Ethnicity as a moderator of how parents’ attitudes and perceived stigma influence intentions to seek child mental health services.

Turner, Erlanger A.; Jensen‐Doss, Amanda; Heffer, Robert W.

doi:10.1037/cdp0000047

Cited by 71 publications

(48 citation statements)

References 46 publications

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“…Conversely, among parents who did not report any stigma, half of parents also had received mental health services, however in this case all of the Latinos in this group had received mental health services. These findings are consistent with recent survey studies of caregivers, where stigma was associated with a lower parent-reported likelihood of help seeking for Latino parents, but not for non-Latino White or African American parents (Turner et al, 2015). Further review of the themes across ethnic groups revealed that Latinos more often endorsed Parent Internalized Stigma , such as believing that their child would be perceived as “crazy,” and seeing this as a deterrent to seeking mental health treatment.…”

Section: Discussionsupporting

confidence: 92%

“…For example, in a study of 238 caregivers, stigma was associated with a lower parent-reported likelihood of help-seeking for Hispanic Americans, but not for European Americans or African Americans (Turner, Jensen-Doss, & Heffer, 2015). In another quantitative study, caregivers ( n = 275) reported more socioeconomic and stigma-related barriers to obtaining mental health services than medical services, and Hispanic parents reported these barriers as more inhibiting than did African-American parents (Young & Rabiner, 2015).…”

Section: Introductionmentioning

confidence: 99%

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Parent-reported stigma and child anxiety: A mixed methods research study

Chavira

Bantados

Rapp

et al. 2017

Children and Youth Services Review

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Background Stigma has been frequently cited as a barrier to service use for various mental health problems. Studies suggest that stigma may be greater for childhood mental health problems that are perceived as more atypical. Aims This study utilized a mixed methods research design (qual + QUAN) to examine parental endorsement of stigma and its impact on service utilization among children with significant anxiety—a common childhood problem frequently perceived as normative. Methods Semi-structured qualitative interviews were conducted with 29 parents of anxious children. Qualitative data were coded using a grounded theory approach, and stigma-related responses were examined for emergent themes. Quantitative data was analyzed with frequency counts and chi-square analysis. Results Stigma related to children's anxiety symptoms and seeking mental health services was reported by 41.3% (n = 12) of parents. Emergent themes included: 1) Parental Concern for Negative Consequences, 2) Parent Internalized Stigma, and 3) Negative Associations with Mental Health Treatment. Latino parents discussed stigma more frequently than non-Latino White parents (70% vs. 17.6%, respectively, X2(1, N = 27) = 5.33, p < 0.05). Conclusions Although anxiety is a common childhood problem, stigma is still frequently reported by parents and may be an important barrier to mental health service use, especially among Latino youth.

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Section: Discussionsupporting

confidence: 92%

Section: Introductionmentioning

confidence: 99%

Parent-reported stigma and child anxiety: A mixed methods research study

Chavira

Bantados

Rapp

et al. 2017

Children and Youth Services Review

View full text Add to dashboard Cite

show abstract

“…Thus, it is essential that practitioners who work with these populations consider how caregivers who are affected by larger structural inequalities, such as racism and other forms of discrimination, make meaning of and navigate these experiences (Chu, Leino, Pflum, & Sue, ). Similarly, practitioners should be trained to have fundamental understandings of essential elements of cultures, such as respeto in Latinx culture, and consider how to adapt services to be responsive to families’ unique challenges, priorities, and needs, including concerns about stigma (Turner, Jensen‐Doss, & Heffer, ).…”

Section: Discussionmentioning

confidence: 99%

Examining the service‐related experiences and outcomes of caregivers involved in a system of care who experienced everyday discrimination

Champine

Rozas

Schreier

et al. 2018

Journal Community Psychology

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Individuals who report everyday experiences of discrimination are at heightened risk for adverse health outcomes and tend to report underutilization of health services. Systems of care (SOCs) have the potential to engage members of minority groups and to reduce health disparities. We examined the service‐related experiences of predominantly Latinx caregivers enrolled in a SOC for their children with severe psychological health needs. We used independent samples t‐tests and regression analyses to compare relations among service access, perceived service characteristics, and caregiver stress according to whether caregivers reported frequent or infrequent discrimination. The frequent discrimination group scored significantly higher on dimensions of stress and had greater dosage than the infrequent group. There were no differences in relations between service characteristics and outcomes by group. Findings indicated important differences in the service‐related experiences and outcomes of caregivers who reported frequent and infrequent discrimination. We discuss limitations and implications.

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“…Our finding that psychiatric conditions were more commonly reported by families and documented by clinicians for white patients is consistent with a large body of evidence showing that racial or ethnic minority patients experience more stigma related to mental health diagnoses and use mental health services less. [29][30][31][32][33] Families were more likely to report use of mental health services than a known mental health diagnosis. This finding may reflect families' willingness to use services even if they do not understand or experience stigma related to psychiatric diagnoses.…”

Section: Discussionmentioning

confidence: 99%

Family Report Compared to Clinician‐Documented Diagnoses for Psychiatric Conditions Among Hospitalized Children

Doupnik

Feudtner

Marcus

2017

Journal of Hospital Medicine

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BACKGROUND: Psychiatric comorbidity is common in pediatric medical and surgical hospitalizations and is associated with worse hospital outcomes. Integrating medical or surgical and psychiatric hospital care depends on accurate estimates of which hospitalized children have psychiatric comorbidity. OBJECTIVE:We conducted a study to determine agreement of family report (FR) and clinician documentation (CD) identification of psychiatric diagnoses in hospitalized children. DESIGN AND SETTING:This was a cross-sectional study at a tertiary-care children's hospital. PATIENTS:The patients were children and adolescents (age, 4-21 years) who were hospitalized for medical or surgical indications.MEASUREMENTS: Psychiatric diagnoses were identified from structured interviews (FR) and from inpatient notes and International Classification of Diseases codes in medical records (CD). We compared estimates of point prevalence of any comorbid psychiatric diagnosis using each method, and estimated FR-CD agreement in identifying psychiatric comorbidity in hospitalized children. RESULTS:Of 119 study patients, 26 (22%; 95% confidence interval [CI], 14%-29%) had a psychiatric comorbidity identified by FR, 30 (25%; 95% CI, 17%-34%) had it identified by CD, and 37 (23%-40%) had it identified by FR or CD. Agreement between FR and CD was low overall (κ = .46; 95% CI, .27-.66), highest for attention-deficit/hyperactivity disorder (κ = .78; 95% CI, .59-.97), and lowest for anxiety disorders (κ = .11; 95% CI, -.16 to .56).CONCLUSIONS: Current methods may underestimate the prevalence of psychiatric conditions in hospitalized children. Information from multiple sources may be needed to develop accurate estimates of the scope of the population in need of services so that mental health resources can be appropriately allocated.

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Ethnicity as a moderator of how parents’ attitudes and perceived stigma influence intentions to seek child mental health services.

Abstract: Ethnicity deferentially impacts attitudes and stigma associated with seeking mental health services. Public education efforts to increase service use should be tailored toward under-served groups to be more effective.

Cited by 71 publications

References 46 publications

Parent-reported stigma and child anxiety: A mixed methods research study

Parent-reported stigma and child anxiety: A mixed methods research study

Examining the service‐related experiences and outcomes of caregivers involved in a system of care who experienced everyday discrimination

Family Report Compared to Clinician‐Documented Diagnoses for Psychiatric Conditions Among Hospitalized Children

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