The DOI matches its Crossref record; 105 of the 105 references it cites were found in a registry or an index.
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 [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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Cites
Unequal treatment: confronting racial and ethnic disparities in health care
(2003) · Choice Reviews Online · doi:10.5860/choice.40-5843 · Cited by 7,043
Comprehensive Textbook of Psychiatry
Freedman, A. M., & Kaplan, H. I. (1967) · The American Journal of the Medical Sciences · doi:10.1097/00000441-196712000-00052 · Cited by 3,825
McLoyd, V. C. (1990) · Child Development · doi:10.2307/1131096 · Cited by 2,090
Social consequences of psychiatric disorders, I: Educational attainment
(1995) · American Journal of Psychiatry · doi:10.1176/ajp.152.7.1026 · Cited by 1,370
Comprehensive Textbook of Psychiatry
Schwab, J. J. (1968) · Psychosomatics · doi:10.1016/s0033-3182(68)71813-2 · Cited by 1,291
Culturally adapted mental health intervention: a meta-analytic review
Griner, D., & Smith, T. B. (2006) · Psychotherapy: Theory, Research, Practice, Training · doi:10.1037/0033-3204.43.4.531 · Cited by 1,236
The Cultural Adaptation of Prevention Interventions: Resolving Tensions Between Fidelity and Fit
Castro, F. G., Barrera, M., & Martinez, C. R. (2004) · Prevention Science · doi:10.1023/b:prev.0000013980.12412.cd · Cited by 1,228
Can Cultural Competency Reduce Racial and Ethnic Health Disparities? A Review and Conceptual Model
Brach, C., & Fraserirector, I. (2000) · Medical Care Research and Review · doi:10.1177/1077558700057001s09 · Cited by 1,187
Children's Mental Health Service Use Across Service Sectors
Burns, B. J., Costello, E. J., Angold, A. C., Tweed, D. L., Stangl, D. K., Farmer, E. M. Z., & Erkanli, A. (1995) · Health Affairs · doi:10.1377/hlthaff.14.3.147 · Cited by 1,165
Patient-Physician Racial Concordance and the Perceived Quality and Use of Health Care
Saha, S., Komaromy, M., Koepsell, T. D., & Bindman, A. B. (1999) · Archives of Internal Medicine · doi:10.1001/archinte.159.9.997 · Cited by 1,125
Research works printed but not linked: 1
- Sue, 1991, Community mental health services for ethnic minority groups, J Consult Clin Psychol., 59, 533, 10.1037/0022-006X.59.4.533 · DOI
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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
“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
“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
“…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
Mental health of adolescents with currently and formerly incarcerated parents
Davis, L., & Shlafer, R. J. (2016) · Journal of Adolescence · doi:10.1016/j.adolescence.2016.10.006 · Cited by 137
Metadata
- 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
- Health Sciences › Medicine › Psychiatry and Mental health › 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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