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Persistence of Mental Health Service Use among Latino Children: A Clinical and Community Study
Authors:Alexander N Ortega  Ligia Chavez  Moira Inkelas  Glorisa Canino
Institution:(1) Department of Health Services and Center for Healthier Children, Families & Communities, School of Public Health, University of California, Los Angeles, CA 90095-1772, USA;(2) UCLA School of Public Health, Center for Eliminating Health Disparities, Los Angeles, CA, USA;(3) Behavioral Sciences Research Institute, University of Puerto Rico, Medical Sciences Campus, San Juan, PR, USA
Abstract:This study examined predictors of treatment persistence (receiving mental health services at two time points one year apart) among children in Puerto Rico who had previously sought care for mental health concerns. Children and their primary caregivers completed interviews one year apart. Treatment persistence was lower among children recruited from community sampling (n = 137) than those children recruited from public and private clinics (N = 381). Persistence was associated with psychological measures of need and co-morbidity only in the clinical sample, while in both samples persistence was associated with measures of family burden and school functioning. In multivariate analyses, persistence was associated in both the clinical and community samples with a measure of school functioning but not with diagnosis, impairment, or parental concerns about the child’s behavior.
Keywords:Latino  Hispanic Americans  Children  Mental health  Health services research  Delivery of health care  Continuity of patient care  Puerto Rican  Family  Burden  Academic  Child psychiatry  Community  Clinical
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