Differences in Mental Health Service Sector Utilization among African American and Caucasian Youth Entering Systems of Care Programs |
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Authors: | Crystal L Barksdale Melissa Azur Philip J Leaf |
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Institution: | (1) Department of Mental Health, Johns Hopkins Bloomberg School of Public Health, 624 N. Broadway, Hampton House 808, Baltimore, MD 21205, USA;(2) Department of Mental Health, Johns Hopkins Bloomberg School of Public Health, 624 N. Broadway, Hampton House 8th Floor, Baltimore, MD 21205, USA;(3) Department of Mental Health, Johns Hopkins Bloomberg School of Public Health, 624 N. Broadway, Hampton House 819, Baltimore, MD 21205, USA |
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Abstract: | Differences in unmet need and access to services between African American and Caucasian youth have been established; less
is known about differences in specific mental health service sectors. This study examined differences in past year outpatient,
school-based, day treatment and residential/inpatient service utilization among African American and Caucasian youth (n = 3,649) entering a federally funded system of care program. Random effect logistic regression models were implemented to
examine the relationship between race and past year service utilization. Analyses revealed that African American youth were
less likely than Caucasian youth to have utilized school-based and residential/inpatient mental health services in the past
year. Findings suggest that racial disparities exist in service use for certain types of service sectors and highlight the
importance of understanding and identifying individual, family, and community factors that contribute to disparities in service
utilization. |
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Keywords: | |
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