Inner-city child mental health service use: The real question is why youth and families do not use services
Inner-city child mental health service use: The real question is why youth and families do not use services
复制标题
DOI：
10.1023/b:comh.0000022732.80714.8b
复制
发表时间：
2004-04-01
影响因子：
2.7
通讯作者：
Bannon, WM
中科院分区：
文献类型：
--
作者：
Harrison, ME;McKay, MM;Bannon, WM
目的：本研究探讨了城市儿童心理卫生保健的途径，并探讨了不接受护理的原因。方法：采用单组纵向设计研究门诊儿童心理健康诊所的初次出勤率，并确定与城市儿童及其家庭初次服务使用相关的因素。结果：大约三分之一的家庭（n = 82）没有跟进护理，尽管他们的孩子被转诊和初步预约。然而，四分之三没有参加第一次会议的人在接受采访时仍然希望得到服务。与服务使用最显著相关的因素是社会支持和父母技能效能。成人照顾者和提供者之间的沟通不畅是不出席的最常见原因。结论：有显著的未满足的护理需求，并确定了显著的获得障碍。实证研究结果可作为修改城市儿童心理卫生服务提供系统的基础。
Objective: This study examines pathways to urban child mental health care as well as explores reasons why care was not received. Methods: A single group longitudinal design was used to study initial attendance rates at an outpatient child mental health clinic and identify factors associated with initial service use for urban children and their families. Results: Approximately one-third of families (n = 82) do not follow up with care despite their child being referred and an initial appointment scheduled. Yet, three-quarters of those who did not attend a first session still wanted services when interviewed. Factors most significantly related to service use were social support and parental skill efficacy. Miscommunication between adult caregiver and provider was the most often cited reason for non-attendance. Conclusions: There is a significant unmet need for care along with identification of significant barriers to access. Empirical findings can serve as the basis for modifying urban child mental health service delivery systems.