Disparities Among Children Served by the CMHS Children's Services Program

描述（由申请人提供）：本申请由约翰霍普金斯大学和ORC Macro提交，以响应PA-04-019，该申请鼓励关注心理健康服务中心（CMHS）儿童及其家庭综合社区心理健康服务计划。自1993年以来，该计划已拨款予121间受助机构，发展服务系统，为有严重情绪困扰的儿童及其家人提供全面的精神健康及其他支援服务。我们建议分析约69，000名接受服务的青年和28，000名参加研究监测部分的青年的数据，以调查进入该计划的青年的种族/民族，性别和年龄差异以及所接受的服务和结果的差异。该项目有三个目标。目标1。描述自1993年以来启动的所有121个服务项目（以及研究期间增加的任何项目）的基线青年特征，并确定这段时间内这些基线特征的趋势。目标二。调查参加该计划的青少年在基线和治疗结果方面的潜在差异。目标3。确定治疗轨迹的决定因素，以及治疗结果随时间变化的差异的决定因素。我们假设，青年服务的特点将随着时间的推移而变化，随着时间的推移，结果的差异将变得越来越小。这项研究将确定我们目前服务的差距，以及差距在多大程度上仍然是一个挑战，即使在我们国家的示范计划。

DESCRIPTION (provided by applicant): This application is submitted by the Johns Hopkins University and ORC Macro in response to PA-04-019, which encourages applications focusing on the Center for Mental Health Services' (CMHS) Comprehensive Community Mental Health Services for Children and Their Families Program. Since 1993, CMHS has provided funding to 121 grantees to develop service systems to provide a comprehensive spectrum of mental health and other support services to children with serious emotional disturbance (SED) and their families. We are proposing to analyze data available from approximately 69,000 youth served and 28,000 youth enrolled in the monitoring component of the study in order to investigate racial/ethnic, gender, and age differences in the characteristics of youth entering the program and disparities in the services received and outcomes. The project has three aims. Aim 1. Describe characteristics of youth at baseline for all 121 Service Programs initiated since 1993 (and any added during the study period) and identify trends in these baseline characteristics across this time period. Aim 2. Investigate the potential disparities at baseline and in treatment outcomes for youth enrolled in the program. Aim 3. Identify the determinants of treatment trajectories and also the determinants of disparities in treatment outcomes over time. We hypothesize that the characteristics of youth served will vary over time and that disparities in outcomes will become less over time. This research will identify gaps in our current services and the extent to which disparities remain a challenge, even in our nation's model program.