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Ethnic Differences in Children’s Entry into Public Mental Health Care via Emergency Mental Health Services

For children and youth making a mental health crisis visit, we investigated ethnic disparities in whether the children and youth were currently in treatment or whether this crisis visit was an entry or reentry point into mental health treatment. We gathered Medicaid claims for mental health services...

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Detalles Bibliográficos
Autores principales: Snowden, Lonnie R., Masland, Mary C., Fawley, Kya, Wallace, Neal
Formato: Texto
Lenguaje:English
Publicado: Springer US 2009
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2734252/
https://www.ncbi.nlm.nih.gov/pubmed/19730741
http://dx.doi.org/10.1007/s10826-008-9253-7
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author Snowden, Lonnie R.
Masland, Mary C.
Fawley, Kya
Wallace, Neal
author_facet Snowden, Lonnie R.
Masland, Mary C.
Fawley, Kya
Wallace, Neal
author_sort Snowden, Lonnie R.
collection PubMed
description For children and youth making a mental health crisis visit, we investigated ethnic disparities in whether the children and youth were currently in treatment or whether this crisis visit was an entry or reentry point into mental health treatment. We gathered Medicaid claims for mental health services provided to 20,110 public-sector clients ages 17 and younger and divided them into foster care and non-foster care subsamples. We then employed logistic regression to analyze our data with sociodemographic and clinical controls. Among children and youth who were not placed in foster care, African Americans, Latinos, and Asian Americans were significantly less likely than Caucasians to have received mental health care during the three months preceding a crisis visit. Disparities among children and youth in foster care were not statistically significant. Ethnic minority children and youth were more likely than Caucasians to use emergency care as an entry or reentry point into the mental health treatment, thereby exhibiting a crisis-oriented pattern of care.
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spelling pubmed-27342522009-09-02 Ethnic Differences in Children’s Entry into Public Mental Health Care via Emergency Mental Health Services Snowden, Lonnie R. Masland, Mary C. Fawley, Kya Wallace, Neal J Child Fam Stud Original Paper For children and youth making a mental health crisis visit, we investigated ethnic disparities in whether the children and youth were currently in treatment or whether this crisis visit was an entry or reentry point into mental health treatment. We gathered Medicaid claims for mental health services provided to 20,110 public-sector clients ages 17 and younger and divided them into foster care and non-foster care subsamples. We then employed logistic regression to analyze our data with sociodemographic and clinical controls. Among children and youth who were not placed in foster care, African Americans, Latinos, and Asian Americans were significantly less likely than Caucasians to have received mental health care during the three months preceding a crisis visit. Disparities among children and youth in foster care were not statistically significant. Ethnic minority children and youth were more likely than Caucasians to use emergency care as an entry or reentry point into the mental health treatment, thereby exhibiting a crisis-oriented pattern of care. Springer US 2009-02-05 2009-10 /pmc/articles/PMC2734252/ /pubmed/19730741 http://dx.doi.org/10.1007/s10826-008-9253-7 Text en © The Author(s) 2009
spellingShingle Original Paper
Snowden, Lonnie R.
Masland, Mary C.
Fawley, Kya
Wallace, Neal
Ethnic Differences in Children’s Entry into Public Mental Health Care via Emergency Mental Health Services
title Ethnic Differences in Children’s Entry into Public Mental Health Care via Emergency Mental Health Services
title_full Ethnic Differences in Children’s Entry into Public Mental Health Care via Emergency Mental Health Services
title_fullStr Ethnic Differences in Children’s Entry into Public Mental Health Care via Emergency Mental Health Services
title_full_unstemmed Ethnic Differences in Children’s Entry into Public Mental Health Care via Emergency Mental Health Services
title_short Ethnic Differences in Children’s Entry into Public Mental Health Care via Emergency Mental Health Services
title_sort ethnic differences in children’s entry into public mental health care via emergency mental health services
topic Original Paper
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2734252/
https://www.ncbi.nlm.nih.gov/pubmed/19730741
http://dx.doi.org/10.1007/s10826-008-9253-7
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