Area-socioeconomic disparities in mental health service use among children involved in the child welfare system.

Abstract:

:Relying on data from a nationally representative sample of youth involved in the child welfare system (CWS) in 1999-2000 (the National Survey of Child and Adolescent Well-Being, Cohort 1) and 2008-2009 (Cohort 2), this study implemented a diverse set of disparity indicators to estimate area-socioeconomic disparities in mental health (MH) services use and changes in area-socioeconomic disparities between the two cohorts. Our study found that there are area-socioeconomic disparities in MH service use, indicating that the rates of MH service use among youth referred to the CWS differ by area-socioeconomic positions defined by county-level poverty rates. We also found that area-socioeconomic disparities increased over time. However, the magnitude of the increase varied widely across disparity measures, suggesting that there are different conclusions about the trend and magnitude of area-socioeconomic disparities, depending upon which disparity measures are implemented. A greater understanding of the methodological differences among disparity measures is warranted, which will in turn impact how interventions are designed to reduce socioeconomic disparities among children in the CWS.

journal_name

Child Abuse Negl

journal_title

Child abuse & neglect

authors

Kim M,Garcia AR,Yang S,Jung N

doi

10.1016/j.chiabu.2018.05.018

subject

Has Abstract

pub_date

2018-08-01 00:00:00

pages

59-71

eissn

0145-2134

issn

1873-7757

pii

S0145-2134(18)30215-1

journal_volume

82

pub_type

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