Child Mental Health and Mental Health Service Use

目前的儿童精神卫生保健系统是 分散，协调不良，处于危机之中。当前知识 因此，制度势在必行。本项目的目的是研究 家庭，社会经济（SES），临床和保险相关的心理 美国儿童的健康状况和相关服务， 以提供跟踪系统随时间变化的基线。这 该项目的动机是对心理健康知之甚少， 儿童使用相关服务以及包括保险在内的关键因素 影响这些服务的使用，特别是基于 目前的国家调查。这也是因为， 儿童健康保险的筹资方法可能有 对获得和利用所需服务的重要影响 有心理健康问题的儿童。此外，人们对如何做到这一点知之甚少 儿童心理健康状况和心理健康服务的使用 家人为了开始解决这些差距，我提出了这个项目 在本申请中描述。该项目的具体目标是： - 描述美国儿童（< 21岁）人口的特征 在家庭、社会经济、 临床和保险覆盖因素。 - 估计使用情况和支出模式及支付来源 按年龄分列的总体保健和特定类别服务的保健， 诊断、保险覆盖群体和家庭特征。 - 评估儿童的心理健康状况对母亲的影响 就业

The current mental health care system for children is fragmented, poorly coordinated, and is in crisis. Current knowledge of the system is therefore imperative. The purpose of this project is to examine the family, socio-economic (SES), clinical, and insurance correlates of mental health conditions and related services for children in the United States and to provide a baseline for tracking changes in the system over time. This project is motivated by the fact that little is known about mental health- related service use for children and how key factors, including insurance characteristics influence the use of those services, especially based on current national surveys. It is also motivated by the fact that changes in financing methods for health insurance coverage for children may have important implications for access and utilization of needed services for children with mental health conditions. Furthermore, little is known about how child mental health conditions and mental health services use impacts the family. In order to begin to address these gaps, I propose the project described in this application. The specific aims of this project are: - Characterize the population of children (< 21 years) in the United States that have mental health conditions with respect to family, socio-economic, clinical, and insurance coverage factors. - Estimate utilization and expenditure patterns and sources of payment for overall health care and care within specific categories of services by age, diagnostic, insurance coverage groups, and family characteristics. - To assess the impact of a child's mental health condition on maternal employment.