Racial/ethnic differences in parent-reported barriers to accessing children’s health services.
Open accessAbstract
The goals of this study were to identify whether barriers that parents perceived to using health care differed by service type (medical vs. mental health care) and whether there were racial/ethnic differences in barriers. Participants were a community sample of 275 parents (34.2% African American, 36.7% Caucasian, and 29.1% Hispanic) of children ages 9-13 years old who rated the extent to which potential barriers in 3 broad domains (stigma-related, logistical, and socioeconomic) would prevent or delay them from obtaining services. They also rated internalizing and externalizing problems exhibited by their child. Overall, parents reported greater socioeconomic and stigma-related barriers to obtaining mental health services than medical services. Hispanic parents reported socioeconomic and stigma-related barriers as more inhibiting than did African-American parents. Findings highlight the importance of strengthening relationships between mental health care providers and the community to reduce the stigma associated with seeking mental health treatment for children and better educating parents about the potential benefits of treatment. Policy focused on educating parents about their insurance options and improving insurance coverage may help to reduce socioeconomic barriers.
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Research on mental disorder treatment quality finds that low-SES patients are significantly more likely than other patients to receive lower-quality treatment.
“The small amount of research that exists on mental disorder treatment quality finds that low-SES patients are significantly more likely than other patients to receive lower-quality treatment (Amaddeo & Jones, 2007; Young & Rabiner, 2015).”
From Socio-economic variations in the mental health treatment gap for people with anxiety, mood, and substance use disorders: Results from the WHO World Mental Health (WMH) surveys (2018) · cites this paper as Young & Rabiner, 2015
The Previous Research section links lower SES to reduced initiation or continuation of child mental health treatment, not to the quality of treatment received. The Results section reports no significant effect of household income on the barriers studied. Searches for SES and treatment quality found no passage establishing the claimed significant difference in treatment quality. (LLM, conf=0.76)
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Weinfield, N. S., O’Gorman, E. T., Mohadikar, K. N., Bettencourt, A. F., Wu, E. G., & Young, A. S. (2026) · Academic Pediatrics · doi:10.1016/j.acap.2026.103304 · Cited by 1 · see citing works
Self-citationFurther Consideration of Systems, Stigma, Trauma, and Access to Care
Rogers, K. C., Bobich, M., & Heppell, P. J. (2016) · Pragmatic Case Studies in Psychotherapy · doi:10.14713/pcsp.v12i2.1970 · Cited by 1 · see citing works
Mental Health Stigma in the Latinx Population: Treatment Implications and Future Directions
DeFreitas, S. C. (2022) · Springer eBooks · doi:10.1007/978-3-031-13195-0_3 · Cited by 1 · see citing works
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Integrating Immigration-Related Discrimination in Suicide Prevention for Latine Youth
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Health Outcomes of Hispanic Parents Caring for Children with Disabilities
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Views toward mental health: An adolescents' perspective
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Socioeconomic Status, Race and Parental Initial Response to Children’s Mental Illness
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Racial Disparity of Mental Health Service Utilization Among Low-Income Head Start Eligible Parents
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Assessment of Mental Health Problems
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Child Sleep Concerns: Caregiver Problem Recognition and Help-Seeking
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- Authors
- Young, A. S., & Rabiner, D.
- Affiliations
- The Ohio State University (US)
- Duke University (US)
- ORCID
- Young, Andrea S.
- Venue
- Psychological Services
- Published
- 2015-08
- Volume
- 12
- Issue
- 3
- Pages
- 267-273
- ISSN
- 1541-1559 (ISSN-L)
- 1939-148X
- PMC
- PMC4506903
- OpenAlex
- W2333837874
- Cited by
- 81
- References
- 39
- Citations by year
- 2026: 5 · 2025: 4 · 2024: 8 · 2023: 13 · 2022: 6 · 2021: 9 · 2020: 6 · 2019: 13 · 2018: 4 · 2017: 9 · 2016: 3 · 2015: 1
- FWCI
- 9.30
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Locations
- Psychological Services (publishedVersion, other-oa)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institutes of Health (R01HD054805)
- Topics
- Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
- Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
- Social Sciences › Sociology and Political Science › Racial and Ethnic Identity Research
- Keywords
- racial and ethnic disparities, barriers to health care access, child mental health services, medical services, stigma, socioeconomic barriers, Hispanic parents, African American parents, internalizing problems, externalizing problems, insurance coverage, parent education
- MeSH terms
- Adolescent, Adult, Child, Child Health Services, Female, Health Services Accessibility, Humans, Male, Mental Health Services, Middle Aged, Parents, Socioeconomic Factors, United States, Healthcare Disparities, Social Stigma
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