differences in the treatment of psychiatric disorders in young adolescents. Journal of the American Academy of Child and Adolescent Psychiatry, 34, 1536–1543.PubMedCrossRef Cuffe, S. P., Waller, J. L., Cuccaro, M. L., Pumariega, A. J., & Garrison, C. Z. (1995). Race and gender differences in the treatment of psychiatric disorders in young adolescents. Journal of the American Academy of Child and Adolescent Psychiatry, 34, 1536–1543.PubMedCrossRef
go back to reference Duncan, G., Brooks-Gunn, J., & Aber, J. L. (Eds.). (1997). Neighborhood poverty: Context and consequences for children (Vol. I and II). New York: Russell Sage. Duncan, G., Brooks-Gunn, J., & Aber, J. L. (Eds.). (1997). Neighborhood poverty: Context and consequences for children (Vol. I and II). New York: Russell Sage.
go back to reference Duncan, G. J., Ziol-Guest, K. M., & Kalil, A. (2010). Early-childhood poverty and adult attainment, behavior and health. Child Development, 81, 306–325.PubMedCrossRef Duncan, G. J., Ziol-Guest, K. M., & Kalil, A. (2010). Early-childhood poverty and adult attainment, behavior and health. Child Development, 81, 306–325.PubMedCrossRef
go back to reference Dutra, L., Campbell, L., & Westen, D. (2004). Quantifying clinical judgment in the assessment of adolescent psychopathology: Reliability, validity, and factor structure of the child behavior checklist for clinician report. Journal of Clinical Psychology, 60, 65–85.PubMedCrossRef Dutra, L., Campbell, L., & Westen, D. (2004). Quantifying clinical judgment in the assessment of adolescent psychopathology: Reliability, validity, and factor structure of the child behavior checklist for clinician report. Journal of Clinical Psychology, 60, 65–85.PubMedCrossRef
go back to reference Eccles, J. S., Barber, B. L., Stone, M., & Hunt, J. (2003). Extracurricular activities and adolescent development. Journal of Social Issues, 59, 865–889.CrossRef Eccles, J. S., Barber, B. L., Stone, M., & Hunt, J. (2003). Extracurricular activities and adolescent development. Journal of Social Issues, 59, 865–889.CrossRef
go back to reference Elster, A., Jarosik, J., VanGeest, J., & Fleming, M. (2003). Racial and ethnic disparities in mental health care for adolescents: A systematic review of the literature. Archives of Pediatric and Adolescent Medicine, 157, 867–874.CrossRef Elster, A., Jarosik, J., VanGeest, J., & Fleming, M. (2003). Racial and ethnic disparities in mental health care for adolescents: A systematic review of the literature. Archives of Pediatric and Adolescent Medicine, 157, 867–874.CrossRef
go back to reference Evans, D. N. (2008). Peter Burke, disability and impairment: Working with children and families. Journal of Youth and Adolescence, 37, 1025–1027.CrossRef Evans, D. N. (2008). Peter Burke, disability and impairment: Working with children and families. Journal of Youth and Adolescence, 37, 1025–1027.CrossRef
go back to reference Farmer, T. W., Irvin, M. J., Thompson, J. H., Hutchins, B. C., & Leung, M. (2006). School adjustment and the academic success of rural African American early adolescents in the deep south. Journal of Research in Rural Education, 21, 1–14. Farmer, T. W., Irvin, M. J., Thompson, J. H., Hutchins, B. C., & Leung, M. (2006). School adjustment and the academic success of rural African American early adolescents in the deep south. Journal of Research in Rural Education, 21, 1–14.
go back to reference Fehar, A., & Tyler, J. D. (1987). Public awareness of mental health services in rural communities. Journal of Rural Community Psychology, 8, 36–40. Fehar, A., & Tyler, J. D. (1987). Public awareness of mental health services in rural communities. Journal of Rural Community Psychology, 8, 36–40.
go back to reference Fortney, J., Rost, K., Zhang, M., & Warren, J. (1999). The impact of geographic accessibility on the intensity and quality of depression treatment. Medical Care, 37, 884–893.PubMedCrossRef Fortney, J., Rost, K., Zhang, M., & Warren, J. (1999). The impact of geographic accessibility on the intensity and quality of depression treatment. Medical Care, 37, 884–893.PubMedCrossRef
go back to reference Fox, J. C., Merwin, E., & Blank, M. (1995). Characterizing the de facto mental health service system in the rural south: A review of essential data for health care reform. Health Care for the Poor and Underserved, 6, 434–468. Fox, J. C., Merwin, E., & Blank, M. (1995). Characterizing the de facto mental health service system in the rural south: A review of essential data for health care reform. Health Care for the Poor and Underserved, 6, 434–468.
go back to reference Fox, J. C., Blank, M., Rovnyak, V. G., & Barnett, R. Y. (2001). Barriers to help seeking for mental disorders in a rural impoverished population. Community Mental Health Journal, 37, 421–436.PubMedCrossRef Fox, J. C., Blank, M., Rovnyak, V. G., & Barnett, R. Y. (2001). Barriers to help seeking for mental disorders in a rural impoverished population. Community Mental Health Journal, 37, 421–436.PubMedCrossRef
go back to reference Glasmeier, A. (2005). An atlas of poverty in America: One nation, pulling apart, 1960–2003. New York: Routledge. Glasmeier, A. (2005). An atlas of poverty in America: One nation, pulling apart, 1960–2003. New York: Routledge.
go back to reference Grimes, K. (2004). Systems of care in North America. In H. Remschmidt, M. Belfer, & I. Goodyer (Eds.), Facilitating pathways: Care, treatment and prevention in child and adolescent mental health (pp. 35–41). Berlin: Springer. Grimes, K. (2004). Systems of care in North America. In H. Remschmidt, M. Belfer, & I. Goodyer (Eds.), Facilitating pathways: Care, treatment and prevention in child and adolescent mental health (pp. 35–41). Berlin: Springer.
go back to reference Grossman, J., Laken, M., Stevens, J., & Hughes-Joyner, F. (2007). Use of psychiatric nurse practitioner students to provide services in rural school-based health clinics. Journal of Child and Adolescent Psychiatric Nursing, 20(4), 234–242.PubMedCrossRef Grossman, J., Laken, M., Stevens, J., & Hughes-Joyner, F. (2007). Use of psychiatric nurse practitioner students to provide services in rural school-based health clinics. Journal of Child and Adolescent Psychiatric Nursing, 20(4), 234–242.PubMedCrossRef
go back to reference Hardaway, C. R., & McLoyd, V. C. (2009). Escaping poverty and securing middle class status: How race and socioeconomic status shape mobility prospects for African Americans during the transition to adulthood. Journal of Youth and Adolescence, 38, 242–256.PubMedCrossRef Hardaway, C. R., & McLoyd, V. C. (2009). Escaping poverty and securing middle class status: How race and socioeconomic status shape mobility prospects for African Americans during the transition to adulthood. Journal of Youth and Adolescence, 38, 242–256.PubMedCrossRef
go back to reference Hartley, D. (1997). Rural primary care practitioners are a major source of mental health services. Rural Clinician Quarterly, NRHA, 7(4), 1–2. Hartley, D. (1997). Rural primary care practitioners are a major source of mental health services. Rural Clinician Quarterly, NRHA, 7(4), 1–2.
go back to reference Hartley, D., Korsen, N., Bird, D., & Agger, M. (1998). Management of patients with depression by rural primacy care practitioners. Archives of Family Medicine, 7, 139–145.PubMedCrossRef Hartley, D., Korsen, N., Bird, D., & Agger, M. (1998). Management of patients with depression by rural primacy care practitioners. Archives of Family Medicine, 7, 139–145.PubMedCrossRef
go back to reference Heflinger, C. A., & Christens, B. (2006). Rural behavioral health services for children and adolescents: An ecological and community psychology analysis. Journal of Community Psychology, 34, 379–400.CrossRef Heflinger, C. A., & Christens, B. (2006). Rural behavioral health services for children and adolescents: An ecological and community psychology analysis. Journal of Community Psychology, 34, 379–400.CrossRef
go back to reference Heflinger, C. A., & Hinshaw, S. (2010). Stigma in children’s mental health services research: Understanding professional and institutional stigmatization of children with mental health problems and their families. Administration and Policy in Mental Health and Mental Health Services Research, 37, 61–70.PubMedCrossRef Heflinger, C. A., & Hinshaw, S. (2010). Stigma in children’s mental health services research: Understanding professional and institutional stigmatization of children with mental health problems and their families. Administration and Policy in Mental Health and Mental Health Services Research, 37, 61–70.PubMedCrossRef
go back to reference Heflinger, C. A., & Saunders, R. C. (2005). Physical and behavioral health of medicaid children in two southern states. Southern Medical Journal, 98, 429–435.PubMedCrossRef Heflinger, C. A., & Saunders, R. C. (2005). Physical and behavioral health of medicaid children in two southern states. Southern Medical Journal, 98, 429–435.PubMedCrossRef
go back to reference Hines-Martin, V., Malone, M., Kim, S., & Brown-Piper, A. (2003). Barriers to mental health care access in an African-American population. Issues in Mental Health Nursing, 24, 237–256.PubMedCrossRef Hines-Martin, V., Malone, M., Kim, S., & Brown-Piper, A. (2003). Barriers to mental health care access in an African-American population. Issues in Mental Health Nursing, 24, 237–256.PubMedCrossRef
go back to reference Institute of Medicine (IOM). (2009). Preventing mental, emotional, and behavioral disorders among young people: Progress and possibilities. Washington, DC: Author. Institute of Medicine (IOM). (2009). Preventing mental, emotional, and behavioral disorders among young people: Progress and possibilities. Washington, DC: Author.
go back to reference Irvin, M. J., Farmer, T. W., Leung, M., Thompson, J. H., & Hutchins, B. C. (2010). School, community, and church activities: Relationship to academic achievement of low-income African American early adolescents in the rural deep south. Journal of Research in Rural Education, 25, 1–21. Irvin, M. J., Farmer, T. W., Leung, M., Thompson, J. H., & Hutchins, B. C. (2010). School, community, and church activities: Relationship to academic achievement of low-income African American early adolescents in the rural deep south. Journal of Research in Rural Education, 25, 1–21.
go back to reference Jargowsky, P. A., & Yang, R. (2006). The ‘underclass’ revisited: A social problem in decline. Journal of Urban Affairs, 28, 55–70.CrossRef Jargowsky, P. A., & Yang, R. (2006). The ‘underclass’ revisited: A social problem in decline. Journal of Urban Affairs, 28, 55–70.CrossRef
go back to reference Jensen, L., McLaughlin, D. K., & Slack, T. (2003). Rural poverty: The persisting challenge. In D. L. Brown & L. E. Swanson (Eds.), Challenges for rural America in the twenty-first century. University Park PA: The Pennsylvania State University Press. Jensen, L., McLaughlin, D. K., & Slack, T. (2003). Rural poverty: The persisting challenge. In D. L. Brown & L. E. Swanson (Eds.), Challenges for rural America in the twenty-first century. University Park PA: The Pennsylvania State University Press.
go back to reference Johnson, R. W. J. (2008). Overcoming the obstacles of health. New York: Robert Wood Johnson Foundation. Johnson, R. W. J. (2008). Overcoming the obstacles of health. New York: Robert Wood Johnson Foundation.
go back to reference Jones, D. L., Heflinger, C. A., & Saunders, R. C. (2007). The ecology of adolescent substance abuse service utilization. American Journal of Community Psychology, 40, 345–358.PubMedCrossRef Jones, D. L., Heflinger, C. A., & Saunders, R. C. (2007). The ecology of adolescent substance abuse service utilization. American Journal of Community Psychology, 40, 345–358.PubMedCrossRef
go back to reference Kaiser Commission on Medicaid and the Uninsured. (2003). The uninsured in rural America. Washington, DC: Author. Kaiser Commission on Medicaid and the Uninsured. (2003). The uninsured in rural America. Washington, DC: Author.
go back to reference Kaiser Commission on Medicaid and the Uninsured. (2009). State fiscal conditions and medicaid. Washington, DC: Author. Kaiser Commission on Medicaid and the Uninsured. (2009). State fiscal conditions and medicaid. Washington, DC: Author.
go back to reference Kelleher, K. J., Taylor, J. L., & Rickert, V. I. (1992). Mental health services for rural children and adolescents. Clinical Psychological Review, 12, 841–852.CrossRef Kelleher, K. J., Taylor, J. L., & Rickert, V. I. (1992). Mental health services for rural children and adolescents. Clinical Psychological Review, 12, 841–852.CrossRef
go back to reference Lichter, D. T., & Johnson, K. M. (2007). The changing spatial concentration of America’s rural poor populations. Rural Sociology, 72, 331–338.CrossRef Lichter, D. T., & Johnson, K. M. (2007). The changing spatial concentration of America’s rural poor populations. Rural Sociology, 72, 331–338.CrossRef
go back to reference Lichter, D. T., Parisi, D., Taquino, M. C., & Beaulieu, B. (2008). Race and the micro-scale spatial concentration of poverty. Journal of Economic Geography, 1, 51–67. Lichter, D. T., Parisi, D., Taquino, M. C., & Beaulieu, B. (2008). Race and the micro-scale spatial concentration of poverty. Journal of Economic Geography, 1, 51–67.
go back to reference Markstrom, C. A. (1999). Religious involvement and adolescent psychosocial development. Journal of Adolescence, 22, 205–221.PubMedCrossRef Markstrom, C. A. (1999). Religious involvement and adolescent psychosocial development. Journal of Adolescence, 22, 205–221.PubMedCrossRef
go back to reference Masi, R., & Cooper, J. L. (2006). Children’s mental health: Facts for policymakers. New York: National Center for Children in Poverty, Mailman School of Public Health, Columbia University. Masi, R., & Cooper, J. L. (2006). Children’s mental health: Facts for policymakers. New York: National Center for Children in Poverty, Mailman School of Public Health, Columbia University.
go back to reference Miles, M. B., & Huberman, A. M. (1994). Qualitative data analysis (2nd ed.). Thousand Oaks, CA: Sage. Miles, M. B., & Huberman, A. M. (1994). Qualitative data analysis (2nd ed.). Thousand Oaks, CA: Sage.
go back to reference Milstein, G., Manierre, A., Susman, V., & Bruce, M. (2008). Implementation of a program to improve the continuity of mental health care through clergy outreach and professional engagement. Professional Psychology: Research and Practice, 39, 218.CrossRef Milstein, G., Manierre, A., Susman, V., & Bruce, M. (2008). Implementation of a program to improve the continuity of mental health care through clergy outreach and professional engagement. Professional Psychology: Research and Practice, 39, 218.CrossRef
go back to reference Mukolo, A., & Heflinger, C.A. (in press). Rurality and African American perspectives on children’s mental health services. Journal of Emotional and Behavioral Disorders. Mukolo, A., & Heflinger, C.A. (in press). Rurality and African American perspectives on children’s mental health services. Journal of Emotional and Behavioral Disorders.
go back to reference Mukolo, A., Heflinger, C. A., & Wallston, K. (2010). The stigma of childhood mental disorders: A conceptual framework. Journal of the American Academy of Child and Adolescent Psychiatry, 49(2), 92–103.PubMed Mukolo, A., Heflinger, C. A., & Wallston, K. (2010). The stigma of childhood mental disorders: A conceptual framework. Journal of the American Academy of Child and Adolescent Psychiatry, 49(2), 92–103.PubMed
go back to reference Murry, V. M., Berkel, C., Brody, G. H., Gibbons, F. X., & Gerrard, M. (2007). The strong African American families program: Longitudinal pathways to sexual risk reduction. Journal of Adolescent Health, 41, 317–418.CrossRef Murry, V. M., Berkel, C., Brody, G. H., Gibbons, F. X., & Gerrard, M. (2007). The strong African American families program: Longitudinal pathways to sexual risk reduction. Journal of Adolescent Health, 41, 317–418.CrossRef
go back to reference Murry, V. M., Harrell, A. W., Brody, G. H., Chen, Y.-F., Simons, R. L., Black, A. R., et al. (2008). Long-term effects of stressors on relationship well-being and parenting among rural African American women. Journal of Family Relations, 57, 116–125. Murry, V. M., Harrell, A. W., Brody, G. H., Chen, Y.-F., Simons, R. L., Black, A. R., et al. (2008). Long-term effects of stressors on relationship well-being and parenting among rural African American women. Journal of Family Relations, 57, 116–125.
go back to reference Murry, V. M., Berkel, C., & Copeland, N. (in press). Ecological and sociocultural determinants of risk and health-promoting behaviors among African American youths. In N. Hill, T. Mann, & H. E. Fitzgerald (Eds.), African American children’s mental health: Development and context, volume 1. New York: ABC-CLIO Preager Press. Murry, V. M., Berkel, C., & Copeland, N. (in press). Ecological and sociocultural determinants of risk and health-promoting behaviors among African American youths. In N. Hill, T. Mann, & H. E. Fitzgerald (Eds.), African American children’s mental health: Development and context, volume 1. New York: ABC-CLIO Preager Press.
go back to reference National Institute of Mental Health. (2000). Research on mental disorders in rural and frontier population (PA-00–082). Rockville, MD: Author. National Institute of Mental Health. (2000). Research on mental disorders in rural and frontier population (PA-00–082). Rockville, MD: Author.
go back to reference Pescosolido, B. A., Martin, J. K., Lang, A., & Olafsdottir, S. (2008). Rethinking theoretical approaches to stigma: A framework integrating normative influences on stigma (FINIS). Social Science and Medicine, 67(3), 431–440.PubMedCrossRef Pescosolido, B. A., Martin, J. K., Lang, A., & Olafsdottir, S. (2008). Rethinking theoretical approaches to stigma: A framework integrating normative influences on stigma (FINIS). Social Science and Medicine, 67(3), 431–440.PubMedCrossRef
go back to reference Poole, D. (1997). The SAFE project: Community-driven partnerships in health, mental health, and education to prevent early school failure. Health and Social Work, 22(4), 282–289.PubMed Poole, D. (1997). The SAFE project: Community-driven partnerships in health, mental health, and education to prevent early school failure. Health and Social Work, 22(4), 282–289.PubMed
go back to reference Prilleltensky, I. (2010). Child wellness and social inclusion: Values for action. American Journal of Community Psychology, 46, 238–249.PubMedCrossRef Prilleltensky, I. (2010). Child wellness and social inclusion: Values for action. American Journal of Community Psychology, 46, 238–249.PubMedCrossRef
go back to reference Proctor, B. D., & Dalaker, J. (2003). Poverty in the United States: 2002. Washington, DC: U.S. Bureau of the Census. Proctor, B. D., & Dalaker, J. (2003). Poverty in the United States: 2002. Washington, DC: U.S. Bureau of the Census.
go back to reference Puskar, K. R., Serika, S. M., Lamb, J., Tusaie-Mumford, K., & McGuinness, T. (1999). Optimism and its relationship to depression, coping, anger, and life events in rural adolescents. Issues in Mental Health Nursing, 20, 115–130.PubMedCrossRef Puskar, K. R., Serika, S. M., Lamb, J., Tusaie-Mumford, K., & McGuinness, T. (1999). Optimism and its relationship to depression, coping, anger, and life events in rural adolescents. Issues in Mental Health Nursing, 20, 115–130.PubMedCrossRef
go back to reference Resnicow, K., Braithwaite, R. L., & Kuo, J. A. (1997). Interpersonal interventions for minority adolescents. In D. K. Wilson, J. R. Rodrigue, & W. C. Taylor (Eds.), Health-promoting and health-compromising behaviors among minority adolescents (pp. 201–228). Washington DC: American Psychological Association.CrossRef Resnicow, K., Braithwaite, R. L., & Kuo, J. A. (1997). Interpersonal interventions for minority adolescents. In D. K. Wilson, J. R. Rodrigue, & W. C. Taylor (Eds.), Health-promoting and health-compromising behaviors among minority adolescents (pp. 201–228). Washington DC: American Psychological Association.CrossRef
go back to reference Ringel, J. S., & Sturm, R. (2001). National estimates of mental health utilization and expenditures for children in 1998. Journal of Behavioral Health Services and Research, 28, 319–333.PubMedCrossRef Ringel, J. S., & Sturm, R. (2001). National estimates of mental health utilization and expenditures for children in 1998. Journal of Behavioral Health Services and Research, 28, 319–333.PubMedCrossRef
go back to reference Rost, K., Humphrey, J., & Kelleher, K. (1994). Physician management preferences and barriers to care for rural patients with depression. Archives of Family Medicine, 3, 409–414.PubMedCrossRef Rost, K., Humphrey, J., & Kelleher, K. (1994). Physician management preferences and barriers to care for rural patients with depression. Archives of Family Medicine, 3, 409–414.PubMedCrossRef
go back to reference Rost, K., Zhang, M., Fortney, J., Smith, J., & Smith, G. R., Jr. (1998). Rural-urban differences in depression treatment and suicidality. Medical Care, 36, 1098–1107.PubMedCrossRef Rost, K., Zhang, M., Fortney, J., Smith, J., & Smith, G. R., Jr. (1998). Rural-urban differences in depression treatment and suicidality. Medical Care, 36, 1098–1107.PubMedCrossRef
go back to reference Rost, K., Fortney, J., Fischer, E., & Smith, J. (2002). Use, quality, and outcomes of care for mental health: The rural perspective. Medical Care Research and Review, 59, 231–265.PubMedCrossRef Rost, K., Fortney, J., Fischer, E., & Smith, J. (2002). Use, quality, and outcomes of care for mental health: The rural perspective. Medical Care Research and Review, 59, 231–265.PubMedCrossRef
go back to reference Rourke, J., Steele, M., Fisman, S., & Grindrod, A. (2003). Assessing the need for and interest in a scholarship program in children’s mental health care for rural family physicians. Canadian Journal of Rural Medicine, 8, 163–170. Rourke, J., Steele, M., Fisman, S., & Grindrod, A. (2003). Assessing the need for and interest in a scholarship program in children’s mental health care for rural family physicians. Canadian Journal of Rural Medicine, 8, 163–170.
go back to reference Schensul, S. L., Schensul, J. J., & LeCompte, M. D. (1999). Essential ethnographic methods: Observations, interviews, and questionnaires. Walnut Creek, CA: Altamira Press. Schensul, S. L., Schensul, J. J., & LeCompte, M. D. (1999). Essential ethnographic methods: Observations, interviews, and questionnaires. Walnut Creek, CA: Altamira Press.
go back to reference Sheldon-Keller, A. E. R., Koch, J. R., Watts, A. C., & Leaf, P. J. (1996). The provision of services for rural youth with serious emotional and behavioral problems: Virginia’s comprehensive services act. Community Mental Health Journal, 32, 481–495.PubMedCrossRef Sheldon-Keller, A. E. R., Koch, J. R., Watts, A. C., & Leaf, P. J. (1996). The provision of services for rural youth with serious emotional and behavioral problems: Virginia’s comprehensive services act. Community Mental Health Journal, 32, 481–495.PubMedCrossRef
go back to reference Stagman, S., & Cooper, J. L. (2010). Children’s mental health: What every policymaker should know. Columbia University, NY: National Center for Children in Poverty. Stagman, S., & Cooper, J. L. (2010). Children’s mental health: What every policymaker should know. Columbia University, NY: National Center for Children in Poverty.
go back to reference Starr, S., Campbell, L. R., & Herrick, C. A. (2002). Factors affecting use of the mental health system by rural children. Issues in Mental Health Nursing, 23, 291–304.PubMedCrossRef Starr, S., Campbell, L. R., & Herrick, C. A. (2002). Factors affecting use of the mental health system by rural children. Issues in Mental Health Nursing, 23, 291–304.PubMedCrossRef
go back to reference Steen, S., & Noguera, A. (2010). A broader, bolder approach to school reform: Expanded partnership roles for school counselors. Professional School Counseling, 4(1), 42–52. Steen, S., & Noguera, A. (2010). A broader, bolder approach to school reform: Expanded partnership roles for school counselors. Professional School Counseling, 4(1), 42–52.
go back to reference Strauss, A. L., & Corbin, J. (1998). Basics of qualitative research: Techniques and procedures for developing grounded theory. Thousand Oaks, CA: Sage. Strauss, A. L., & Corbin, J. (1998). Basics of qualitative research: Techniques and procedures for developing grounded theory. Thousand Oaks, CA: Sage.
go back to reference Substance Abuse and Mental Health Services Administration (SAMHSA) (2006). Helping children and youth with serious mental health needs: Systems of care (DHHS Publication No. SMA-06-4125). Rockville, MD: Author. Substance Abuse and Mental Health Services Administration (SAMHSA) (2006). Helping children and youth with serious mental health needs: Systems of care (DHHS Publication No. SMA-06-4125). Rockville, MD: Author.
go back to reference Takeuchi, D. T., Leaf, P. J., & Kuo, H. S. (1988). Ethnic differences in the perception of barriers to help-seeking. Social Psychiatry and Psychiatric Epidemiology, 23, 273–280.PubMedCrossRef Takeuchi, D. T., Leaf, P. J., & Kuo, H. S. (1988). Ethnic differences in the perception of barriers to help-seeking. Social Psychiatry and Psychiatric Epidemiology, 23, 273–280.PubMedCrossRef
go back to reference Thomas, Y. F., & Compton, W. F. (2007). Rural populations are not protected from drug use and abuse. Journal of Rural Health, 23, 1–3.PubMedCrossRef Thomas, Y. F., & Compton, W. F. (2007). Rural populations are not protected from drug use and abuse. Journal of Rural Health, 23, 1–3.PubMedCrossRef
go back to reference Wallace, J. M. J. (1999). The social ecology of addiction: Race, risk, and resilience. Pediatrics, 103, 1122–1127.PubMed Wallace, J. M. J. (1999). The social ecology of addiction: Race, risk, and resilience. Pediatrics, 103, 1122–1127.PubMed
Metagegevens
Titel
Examining Perceptions About Mental Health Care and Help-Seeking Among Rural African American Families of Adolescents
Auteurs
Velma McBride Murry
Craig Anne Heflinger
Sarah V. Suiter
Gene H. Brody
Publicatiedatum
01-09-2011
Uitgeverij
Springer US
Gepubliceerd in
Journal of Youth and Adolescence / Uitgave 9/2011
Print ISSN: 0047-2891
Elektronisch ISSN: 1573-6601
DOI
https://doi.org/10.1007/s10964-010-9627-1

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