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Cited by 201Child Welfare and AdoptionMental Health Treatment and AccessChild and Adolescent Psychosocial and Emotional Development

Outpatient mental health services for children in foster care: a national perspective

Leslie, Laurel K, Hurlburt, Michael S, Landsverk, John, Barth, Richard, Slymen, Donald J·2004·Child Abuse & Neglect
DOI 10.1016/j.chiabu.2004.01.004
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Abstract

Objective To determine factors influencing the use of outpatient mental health services provided by mental health professionals (OMHS) for children in foster care using a national probability sample in the United States.Method As part of the National Survey of Child and Adolescent Well-being, detailed survey data were collected on 462 children, ages 2-15, who had been in out-of-home care for approximately 12 months at the time of sampling. A multivariate logistic regression model was used to determine how clinical need, as measured by a Total Problem, Externalizing, or Internalizing Scale T-score of 64 or greater on the Achenbach Child Behavior Checklist (CBCL), and non-clinical factors affected OSMHS use.Results Over half of the children in the sample received at least one OMHS. Need, older age, and history of sexual abuse history all positively predicted OMHS. A history of physical neglect negatively predicted OSMHS. African-Americans used fewer services than children of Caucasian ancestry at all values on the CBCL. This finding was particularly salient at lower levels of CBCL scores; at higher levels, the discrepancy in the use of services diminished but the proportion of children receiving services remained lower for African-American children.Conclusions This national study confirms previous findings regarding the use of mental health services based on regional data. Limitations in the use of services imposed by non-clinical factors, specifically, age, race/ethnicity and type of abuse, need to be examined in order to address implicit and explicit policies and practices that may result in inequitable distribution of services.

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Authors
Leslie, L. K., Hurlburt, M. S., Landsverk, J., Barth, R., & Slymen, D. J.
Affiliations
  • San Diego State University (US)
  • University of California San Diego (US)
  • University of North Carolina at Chapel Hill (US)
Corresponding author
Leslie, Laurel K
ORCID
Venue
Child Abuse & Neglect
Publisher
Elsevier BV
Published
2004-06
Volume
28
Issue
6
Pages
697-712
ISSN
0145-2134 (ISSN-L)
DOI
10.1016/j.chiabu.2004.01.004
OpenAlex
W2084202215
Cited by
201
References
38
Citations by year
2026: 4 · 2024: 2 · 2023: 6 · 2022: 9 · 2021: 4 · 2020: 3 · 2019: 9 · 2018: 10 · 2017: 15 · 2016: 12 · 2015: 10 · 2014: 10 · 2013: 16 · 2012: 13
FWCI
19.46
Type
journal article
Language
en
Open access
closed
Licence
www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations
  • Child Abuse & Neglect (publishedVersion)
  • PubMed (publishedVersion)
Funders
National Institute of Mental Health (MH 59672, R01MH059672, K08MH064816)
Topics
  • Social Sciences › Safety Research › Child Welfare and Adoption
  • Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
  • Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
Keywords
outpatient mental health services, foster children, out-of-home care, service utilization, child mental health, Child Behavior Checklist, history of child abuse, physical neglect, sexual abuse, racial and ethnic disparities, African American children, National Survey of Child and Adolescent Well-Being, child welfare policy, child and adolescent well-being, child and adolescent mental health services
MeSH terms
Adolescent, Mental Disorders, Black or African American, Child, Child Health Services, Child, Preschool, Community Mental Health Services, Female, Foster Home Care, Humans, Infant, Male, Mental Health, Outpatients, Risk Factors, United States, Health Care Surveys, White People

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