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Factors associated with mental health, general health, and school-based service use for child psychopathology

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  • Zahner, G.E.P.
  • Daskalakis, C.

Abstract

Objectives. This study was designed to identify factors associated with service use for child psychopathology in three settings: mental health, general health, and school. Methods. Subjects were 2519 children, 6 to 11 years of age, assessed in two cross-sectional Connecticut surveys in the late 1980s. Three groups of variables (sociodemographics, child's illness profile, and parental attitudes) were examined through multivariate logistic regression. Results. Most sociodemographics showed moderate associations with all settings, although some previously reported effects (e.g., birth order, sibship size) were not observed. Of the illness profile measures, only Child Behavior Checklist total scores predicted use in the final model (odds ratio [OR] = 1.6, 95% confidence interval [CI] = 1.1, 2.3). Health problems were associated with increased use in all settings (OR = 1.5. 95% CI = 1.3, 1.9), while academic problems were associated only with increased school service use (OR = 5.2, 95% CI = 3.9, 7.0). Parental belief that the child needed help was most strongly associated with service use (common OR for all settings = 5.3, 95% CI = 4.1, 6.8). Conclusions. Sociodemographics, parental attitudes, and children's illness profiles independently influence service use for psychopathology in school-aged children.

Suggested Citation

  • Zahner, G.E.P. & Daskalakis, C., 1997. "Factors associated with mental health, general health, and school-based service use for child psychopathology," American Journal of Public Health, American Public Health Association, vol. 87(9), pages 1440-1448.
    • Handle: RePEc:aph:ajpbhl:1997:87:9:1440-1448_1
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    Cited by:

    1. Nicholas J. Horton & Garrett M. Fitzmaurice, 2002. "Maximum likelihood estimation of bivariate logistic models for incomplete responses with indicators of ignorable and non‐ignorable missingness," Journal of the Royal Statistical Society Series C, Royal Statistical Society, vol. 51(3), pages 281-295, July.
    2. Williams, Crystal D. & Lindsey, Michael & Joe, Sean, 2011. "Parent–adolescent concordance on perceived need for mental health services and its impact on service use," Children and Youth Services Review, Elsevier, vol. 33(11), pages 2253-2260.
    3. Finkel, Elyssa, 2011. "Parental Income, Education and the Diagnosis of ADHD in Children and Adolescents: The case for Germany," MEA discussion paper series 11242, Munich Center for the Economics of Aging (MEA) at the Max Planck Institute for Social Law and Social Policy.
    4. 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.
    5. Katerina Paclikova & Zuzana Dankulincova Veselska & Andrea Madarasova Geckova & Jitse P. van Dijk & Sijmen A. Reijneveld, 2020. "Adolescent Enrollment in Psychosocial Care: Do Parents Make a Difference?," IJERPH, MDPI, vol. 17(19), pages 1-10, September.
    6. Mennen, Ferol E. & Trickett, Penelope K., 2007. "Mental health needs of urban children," Children and Youth Services Review, Elsevier, vol. 29(9), pages 1220-1234, September.
    7. 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.
    8. Rajendran, Khushmand & Chemtob, Claude M., 2010. "Factors associated with service use among immigrants in the child welfare system," Evaluation and Program Planning, Elsevier, vol. 33(3), pages 317-323, August.
    9. Kim, Minseop & Garcia, Antonio R. & Jung, Nahri & Barnhart, Sheila, 2020. "Rates and predictors of mental health service use among dual system youth," Children and Youth Services Review, Elsevier, vol. 114(C).
    10. 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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