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Demographic factors in the use of children's mental health services

Author

Listed:
  • Cohen, P.
  • Hesselbart, C.S.

Abstract

Objectives. This study was designed to (1) determine mental health service use by children of varying age, sex, socioeconomic status, and urbanicity of residence; (2) compare the prevalence of mental disorder in children in these groups; and (3) determine the extent to which differences in service use are consonant with the prevalence differences. Methods. Data on psychiatric diagnoses and service use were taken from a random longitudinal sample of 760 children. Information was gathered by interviews of mothers and of youth aged 12 to 21. Results. Significant lags in mental health service use were found for youth 18 to 21 years of age, for those living in rural and semirural areas, and for those in middle-income families. To some extent, these service use differences paralleled differences in diagnostic rates. However, when diagnostic differences were controlled, the same patterns of service use inequalities were present. Conclusions. Mental health service use rates for youth vary by age, urbanicity, and family income. The underservice of middle- income and rural children may reasonably be ascribed to access problems; we explore explanations for the underservice of older youth.

Suggested Citation

  • Cohen, P. & Hesselbart, C.S., 1993. "Demographic factors in the use of children's mental health services," American Journal of Public Health, American Public Health Association, vol. 83(1), pages 49-52.
    • Handle: RePEc:aph:ajpbhl:1993:83:1:49-52_2
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    Cited by:

    1. Tsai, Mei-Hsiang & Ray, Dee C., 2011. "Children in therapy: Learning from evaluation of university-based community counseling clinical services," Children and Youth Services Review, Elsevier, vol. 33(6), pages 901-909, June.
    2. Frederick Zimmerman, 2006. "Agreeing on more than chicken soup: Intra-household decision-making and treatment for child psychopathology," Review of Economics of the Household, Springer, vol. 4(3), pages 229-252, September.
    3. Siobhan M. Ryan & John W. Toumbourou & Anthony F. Jorm, 2014. "Factors Associated With Service Use for Young Adolescents With Mental Health Problems," SAGE Open, , vol. 4(4), pages 21582440145, November.
    4. Kaiser, Till & Li, Jianghong & Pollmann-Schult, Matthias, 2019. "The reproduction of educational inequalities – do parenting and child behavioural problems matter?," EconStor Open Access Articles and Book Chapters, ZBW - Leibniz Information Centre for Economics, vol. 62(4), pages 420-439.
    5. Garland, Ann F. & Besinger, Bridgett A., 1997. "Racial/Ethnic Differences in Court Referred Pathways to Mental Health Services for Children in Foster Care," Children and Youth Services Review, Elsevier, vol. 19(8), pages 651-666, December.
    6. Thompson, Richard, 2005. "The course and correlates of mental health care received by young children: Descriptive data from a longitudinal urban high-risk sample," Children and Youth Services Review, Elsevier, vol. 27(1), pages 39-50, January.

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