Disparities in treatment for substance use disorders and co-occurring disorders for ethnic/racial minority youth
Open accessAbstract
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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These youth are already less likely to receive behavioral health services.
“these youth are already less likely to receive behavioral health services [12].”
From Young Adult Substance Use and Healthcare Use Associated With Screening, Brief Intervention and Referral to Treatment in Pediatric Primary Care. (2022) · cites this paper as [12]
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D’Amico, E. J., Anderson, K. G., Metrik, J., Frissell, K. C., Ellingstad, T. P., & Brown, S. A. (2006) · American Journal on Addictions · doi:10.1080/10550490601003722 · Cited by 12 · see citing works
Structural ecosystems therapy with hispanic adolescents exhibiting disruptive behavior disorders
Robbins, M. S., Schwartz, S. J., & Szapocznik, J. (2003) · doi:10.4324/9780203486160-11 · Cited by 11 · see citing works
Disparities in Access to Behavioral Health Services for Puerto Rican-Descended Adolescents
Duke, M. R., & Mateo, W. (2008) · Human Organization · doi:10.17730/humo.67.1.d73v2x0x48217rx4 · Cited by 9 · see citing works
Archibald, M. E. (2007) · Research in the sociology of health care · doi:10.1016/s0275-4959(07)00008-7 · Cited by 3 · see citing works
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- [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
- [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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Sorted by citations
Hadland, S. E., Wharam, J. F., Schuster, M. A., Zhang, F., Samet, J. H., & Larochelle, M. R. (2017) · Archives of Pediatrics and Adolescent Medicine · doi:10.1001/jamapediatrics.2017.0745 · Cited by 295 · see citing works
“Prior studies have shown that poorer access to substance use treatment amongminorities is in part explained by disparities in health insurance coverage.(34,41) However, our results indicate that, even with coverage, non-Hispanic black and Hispanic youth are less likely thannon-Hispanicwhite youth to receivemedications…”
School-Based Health Centers in an Era of Health Care Reform: Building on History
Keeton, V. F., Soleimanpour, S., & Brindis, C. D. (2012) · Current problems in pediatric and adolescent health care · doi:10.1016/j.cppeds.2012.03.002 · Cited by 233 · see citing works
“Similar to other mental health conditions, the utilization and quality of treatment for substance use disorders also remains poor among ethnic minority youth in general.(88) This further reinforces the potential and actual value of SBHCs to address these issues among vulnerable populations, whose access to these servi…”
BackgroundPinedo, M. (2019) · Drug and Alcohol Dependence · doi:10.1016/j.drugalcdep.2019.05.017 · Cited by 154 · see citing works
“…other have found no differences or that disparities only exist at higher levels of problem severity or are limited to only women (i.e., between Black and White women) (Chartier and Caetano, 2010; Hatzenbuehler et al., 2008; Lê Cook and Alegría, 2011; Schmidt et al., 2007; Zemore et al., 2014).”
BackgroundAdolescent Substance Use Disorder Treatment: an Update on Evidence-Based Strategies
Fadus, M. C., Squeglia, L. M., Valadez, E. A., Tomko, R. L., Bryant, B. E., & Gray, K. M. (2019) · Current Psychiatry Reports · doi:10.1007/s11920-019-1086-0 · Cited by 127 · see citing works
Mental health of adolescents with currently and formerly incarcerated parents
Davis, L., & Shlafer, R. J. (2016) · Journal des adolescens · doi:10.1016/j.adolescence.2016.10.006 · Cited by 121 · see citing works
Youth screen use in the ABCD® study
Bagot, K., Tomko, R., Marshall, A. T., Hermann, J., Cummins, K. M., Ksinan, A. J., Kakalis, M., Breslin, F. J., Lisdahl, K., Mason, M. J., et al. (2022) · Developmental Cognitive Neuroscience · doi:10.1016/j.dcn.2022.101150 · Cited by 108 · see citing works
Krawczyk, N., Feder, K. A., Fingerhood, M., & Saloner, B. K. (2017) · Drug and Alcohol Dependence · doi:10.1016/j.drugalcdep.2017.06.009 · Cited by 104 · see citing works
“Some authors have proposed that minorities are overrepresented in disadvantaged neighborhoods, and may thus be more likely to have public insurance coverage and access to publicly funded substance use treatment centers (Alegria et al., 2011).”
Stahler, G. J., & Mennis, J. L. (2018) · Drug and Alcohol Dependence · doi:10.1016/j.drugalcdep.2018.06.006 · Cited by 103 · see citing works
Georgiades, K., Paksarian, D., Rudolph, K. E., & Merikangas, K. R. (2018) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1016/j.jaac.2018.01.020 · Cited by 100 · see citing works
Understanding barriers to specialty substance abuse treatment among Latinos
Pinedo, M., Zemore, S. E., & Rogers, S. M. (2018) · Journal of Substance Abuse Treatment · doi:10.1016/j.jsat.2018.08.004 · Cited by 99 · see citing works
“…& Bond, 2007; Witbrodt et al., 2014), and disparities in treatment utilization are especially pronounced between Latinos and Whites (Guerrero et al., 2013; Le Cook & Alegría, 2011; Lundgren, Amodeo, Ferguson, & Davis, 2001; Mulvaney-Day, DeAngelo, Chen, Cook, & Alegría, 2012; Wells et al., 2001).”
BackgroundInfluentialThe migration journey and mental health: Evidence from Venezuelan forced migration
Carroll, H. A., Luzes, M., Freier, L. F., & Bird, M. (2020) · SSM - Population Health · doi:10.1016/j.ssmph.2020.100551 · Cited by 97 · see citing works
Arndt, S. V., Ación, L., & White, K. C. (2013) · Drug and Alcohol Dependence · doi:10.1016/j.drugalcdep.2013.03.015 · Cited by 95 · see citing works
Substance use during COVID-19 pandemic: impact on the underserved communities
Chacón, N. F., Walia, N., Allen, A., Sciancalepore, A., Tiong, J., Quick, R., Mada, S., Diaz, M. A., & Rodríguez, I. (2021) · Discoveries · doi:10.15190/d.2021.20 · Cited by 92 · see citing works
Health issues in Hispanic/Latino youth.
Isasi, C. R., Rastogi, D., & Molina, K. M. (2016) · Journal of Latina/o Psychology · doi:10.1037/lat0000054 · Cited by 90 · see citing works
Nestor, B. A., Cheek, S. M., & Liu, R. T. (2016) · Journal of Affective Disorders · doi:10.1016/j.jad.2016.05.021 · Cited by 81 · see citing works
“…similarly examined racial/ ethnic differences in treatment utilization for other psychiatric conditions, but none to date have investigated such trends with respect to suicidal ideation and behavior in this age group (Alegria et al., 2011, 2012; Cummings et al., 2011, 2014; Cummings & Druss, 2011).”
Zemore, S. E., Karriker‐Jaffe, K. J., Mulia, N., Kerr, W. C., Ehlers, C. L., Cook, W. K., Martínez, P., Lui, C. K., & Greenfield, T. K. (2017) · Journal of Studies on Alcohol and Drugs · doi:10.15288/jsad.2018.79.7 · Cited by 81 · see citing works
“Logistic factors that may merit additional exploration include insurance status, treatment affordability, treatment delays, and childcare issues (Alegría et al., 2011; Mulia et al., 2014; Schmidt, 2016; Zemore et al., 2014).”
BackgroundMennis, J. L., Stahler, G. J., el Magd, S. F. A., & Baron, D. A. (2019) · Addictive Behaviors · doi:10.1016/j.addbeh.2019.01.041 · Cited by 79 · see citing works
Acevedo, A., Harvey, N., Kamanu, M., Tendulkar, S. A., & Fleary, S. A. (2020) · Substance Abuse Treatment Prevention and Policy · doi:10.1186/s13011-020-00284-4 · Cited by 74 · see citing works
Pinedo, M., Zemore, S. E., Beltrán-Girón, J., Gilbert, P. A., & Castro, Y. (2019) · Journal of Immigrant and Minority Health · doi:10.1007/s10903-019-00933-2 · Cited by 73 · see citing works
Racial/Ethnic Differences in Treatment for Substance Use Disorders Among U.S. Adolescents
Cummings, J. R., Wen, H., & Druss, B. G. (2011) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1016/j.jaac.2011.09.006 · Cited by 73 · see citing works
Sterling, S., Kline‐Simon, A. H., Satre, D. D., Jones, A., Mertens, J. R., Wong, A., & Weisner, C. M. (2015) · Archives of Pediatrics and Adolescent Medicine · doi:10.1001/jamapediatrics.2015.3145 · Cited by 72 · see citing works
Saloner, B. K., Carson, N. J., & Cook, B. L. (2014) · Journal of Adolescent Health · doi:10.1016/j.jadohealth.2014.01.002 · Cited by 67 · see citing works
“Our conceptual approach is guided by a review article by Alegría and colleagues, which suggests that racial/ethnic disparities in addiction treatment among adolescents are partially influencedbystate and federal policies and larger-scale socioeconomic inequality, but are transmitted through several domains, particular…”
BackgroundMethodSelf-citationLevison, J. H., Levinson, J., & Alegria, M. M. (2018) · AIDS and Behavior · doi:10.1007/s10461-018-2187-1 · Cited by 62 · see citing works
“Barriers to substance use services for Latinos further impede access to HIV testing [61, 62].”
Self-citationLoyd, A. B., Hotton, A., Walden, A. L., Kendall, A. D., Emerson, E. M., & Donenberg, G. R. (2019) · Journal of Adolescence · doi:10.1016/j.adolescence.2019.07.012 · Cited by 63 · see citing works
Banks, D. E., Brown, K. L., & Saraiya, T. C. (2023) · Current Addiction Reports · doi:10.1007/s40429-023-00489-0 · Cited by 60 · see citing works
Dating Violence and Substance Use as Longitudinal Predictors of Adolescents’ Risky Sexual Behavior
Shorey, R. C., Fite, P. J., Choi, H. J., Cohen, J. R., Stuart, G. L., & Temple, J. R. (2015) · Prevention Science · doi:10.1007/s11121-015-0556-9 · Cited by 60 · see citing works
“Gaining a more nuanced, culturally specific understanding for the development of risky behaviors across adolescents may lead to more targeted interventions and improved services for ethnic minority adolescents (Alegria et al. 2011).”
Marijuana Legalization and Youth
Ladegard, K. M., Thurstone, C., & Rylander, M. (2020) · PEDIATRICS · doi:10.1542/peds.2019-2056d · Cited by 60 · see citing works
“Access is even worse for African American and Latino youth, who are more likely to access treatment through juvenile justice involvement compared with white youth.(25) Providing treatment in nontraditional community settings, such as recreational centers, pediatric clinics, and schools, might be a way to improve acces…”
BackgroundRacial/ethnic disproportionality in reunification across U.S. child welfare systems
LaBrenz, C. A., Findley, E., Graaf, G., Baiden, P., Kim, J., Choi, M. J., & Chakravarty, S. (2021) · Child Abuse & Neglect · doi:10.1016/j.chiabu.2020.104894 · Cited by 53 · see citing works
Cultural Adaptations to Youth Mental Health Interventions: A Systematic Review
Arora, P. G., Parr, K. M., Khoo, O., Lim, K., Coriano, V. L., & Baker, C. N. (2021) · Journal of Child and Family Studies · doi:10.1007/s10826-021-02058-3 · Cited by 52 · see citing works
“Thus, racial and ethnic disparities in mental health service utilization and provision of quality mental health treatment is a serious public mental health concern (Alegria et al., 2011).”
BackgroundOjeda, V. D., Munson, M. R., Jones, N., Berliant, E., & Gilmer, T. (2020) · Administration and Policy in Mental Health and Mental Health Services Research · doi:10.1007/s10488-020-01073-8 · Cited by 48 · see citing works
“Disparities in access to care and quality of care persist at the population, provider, and system levels (Cook and Alegria 2011; Cook et al.”
BackgroundCommunity and Treatment Engagement for Depressed African American Youth: The AAKOMA FLOA Pilot
The AAKOMA Project Adult Advisory Board, & Breland-Noble, A. M. (2012) · Journal of Clinical Psychology in Medical Settings · doi:10.1007/s10880-011-9281-0 · Cited by 45 · see citing works
Corrigan, P. W., Sheehan, L. L., Morris, S. B., Larson, J. E., Torres, A., Lara, J. L., Paniagua, D., Mayes, J., & Doing, S. (2017) · Psychiatric Services · doi:10.1176/appi.ps.201700241 · Cited by 43 · see citing works
Moore, K. L. (2018) · Journal of Racial and Ethnic Health Disparities · doi:10.1007/s40615-017-0455-9 · Cited by 43 · see citing works
Integrating Substance Use Treatment Into Adolescent Health Care
Sterling, S., Valkanoff, T., Hinman, A., & Weisner, C. M. (2012) · Current Psychiatry Reports · doi:10.1007/s11920-012-0304-9 · Cited by 42 · see citing works
“Minority youth and their families often report access barriers, and a review of behavioral health services found that Black and Latino adolescents reported receiving less care than whites for SU problems [50, 51].”
BackgroundClinician Bias in Diagnosis and Treatment
Hairston, D. R., Gibbs, T. A., Wong, S. S., & Jordan, A. (2018) · Springer eBooks · doi:10.1007/978-3-319-90197-8_7 · Cited by 41 · see citing works
Belenko, S. R., Dembo, R., Knight, D. K., Elkington, K. S., Wasserman, G. A., Robertson, A. A., Welsh, W. N., Schmeidler, J., Joe, G. W., & Wiley, T. (2022) · Journal of Substance Abuse Treatment · doi:10.1016/j.jsat.2022.108829 · Cited by 42 · see citing works
Two approaches to tailoring treatment for cultural minority adolescents
Ewing, S. W. F., Wray, A. M., Mead, H. K., & Adams, S. K. (2012) · Journal of Substance Abuse Treatment · doi:10.1016/j.jsat.2011.12.005 · Cited by 41 · see citing works
Mennies, R. J., Birk, S. L., Norris, L. A., & Olino, T. M. (2021) · Research on Child and Adolescent Psychopathology · doi:10.1007/s10802-020-00687-8 · Cited by 38 · see citing works
Young adolescents' perceived activity space risk, peer networks, and substance use
Mason, M. J., Mennis, J. L., Way, T., Light, J. M., Rusby, J. C., Westling, E. H., Crewe, S., Flay, B. R., Campbell, L. F., Zaharakis, N. M., et al. (2015) · Health & Place · doi:10.1016/j.healthplace.2015.04.005 · Cited by 39 · see citing works
Sterling, S., Parthasarathy, S., Jones, A., Weisner, C., Metz, V., Hartman, L., Saba, K., & Kline-Simon, A. H. (2022) · Journal of Adolescent Health · doi:10.1016/j.jadohealth.2021.11.033 · Cited by 33 · see citing works
“Specialty treatment rates are particularly low for substance use and depressive disorders, and treatment initiation rates are particularly low among youth of color, who face many logistical, financial, and historical/cultural barriers to seeking specialty treatment [12].”
BackgroundPrinciples of Care for Young Adults With Co-Occurring Psychiatric and Substance Use Disorders
Spencer, A. E., Valentine, S. E., Sikov, J., Yule, A. M., Hsu, H., Hallett, E., Xuan, Z., Silverstein, M., & Fortuna, L. (2021) · Pediatrics · doi:10.1542/peds.2020-023523f · Cited by 34 · see citing works
Burrow‐Sánchez, J. J., & Hops, H. (2018) · Cultural Diversity & Ethnic Minority Psychology · doi:10.1037/cdp0000249 · Cited by 34 · see citing works
Gao, Y. A., Drake, C., Krans, E. E., Chen, Q., & Jarlenski, M. P. (2022) · Journal of Addiction Medicine · doi:10.1097/adm.0000000000000979 · Cited by 33 · see citing works
Pouille, A., Bellaert, L., Laenen, F. V., & Vanderplasschen, W. (2021) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph182413025 · Cited by 30 · see citing works
Polysubstance Use Among Minority Adolescent Males Incarcerated for Serious Offenses
Racz, S. J., Saha, S., Trent, M., Adger, H., Bradshaw, C. P., Goldweber, A., & Cauffman, E. E. (2015) · Child & Youth Care Forum · doi:10.1007/s10566-015-9334-x · Cited by 31 · see citing works
“Due to the widely documented disparities in mental health treatment for substance use disorders among ethnic minority youth (Alegria et al., 2011; Alvarez et al., 2007; Garland et al., 2005; Gil et al., 2004; McCabe et al., 1999; Pumariega et al., 2005; U. S. Department of Health and Human…”
BackgroundThe Healthcare Needs of Latinos with Serious Mental Illness and the Potential of Peer Navigators
Corrigan, P. W., Torres, A., Lara, J. L., Sheehan, L. L., & Larson, J. E. (2016) · Administration and Policy in Mental Health and Mental Health Services Research · doi:10.1007/s10488-016-0737-2 · Cited by 31 · see citing works
Bo, A., Goings, T. C., Evans, C. B. R., Sharma, A., Jennings, Z., Durand, B., Bardeen, A., & Murray-Lichtman, A. (2022) · Clinical Psychology Review · doi:10.1016/j.cpr.2022.102233 · Cited by 30 · see citing works
Montgomery, L., Petry, N. M., & Carroll, K. M. (2012) · Drug and Alcohol Dependence · doi:10.1016/j.drugalcdep.2012.05.033 · Cited by 30 · see citing works
Substance use among women who are pregnant: Examining treatment completion by race and ethnicity
Suntai, Z. (2021) · Journal of Substance Abuse Treatment · doi:10.1016/j.jsat.2021.108437 · Cited by 29 · see citing works
White, C. (2017) · Youth Violence and Juvenile Justice · doi:10.1177/1541204017728997 · Cited by 28 · see citing works
The Epidemiology of Mental Disorders in African American Children and Adolescents
Caldwell, C. H., Assari, S., & Breland‐Noble, A. M. (2016) · Springer eBooks · doi:10.1007/978-3-319-25501-9_1 · Cited by 28 · see citing works
Sterling, S., Kline‐Simon, A. H., Jones, A., Satre, D. D., Parthasarathy, S., & Weisner, C. M. (2017) · Journal of Substance Abuse Treatment · doi:10.1016/j.jsat.2017.09.005 · Cited by 28 · see citing works
Ma, C. M. S. (2019) · Child Indicators Research · doi:10.1007/s12187-019-09638-2 · Cited by 30 · see citing works
“Empirical evidence shows that ethnic minorities are at a disadvantage in terms of well-being, academic performance, and perceived social support (see Alegria et al. 2011 for a review).”
Understanding Why Religious Involvement's Relationship With Education Varies by Social Class
Lee, B.-H. J., & Pearce, L. D. (2019) · Journal of Research on Adolescence · doi:10.1111/jora.12457 · Cited by 27 · see citing works
Kock, C. D. (2019) · Social Theory & Health · doi:10.1057/s41285-019-00113-0 · Cited by 27 · see citing works
Haughwout, S. P., Harford, T. C., Castle, I. P., & Grant, B. F. (2016) · Alcoholism Clinical and Experimental Research · doi:10.1111/acer.13137 · Cited by 27 · see citing works
Pro, G. C., Utter, J., Haberstroh, S., & Baldwin, J. A. (2020) · Drug and Alcohol Dependence · doi:10.1016/j.drugalcdep.2020.107952 · Cited by 27 · see citing works
“Racial/ethnic minorities with OUD often suffer worse health outcomes related to involvement in the criminal justice system, elevated risk of exposure to violence, and experiences with medical complications (Alegria et al., 2011).”
BackgroundRacial/Ethnic Disparities in Mutual Help Group Participation for Substance Use Problems
Zemore, S. E. (2021) · Alcohol research · doi:10.35946/arcr.v41.1.03 · Cited by 26 · see citing works
A framework of social determinants of health for delirium tailored to older adults
Arias, F., Alegria, M. M., Kind, A., Jones, R. N., Travison, T. G., Marcantonio, E. R., Schmitt, E. M., Fong, T. G., & Inouye, S. K. (2021) · Journal of the American Geriatrics Society · doi:10.1111/jgs.17465 · Cited by 25 · see citing works
Self-citationPeer Network Counseling as Brief Treatment for Urban Adolescent Heavy Cannabis Users
Mason, M. J., Sabo, R., & Zaharakis, N. M. (2016) · Journal of Studies on Alcohol and Drugs · doi:10.15288/jsad.2017.78.152 · Cited by 26 · see citing works
“African American youth with substance use disorders are less likely to receive specialty care compared with their White and Hispanic counterparts (Alegria et al., 2011).”
BackgroundPinedo, M., Zemore, S. E., & Mulia, N. (2020) · Journal of Ethnicity in Substance Abuse · doi:10.1080/15332640.2020.1713954 · Cited by 25 · see citing works
Nordeck, C. D., Welsh, C., Schwartz, R. P., Mitchell, S. G., O’Grady, K. E., & Gryczynski, J. (2022) · Drug and Alcohol Dependence Reports · doi:10.1016/j.dadr.2022.100031 · Cited by 25 · see citing works
Butler, A. M., & Rodgers, C. R. R. (2019) · Ethnicity & Disease · doi:10.18865/ed.29.s2.421 · Cited by 25 · see citing works
Sterling, S., Kline-Simon, A. H., Weisner, C., Jones, A., & Satre, D. D. (2018) · Journal of Adolescent Health · doi:10.1016/j.jadohealth.2017.10.016 · Cited by 24 · see citing works
Racial Disparities in Substance Use Treatment Completion Among Older Adults
Suntai, Z., Lee, L. H., & Leeper, J. D. (2020) · Innovation in Aging · doi:10.1093/geroni/igaa051 · Cited by 24 · see citing works
“Among adolescents, Black and Hispanic teenagers reported having less specialty and informal care for their substance use disorder than their White peers (Alegria et al., 2011) and in studies comparing the likelihood of completing an alcohol treatment program, African Americans and Hispanics were found to be significan…”
BackgroundMini Review: Socio-Cultural Influences on the Link Between ADHD and SUD
Slobodin, O., & Crunelle, C. L. (2019) · Frontiers in Public Health · doi:10.3389/fpubh.2019.00173 · Cited by 25 · see citing works
“Treatment preference is a relatively neglected area of study in service disparities (103).”
Roblyer, M. I. Z., Grzywacz, J. G., Cervantes, R. C., & Merten, M. J. (2015) · Journal of Child and Family Studies · doi:10.1007/s10826-015-0249-9 · Cited by 24 · see citing works
“Latinos and other youth of color disproportionately bear the burden of substance userelated morbidity, mortality, and contact with the criminal justice system (Alegria et al., 2011; Amaro, Raj, Vega, Mangione, & Perez, 2001; Villarruel et al., 2002).”
Steinfeldt, J. A., Clay, S. L., & Priester, P. E. (2020) · Substance Abuse Treatment, Prevention, and Policy · doi:10.1186/s13011-020-00318-x · Cited by 23 · see citing works
Diagnostic validity across racial and ethnic groups in the assessment of adolescent DSM‐IV disorders
Green, J. G., Gruber, M. J., Kessler, R. C., Lin, J. Y.-C., McLaughlin, K. A., Sampson, N. A., Zaslavsky, A. M., & Alegria, M. M. (2012) · International Journal of Methods in Psychiatric Research · doi:10.1002/mpr.1371 · Cited by 23 · see citing works
Self-citationTervo‐Clemmens, B., Karim, Z. A., Khan, S. Z., Ravindranath, O., Somerville, L. H., Schuster, R. M., Gilman, J. M., & Evins, A. E. (2023) · Journal of Adolescent Health · doi:10.1016/j.jadohealth.2023.11.001 · Cited by 21 · see citing works
Ball, A., Hadland, S. E., Rodean, J., Hall, M., Mendoza, J. A., & Ahrens, K. R. (2024) · Journal of Adolescent Health · doi:10.1016/j.jadohealth.2024.02.016 · Cited by 20 · see citing works
Ewing, S. W. F., Gaume, J., Ernst, D., Rivera, L., & Houck, J. M. (2015) · Psychology of Addictive Behaviors · doi:10.1037/adb0000079 · Cited by 20 · see citing works
Connors, E. H., Arora, P. G., Resnick, S. G., & McKay, M. M. (2022) · Psychological Services · doi:10.1037/ser0000617 · Cited by 19 · see citing works
Motta‐Ochoa, R., Bertrand, K., Flores-Aranda, J., Patenaude, C., Brunelle, N., Landry, M., & Brochu, S. (2017) · International Journal of Mental Health and Addiction · doi:10.1007/s11469-017-9762-y · Cited by 18 · see citing works
“…help-seeking in vulnerable populations of people with co-occurring MD and SUP, including children and adolescents (Alegria et al. 2011), ethnic/racial minorities (Alegria et al. 2011; Hatzenbuehler et al. 2008; Libby et al. 2007), women (Penn et al. 2002), and ex-prisoners (Hartwell et al. 2013).”
BackgroundA Review of Hip Hop-Based Interventions for Health Literacy, Health Behaviors, and Mental Health
Robinson, C. D., Seaman, E. L., Montgomery, L., & Winfrey, A. (2017) · Journal of Racial and Ethnic Health Disparities · doi:10.1007/s40615-017-0389-2 · Cited by 17 · see citing works
“For instance, AfricanAmerican youth have less access to services for substance use disorders and comorbid mental health conditions [14].”
BackgroundMarotta, P. L., Tolou‐Shams, M., Cunningham‐Williams, R. M., Washington, D. M., & Voisin, D. R. (2020) · Youth & Society · doi:10.1177/0044118x20960635 · Cited by 16 · see citing works
“Moreover, prior literature suggests that people with serious and persistent mental illness are disproportionately involved in the juvenile justice system because police may interpret their behavior as threatening or aggressive leading to increased risk of discharge due to incarceration (Alegria et al., 2011; Peters et…”
BackgroundInfluentialLui, C. K., Sterling, S., Chi, F. W., Lu, Y., & Campbell, C. I. (2017) · Addictive Behaviors · doi:10.1016/j.addbeh.2017.01.010 · Cited by 17 · see citing works
The impact of therapists’ words on the adolescent brain: In the context of addiction treatment
Ewing, S. W. F., Houck, J. M., Yezhuvath, U. S., Kojori, E. S., Truitt, D., & Filbey, F. M. (2015) · Behavioural Brain Research · doi:10.1016/j.bbr.2015.09.041 · Cited by 16 · see citing works
“mportantly, despite engaging in this risk behavior, binge-drinking outh do not self-refer; therefore, they are unlikely to seek, receive, r complete indicated addiction treatment [4].”
Cultural Competence in Therapy with African Americans
Jones, E. O., Huey, S. J., & Rubenson, M. P. (2018) · Springer eBooks · doi:10.1007/978-3-319-78997-2_22 · Cited by 17 · see citing works
Chambers, L. C., Hallowell, B. D., Samuels, E. A., Daly, M. M., Baird, J. B., & Beaudoin, F. L. (2023) · Journal of the American College of Emergency Physicians Open · doi:10.1002/emp2.12877 · Cited by 14 · see citing works
Recovery and Youth: An Integrative Review
Finch, A. (2020) · Alcohol research · doi:10.35946/arcr.v40.3.06 · Cited by 15 · see citing works
Mindt, M. R., Coulehan, K., Aghvinian, M. N., Scott, T. M., Olsen, J. P., Cunningham, C. O., Arias, F., & Arnsten, J. H. (2021) · Journal of Substance Abuse Treatment · doi:10.1016/j.jsat.2021.108644 · Cited by 15 · see citing works
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Qualitative Evaluation of a Peer Navigator Program for Latinos with Serious Mental Illness
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Polydrug Use and Dating Violence Among Emerging Adults
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“White youth have been shown to be more likely to receive treatment for substance use disorders compared with their African American and Hispanic counterparts (Alegria et al., 2011; Cummings et al., 2011).”
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“In order to reduce these disparities and improve the quality of services African American girls who seek services receive it is important to ensure treatments match their specific needs (Alegria et al., 2011).”
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“JIY of color are also more likely to experience a wide array of comorbid mental disorders [20], further demonstrating their need for high quality treatment.”
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A latent class exploration of adolescent recovery capital
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“…& Hersh, 2012; Campbell, Weisner, & Sterling, 2006; White, Haas, & Williams, 2012), but it appears that their treatment outcomes have not suffered as a result of this discrepancy (Alegria et al., 2011; Becker et al., 2012; Godley, Hedges and Hunter, 2011b; Schmidt, Greenfield, & Mulia, 2006).”
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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)
- PMC
- PMC3488852
- OpenAlex
- W2021379135
- Semantic Scholar
- 032b79349256bcb04965cf5d7d9f1255a61a10b3
- 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
- green
- www.ncbi.nlm.nih.gov
- 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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