Behavioral Predictors of Mental Health Service Utilization in Childhood Through Adolescence

Erath, Stephen A.; Keiley, Margaret K.; Pettit, Gregory S.; Lansford, Jennifer E.; Dodge, Kenneth A.; Bates, John E.

doi:10.1097/dbp.0b013e3181c35938

Cited by 16 publications

(20 citation statements)

References 46 publications

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“…Dodge et al (2009) show that teacher-rated child behavior problems, low social preference, and peer rejection in kindergarten through third grade all increase the prevalence of substance use in adolescence. Erath et al (2009) show that kindergarten internalizing behavior problems also predicted mental health service utilization at age 16.…”

Section: Impact Of Childhood Skill Development On Adult Outcomesmentioning

confidence: 87%

How Does the Fast Track Intervention Prevent Adverse Outcomes in Young Adulthood?

Sorensen

Dodge

2015

Child Development

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Numerous studies have shown that childhood interventions can foster improved outcomes in adulthood. Less well understood is precisely how – that is, through which developmental pathways – these interventions work. This study assesses mechanisms by which the Fast Track project (n=891), a randomized intervention in the early 1990s for high-risk children in four communities (Durham, NC; Nashville, TN; rural PA; and Seattle, WA), reduced delinquency, arrests, and health and mental health service utilization in adolescence through young adulthood (ages 12–20). A decomposition of treatment effects indicates that about a third of Fast Track’s impact on later crime outcomes can be accounted for by improvements in social and self-regulation skills during childhood (ages 6–11), such as prosocial behavior, emotion regulation and problem solving. These skills proved less valuable for the prevention of mental and physical health problems.

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Section: Impact Of Childhood Skill Development On Adult Outcomesmentioning

confidence: 87%

How Does the Fast Track Intervention Prevent Adverse Outcomes in Young Adulthood?

Sorensen

Dodge

2015

Child Development

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“…This may be due to significant developmental transitions and biopsychosocial changes taking place during this time, including onset of puberty, transition to middle and high schools, and increased peer contact and independence (38). The increased stress associated with these types of transitions may lead to increased need for mental health treatment.…”

Section: Discussionmentioning

confidence: 99%

Trajectories of Mental Health–Related Service Use Among Adolescents With Histories of Early Externalizing Problems

Okado

Ewing

Rowley

et al. 2017

Journal of Adolescent Health

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PURPOSE To inform efforts to reduce costly service utilization, the present study examined longitudinal trajectories of mental health-related outpatient and residential service use among at-risk youth with a history of early externalizing problems. METHODS 809 children in the Fast Track project, a multi-site longitudinal study of children at risk for conduct disorder, were followed prospectively from kindergarten through 12th grade. They resided in high-risk areas with high rates of poverty, crime, and violence. Their outpatient and residential service use was assessed annually between 6th through 12th grades through parent report. Growth mixture modeling (GMM) was applied to model individual differences in trajectories of service use during this period. Teacher, parent, and observer-reported childhood predictors of those trajectories were also examined. RESULTS The majority of youths had minimal service use during pre-adolescence into adolescence. However, approximately 31% had moderate probability of using outpatient counseling services, and approximately 8% had elevated probability of seeing a family doctor for mental health needs. For residential services, approximately 6% had moderate to high probability of service use that peaked during transition to high school, whereas close to 5% had service use that dramatically increased during high school. Childhood predictors of these trajectories included earlier externalizing, internalizing, and emotion regulation problems. CONCLUSIONS This study is the first to use person-centered analytic methods to examine longitudinal trajectories in mental health-related service use among at-risk adolescents. Timely treatment for severe externalizing problems, comorbid internalizing problems, and emotion dysregulation during childhood may be crucial for preventing chronic service use.

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“…In our study, 27.9 % of females and 11.8 % of males used mental health services. Previous research has shown that females across the age spectrum are more likely to have used and more willing to use mental health services compared to males (Chandra and Minkovitz 2006; Erath et al 2009; Mackenzie et al 2006). …”

Section: Discussionmentioning

confidence: 99%

Mental Health Utilization Among Diverse Parenting Young Couples

Albritton

Angley²,

Gibson

et al. 2015

American J of Comm Psychol

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Mental health issues often become apparent as adolescents emerge into young adulthood. The use of mental health services is low among adolescents and young adults, and use is particularly low among minorities. In this study, we examine mental health utilization among diverse young parenting couples. The sample consisted of 296 couples. We used the social–personal framework to examine personal, family, partner relationship, and environmental predictors for using mental health services. We used the Actor–Partner Interdependence Model to assess actor and partner effects on mental health utilization. We also examined moderator effects for gender and internalizing and externalizing behaviors. We found that being female, being White, higher income, more conduct problems, and less anxious romantic attachment predicted mental health utilization. Significant moderator effects included depression × gender, depression × medical insurance, and stress × Latino. Implications for community mental health practice include conducting mental health assessments during medical visits and systematic mental health follow-up for individuals and couples with identified mental health and support needs. Future research should include married couples and the spouse’s influence on mental health use and examine relevant parenting factors that may also predict mental health utilization among couples.

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Behavioral Predictors of Mental Health Service Utilization in Childhood Through Adolescence

Cited by 16 publications

References 46 publications

How Does the Fast Track Intervention Prevent Adverse Outcomes in Young Adulthood?

How Does the Fast Track Intervention Prevent Adverse Outcomes in Young Adulthood?

Trajectories of Mental Health–Related Service Use Among Adolescents With Histories of Early Externalizing Problems

Mental Health Utilization Among Diverse Parenting Young Couples

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