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The Role of Caregiver Strain and Other Family Variables in Determining Children’s Use of Mental Health Services
Abstract
This study used a prominent model of family stress and coping to examine whether caregiver and family variables predicted child mental health service utilization patterns, holding constant the child clinical and demographic variables.We were especially interested in the impact of caregiver strain on children's use of mental health services. We found caregiver strain to be associated with the combination of services used, sequencing of services, gaps in care, and cost of services. Other family variables that predicted children's service use included material resources, life events, and family functioning. Child clinical variables improved the explanatory power of the models considerably. When all other variables were included in the model, child's age was the only demographic variable that predicted service use patterns.
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Youths' mental health problems and concurrent family stressors pile up and can exceed the caregiver's ability to cope.
“Youths’ mental health problems and concurrent family stressors pile up and can exceed the caregiver’s ability to cope.”
From Dimensions of caregiver strain may partially mediate the relationship between youth symptomology and counseling utilization among Latinxs (2024) · cites this paper as [7]
The development of caregiver strain is associated with causal attributions about youth problems, attitudes about mental health treatments, and judgments about the severity of youth problems and the need for MHS, which can vary across cultures.
“The development of caregiver strain is associated with casual attributions about youth problems, attitudes about mental health treatments, and judgments about the severity of youth problems and the need for MHS, which can vary across cultures [7].”
From Dimensions of caregiver strain may partially mediate the relationship between youth symptomology and counseling utilization among Latinxs (2024) · cites this paper as [7]
Youth symptomology and other life stressors can directly contribute to the development of caregiver strain and subsequent youth MHS utilization as a coping response.
“Youth symptomology and other life stressors can directly contribute to the development of caregiver strain and subsequent youth MHS utilization as a coping response.”
From Dimensions of caregiver strain may partially mediate the relationship between youth symptomology and counseling utilization among Latinxs (2024) · cites this paper as [7]
Lower subjective internalizing strain was associated with greater odds of utilizing youth outpatient services.
“Specifically, they found that lower subjective internalizing strain was associated with greater odds of utilizing youth outpatient services”
From Dimensions of caregiver strain may partially mediate the relationship between youth symptomology and counseling utilization among Latinxs (2024) · cites this paper as [7]
Brannan and colleagues found that only subjective internalized strain was associated with youth MHS use in their primarily White sample.
“In their primarily White sample, they found that only subjective internalized strain was associated with youth MHS use.”
From Dimensions of caregiver strain may partially mediate the relationship between youth symptomology and counseling utilization among Latinxs (2024) · cites this paper as [7]
The challenges of caring for a child with emotional or behavioral problems may alert caregivers to the severity of their youths' problems and may also direct them towards seeking formal youth MHS.
“The challenges of caring for a child with emotional or behavioral problems may alert caregivers to the severity of their youths’ problems and may also direct them towards seeking formal youth MHS [7].”
From Dimensions of caregiver strain may partially mediate the relationship between youth symptomology and counseling utilization among Latinxs (2024) · cites this paper as [7]
Higher subjective internalizing strain was associated with greater odds of caregivers reporting utilization of both youth outpatient and inpatient services.
“while higher subjective internalizing strain was associated with greater odds of caregivers reporting utilization of both youth outpatient and inpatient services.”
From Dimensions of caregiver strain may partially mediate the relationship between youth symptomology and counseling utilization among Latinxs (2024) · cites this paper as [7]
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Metadata
- Authors
- Brannan, A. M., Heflinger, C. A., & Foster, E. M.
- Affiliations
- Vanderbilt University (US)
- Pennsylvania State University (US)
- Corresponding author
- Brannan, Ana María
- Venue
- Journal of Emotional and Behavioral Disorders
- Publisher
- SAGE Publications
- Published
- 2003-04
- Volume
- 11
- Issue
- 2
- Pages
- 77-91
- ISSN
- 1063-4266 (ISSN-L)
- 1538-4799
- OpenAlex
- W1985142856
- Cited by
- 147
- References
- 43
- Citations by year
- 2026: 1 · 2025: 1 · 2024: 6 · 2023: 8 · 2022: 4 · 2021: 3 · 2020: 9 · 2019: 5 · 2018: 5 · 2017: 7 · 2016: 12 · 2015: 7 · 2014: 9 · 2013: 9 · 2012: 10
- FWCI
- 8.85
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Emotional and Behavioral Disorders (publishedVersion)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Mental Health Treatment and Access
- Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
- Social Sciences › Psychology › Clinical Psychology › Family and Disability Support Research
- Keywords
- caregiver burden, family functioning, life events, material resources, care gaps, child age
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