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The impact of early mental health services on the trajectory of externalizing behavioral problems in a sample of high-risk pre-adolescent children

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  • Thompson, Richard

Abstract

Although access to mental health services is frequently studied as an issue of health disparity, little is known about the long-term impact of such services on children. The current study examined the relationship between early mental health services (before the age of 4Â years old) on the trajectory of externalizing behavioral problems between ages 4 and 10Â years old in a sample of 245 low-income urban children. Early mental health services were associated with very high levels of externalizing behavioral problems at baseline (age 4) and with more rapid decline in such behavioral problems between ages 4 and 10. This effect held after controlling for child gender and caregiver use of psychological aggression. As currently administered, early mental health services appear to be associated with early problem behaviors and with improvement in these behaviors over time. Future research and policy efforts should focus on improving both access to mental health services and the quality and utility of these services for children.

Suggested Citation

  • Thompson, Richard, 2009. "The impact of early mental health services on the trajectory of externalizing behavioral problems in a sample of high-risk pre-adolescent children," Children and Youth Services Review, Elsevier, vol. 31(1), pages 16-22, January.
    • Handle: RePEc:eee:cysrev:v:31:y:2009:i:1:p:16-22
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    1. Angold, A. & Farmer, E.M.Z. & Costello, E.J. & Burns, B.J. & Stangl, D. & Messer, S.C., 1998. "Perceived parental burden and service use for child and adolescent psychiatric disorders," American Journal of Public Health, American Public Health Association, vol. 88(1), pages 75-80.
    2. 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.
    3. Vinnerljung, Bo & Sundell, Knut & Lofholm, Cecilia Andree & Humlesjo, Eva, 2006. "Former Stockholm child protection cases as young adults: Do outcomes differ between those that received services and those that did not?," Children and Youth Services Review, Elsevier, vol. 28(1), pages 59-77, January.
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    1. Tabone, Jiyoung Kim & Thompson, Richard & Wiley, Tisha R.A., 2010. "The impact of early mental health services on child behavioral outcomes: Comparisons between and within trajectory groups," Children and Youth Services Review, Elsevier, vol. 32(2), pages 292-297, February.
    2. Yampolskaya, Svetlana & Callejas, Linda M., 2020. "The effect of child mental health service use on child safety and permanency in substance misusing families," Children and Youth Services Review, Elsevier, vol. 111(C).

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