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Barriers to Mental Health Care for Urban, Lower Income Families Referred from Pediatric Primary Care

Abstract  

The aim of this study was to evaluate the association of parent-reported barriers on the likelihood of attending a mental
health evaluation after referral from pediatric primary care. As the part of procedure, parents of children (N = 55) referred for mental health from primary care completed a 23-item questionnaire (three subscales; Cronbach alpha > 0.7):
intangible barriers, tangible barriers, and child functioning. Logistic regression examined associations between responses
and referral follow-through. The results showed that the high levels of intangible barriers were associated with decreased
odds of attending the mental health evaluation (OR = 0.20, 0.06–0.83; P = 0.03). Therefore, we conclude that parental concerns about mental health care may be important for engagement in treatment.

  • Content Type Journal Article
  • Category Original Article
  • Pages 1-9
  • DOI 10.1007/s10488-011-0389-1
  • Authors
    • Justine Larson, Division of Child and Adolescent Psychiatry, Johns Hopkins School of Medicine, Baltimore, MD, USA
    • Susan dosReis, Department of Pharmaceutical Health Services Research, University of Maryland School of Pharmacy, Baltimore, MD, USA
    • Miriam Stewart, Johns Hopkins School of Medicine, Baltimore, MD, USA
    • Rochelle Kushner, Tufts University School of Medicine, Boston, MA, USA
    • Emily Frosch, Division of Child and Adolescent Psychiatry, Johns Hopkins School of Medicine, Baltimore, MD, USA
    • Barry Solomon, Division of General Pediatrics and Adolescent Medicine, Johns Hopkins School of Medicine, Baltimore, MD, USA
    • Journal Administration and Policy in Mental Health and Mental Health Services Research
    • Online ISSN 1573-3289
    • Print ISSN 0894-587X
Posted in: Journal Article Abstracts on 12/27/2011 | Link to this post on IFP |
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