Patterns and Predictors of Mental Healthcare Utilization in Schools and Other Service Sectors Among Adolescents at Risk for Depression
Open accessAbstract
This study examined racial/ethnic and socioeconomic differences in service utilization across sectors (specialty mental health, school, primary care) for youth at risk of depression. Our sample included 362 adolescents who were enrolled in a larger project examining the effects of an indicated school-based depression prevention program. Service use across sectors mirrored national trends and previous research findings in which the education sector was most frequently utilized for mental health services. Race/ethnicity was significantly associated with parent-reported specialty mental health service utilization, even when controlling for other predictors of use. The study also suggests that racial disparities in service access generally appear to be reduced through the availability of education sector mental health services. Socioeconomic status was not associated with service use in any sector when controlling for other predictors. Parent-child agreement was moderate for report of specialty mental health service use and low for report of use of services within the education and primary care sectors.
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In the USA, the education sector is responsible for 50-80% of all mental healthcare.
“In the USA, studies consistently indicate that the education sector is the most heavily accessed youth mental health service setting, responsible for 50–80% of all mental healthcare [4, 41–45].”
From Leading the charge in the education sector: development and validation of the School Implementation Leadership Scale (SILS) (2022) · cites this paper as [43]
The Introduction says more youth receive mental health services in schools than in any other setting, and the Results say the education sector was the most highly utilized among adolescents showing signs of depression. Neither passage establishes that schools provide 50–80% of all mental healthcare; the study reports service utilization in a specific youth sample, not that share of care. (LLM, conf=0.86)
Experimental — accuracy not yet measuredIn the USA, the education sector is the most heavily accessed youth mental health service setting.
“In the USA, studies consistently indicate that the education sector is the most heavily accessed youth mental health service setting, responsible for 50–80% of all mental healthcare [4, 41–45].”
From Leading the charge in the education sector: development and validation of the School Implementation Leadership Scale (SILS) (2022) · cites this paper as [43]
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References 44 · Cited by 88
Research works printed but not linked: 34
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- Authors
- Lyon, A. R., Ludwig, K. A., Stoep, A. V., Gudmundsen, G., & McCauley, E.
- Affiliations
- University of Washington (US)
- Corresponding author
- Lyon, Aaron R.
- Venue
- School Mental Health
- Published
- 2012-11-28
- Volume
- 5
- Issue
- 3
- Pages
- 155-165
- ISSN
- 1866-2625 (ISSN-L)
- 1866-2633
- PMC
- PMC3818801
- OpenAlex
- W1985912385
- Cited by
- 88
- References
- 44
- Citations by year
- 2026: 4 · 2025: 6 · 2024: 6 · 2023: 7 · 2022: 9 · 2021: 5 · 2020: 12 · 2019: 11 · 2018: 11 · 2017: 4 · 2016: 4 · 2015: 3 · 2014: 4 · 2013: 2
- FWCI
- 4.34
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Licence
- www.springer.com/tdm (tdm)
- Locations
- School Mental Health (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute of Mental Health (F32MH086978, K08MH095939, R01MH061984)
- Topics
- Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
- Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
- Health Sciences › Health Professions › Speech and Hearing › School Health and Nursing Education
- Keywords
- adolescent depression, mental health service utilization, school-based mental health services, racial disparities, socioeconomic status, specialty mental health services, primary care mental health services, parent-child agreement
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