Utilization of Mental Health Services in Educational Setting by Adolescents in the United States
Utilization of Mental Health Services in Educational Setting by Adolescents in the United States
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DOI：
10.1111/josh.12753
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发表时间：
2019-05-01
影响因子：
2.2
通讯作者：
Dubenitz, Joel
中科院分区：
文献类型：
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作者：
Ali, Mir M.;West, Kristina;Dubenitz, Joel
背景：学校作为青少年心理健康服务的提供者发挥着重要作用；然而，由于缺乏国家一级的数据，关于在教育和其他环境中利用精神卫生服务的更广泛情况的信息有限。方法基于2012-2015年全国药物使用与健康调查数据，采用多项logistic回归模型，探讨在教育机构和其他机构接受心理健康治疗的青少年的特征。此外，该研究还调查了在各种治疗环境中寻求服务的原因。结果分析发现，虽然大多数获得精神卫生服务的青少年在非教育环境中接受护理，但略多于三分之一的青少年只在教育环境中接受服务。拥有公共保险、来自低收入家庭和少数种族/族裔群体的青少年更有可能只在教育环境中获得服务。在教育环境中获得服务的常见原因包括与学校、朋友和家庭成员的问题。结论：尽管在过去十年中，门诊治疗的可及性有所增加，但学校在为弱势群体提供心理卫生服务方面发挥了重要作用。
BACKGROUND Schools play an important role as providers of mental health services for adolescents; however, information on the broader picture of utilization of mental health services in educational versus other settings is limited because of the lack of national-level data. METHODS Using multinomial logistic regression models based on national-level data from the 2012-2015 National Survey on Drug Use and Health, we explore the characteristics of adolescents who received mental health treatment in educational and other settings. In addition, the study examines the reasons for seeking services in various treatment settings. RESULTS The analysis finds that while the majority of adolescents who access mental health services receive care at noneducational settings, slightly more than one-third of them received services only in an educational setting. Adolescents who had public insurance, were from low-income households, and were from racial/ethnic minority groups were more likely to access services in an educational setting only. Common reasons for accessing services in educational settings included problems with schools, friends, and family members. CONCLUSIONS Despite increased access to treatment in outpatient settings in the last decade, schools play an important role in providing access to mental health services for disadvantaged populations.