Outpatient mental health services for children in foster care: a national perspective
Outpatient mental health services for children in foster care: a national perspective
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DOI：
10.1016/j.chiabu.2004.01.004
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发表时间：
2004-06-01
影响因子：
4.8
通讯作者：
Slymen, DJ
中科院分区：
文献类型：
--
作者：
Leslie, LK;Hurlburt, MS;Slymen, DJ
目的：确定影响使用心理健康专业人员（OMHS）为寄养儿童提供的门诊心理健康服务的因素，使用美国国家概率样本。作为全国儿童和青少年福祉调查的一部分，收集了462名2-15岁儿童的详细调查数据，在抽样时已接受大约12个月的家庭外护理。使用多变量逻辑回归模型来确定临床需求（通过Achenbach儿童行为检查表（CBCL）上的总体问题、外部化或内部化量表T评分为64或更高来衡量）以及非临床因素如何影响OSMHS的使用。结果：样本中超过一半的儿童接受了至少一次OMHS。需要，年龄较大，和性虐待史的历史都积极预测OMHS。身体忽视的历史负面预测OSMHS。在CBCL的所有值中，非洲裔美国人使用的服务少于高加索血统的儿童。这一发现是特别突出的CBCL分数在较低的水平，在较高的水平，在使用服务的差异减少，但接受服务的儿童的比例仍然较低的非裔children.Conclusions：这项全国性的研究证实了以前的研究结果关于使用心理健康服务的基础上区域数据。非临床因素，特别是年龄、种族/族裔和虐待类型对服务使用的限制需要加以审查，以解决可能导致服务分配不公平的隐性和显性政策和做法。(C)2004爱思唯尔有限公司保留所有权利。
Objective: To determine factors influencing the use of outpatient mental health services provided by mental health professionals (OMHS) for children in foster care using a national probability sample in the United States.Method: As part of the National Survey of Child and Adolescent Well-being, detailed survey data were collected on 462 children, ages 2-15, who had been in out-of-home care for approximately 12 months at the time of sampling. A multivariate logistic regression model was used to determine how clinical need, as measured by a Total Problem, Externalizing, or Internalizing Scale T-score of 64 or greater on the Achenbach Child Behavior Checklist (CBCL), and non-clinical factors affected OSMHS use.Results: Over half of the children in the sample received at least one OMHS. Need, older age, and history of sexual abuse history all positively predicted OMHS. A history of physical neglect negatively predicted OSMHS. African-Americans used fewer services than children of Caucasian ancestry at all values on the CBCL. This finding was particularly salient at lower levels of CBCL scores; at higher levels, the discrepancy in the use of services diminished but the proportion of children receiving services remained lower for African-American children.Conclusions: This national study confirms previous findings regarding the use of mental health services based on regional data. Limitations in the use of services imposed by non-clinical factors, specifically, age, race/ethnicity and type of abuse, need to be examined in order to address implicit and explicit policies and practices that may result in inequitable distribution of services. (C) 2004 Elsevier Ltd. All rights reserved.