School-based mental health prevention for Asian American adolescents: Risk behaviors, protective factors, and service use.

Mental health service utilization research is needed for students who are likely to receive school mental health services, yet little research exists for adolescents experiencing emotional/behavioral problems and school impairment. This study addressed this gap using secondary data analyses conducted on baseline data from a large trial testing school-based interventions for high school students ( n = 647) experiencing emotional/behavioral problems and school impairment. Analyses examined the number and type (community-based or school-based psychosocial, inpatient, pharmacological treatment) of services used, and sociodemographics associated with services. Sixty-nine percent had received at least one service for their emotional/behavioral problems prior to the study, with nearly half of those having only received a single service. Community-based psychosocial and pharmacological treatments were most common. White adolescents and those in special education were more likely to have received services, particularly community-based and pharmacological treatment. On average, adolescents had not received any services until early adolescence. Findings add to increasing literature on the current status of service use among adolescents with emotional/behavioral problems and the potential for schools to increase access for those in need.

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Comparing Racial/Ethnic Differences in Mental Health Service Use Among High-Need Subpopulations Across Clinical and School-Based Settings

Journal of Adolescent Health ◽

10.1016/j.jadohealth.2009.11.221 ◽

2010 ◽

Vol 46 (6) ◽

pp. 603-606 ◽

Cited By ~ 45

Author(s):

Janet R. Cummings ◽

Ninez A. Ponce ◽

Vickie M. Mays

Keyword(s):

Mental Health ◽

Mental Health Service ◽

Health Service ◽

Ethnic Differences ◽

Service Use ◽

Mental Health Service Use ◽

Health Service Use ◽

School Based ◽

Racial Ethnic

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Patterns of Child Mental Health Service Utilization Within a Multiple EBP System of Care

Administration and Policy in Mental Health and Mental Health Services Research ◽

10.1007/s10488-021-01179-7 ◽

2021 ◽

Author(s):

Joyce H. L. Lui ◽

Lauren Brookman-Frazee ◽

Alejandro L. Vázquez ◽

Julia R. Cox ◽

Debbie Innes-Gomberg ◽

...

Keyword(s):

Mental Health ◽

Mental Health Service ◽

Health Service ◽

Service Utilization ◽

Asian American ◽

Health Service Utilization ◽

Service Use ◽

Mental Health Service Utilization ◽

Administrative Claims ◽

Evidence Based

AbstractThe current study (1) characterizes patterns of mental health service utilization over 8 years among youth who received psychotherapy in the context of a community implementation of multiple evidence-based practices (EBPs), and (2) examined youth-, provider- and service-level predictors of service use patterns. Latent profile analyses were performed on 5,663,930 administrative claims data furnished by the county department of mental health. Multinomial logistic regression with Vermunt’s method was used to examine predictors of care patterns. Based on frequency, course, cost, and type of services, three distinct patterns of care were identified: (1) Standard EBP Care (86.3%), (2) Less EBP Care (8.5%), and (3) Repeated/Chronic Care (5.2%). Youth age, ethnicity, primary language, primary diagnosis and secondary diagnosis, provider language and provider type, and caregiver involvement and service setting were significant predictors of utilization patterns. Although the majority of youth received care aligned with common child EBP protocols, a significant portion of youth (13.7%) received no evidence-based care or repeated, costly episodes of care. Findings highlight opportunities to improve and optimize services, particularly for youth who are adolescents or transition-aged, Asian-American/Pacific Islander, Spanish-speaking, or presenting with comorbidities.

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