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Rural Child/Adolescent Mental Health Service Use

农村儿童/青少年心理健康服务的使用

基本信息

批准号：
7265090
负责人：
CRAIG ANNE HEFLINGER
金额：
$ 26.2万
依托单位：
VANDERBILT UNIVERSITY
依托单位国家：
美国
项目类别：
财政年份：
2005
资助国家：
美国
起止时间：
2005-09-15 至 2009-06-30
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/7265090
关键词：
Address Adolescent Area Attention Behavior Disorders Characteristics Child Clinical Communities Community Services Country Data Data Analyses Data Collection Data Set Data Sources Diagnostic Disease Drug abuse Eligibility Determination Emotional Enrollment Family Fennel - dietary Funding Future Health Health Insurance Health Services Health Services Research Health Status Interview Knowledge Life Link Location Medicaid Mental Health Mental Health Services Methods Mississippi Modeling Outcome Pattern Phase Policies Population Problem behavior Provider Public Policy Purpose Research Research Personnel Research Project Grants Rural Rural Health Services Rural Population Services Source System Techniques Tennessee Testing Theoretical model Treatment outcome Work behavioral health experience help-seeking behavior insight medical specialties programs residence response rural area

项目摘要

In response to PA-04-061 (Research on Rural Mental Health and Drug Abuse Disorders), we propose to examine mental health service use and outcomes of Medicaid-enrolled children and adolescents with emotional and behavioral problems living in rural areas in Tennessee and Mississippi. This project has two primary aims. The first is to generate new knowledge on rural children's use of mental health services by: a) describing differences in predisposing, enabling, and need characteristics between rural and non-rural Medicaid-enrolled children; b) testing hypotheses about differences between rural and non-rural populations in access, service use patterns, and clinical outcomes. The second aim is to refine operational definitions of "rural residence" and theoretical models of service use and outcomes for future rural health services research. The project will use previously collected interview and administrative (i.e., eligibility and encounters/claims) Medicaid data. Such secondary analysis is an efficient method for examining the experiences of children and adolescents struggling with behavioral health problems in rural settings. Descriptive and hypothesis-testing analyses will address the following questions: 1.) What are the child, family, and community-level characteristics of Medicaid-enrolled rural children with special attention to emotional and behavioral disorders? 2.) What types of mental health services do Medicaid-enrolled rural children use, and what are their patterns of service use (including access)? 3.) What clinical outcomes of treatment do rural children experience? 4) What factors predict service use and clinical outcomes among rural children? For each question, we will also answer: How do these differ from non-rural children? Analyses to test service use and outcome differences will incorporate child, family, community, and service system factors as described in the theoretical model.

为响应PA-04-061(农村精神健康和药物滥用障碍研究)，我们建议调查田纳西州和密西西比州农村地区参加医疗补助的有情绪和行为问题的儿童和青少年的精神健康服务使用情况和结果。这个项目有两个主要目标。首先是通过以下方式产生关于农村儿童使用精神卫生服务的新知识：a)描述参加医疗补助的农村和非农村儿童在易感、使能和需求特征方面的差异；b)测试关于农村和非农村人口在获得服务、服务使用模式和临床结果方面差异的假设。第二个目标是为未来的农村卫生服务研究完善“农村居所”的可操作性定义以及服务使用和结果的理论模型。该项目将使用之前收集的面谈和管理(即资格和遭遇/申领)医疗补助数据。这种二次分析是检验农村地区与行为健康问题作斗争的儿童和青少年经历的一种有效方法。描述性分析和假设检验分析将处理以下问题：1)特别关注情绪和行为障碍的参加医疗补助的农村儿童的儿童、家庭和社区层面的特征是什么？参加医疗补助的农村儿童使用哪些类型的精神卫生服务，他们的服务使用模式(包括使用途径)是什么？农村儿童接受治疗的临床结果是什么？4)哪些因素可以预测农村儿童的服务使用和临床结果？对于每个问题，我们还会回答：这些孩子与非农村儿童有什么不同？测试服务使用和结果差异的分析将包括理论模型中描述的儿童、家庭、社区和服务系统因素。

项目成果

期刊论文数量（6）

专著数量（0）

科研奖励数量（0）

会议论文数量（0）

专利数量（0）

The Role of Quality Service Systems in Involving Families in Mental Health Treatment for Children with Severe Emotional Disturbances.

DOI：
10.1177/1063426611398876
发表时间：
2012-12
期刊：
Journal of emotional and behavioral disorders
影响因子：
1.9
作者：
Mayberry LS;Heflinger CA
通讯作者：
Heflinger CA

Community characteristics and implementation factors associated with effective systems of care.

与有效护理系统相关的社区特征和实施因素。

DOI：
10.1007/s11414-011-9244-0
发表时间：
2011
期刊：
The journal of behavioral health services & research
影响因子：
0
作者：
Lunn,LaurelM;Heflinger,CraigAnne;Wang,Wei;Greenbaum,PaulE;Kutash,Krista;Boothroyd,RogerA;Friedman,RobertM
通讯作者：
Friedman,RobertM

The stigma of childhood mental disorders: a conceptual framework.

儿童精神障碍的耻辱：概念框架。