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In this study, I investigated patterns and predictors of service utilization for children with mood disorders. The Behavioral Model for Health Care Utilization was used as an organizing framework for identifying predictors of the number and quality of services utilized. Hierarchical regression was used in secondary data analyses of the Multi-Family Psychoeducational Psychotherapy study (MF-PEP), a randomized controlled trial of 165 children aged 8–12 with mood disorders. The children were using an average of two services, with pharmacotherapy and school services as most frequent. Children with bipolar disorders used significantly more and higher quality services than children with depressive disorders. Parent knowledge of mood disorders, area of residence, and perceived need for treatment were all related to the number of services families were utilizing. Parent knowledge of mood disorders and treatment, child’s age, and mood symptom severity were all predictors of the quality of services being utilized. Findings highlight the impact of non-need factors on service utilization and the potential to decrease disparities caused by these factors. For example, increasing efforts to educate both the general public and individual families coming in for treatment about children’s mental health may improve service utilization patterns in this population.
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Andersen, R. M. (1968). Behavioral model of family’s use of health services. research series No. 25. Chicago, IL: Center for Health Administration Studies, University of Chicago.
Andersen, R., & Davidson, P. (2001). Improving access to care in America. Individual and contextual indicators. In R. M. Andersen, T. H. Rice, & G. F. Kominski (Eds.), Changing the US health care system: Key issues in health services, policy, and management (pp. 3–30). San Francisco: Jossey-Bass.
Andreasen, N. C., Endicott, J., Spitzer, R. L., & Winokur, G. (1977). The family history method using diagnostic criteria: reliability and validity. Archives of General Psychiatry,24, 1229–1235. CrossRef
Baker-Ericzén, M. J., Jenkins, M. M., & Brookman-Frazee, L. (2010). Clinician and parent perspectives on parent and family contextual factors that impact community mental health services for children with behavior problems. Child & Youth Care Forum,39(6), 397–419. CrossRef
Biederman, J., Mick, E., Prince, J., Bostic, J. Z., Wilens, T. E., Spencer, T., et al. (1999). Systematic chart review of the pharmacologic treatment of comorbid attention deficit hyperactivity disorder in youth with bipolar disorder. Journal of Child and Adolescent Psychopharamacology,9, 247–256. CrossRef
Burns, B. J., Phillips, S. D., Wagner, H. R., Barth, R. P., Kolko, D. J., Campbell, Y., et al. (2004). Mental health need and access to mental health services by youths involved with child welfare: A national survey. Journal of the American Academy of Child and Adolescent Psychiatry,43, 960–970. PubMedCrossRef
Davidson, K. H., & Fristad, M. A. (2006). The Treatment Beliefs Questionnaire (TBQ): An instrument to assess beliefs about children’s mood disorders and concomitant treatment needs. Psychological Services,3, 1–15. CrossRef
Deveaugh-Geiss, J., March, J., Shapiro, M., Andreason, P. J., Emslie, G., Ford, L. M., et al. (2006). Child and adolescent psychopharmacology in the new millennium: A workshop for academia, industry, and government. Journal of the American Academy of Child and Adolescent Psychiatry,45, 261–270. PubMedCrossRef
Federal Interagency Forum on Child and Family Statistics. (2010). America’s children in brief: Key national indicators of well-being, 2010. Washington, DC: U.S. Government Printing Office.
Gavazzi, S. M., Fristad, M. A., & Law, J. C. (1997). The understanding mood disorders questionnaire. Psychological Reports,81, 172–174. PubMed
Goldberg-Arnold, J. S., Fristad, M. A., & Gavazzi, S. M. (1999). Family psychoeducation: Giving caregivers what they want and need. Family Relations: Interdisciplinary Journal of Applied Family Studies,48, 411–417. CrossRef
Gyamfi, P. (2004). Children with serious emotional disturbance: The impact of poverty and receipt of public assistance on behavior, functioning, and service use. Children and Youth Services Review,26, 1129–1139. CrossRef
Harter, S. (1985). Manual for the social support scale for children. Denver, CO: University of Denver.
Knitzer, J., Steinberg, A., & Fleisch, B. (1990). At the schoolhouse door: An examination of progress and policies for children with behavioral and emotional problems. New York: Bank Street College of Education.
Lagace, D. C., & Kutcher, S. P. (2005). Academic performance of adolescents with bipolar disorder. Directions in Psychiatry,25, 111–117.
Mendenhall, A. N., Davidson, K. H., & Fristad, M. A. (2010). The service provider and medication usage grids: A new method to measure “Treatment as Usual” (TAU). Child and Adolescent Social Work Journal,27, 423–434. CrossRef
Mendenhall, A. N., Demeter, C., Findling, R. L., Frazier, T. W., Fristad, M. A., Youngstrom, E. A., et al. (in press). Factors influencing mental health service utilization by children with serious emotional and behavioral disturbance: results from the LAMS study. Psychiatric Services.
Pandiani, J. A., Banks, S. M., Simon, M. M., Van Vleck, M. C., & Pomeroy, S. M. (2005). Access to child and adolescent mental health services. Journal of Child and Family Studies,14, 431–441. CrossRef
Rizzo, C. J., Esposito-Smythers, C., Swenson, L., Birmaher, B., Ryan, N., Strober, M., et al. (2007). Factors associated with mental health service utilization among bipolar youth. Bipolar Disorder,9, 839–850. CrossRef
Sears, S. F., Evans, G. D., & Kuper, B. D. (2003). In B. H. Stamm (Ed.), Rural behavioral health care: An interdisciplinary guide (pp. 109–120). Washington, DC: American Psychological Association.
Weller, E. B., Weller, R. A., Rooney, M. T., & Fristad, M. A. (1999a). Children’s interview for psychiatric syndromes (ChIPS). Washington, D.C.: American Psychiatric Press, Inc.
Weller, E. B., Weller, R. A., Rooney, M. T., & Fristad, M. A. (1999b). Children’s interview for psychiatric syndromes, parent version (P-ChIPS). Washington, D.C.: American Psychiatric Press, Inc.
Yeh, M., McCabe, K., Hough, R. L., Lau, A., Fakhry, F., & Garland, A. (2005). Why bother with beliefs? Examining relationships between race/ethnicity, parental beliefs about causes of child problems and mental health service use. Journal of Consulting and Clinical Psychology,73, 800–807. PubMedCrossRef
Youngstrom, E. A., Danielson, C. K., Findling, R. L., Gracious, B. L., & Calabrese, J. R. (2002). Factor structure of the young mania rating scale for use with youths ages 5–17 years. Journal of Clinical Child and Adolescent Psychology,31(4), 567–572. PubMed
Zwaanswijk, M., Van Der Ende, J., Verhaak, P., Bensing, J. M., & Verhulst, F. C. (2003). Factors associated with adolescent mental health service need and utilization. Journal of the Academy of Child & Adolescent Psychiatry,42, 692–700. CrossRef
- Predictors of Service Utilization Among Youth Diagnosed with Mood Disorders
Amy N. Mendenhall
- Springer US