Cited by 229Mental Health Treatment and AccessRacial and Ethnic Identity ResearchSubstance Abuse Treatment and Outcomes

Disparities in treatment for substance use disorders and co-occurring disorders for ethnic/racial minority youth

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Alegria, Margarita, Carson, Nicholas J., Goncalves, Marta, Keefe, Kristen·2011·Journal of the American Academy of Child & Adolescent Psychiatry

Abstract

Objective To review the literature on racial and ethnic disparities in behavioral health services and present recent data, focusing on services for substance use disorders (SUD) and comorbid mental health disorders for children and adolescents. Method A literature review was conducted of behavioral health services for minority youth. Papers were included if specific comparisons in receipt of SUD services for youth were made by race or ethnicity. The review was organized following the Sociocultural Framework. Results Compared to non-Latino Whites with SUD, Black adolescents with SUD report receiving less specialty and informal care, while Latinos with SUD report less informal services. Potential mechanisms of racial and ethnic disparities were identified in: federal and economic health care policies and regulations; the operation of the health care system and provider organization; provider level factors; the environmental context; the operation of the community system; and patient level factors. Significant disparities reductions could be achieved by adoption of certain state policies and regulations that increase eligibility in public insurance. There is also a need to study how the organization of treatment services might lead to service disparities, particularly problems in treatment completion. Institutional and family characteristics linked to better quality of care should be explored. Since treatments appear to work well independent of race/ethnicity, translational research to bring evidence based care in diverse communities can bolster their effectiveness. Conclusions Our review suggests promising venues to reduce ethnic and racial disparities in behavioral health services for ethnic and racial minority youth.

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  1. [5]Institute of Medicine Committee on Quality of Health Care in America: Crossing the Quality Chasm: A New Health System for the 21st Century Washington, D.C National Academy Press 2001
  2. [87]Resnicow K Soler R Braithwaite RL Ahluwalia JS Butler J Cultural sensitivity in substance use prevention Journal of Community Psychology 2000 28 3 271 290

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Authors
Alegria, M., Carson, N. J., Goncalves, M., & Keefe, K.
Affiliations
Cambridge Health Alliance (US)
Corresponding author
Alegria, Margarita
Venue
Journal of the American Academy of Child & Adolescent Psychiatry
Publisher
Elsevier BV
Published
2011-01
Volume
50
Issue
1
Pages
22-31
ISSN
0890-8567 (ISSN-L)
OpenAlex
W2021379135
Cited by
229
References
104
Citations by year
2026: 16 · 2025: 14 · 2024: 23 · 2023: 19 · 2022: 18 · 2021: 26 · 2020: 21 · 2019: 19 · 2018: 15 · 2017: 13 · 2016: 18 · 2015: 9 · 2014: 4 · 2013: 4 · 2012: 8
FWCI
0.56
Type
journal article
Language
en
Open access
Locations
  • Journal of the American Academy of Child & Adolescent Psychiatry (publishedVersion)
  • PubMed (publishedVersion)
  • Europe PMC (PubMed Central) (acceptedVersion)
  • PubMed Central (acceptedVersion)
  • University Libraries (University of Maryland) (submittedVersion)
  • Digital Repository at the University of Maryland (University of Maryland College Park)
Funders
  • National Institutes of Health (5p60md002261-05)
  • National Institute of Mental Health (P50MH073469)
  • National Institute on Minority Health and Health Disparities (P60-MD-002261)
Topics
  • Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
  • Social Sciences › Sociology and Political Science › Racial and Ethnic Identity Research
  • Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
Keywords
racial and ethnic disparities, substance use disorders, co-occurring mental health disorders, minority youth, adolescents, behavioral health services, Latino youth, Black youth, informal care, health policy, treatment completion, quality of care, sociocultural factors
MeSH terms
Adolescent, Mental Disorders, Child, Community Mental Health Services, Ethnicity, Family Characteristics, Health Services Needs and Demand, Humans, School Health Services, United States, Comorbidity, Cognitive Behavioral Therapy, Organizational Policy, Cultural Diversity, Substance-Related Disorders, Health Status Disparities, Evidence-Based Practice

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