Individual, Family, and Site Predictors of Youth Receipt of Therapy in Systems of Care

Fitts, Jessica; Aber, Mark S.; Allen, Nicole E.

doi:10.1007/s10566-019-09504-w

Cited by 11 publications

(5 citation statements)

References 54 publications

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“…As seen in this review, it is most likely that not the geographical location of the region itself is associated with mental health care utilization but the characteristics of that specific region. Evidence for a positive association was found for three of these area characteristics; a high area-level socio-economic status [ 35 , 55 , 57 , 71 , 76 ], high accessibility of health services [ 35 , 38 , 78 , 88 , 92 ] and an urban area [ 38 , 44 , 47 , 50 , 52 , 64 , 71 , 77 , 84 , 85 , 92 , 100 , 101 ]. These area characteristics might explain the association with the region of residence.…”

Section: Discussionmentioning

confidence: 99%

“…Although the evidence was limited, no association was found between area population characteristics and mental health care use, such as the racial/ethnic composition of the area [ 53 , 57 ] and county child population (i.e., the number of children in an area) [ 65 ]. The role of ethnicity in predicting mental health care utilization might primarily be at the individual level rather than at the overall community level [ 57 , 65 ].…”

Section: Discussionmentioning

confidence: 99%

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Contextual determinants associated with children’s and adolescents’ mental health care utilization: a systematic review

Verhoog

Eijgermans

Fang

et al. 2022

Eur Child Adolesc Psychiatry

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Determinants at the contextual level are important for children’s and adolescents’ mental health care utilization, as this is the level where policy makers and care providers can intervene to improve access to and provision of care. The objective of this review was to summarize the evidence on contextual determinants associated with mental health care utilization in children and adolescents. A systematic literature search in five electronic databases was conducted in August 2021 and retrieved 6439 unique records. Based on eight inclusion criteria, 74 studies were included. Most studies were rated as high quality (79.7%) and adjusted for mental health problems (66.2%). The determinants that were identified were categorized into four levels: organizational, community, public policy or macro-environmental. There was evidence of a positive association between mental health care utilization and having access to a school-based health center, region of residence, living in an urban area, living in an area with high accessibility of mental health care, living in an area with high socio-economic status, having a mental health parity law, a mental health screening program, fee-for-service plan (compared to managed care plan), extension of health insurance coverage and collaboration between organizations providing care. For the other 35 determinants, only limited evidence was available. To conclude, this systematic review identifies ten contextual determinants of children’s and adolescents’ mental health care utilization, which can be influenced by policymakers and care providers. Implications and future directions for research are discussedPROSPERO ID: CRD42021276033.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Contextual determinants associated with children’s and adolescents’ mental health care utilization: a systematic review

Verhoog

Eijgermans

Fang

et al. 2022

Eur Child Adolesc Psychiatry

View full text Add to dashboard Cite

show abstract

“…This trend is particularly worrisome as the severity of mental illness and financial hardship are positively correlated (SAMHSA, 2016), resulting in a subgroup of Americans that is high‐need and unserved. The inequitable inaccessibility of services is no better in youth client populations: Those who are racial and ethnic minorities, those who have caregivers with less education or come from single‐parent households, and those in families at or below the poverty level are significantly less likely than their peers to receive services due to a range of factors, including racial and socioeconomic structural inequalities (Fitts et al, 2019; Office of Disease Prevention and Health Promotion, 2014).…”

Section: Mentor‐delivered Ssismentioning

confidence: 99%

Expanding the reach of psychosocial services for youth: Untapped potential of mentor‐delivered single session interventions

Hart

Sung

McQuillin

et al. 2022

Journal Community Psychology

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At present, the mental healthcare system cannot meet the demand for services, and the need-to-access gap is widest among children and adolescents. Single session interventions (SSIs) are brief, intentional, and mechanism-targeted programs that have shown promise in increasing the reach of effective, evidencebased services; yet, a wide gap still remains due to structural barriers (e.g., workforce shortages). The present paper posits the integration of SSIs and mentor-delivered programs as a promising future step to further overcome the inaccessibility of youth mental health services. Capitalizing on the advantages of mentoring relationships (e.g., the associated interpersonal benefits and mentors' pre-existence in most community settings) has potential to complement and enhance the value of SSIs, and to expand the acceptability and reach of evidence-based mental health services. In this paper, we discuss the anticipated benefits of mentor-delivered SSIs, as well as cautionary considerations related to the proposed model. To conclude, we highlight necessary implementation and research implications. MENTOR-DELIVERED SSIs 3Expanding the Reach of Psychosocial Services for Youth: Untapped Potential of Mentor-Delivered Single Session InterventionsDespite modern and ongoing advancements in designing, validating, and disseminating mental health interventions, an estimated 50% of individuals in need of services do not receive treatment (Merikangas et al., 2009). This percentage is higher among children and adolescents (herein, "youth"), due to increases in the prevalence of youth mental health issues and associated needs for treatment (Centers for Disease Control and Prevention [CDC], 2020), and to the shortage and inequitable distribution of professional providers (American Psychological Association [APA], 2015;Thomas et al., 2006) among other structural and stigma-linked challenges. In other words, barriers to accessing and receiving youth mental health services remain rampant, though clinical science has developed and validated treatments for many presenting problems. In the current cultural, health, and sociopolitical landscape (e.g., the increasing visibility of discrimination and prejudice, the ongoing COVID-19 pandemic), this need-to-access gap is expected to maintain or widen as people face increased and new stressors and resources become sparser (

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“…This trend is particularly worrisome, as the severity of mental illness and financial hardship has been positively correlated (SAMHSA, 2016), resulting in a subgroup of Americans that is high-need and un-served. The inequitable inaccessibility of services is no better in youth client populations: Those who are racial and ethnic minorities, those who have caregivers with less education or come from single parent households, and those in families at or below the poverty level are less likely than their peers to receive services (Fitts et al, 2019;Office of Disease Prevention and Health Promotion, 2014).…”

Section: Accessibility Of Mentor-delivered Ssis: Overcoming Service-access Barriersmentioning

confidence: 99%

Expanding the Reach of Psychosocial Services for Youth: Untapped Potential of Mentor-Delivered Single Session Interventions

Mj¹,

Sung²,

Sd³

et al. 2021

Preprint

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Individual, Family, and Site Predictors of Youth Receipt of Therapy in Systems of Care

Cited by 11 publications

References 54 publications

Contextual determinants associated with children’s and adolescents’ mental health care utilization: a systematic review

Contextual determinants associated with children’s and adolescents’ mental health care utilization: a systematic review

Expanding the reach of psychosocial services for youth: Untapped potential of mentor‐delivered single session interventions

Expanding the Reach of Psychosocial Services for Youth: Untapped Potential of Mentor-Delivered Single Session Interventions

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