Need and Unmet Need for Care Coordination Among Children With Mental Health Conditions

Brown, Nicole M.; Green, Jeremy C.; Desai, Mayur M.; Weitzman, Carol C.; Rosenthal, Marjorie S.

doi:10.1542/peds.2013-2590

Cited by 69Adolescent and Pediatric HealthcareMental Health Treatment and AccessChild and Adolescent Health

Need and Unmet Need for Care Coordination Among Children With Mental Health Conditions

Brown, Nicole M., Green, Jeremy C., Desai, Mayur M., Weitzman, Carol C., Rosenthal, Marjorie S.·2014·Pediatrics

DOI 10.1542/peds.2013-2590

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Abstract

OBJECTIVE: To determine prevalence and correlates of need and unmet need for care coordination in a national sample of children with mental health conditions. METHODS: Using data from the 2007 National Survey of Children’s Health, we identified children aged 2 to 17 years with ≥1 mental health condition (attention-deficit/hyperactivity disorder, anxiety disorder, conduct disorder, or depression) who had received ≥2 types of preventive or subspecialty health services in the past year. We defined 2 outcome measures of interest: (1) prevalence of need for care coordination; and (2) prevalence of unmet need for care coordination in those with a need. Logistic regression models were used to estimate associations of clinical, sociodemographic, parent psychosocial, and health care characteristics with the outcome measures. RESULTS: In our sample (N = 7501, representing an estimated 5 750 000 children), the prevalence of having any need for care coordination was 43.2%. Among parents reporting a need for care coordination, the prevalence of unmet need was 41.2%. Higher risk of unmet need for care coordination was associated with child anxiety disorder, parenting stress, lower income, and public or no insurance. Parents reporting social support and receipt of family-centered care had a lower risk of unmet need for care coordination. CONCLUSIONS: Approximately 40% of parents of children with mental health conditions who reported a need for care coordination also reported that their need was unmet. Delivery of family-centered care and enhancing family supports may help to reduce unmet need for care coordination in this vulnerable population.

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A lone study, drawing from 2007 data, demonstrated that over 40% of children with mental health conditions had unmet need for care coordination.
“A lone study, drawing from 2007 data, demonstrated that over 40% of children with mental health conditions had unmet need for care coordination (Brown et al., 2014).”
From Adequate Care Coordination is Associated with Reduced Unmet Mental Health Needs for Children (2026) · cites this paper as Brown et al., 2014

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Adequate Care Coordination is Associated with Reduced Unmet Mental Health Needs for Children
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Authors: Brown, N. M., Green, J. C., Desai, M. M., Weitzman, C. C., & Rosenthal, M. S.
Affiliations: Robert Wood Johnson Foundation (US)
Saint Louis University (US)
Yale University (US)
Corresponding author: Brown, Nicole M.
ORCID: Brown, Nicole M.
Green, Jeremy C.
Desai, Mayur M.
Weitzman, Carol C.
Rosenthal, Marjorie S.
Venue: Pediatrics
Publisher: American Academy of Pediatrics (AAP)
Published: 2014-03-01
Volume: 133
Issue: 3
Pages: e530-e537
ISSN: 0031-4005 (ISSN-L)
1098-4275
DOI: 10.1542/peds.2013-2590
OpenAlex: W2006463830
Cited by: 69
References: 33
Citations by year: 2026: 2 · 2025: 3 · 2024: 1 · 2023: 3 · 2022: 5 · 2021: 10 · 2020: 8 · 2019: 9 · 2018: 10 · 2017: 5 · 2016: 9 · 2015: 3 · 2014: 1
FWCI: 13.41
Type: journal article
Language: en
Open access: closed
Locations: PEDIATRICS (publishedVersion)
PubMed (publishedVersion)
Topics: Health Sciences › Health Professions › Speech and Hearing › Adolescent and Pediatric Healthcare
Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
Health Sciences › Health Professions › General Health Professions › Child and Adolescent Health
Keywords: care coordination, unmet needs, attention deficit hyperactivity disorder, anxiety disorders, conduct disorder, depression, parental stress, family-centered care, social support, insurance status, income, National Survey of Children's Health
MeSH terms: Adolescent, Mental Disorders, Child, Child, Preschool, Cross-Sectional Studies, Female, Health Services Needs and Demand, Humans, Male, Mental Health, Needs Assessment

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Need and Unmet Need for Care Coordination Among Children With Mental Health Conditions

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