The DOI matches its Crossref record; 36 of the 38 references it cites were found in a registry or an index.
Outpatient mental health services for children in foster care: a national perspective
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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“In contrast, some specific characteristics of the Norwegian child welfare legislation and policies might inadvertently contribute to this high prevalence [3].”
From Mental disorders in foster children: a study of prevalence, comorbidity and risk factors (2013) · cites this paper as [3]
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Metadata
- 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
- Venue
- Child Abuse & Neglect
- Publisher
- Elsevier BV
- Published
- 2004-06
- Volume
- 28
- Issue
- 6
- Pages
- 697-712
- ISSN
- 0145-2134 (ISSN-L)
- 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
- Locations
- Child Abuse & Neglect (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institute of Mental Health (MH 59672, R01MH059672, K08MH064816)
- Topics
- Social Sciences › Sociology and Political Science › Child Welfare and Adoption
- Health Sciences › Medicine › Psychiatry and Mental health › 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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