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Disparities in Youth and Family Experiences of System-of-Care Principles by Level of Youth Need

The extent to which mental health services for youths embody system-of-care (SOC) principles is an important quality indicator. This study tested whether youth and family experiences of SOC principles varied depending on youths’ level of need after adjusting for sociodemographic and treatment factor...

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Detalles Bibliográficos
Autores principales: Williams, Nathaniel J., Beauchemin, James, Griffis, Jennifer, Marcus, Steven C.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer US 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10119524/
https://www.ncbi.nlm.nih.gov/pubmed/37084106
http://dx.doi.org/10.1007/s10597-023-01126-w
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author Williams, Nathaniel J.
Beauchemin, James
Griffis, Jennifer
Marcus, Steven C.
author_facet Williams, Nathaniel J.
Beauchemin, James
Griffis, Jennifer
Marcus, Steven C.
author_sort Williams, Nathaniel J.
collection PubMed
description The extent to which mental health services for youths embody system-of-care (SOC) principles is an important quality indicator. This study tested whether youth and family experiences of SOC principles varied depending on youths’ level of need after adjusting for sociodemographic and treatment factors. The relationship to caregiver-reported clinical outcomes was also examined. Using administrative data and cross-sectional surveys from a stratified random sample of 1124 caregivers of youths ages 5–20 within a statewide system, adjusted analyses indicated caregivers of youths with the most intensive needs were significantly less likely to report receiving care that embodied SOC principles, with deficits on six of nine items. Youths whose services embodied SOC principles experienced significantly greater improvement in caregiver-reported functioning even after adjusting for level of need. Results highlight disparities in SOC principles for youths with intensive needs and the need for policy and intervention development to improve care for this population.
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spelling pubmed-101195242023-04-24 Disparities in Youth and Family Experiences of System-of-Care Principles by Level of Youth Need Williams, Nathaniel J. Beauchemin, James Griffis, Jennifer Marcus, Steven C. Community Ment Health J Original Paper The extent to which mental health services for youths embody system-of-care (SOC) principles is an important quality indicator. This study tested whether youth and family experiences of SOC principles varied depending on youths’ level of need after adjusting for sociodemographic and treatment factors. The relationship to caregiver-reported clinical outcomes was also examined. Using administrative data and cross-sectional surveys from a stratified random sample of 1124 caregivers of youths ages 5–20 within a statewide system, adjusted analyses indicated caregivers of youths with the most intensive needs were significantly less likely to report receiving care that embodied SOC principles, with deficits on six of nine items. Youths whose services embodied SOC principles experienced significantly greater improvement in caregiver-reported functioning even after adjusting for level of need. Results highlight disparities in SOC principles for youths with intensive needs and the need for policy and intervention development to improve care for this population. Springer US 2023-04-21 /pmc/articles/PMC10119524/ /pubmed/37084106 http://dx.doi.org/10.1007/s10597-023-01126-w Text en © The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature 2023, Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law. This article is made available via the PMC Open Access Subset for unrestricted research re-use and secondary analysis in any form or by any means with acknowledgement of the original source. These permissions are granted for the duration of the World Health Organization (WHO) declaration of COVID-19 as a global pandemic.
spellingShingle Original Paper
Williams, Nathaniel J.
Beauchemin, James
Griffis, Jennifer
Marcus, Steven C.
Disparities in Youth and Family Experiences of System-of-Care Principles by Level of Youth Need
title Disparities in Youth and Family Experiences of System-of-Care Principles by Level of Youth Need
title_full Disparities in Youth and Family Experiences of System-of-Care Principles by Level of Youth Need
title_fullStr Disparities in Youth and Family Experiences of System-of-Care Principles by Level of Youth Need
title_full_unstemmed Disparities in Youth and Family Experiences of System-of-Care Principles by Level of Youth Need
title_short Disparities in Youth and Family Experiences of System-of-Care Principles by Level of Youth Need
title_sort disparities in youth and family experiences of system-of-care principles by level of youth need
topic Original Paper
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10119524/
https://www.ncbi.nlm.nih.gov/pubmed/37084106
http://dx.doi.org/10.1007/s10597-023-01126-w
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