High value correlates of caregiver reported counseling service need and utilization for adolescents at-risk for childhood maltreatment and neglect
Open accessAbstract
Adolescents with a history of child maltreatment experience increased risk for psychopathology that sets them on a trajectory towards a range of difficulties in adulthood. Various factors influence caregivers' decisions to seek mental health services (MHS) that could improve developmental outcomes. The present study applied a machine learning algorithm, elastic net, to a sample of 878 adolescent-caregiver dyads from the Longitudinal Studies of Child Abuse and Neglect. Analyses simultaneously examined a large number of factors to determine their ability to discriminate between caregivers who perceived a need for MHS and those who did not, as well as caregivers who utilized MHS and those who did not. Results highlight family demographics, chronic parental stressors, youth psychopathology, and exposure to recent adversities as good classifiers of caregiver perceived need for (77.6%; sensitivity = .77; specificity = .78) and utilization of (71%; sensitivity = .71; specificity = .71) adolescent MHS. Elastic net identified adolescent clinical externalizing and internalizing problems, and parental stress related to child(ren)'s behavior as high value classifiers of both outcomes. Youth living with non-kin caregivers were also significantly more likely to utilize MHS. Findings highlight the importance of assessing clinical need, stress related to child(ren)'s behavior, and caregiver kinship in understanding the likelihood that at-risk families will seek adolescent MHS.
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Caregivers experiencing objective and/or subjective internalized strain may view youth MHS as an appropriate method of reducing child symptom severity and associated impact on caregivers, thus increasing their chances of seeking formal services.
“Caregivers experiencing objective and/or subjective internalized strain may view youth MHS as an appropriate method of reducing child symptom severity and associated impact on caregivers, thus increasing their chances of seeking formal services [17].”
From Dimensions of caregiver strain may partially mediate the relationship between youth symptomology and counseling utilization among Latinxs (2024) · cites this paper as [17]
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Experimental — accuracy not yet measuredParenting stress related to youth problems is an important predictor of caregivers' reported need for and utilization of youth MHS.
“Indeed, research has suggested that parenting stress related to youth problems is an important predictor of caregivers’ reported need for and utilization of youth MHS [17].”
From Dimensions of caregiver strain may partially mediate the relationship between youth symptomology and counseling utilization among Latinxs (2024) · cites this paper as [17]
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Vázquez, A. L., Culianos, D., Gudiño, O. G., Navarro Flores, C. M., Barrett, T. S., & Domenech Rodríguez, M. M. (2024) · PLoS ONE · doi:10.1371/journal.pone.0302575 · Cited by 3 · see citing works
“Caregivers experiencing objective and/or subjective internalized strain may view youth MHS as an appropriate method of reducing child symptom severity and associated impact on caregivers, thus increasing their chances of seeking formal services [17].”
BackgroundSelf-citationPredicting Healthcare Utilization Outcomes With Artificial Intelligence: A Large Scoping Review
Gallego-Moll, C., Carrasco-Ribelles, L. A., Casajuana‐Closas, M., Maynou, L., Arocena, P., Violán, C., & Zabaleta‐del‐Olmo, E. (2025) · Value in Health · doi:10.1016/j.jval.2025.08.007 · Cited by 1 · see citing works
- Authors
- Vázquez, A. L., Chou, T., Navarro Flores, C. M., Barrett, T. S., Villodas, M. T., & Domenech Rodríguez, M. M.
- Affiliations
- Utah State University (US)
- Florida International University (US)
- San Diego State University (US)
- Corresponding author
- Vázquez, Alejandro L.
- Chou, Tommy
- Barrett, Tyson S.
- Villodas, Miguel T.
- ORCID
- Venue
- PLOS ONE
- Publisher
- Public Library of Science (PLoS)
- Published
- 2021-10-01
- Volume
- 16
- Issue
- 10
- Pages
- e0258082
- ISSN
- 1932-6203 (ISSN-L)
- PMC
- PMC8486129
- OpenAlex
- W3204349170
- Cited by
- 2
- References
- 46
- Citations by year
- 2025: 1 · 2024: 1
- FWCI
- 0.17
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- PLoS ONE (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, other-oa)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Digital Commons - USU (Utah State University) (submittedVersion, cc-by)
- RePEc: Research Papers in Economics (submittedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Funders
- Office of Child Abuse and Neglect (90CA1744, 90CA1745, 90CA1746, 90CA1747, 90CA1748, and 90CA1749)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Child Abuse and Trauma
- Social Sciences › Safety Research › Child Welfare and Adoption
- Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
- Keywords
- child abuse, child neglect, adolescents, mental health service utilization, caregiver decision-making, parental stress, youth psychopathology, externalizing problems, internalizing problems, kinship, Longitudinal Studies of Child Abuse and Neglect, elastic net
- MeSH terms
- Adolescent, Child Abuse, Female, Humans, Longitudinal Studies, Male, Mental Health Services, Adolescent Health Services
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