A Preliminary Analysis of the Receipt of Mental Health Services Consistent With National Standards Among Children in the Child Welfare System
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Objectives. We sought to examine the extent to which children in the child welfare system receive mental health care consistent with national standards. Methods. We used data from 4 waves (3 years of follow-up) of the National Survey of Child and Adolescent Well-Being, the nation's first longitudinal study of children in the child welfare system, and the Area Resource File to examine rates of screening, assessment, and referral to mental health services among 3802 youths presenting to child welfare agencies. Weighted population-averaged logistic regression models were used to identify variables associated with standards-consistent care. Results. Only half of all children in the sample received care consistent with any 1 national standard, and less than one tenth received care consistent with all of them. Older children, those exhibiting externalizing behaviors, and those placed in foster care had, on average, higher odds of receiving care consistent with national standards. Conclusions. Adverse consequences of childhood disadvantage cannot be reduced unless greater collaboration occurs between child welfare and mental health agencies. Current changes to Medicaid regulations that weaken entitlements to screening and assessment may also worsen mental health disparities among these vulnerable children.
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- Authors
- Raghavan, R., Inoue, M., Ettner, S. L., Hamilton, B. H., & Landsverk, J.
- Affiliations
- Boston College (US)
- Venue
- American Journal of Public Health
- Publisher
- American Public Health Association
- Published
- 2010-04
- Volume
- 100
- Issue
- 4
- Pages
- 742-749
- ISSN
- 0090-0036 (ISSN-L)
- 1541-0048
- PMC
- PMC2836330
- OpenAlex
- W1984634316
- Cited by
- 83
- References
- 34
- Citations by year
- 2026: 1 · 2025: 1 · 2022: 4 · 2021: 4 · 2020: 8 · 2019: 7 · 2018: 6 · 2017: 8 · 2016: 7 · 2015: 6 · 2014: 6 · 2013: 8 · 2012: 8
- FWCI
- 14.83
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- American Journal of Public Health (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- RePEc: Research Papers in Economics (submittedVersion)
- Funders
- National Institutes of Health (5p30mh068579-05)
- National Institute of Mental Health (5 P30 MH068579, P30-MH-068579, R03MH082117)
- Topics
- Social Sciences › Safety Research › Child Welfare and Adoption
- Health Sciences › Health Professions › General Health Professions › Child and Adolescent Health
- Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
- Keywords
- child welfare system, foster children, mental health services, mental health screening, mental health assessment, psychiatric referral, externalizing problems, mental health disparities, National Survey of Child and Adolescent Well-Being
- MeSH terms
- Adolescent, Child, Child Abuse, Child Welfare, Health Services Accessibility, Humans, Mental Health Services, United States, Odds Ratio, Health Care Surveys
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