Mental Health Screening of African American Adolescents and Facilitated Access to Care

被引:12
作者
Husky, Mathilde M. [1 ,2 ]
Kanter, Deborah A. [3 ]
McGuire, Leslie [1 ,2 ]
Olfson, Mark [1 ,2 ]
机构
[1] Columbia Univ, Dept Child & Adolescent Psychiat, New York State Psychiat Inst, New York, NY 10019 USA
[2] Columbia Univ, TeenScreen Natl Ctr Mental Hlth Checkups, New York, NY 10019 USA
[3] York Univ, Dept Psychol, Fac Hlth, N York, ON M3J 1P3, Canada
关键词
Adolescence; African American youth; Mental health screening; Race/ethnicity; SERVICE USE; SUICIDE-PREVENTION; YOUTH SUICIDE; RISK; PREVALENCE; DISORDERS; ATTITUDES; SEEKING; URBAN;
D O I
10.1007/s10597-011-9413-x
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
This study retrospectively reviews de-identified records from school-based mental health screening in a predominantly African American community. We compare participation rates, screening results, referrals to services and access to care of white and African American adolescents. Among those offered screening, 20.1% of white students (n = 297), and 28.8% of African American students (n = 499) were screened (chi(2) = 32.47, df = 1, P < .001). African American students (45.1%) were significantly more likely than white students (33.0%), (AOR = 1.59; P = .003) to be identified as being at risk. In both racial groups, most youth accessed the school-based services (89.02%, 95% CI 82.25-95.79) and community services (86.57%, 95% CI 78.41-94.73) to which they were referred. The groups did not differ in the odds of accessing community-based services (AOR = .58; P = .49). African American students were, however, more likely than white students to access school-based services (AOR = 10.08; P = .022). The findings support the effectiveness of screening in school settings in predominantly African American communities.
引用
收藏
页码:71 / 78
页数:8
相关论文
共 30 条
[1]  
Alexandre Pierre K, 2010, J Health Care Finance, V36, P57
[2]   Psychiatric disorder, impairment, and service use in rural African American and white youth [J].
Angold, A ;
Erkanli, A ;
Farmer, EMZ ;
Fairbank, JA ;
Burns, BJ ;
Keeler, G ;
Costello, EJ .
ARCHIVES OF GENERAL PSYCHIATRY, 2002, 59 (10) :893-901
[3]  
[Anonymous], SCREEN TREATM MAJ DE
[4]   School-Based Suicide Prevention With African American Youth in an Urban Setting [J].
Brown, Melanie A. ;
Grumet, Julie Goldstein .
PROFESSIONAL PSYCHOLOGY-RESEARCH AND PRACTICE, 2009, 40 (02) :111-117
[5]   CHILDRENS MENTAL-HEALTH-SERVICE USE ACROSS SERVICE SECTORS [J].
BURNS, BJ ;
COSTELLO, EJ ;
ANGOLD, A ;
TWEED, D ;
STANGL, D ;
FARMER, EMZ ;
ERKANLI, A .
HEALTH AFFAIRS, 1995, 14 (03) :147-159
[6]   Factors Associated with Use of Mental Health Services for Depressed and/or Suicidal Youth Aged 15-24 [J].
Cheung, Amy ;
Dewa, Carolyn ;
Cairney, John ;
Veldhuizen, Scott ;
Schaffer, Ayal .
COMMUNITY MENTAL HEALTH JOURNAL, 2009, 45 (04) :300-306
[7]   What prevents adolescents from seeking help after a suicide education program? [J].
Cigularov, Konstantin ;
Chen, Peter Y. ;
Thurber, Beverly W. ;
Stallones, Lorann .
SUICIDE AND LIFE-THREATENING BEHAVIOR, 2008, 38 (01) :74-86
[8]   Racial and ethnic disparities in health care for adolescents - A systematic review of the literature [J].
Elster, A ;
Jarosik, J ;
VanGeest, J ;
Fleming, M .
ARCHIVES OF PEDIATRICS & ADOLESCENT MEDICINE, 2003, 157 (09) :867-874
[9]   Racial and ethnic differences in utilization of mental health services among high-risk youths [J].
Garland, AF ;
Lau, AS ;
Yeh, M ;
McCabe, KM ;
Hough, RL ;
Landsverk, JA .
AMERICAN JOURNAL OF PSYCHIATRY, 2005, 162 (07) :1336-1343
[10]  
Gould M. S., 2009, J AM ACAD ADOLESC PS, V48, P1