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Changes in Mental Health Service Use over a Decade: Evidence from Two Cohorts of Youth Involved in the Child Welfare System
Child and Adolescent Social Work Journal ( IF 1.4 ) Pub Date : 2021-10-08 , DOI: 10.1007/s10560-021-00798-1
Minseop Kim 1 , Nahri Jung 1 , Chaoyue Wu 1 , Sheila Barnhart 2 , Antonio R. Garcia 2
Affiliation  

Recent policies have the potential to address the gaps between need for and access to mental health (MH) services among youth involved in the child welfare system (CWS). Yet, little is known about whether changes in the pattern of MH service use have occurred. This study sought to uncover whether the rates and predictors of MH service use among CWS-involved youth have changed over the past decade. This study relied on administrative data of CWS-involved youth in a large mid-Atlantic city of the United States. The sample consisted of two cohorts of youth who entered the CWS in 2003 and 2012, respectively. Logistic and negative binomial regression models were conducted to examine utilization and dosage of MH services in relation to individual (e.g., cohort, gender, age, and race/ethnicity) and case characteristics (e.g., placement type/instability, and juvenile justice system involvement). Both utilization and dosage of MH services were found to have increased between cohorts, even after controlling for individual and case characteristics. There were also promising trends toward more equitable access and utilization of MH services along age and racial lines. However, disparities by gender and placement type were still prevailing problems. Potential positive effects of the recent policies are likely reflected in our findings of increased MH service use between the two cohorts. Given disparate MH service utilization based on gender and placement type, however, additional efforts to adhere to recent mandates to enhance child well-being are warranted.



中文翻译:

十年来心理健康服务使用的变化:来自参与儿童福利系统的两批青年的证据

最近的政策有可能解决参与儿童福利系统 (CWS) 的青年对心理健康 (MH) 服务的需求和获得之间的差距。然而,人们对 MH 服务使用模式是否发生了变化知之甚少。本研究旨在揭示在过去十年中,参与 CWS 的青年使用 MH 服务的比率和预测因素是否发生了变化。本研究依赖于美国大西洋中部一个大型城市中参与 CWS 的青年的行政数据。样本由分别于 2003 年和 2012 年进入 CWS 的两组青年组成。进行逻辑和负二项回归模型以检查与个人(例如,队列、性别、年龄和种族/民族)和病例特征(例如,安置类型/不稳定、和少年司法系统的参与)。即使在控制了个体和病例特征之后,发现 MH 服务的使用率和剂量在队列之间都有所增加。在更公平地获得和利用不同年龄和种族的 MH 服务方面,也出现了有希望的趋势。然而,性别和安置类型的差异仍然是普遍存在的问题。最近政策的潜在积极影响可能反映在我们对两个队列之间增加 MH 服务使用的发现中。然而,鉴于基于性别和安置类型的不同 MH 服务利用,需要额外努力遵守最近的任务,以提高儿童福祉。即使在控制了个体和病例特征之后。在更公平地获得和利用不同年龄和种族的 MH 服务方面,也出现了有希望的趋势。然而,性别和安置类型的差异仍然是普遍存在的问题。最近政策的潜在积极影响可能反映在我们对两个队列之间增加 MH 服务使用的发现中。然而,鉴于基于性别和安置类型的不同 MH 服务利用,需要额外努力遵守最近的任务,以提高儿童福祉。即使在控制了个体和病例特征之后。在更公平地获得和利用不同年龄和种族的 MH 服务方面,也出现了有希望的趋势。然而,性别和安置类型的差异仍然是普遍存在的问题。最近政策的潜在积极影响可能反映在我们对两个队列之间增加 MH 服务使用的发现中。然而,鉴于基于性别和安置类型的不同 MH 服务利用,需要额外努力遵守最近的任务,以提高儿童福祉。最近政策的潜在积极影响可能反映在我们对两个队列之间增加 MH 服务使用的发现中。然而,鉴于基于性别和安置类型的不同 MH 服务利用,需要额外努力遵守最近的任务,以提高儿童福祉。最近政策的潜在积极影响可能反映在我们对两个队列之间增加 MH 服务使用的发现中。然而,鉴于基于性别和安置类型的不同 MH 服务利用,需要额外努力遵守最近的任务,以提高儿童福祉。

更新日期:2021-10-08
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