Falling through the cracks: Gaps and barriers in the mental health system for America's disadvantaged children
Falling through the cracks: Gaps and barriers in the mental health system for America's disadvantaged children
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DOI：
10.1016/j.childyouth.2010.04.021
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发表时间：
2010-10-01
影响因子：
3.3
通讯作者：
Gershoff, Elizabeth T.
中科院分区：
文献类型：
--
作者：
Bringewatt, Elizabeth H.;Gershoff, Elizabeth T.
向儿童提供心理健康服务的系统是分散和复杂的，儿童及其家庭在获得护理方面面临多重障碍。对于低收入家庭的儿童来说尤其如此，他们的心理健康障碍率最高，但服务利用不足率最高。本文的第一部分描述了儿童心理健康服务的未满足的需求，包括低收入儿童不成比例的需求的原因。第二部分简要概述了儿童心理健康政策的历史。第三部分概述了儿童可获得的服务类型，着重指出了这一服务提供系统存在的问题。随后讨论了家庭在获得护理方面面临的障碍。本文件最后提出了改进这种分散的服务提供系统的建议。(C)2010爱思唯尔有限公司保留所有权利。
The system for providing mental health services to children is fragmented and complex, and children and their families face multiple barriers to accessing care. This is especially true for children in low-income families, who have the greatest rate of mental health disorders but have the highest underutilization of services. The first section of this paper describes the unmet need for children's mental health services, including reasons for the disproportionate need among low-income children. The second section provides a brief overview of the history of children's mental health policies. The third section outlines the types of services available to children, highlighting the problems with this service delivery system. This is followed by a discussion of barriers that families face in accessing care. The paper concludes with recommendations for improving this fragmented system of service delivery. (C) 2010 Elsevier Ltd. All rights reserved.