TY - JOUR
T1 - Mental health service use among young children receiving pediatric primary care
AU - Lavigne, John V.
AU - Arend, Richard
AU - Rosenbaum, Diane
AU - Binns, Helen J.
AU - Christoffel, Katherine Kaufer
AU - Burns, B. S Andrew
AU - Smith, B. S Andrew
PY - 1998/11
Y1 - 1998/11
N2 - Objective: To investigate the factors associated with mental health service use among young children. Method: Five hundred ten preschool children aged 2 through 5 years were enrolled through 68 primary care physicians, with 388 (76% of the original sample) participating in a second wave of data collection, 12 to 40 months later. Consensus DSM-III-R diagnoses were assigned using best-estimate procedures. The test battery included the Child Behavior Checklist, a developmental evaluation, the Rochester Adaptive Behavior Inventory, and a videotaped play session (preschool children) or structured interviews (older children). At wave 2, mothers completed a survey of mental health services their child had received. Results: In logistic regression models, older children, children with a wave 1 DSM-III-R- diagnosis, children with more total behavior problems and family conflict, and children receiving a pediatric referral were more likely to receive mental health services. Among children with a DSM-III-R diagnosis, more mental health services were received by children who were older, white, more impaired, experiencing more family conflict, and referred by a pediatrician. Conclusions: Young children with more impairment and family conflict are more likely to enter into treatment. Services among young children of different races with diagnoses are not equally distributed. Pediatric referral is an important predictor of service use.
AB - Objective: To investigate the factors associated with mental health service use among young children. Method: Five hundred ten preschool children aged 2 through 5 years were enrolled through 68 primary care physicians, with 388 (76% of the original sample) participating in a second wave of data collection, 12 to 40 months later. Consensus DSM-III-R diagnoses were assigned using best-estimate procedures. The test battery included the Child Behavior Checklist, a developmental evaluation, the Rochester Adaptive Behavior Inventory, and a videotaped play session (preschool children) or structured interviews (older children). At wave 2, mothers completed a survey of mental health services their child had received. Results: In logistic regression models, older children, children with a wave 1 DSM-III-R- diagnosis, children with more total behavior problems and family conflict, and children receiving a pediatric referral were more likely to receive mental health services. Among children with a DSM-III-R diagnosis, more mental health services were received by children who were older, white, more impaired, experiencing more family conflict, and referred by a pediatrician. Conclusions: Young children with more impairment and family conflict are more likely to enter into treatment. Services among young children of different races with diagnoses are not equally distributed. Pediatric referral is an important predictor of service use.
KW - Mental health service use
KW - Preschool children
KW - Psychopathology
KW - Young children
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U2 - 10.1097/00004583-199811000-00017
DO - 10.1097/00004583-199811000-00017
M3 - Article
C2 - 9808929
AN - SCOPUS:0031768250
SN - 0890-8567
VL - 37
SP - 1175
EP - 1183
JO - Journal of the American Academy of Child and Adolescent Psychiatry
JF - Journal of the American Academy of Child and Adolescent Psychiatry
IS - 11
ER -