Disparities in Receipt of Specialty Services Among Children With Mental Health Need Enrolled in the CMHI

Popescu, Ioana; Xu, Hongquan; Krivelyova, Anna; Ettner, Susan L.

doi:10.1176/appi.ps.201300055

Cited by 10 publications

(5 citation statements)

References 28 publications

(23 reference statements)

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“…One study among children covered by the Children's Mental Health Initiative, a federal government program aimed to increase access to mental health services for minority populations, shows that despite an increase in offered services, Hispanic, African American, and Pacific Islander children have lower use of these services than non-Hispanic white children. 16 Additional barriers may include failure to perceive or diagnose a problem, implicit biases by health care providers, as well as…”

Section: Discussionmentioning

confidence: 99%

Utilization of Mental Health Services After Mild Pediatric Traumatic Brain Injury

Jimenez¹,

Quistberg²,

Vavilala³

et al. 2017

Pediatrics

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BACKGROUND: Mild traumatic brain injury injuries (mTBIs), including concussions, represent >2 million US pediatric emergency department visits annually. Post-mTBI mental health symptoms are prominent and often attributed to the mTBI. This study examined whether individuals seeking post-mTBI mental health care had previous mental health diagnoses or a new onset of such disorders, and determined if mental health care utilization differed by race/ethnicity.

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Section: Discussionmentioning

confidence: 99%

Utilization of Mental Health Services After Mild Pediatric Traumatic Brain Injury

Jimenez¹,

Quistberg²,

Vavilala³

et al. 2017

Pediatrics

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“…Decades of research substantiate that children from racial and ethnic minority backgrounds are less likely to use mental health services than White children (Kataoka et al 2002;Popescu et al 2015;Zimmerman 2005), and that these differences cannot be explained by a lack of need (Merikangas et al 2010a, b). The lifetime prevalence rate for behavior disorders that include ADD (attention deficit-hyperactivity disorder), ODD (oppositional defiant disorder), and CD (conduct disorder) based on DSM-IV criteria is 19.1%, according to community data from the National Comorbidity Survey Replication-Adolescent Supplement (NCS-A) (Merikangas et al 2010b).…”

mentioning

confidence: 99%

Treating the Child or Syndrome: Does Context Matter for Treatment Decisions for Antisocially Behaving Youth?

Pottick

Tian

Kirk

et al. 2017

J Psychopathol Behav Assess

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Using a between-subject 3 × 3 design of an experimentally manipulated realistic case vignette of Black, White, and Hispanic youth in a survey mailed to 1540 experienced psychologists, psychiatrists, and social workers, the authors examined if clinicians alter their judgments about treatment for antisocially behaving youth based on the symptom's social context (e.g., life circumstances) and the youth's race or ethnicity, even among youth who are otherwise identical in terms of behavioral symptoms. Vignettes describe behaviors meeting DSM-IV criteria for conduct disorder, but contain contextual information suggesting either internal dysfunction (ID) or a normal response to a difficult environment [i.e., environmental-reaction (ER)]. Comparison was symptomonly (SO). Judgments of effectiveness of 14 treatments for youth exhibiting antisocial behavior were examined. Frequencies and median scores of perceived effectiveness level (1-9, Likert) were compared in bivariate analyses, stratifying context and youth's race or ethnicity. The context of the behavior was associated significantly with differences in effectiveness judgments in 13 of 14 treatments. Within ID and ER contexts, clinicians judged three different treatments as effective (median ≥ 7 of 9). In the SO condition, clinicians were less selective, judging six as effective. In the ID context, psychiatric medications, systems oriented family therapy, and residential care were judged more effective for White than for Black or Hispanic youth. Evidence-based practice research may be hampered by inattention to the social context of behavioral symptoms. Context may activate implicit racial assumptions about treatment effectiveness. Implications are for clinical training to improve service delivery, and future clinical research.

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“…Children of Latin American descent and the uninsured have especially high rates of unmet need relative to other children (Kataoka, Zhang, & Wells, 2002). Compared with non-Hispanic White children, African American, Latino, and Pacific Islander children were found to have lower utilization of received individual, family, and group psychotherapy, medication management, assessment and evaluation, case management, residential treatment, and inpatient care (Popescu, Xu, Krivelyova, & Ettner, 2015). For children in contact with the child welfare system, compared with non-Hispanic Whites, African American children were less likely to receive mental health services (Gudiño, Martinez, & Lau, 2012).…”

Section: Disparitiesmentioning

confidence: 97%

Working with young children living in stressful environments.

Hughes¹,

Quinn²

2020

Healthy Development in Young Children: Evidence-Based Interventions for Early Education.

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M ental health and well-being are characterized by quality relationships, a satisfied sense of self, the ability to engage meaningfully in society, and the ability to cope with setbacks and daily challenges (Alegría, Green, McLaughlin, & Loder, 2015). Children develop these characteristics and skills through family relationships and social traditions. Later on, educators become primary partners with parents supporting children's social-emotional development with the purpose of developing resilient and academically able learners. For children living in stressful environments, development can be delayed or disrupted. Unmitigated distress can result in longstanding health and mental health problems. As such, it is important that skilled adults identify and respond to young children's needs during these early years. This chapter describes the impact of distress on child development as well as provides recommendations for parents, preschool educators, and early intervention providers. MENTAL HEALTHChildren develop positive mental health and well-being as a response to their life experiences in combination with their ability to manage and benefit from these experiences. Variations in personal attributes, including temperament and emotional, social, and cognitive development, also influence mental health and well-being. Several factors are reported to promote positive mental health development regardless of cultural background (e.g., positive and nurturing

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Disparities in Receipt of Specialty Services Among Children With Mental Health Need Enrolled in the CMHI

Cited by 10 publications

References 28 publications

Utilization of Mental Health Services After Mild Pediatric Traumatic Brain Injury

Utilization of Mental Health Services After Mild Pediatric Traumatic Brain Injury

Treating the Child or Syndrome: Does Context Matter for Treatment Decisions for Antisocially Behaving Youth?

Working with young children living in stressful environments.

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