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Caregivers as gatekeepers: Professional mental health service use among urban minority adolescents.
American Journal of Orthopsychiatry ( IF 3.407 ) Pub Date : 2020-01-01 , DOI: 10.1037/ort0000432
Yi Tak Tsang 1 , Marilyn Franklin 1 , Kelsey Sala-Hamrick 1 , Brittany Kohlberger 1 , Valerie A Simon 1 , Ty Partridge 1 , Douglas Barnett 1
Affiliation  

Mental illness among adolescents frequently goes untreated, especially among low income and ethnic minority families. We sought to examine parent and adolescent psychological factors influencing mental health service use among 120 urban adolescents (82% African American, Age 13-18 years, M = 14.29, SD = 1.52) who had access to mental health treatment through their community primary care setting. We utilized structural equation modeling (SEM) to explore the independent and combined associations among parent and adolescent variables hypothesized to be associated with the youth's engagement in mental health treatment. Results showed that more than half (63.6%) of youth with clinically significant levels of symptoms were not currently engaged in treatment or seeking mental health services. One latent variable emerged: caregivers' perceptions of adolescent mental health problems (consisted of youth psychological symptoms, youth functional impairment, and strain on caregiver). Together with caregivers' attitude toward professional help, these two caregiver-reported variables, but not adolescents' attitude, were associated with higher likelihood of service utilization among adolescents. Findings suggest caregivers functioned as the "gatekeepers" to mental health services. We discuss findings' implications for engaging youth in mental health services as well as study limitations and future directions. (PsycINFO Database Record (c) 2020 APA, all rights reserved).

中文翻译:

照顾者作为看门人:在城市少数族裔青少年中使用专业的心理健康服务。

青少年的精神疾病经常得不到治疗,尤其是在低收入和少数民族家庭中。我们试图研究影响通过社区初级保健获得心理健康治疗的120名城市青少年(82%的非洲裔美国人,年龄13-18岁,M = 14.29,SD = 1.52)中影响心理健康服务使用的父母和青少年心理因素。设置。我们利用结构方程模型(SEM)来探索父母和青少年变量之间的独立和组合关联,这些变量被假定与青少年参与心理健康治疗有关。结果显示,超过一半(63.6%)的具有临床上显着症状水平的年轻人目前未接受治疗或寻求心理健康服务。一个潜在的变量出现了:照顾者 对青少年心理健康问题的看法(由青少年心理症状,青少年功能障碍和看护人员压力所组成)。连同照顾者对专业帮助的态度,这两个照顾者报告的变量(而不是青少年的态度)与青少年使用服务的可能性更高相关。调查结果表明,护理人员是精神卫生服务的“看门人”。我们讨论了研究结果对青少年参与心理健康服务的意义以及研究局限性和未来方向。(PsycINFO数据库记录(c)2020 APA,保留所有权利)。对于专业帮助的态度,这两个照护者报告的变量(而不是青少年的态度)与青少年使用服务的可能性较高相关。调查结果表明,护理人员是精神卫生服务的“看门人”。我们讨论了研究结果对青少年参与心理健康服务的意义以及研究局限性和未来方向。(PsycINFO数据库记录(c)2020 APA,保留所有权利)。对于专业帮助的态度,这两个照护者报告的变量(而不是青少年的态度)与青少年使用服务的可能性较高相关。调查结果表明,护理人员是精神卫生服务的“看门人”。我们讨论了研究结果对青少年参与心理健康服务的意义以及研究局限性和未来方向。(PsycINFO数据库记录(c)2020 APA,保留所有权利)。对青少年参与精神卫生服务的意义以及研究限制和未来方向。(PsycINFO数据库记录(c)2020 APA,保留所有权利)。对青少年参与精神卫生服务的意义以及研究限制和未来方向。(PsycINFO数据库记录(c)2020 APA,保留所有权利)。
更新日期:2020-01-01
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