Psychometric Evaluation of a Barriers to Mental Health Treatment Questionnaire for Latina/o/x Caregivers of Children and Adolescents
Open accessAbstract
Background Knowledge regarding barriers faced by Latina/o/x caregivers in accessing youth mental health services (MHS) have largely depended on resource intensive interview-based assessments.Objective We evaluated a questionnaire for Latina/o/x caregivers of youths that presents a briefer and more feasible alternative.Method We conducted a psychometric evaluation of the Barriers to Treatment Questionnaire - Latina/o/x Caregivers (BTQ-LC) with a sample of 598 Latina/o/x caregivers from across the United States. Descriptive statistics and confirmatory factor analyses were used to identify common barriers to services, confirm the factor structure of the scale, and establish construct validity.Results Descriptive statistics suggest that not knowing where and how to access services, and normalization of youth psychopathology were the most frequently reported barriers among caregivers of youth with clinically elevated problems on the CBCL. Confirmatory factor analysis suggests that the BTQ-LC was best represented by a three-factor structure: (1) structural, (2) perceptions regarding mental health problems, and (3) services. Our finding suggest that the BTQ-LC could also be used as a single factor as fit indices ranged from acceptable to poor. BTQ-LC scales were all negatively correlated with the utilization of common youth MHS (i.e., psychological counseling, medical doctors, school professionals).Conclusions The BTQ-LC represents an important step towards improving our understanding and assessment of barriers to services contributing to mental health disparities among Latina/o/x youths.
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Latinx caregivers often reported delaying or avoiding engaging in youth MHS due to perceptions that their child's problems were typical, despite reporting clinically elevated mental health problems.
“For example, findings from the Pathways to Latinx Mental Health Study found that Latinx caregivers often reported delaying or avoiding engaging in youth MHS due to perceptions that their child’s problems were typical, despite reporting clinically elevated mental health problems [13].”
From Dimensions of caregiver strain may partially mediate the relationship between youth symptomology and counseling utilization among Latinxs (2024) · cites this paper as [13]
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References 55 · Cited by 15
- Authors
- Vázquez, A. L., Culianos, D., Flores, C. M. N., Alvarez, M. D. L. C., Barrett, T. S., & Domenech Rodríguez, M. M.
- Affiliations
- Utah State University (US)
- Corresponding author
- Vázquez, Alejandro L.
- ORCID
- Venue
- Child & Youth Care Forum
- Published
- 2021-10-07
- Volume
- 51
- Issue
- 4
- Pages
- 847-864
- ISSN
- 1053-1890 (ISSN-L)
- 1573-3319
- PMC
- PMC8494628
- OpenAlex
- W3202727742
- Cited by
- 15
- References
- 55
- Citations by year
- 2026: 1 · 2025: 3 · 2024: 3 · 2023: 6 · 2022: 1 · 2021: 1
- FWCI
- 2.69
- Type
- journal article
- Language
- en
- Update notices
- correction (2022-01-28)
- Open access
- bronze
- doi.org
- Licence
- Locations
- Child & Youth Care Forum (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Digital Commons - USU (Utah State University) (submittedVersion)
- Topics
- Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
- Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
- Social Sciences › Sociology and Political Science › Racial and Ethnic Identity Research
- Keywords
- barriers to mental health care, child and adolescent mental health services, access to services, mental health disparities, scale development, factor structure, construct validity, service utilization, children and adolescents
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