ERIC Number: EJ971166
Record Type: Journal
Publication Date: 2012-Jul
Pages: 9
Abstractor: As Provided
ISBN: N/A
ISSN: ISSN-0890-8567
EISSN: N/A
Available Date: N/A
Role of Referrals in Mental Health Service Disparities for Racial and Ethnic Minority Youth
Alegria, Margarita; Lin, Julia Y.; Green, Jennifer Greif; Sampson, Nancy A.; Gruber, Michael J.; Kessler, Ronald C.
Journal of the American Academy of Child & Adolescent Psychiatry, v51 n7 p703-711.e2 Jul 2012
Objective: To investigate racial/ethnic differences in teachers' and other adults' identification and/or encouragement of parents to seek treatment for psychiatric problems in their children and to evaluate if and whether identification/encouragement is associated with service use. Method: Data on identification/encouragement to seek treatment for externalizing disorders (i.e., attention-deficit/hyperactivity disorder, oppositional-defiant disorder, and/or conduct disorder) and internalizing disorders (i.e., major depressive episode/dysthymia and/or separation anxiety disorder) and services used were obtained for 6,112 adolescents (13-17 years of age) in the National Comorbidity Survey Adolescent Supplement. Racial/ethnic differences were examined for Latinos, non-Latino blacks, and non-Latino whites. Results: There were few racial/ethnic differences in rates of youth identification/encouragement and how identification/encouragement related to service use. Only non-Latino black youth with low severity internalizing disorders were less likely to be identified/encouraged to seek services compared with non-Latino white youth with the same characteristics (odds ratio [OR] = 0.4, 95% confidence interval [CI] = [0.2-0.7]). Identification/encouragement increased the likelihood of seeking services for externalizing and internalizing disorders for all youth. However, compared with their non-Latino white counterparts, non-Latino black youth who met criteria for internalizing disorders appeared less likely to have used any services (OR = 0.4, 95%, CI = 0.2-0.7), after adjusting for identification/encouragement, clinical, and sociodemographic characteristics. Non-Latino black youth with internalizing disorders and without identification/encouragement were less likely to use the specialty care sector than their non-Latino white counterparts. Conclusions: In this study of a nationally representative sample of adolescents, almost no ethnic/racial differences in identification/encouragement were found. However, identification/encouragement may increase service use for all youth. (Contains 6 tables.)
Descriptors: Attention Deficit Hyperactivity Disorder, Anxiety Disorders, Health Services, African American Children, Identification, Adolescents, Racial Differences, Depression (Psychology), Separation Anxiety, Investigations, Feedback (Response), Surveys, African Americans, Whites
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Publication Type: Journal Articles; Reports - Research
Education Level: N/A
Audience: N/A
Language: English
Sponsor: N/A
Authoring Institution: N/A
Grant or Contract Numbers: N/A
Author Affiliations: N/A