ABSTRACT This study explored the effects of demands related to caring for children and youth with mental health difficulties and of resources in community ecologies including health services, schools, neighborhoods, and social supports, on parental workforce participation. Through secondary analysis of U.S. data from the 2016 National Survey of Children’s Health, we found that when children’s mental health issues were more severe, parents experienced frustration with their ability to get services and spent more time providing health care, they were less likely to be employed. Community factors were critical: employed parents reported more frequent contact from the school system, and fewer days that their child missed school. When family members spent more time providing and arranging for health care, were frustrated in their attempts to get services, and reported children missing more school, they cut back their work hours or stopped working. We concluded that parent workforce disengagement patterns were related to demands of exceptional care and to the lack of available community resources. As employers struggle to retain talented workforces, the diversity of employees raising a child or youth with a disabling health condition must be acknowledged, and community supports strengthened.

中文翻译：

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患有精神疾病的儿童和青少年的父母的劳动力参与：社区服务和支持的影响

摘要这项研究探讨了照顾有精神健康困难的儿童和青年的需求以及社区生态资源（包括卫生服务，学校，社区和社会支持）对父母劳动力参与的影响。通过对2016年全国儿童健康调查中美国数据的二次分析，我们发现，当儿童的心理健康问题更加严重时，父母对获得服务的能力感到沮丧，并花费更多的时间提供医疗保健，受雇。社区因素至关重要：受雇的父母报告说，他们与学校系统的联系更加频繁，而他们的孩子失学的天数更少。当家庭成员花更多的时间提供和安排医疗保健时，他们对获得服务的尝试感到沮丧，并报告说孩子们失学了，他们减少了工作时间或停止了工作。我们得出的结论是，父母的劳动力脱离模式与特殊护理的需求以及缺乏可用的社区资源有关。随着雇主努力挽留优秀人才，必须承认养育残疾儿童或青年的残疾员工的多样性，并加强社区支持。