Racism and Poverty are Barriers to the Treatment of Youth Mental Health Concerns

Castro-Ramirez, Franckie; Al-Suwaidi, Maha; García, Pedro J.; Rankin, Osiris; Ricard, Jordyn R; Nock, Matthew K.

doi:10.1080/15374416.2021.1941058

Cited by 66 publications

(31 citation statements)

References 100 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Given the high likelihood of future school disruptions through man-made and natural disasters, alternatives to physical closures should be immediately explored. Access barriers to community mental health services for adolescents need to be addressed to enhance service provision, especially for economically disadvantaged youth who are more likely to experience racism and discrimination, mistrust of systems, and face a scarcity of resources in areas of disinvestment [ 35 ]. More attention should be given to making chat, text, and video-based modalities more accessible for adolescent mental health care, including making them more equitable for low-income families [ [36] , [37] , [38] ].…”

Section: Discussionmentioning

confidence: 99%

The Impact of the COVID-19 Pandemic on Adolescent Mental Health and Substance Use

Temple¹,

Baumler²,

Wood³

et al. 2022

Journal of Adolescent Health

View full text Add to dashboard Cite

Section: Discussionmentioning

confidence: 99%

The Impact of the COVID-19 Pandemic on Adolescent Mental Health and Substance Use

Temple¹,

Baumler²,

Wood³

et al. 2022

Journal of Adolescent Health

View full text Add to dashboard Cite

“…Furthermore, because of this design, this study’s findings can probably be generalised to other urban areas in Western countries with free and easily accessible mental health services for children. When parents have to pay for their children’s service use, mental health service density and use will likely be higher in richer neighbourhoods as opposed to poorer neighbourhoods 14 39 40…”

Section: Discussionmentioning

confidence: 99%

Role of neighbourhood social characteristics in children’s use of mental health services between ages 9 and 13 years: a population-based cohort study in the Netherlands

et al. 2022

View full text Add to dashboard Cite

ObjectivesThis study aims to investigate the association of neighbourhood socioeconomic status (SES) and social cohesion (SC) within the neighbourhood with mental health service use in children, independent of individual-level characteristics and mental health problems.Design, setting and participantsA longitudinal analysis was done using data from the Generation R Study, a prospective, population-based cohort of children born in Rotterdam, the Netherlands. These data were linked to the Neighbourhood Profile, containing registry and survey data on residents of Rotterdam. Data of 3403 children (mean age: 13.6 years, SD: 0.4) were used to study the associations between neighbourhood SES, SC (SC belonging and SC relations) and mental health service use, adjusted for mental health problems and sociodemographic characteristics.Outcome measuresMental health service use was reported by the accompanying parent at the research centre using the question: ‘Did your child visit a psychologist or psychiatrist between 9 and 13 years old?’.ResultsMental health services were used by 524 (15.4%) children between ages 9 and 13 years. No significant differences in mental health service use between neighbourhoods were identified (median OR: 1.07 (p=0.50)). The neighbourhood social characteristics were associated with mental health service use, but only when adjusted for each other. Children living in neighbourhoods with a low SES (OR 0.57 (95% CI 0.32 to 1.00)) or high SC belonging (OR 0.79 (95% CI 0.64 to 0.96)) were less likely to use services compared with children in a high SES or low SC belonging neighbourhood. SC relations was not associated with mental health service use.ConclusionsOur findings indicate that children living in high SES neighbourhoods or in neighbourhoods where people feel less sense of belonging are more likely to use mental health services. As these associations were only present when studied jointly, more research is warranted on the complex associations of neighbourhood factors with children’s mental health service use.

show abstract

“…Increasing identification and treatment engagement of underserved populations at risk of suicide should be prioritized. There is a pressing need to acknowledge and mitigate the social inequalities that impede provision of evidence-based treatment for those unjustly suffering the effects of systemic poverty and/or bias ( 95 , 132 ). Suicide is increasing in Black youth ( 133 , 134 ), and there are higher rates of suicide attempts among LGB people ( 135 ).…”

Section: Financing Suicide Preventionmentioning

confidence: 99%

Improving Suicide Prevention in Primary Care for Differing Levels of Behavioral Health Integration: A Review

et al. 2022

View full text Add to dashboard Cite

ImportanceSuicide prevention implementation in primary care is needed due to the increasing rate of suicide in the past few decades, particularly for young and marginalized people. Primary care is the most likely point of contact for suicidal patients in the healthcare system. Attention to the level of medical integration with behavioral health is vital to suicide prevention and is applied throughout this review.MethodsA narrative review was performed.ObservationsMany interventions help improve suicide prevention care. PCP education, screening, safety planning/lethal means reduction, care transitions, psychotherapy, and medication management are all evidence-based strategies. Additionally, the pragmatic topics of financing suicide prevention, supporting providers, enacting suicide postvention, and preparing for future directions in the field at each level of primary care/behavioral health integration are discussed.Conclusions and RelevanceThe findings are clinically relevant for practices interested in implementing evidence-based suicide prevention strategies by attending to the behavioral health/medical interface. Leveraging the patient/provider relationship to allow for optimal suicide prevention care requires clinics to structure provider time to allow for emotionally present care. Defining clear roles for staff and giving attention to provider well being are also critical factors to supporting primary care-based suicide prevention efforts.

show abstract

Racism and Poverty are Barriers to the Treatment of Youth Mental Health Concerns

Cited by 66 publications

References 100 publications

The Impact of the COVID-19 Pandemic on Adolescent Mental Health and Substance Use

The Impact of the COVID-19 Pandemic on Adolescent Mental Health and Substance Use

Role of neighbourhood social characteristics in children’s use of mental health services between ages 9 and 13 years: a population-based cohort study in the Netherlands

Improving Suicide Prevention in Primary Care for Differing Levels of Behavioral Health Integration: A Review

Contact Info

Product

Resources

About