Mental health need and access to mental health services by youths involved with child welfare: A national survey
Mental health need and access to mental health services by youths involved with child welfare: A national survey
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DOI：
10.1097/01.chi.0000127590.95585.65
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发表时间：
2004-08-01
影响因子：
13.3
通讯作者：
Landsverk, J
中科院分区：
文献类型：
--
作者：
Burns, BJ;Phillips, SD;Landsverk, J
目的：本研究评估了一个具有全国代表性的样本中的儿童谁是调查报告maltreatment.Method的儿童福利机构的儿童的心理健康服务的需要和使用之间的关系：数据收集在研究进入全国儿童和青少年幸福感调查，并加权提供人口估计。在完成儿童福利调查的2至14岁青少年（N = 3，803）中，近一半（47.9%）有临床显著的情绪或行为问题。有心理健康需求的青少年（由儿童行为清单上的临床范围评分定义）比评分较低的青少年更有可能接受心理健康服务;尽管如此，只有四分之一的此类青少年在过去12个月内接受过任何专业的心理健康护理，临床需求与所有年龄组接受心理健康护理相关（优势比= 2.7-3.5）。此外，对于幼儿（2-5岁），性虐待（相对于忽视）增加了获得心理健康服务的机会。对于潜伏期的年轻人来说，非洲裔美国人的种族和住在家里大大降低了照顾的可能性。生活在家里的青少年也不太可能接受服务，而有严重的精神疾病的父母增加（优势比= 2.4）的可能性的服务use.Conclusions：常规筛查心理健康的需要，并增加获得心理健康专业人员进行进一步的评估和治疗应该是一个优先事项的儿童早期接触儿童福利系统。
Objective: This study assessed the relationship between the need for and use of mental health services among a nationally representative sample of children who were investigated by child welfare agencies after reported maltreatment.Method: Data were collected at study entry into the National Survey of Child and Adolescent Well-Being and were weighted to provide population estimates.Results: Nearly half (47.9%) of the youths aged 2 to 14 years (N = 3,803) with completed child welfare investigations had clinically significant emotional or behavioral problems. Youths with mental health need (defined by a clinical range score on the Child Behavior Checklist) were much more likely to receive mental health services than lower scoring youth; still, only one fourth of such youths received any specialty mental health care during the previous 12 months, Clinical need was related to receipt of mental health care across all age groups (odds ratio = 2.7-3.5). In addition, for young children (2-5 years), sexual abuse (versus neglect) increased access to mental health services. For latency-age youths, African-American race and living at home significantly reduced the likelihood of care. Adolescents living at home were also less likely to receive services, whereas having a parent with severe mental illness increased (odds ratio = 2.4) the likelihood of service use.Conclusions: Routine screening for mental health need and increasing access to mental health professionals for further evaluation and treatment should be a priority for children early in their contact with the child welfare system.