Predictors of Service Utilization Among Youth Diagnosed with Mood Disorders

In this study, I investigated patterns and predictors of service utilization for children with mood disorders. The Behavioral
Model for Health Care Utilization was used as an organizing framework for identifying predictors of the number and quality
of services utilized. Hierarchical regression was used in secondary data analyses of the Multi-Family Psychoeducational Psychotherapy
study (MF-PEP), a randomized controlled trial of 165 children aged 8–12 with mood disorders. The children were using an average
of two services, with pharmacotherapy and school services as most frequent. Children with bipolar disorders used significantly
more and higher quality services than children with depressive disorders. Parent knowledge of mood disorders, area of residence,
and perceived need for treatment were all related to the number of services families were utilizing. Parent knowledge of mood
disorders and treatment, child’s age, and mood symptom severity were all predictors of the quality of services being utilized.
Findings highlight the impact of non-need factors on service utilization and the potential to decrease disparities caused
by these factors. For example, increasing efforts to educate both the general public and individual families coming in for
treatment about children’s mental health may improve service utilization patterns in this population.