Inner-City Child Mental Health Service Use: The Real Question Is Why Youth and Families Do Not Use Services

Harrison, Myla E.; McKay, Mary M.; Bannon, William M.

doi:10.1023/b:comh.0000022732.80714.8b

Cited by 164 publications

(147 citation statements)

References 25 publications

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“…These findings suggest that investments in culturally based, community-and school-based resources targeting the high-risk behaviours seen in the emergency department may help to reduce crisis events and foster the use of mental health resources. 22 Although such resources would not have been captured through physician billing in our study, the high rates of emergency department use suggest that if such services do exist and are being used, they may not be specific or comprehensive enough to reduce crises. Our findings also reflect access and utilization issues.…”

Section: Discussionmentioning

confidence: 87%

Emergency health care use and follow-up among sociodemographic groups of children who visit emergency departments for mental health crises

Newton

Rosychuk

Dong

et al. 2012

CMAJ

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Section: Discussionmentioning

confidence: 87%

Emergency health care use and follow-up among sociodemographic groups of children who visit emergency departments for mental health crises

Newton

Rosychuk

Dong

et al. 2012

CMAJ

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“…However, with regards to effectiveness and generalizability beyond the controlled research setting, a number of studies have found that a considerable proportion of youth with mental health disorders do not seek professional help or else refuse help that is offered [12,41,42]. Less than one quarter of youth who have diagnosable mental health issues receive services [43,44].…”

Section: Introductionmentioning

confidence: 99%

Reducing parental anxiety using a family based intervention for youth mental health: A randomized controlled trial

Bertino¹,

Richens²,

Knight³

et al. 2013

OJPsych

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This paper presents findings on parent anxiety and attachment relationship style from the Deakin Family Options (DFO) pilot study, a randomized controlled pilot study comparing a family-based treatment (BEST Plus), versus a youth only treatment (CBT) versus a group who received both of these treatments (COM-BINED). Eligible participants were families with a young person (aged 12 -25 years) with a high prevalence mental health problem. Youth from participating families scored in the clinical or subclinical range for depression, anxiety and/or substance misuse symptoms on standardized measures during the initial assessment. The collected sample was drawn from regional and urban centers in Victoria, Australia and allocated to treatment condition using a simple randomization procedure (parallel design). It was hypothesized that families receiving the BEST Plus would experience greater reductions in youth and parent mental health symptoms, and improved parent-child relationships, compared with those in the CBT condition. This paper describes and discusses changes in parent anxiety and parent attachment, according to whether the parent participated in a treatment (BEST Plus) or did not (NONBEST Plus). Participants were blind to the study hypotheses. In total 71 parent participants returned pre data and were allocated to a treatment group. In this paper, data from parent participants who completed pre and post measures (n = 48) and pre, post, and 6-month follow-up measures (n = 28) on anxiety and attachment were analyzed by group (BEST Plus versus NONBEST Plus). The results of this study suggest that parent anxiety decreased significantly more following parent involvement in a group treatment, than for parents that did not receive treatment. Unexpectedly, avoidant attachment increased in the no treatment group, but remained relatively stable following the BEST Plus group. There were no significant findings in relation to compulsive traits and anxious attachment. These findings are discussed in light of the study limitations.

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“…Youth in the juvenile justice system have many of the characteristics associated with lower rates of service use: poverty and poor education, [12][13][14] inadequate health insurance and ineligibility for Medicaid, [15][16][17] racial/ethnic minority status, 14,18 a history of arrest, 4,19 and small social networks. 20,21 Although much is known about these external barriers to mental health service use, less is known about youths' perceived barriers and attitudes toward service use. How youth perceive or think about service use may be as important, if not more important, in determining whether or not youth cooperate with referrals or remain in treatment.…”

Section: Introductionmentioning

confidence: 99%

Perceived Barriers to Mental Health Services Among Youths in Detention

Abram¹,

Paskar²,

Washburn³

et al. 2008

Journal of the American Academy of Child & Adolescent Psych

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Inner-City Child Mental Health Service Use: The Real Question Is Why Youth and Families Do Not Use Services

Abstract: There is a significant unmet need for care along with identification of significant barriers to access. Empirical findings can serve as the basis for modifying urban child mental health service delivery systems.

Cited by 164 publications

References 25 publications

Emergency health care use and follow-up among sociodemographic groups of children who visit emergency departments for mental health crises

Emergency health care use and follow-up among sociodemographic groups of children who visit emergency departments for mental health crises

Reducing parental anxiety using a family based intervention for youth mental health: A randomized controlled trial

Perceived Barriers to Mental Health Services Among Youths in Detention

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