Linked Child Welfare and Medicaid Data in Kentucky and Florida Highlights Racial Disparities in Access to Care.

IF 4.5 2区社会学 Q1 FAMILY STUDIES

Child Maltreatment Pub Date : 2024-02-20 DOI:10.1177/10775595241234569

Tami L Mark, Melissa Dolan, Benjamin Allaire, William Parish, Diana Poehler, Claire Strack, Emily Madden, Valeria Butler

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Abstract

Parents with serious mental health (MH) and substance use disorders (SUD) can face profound challenges caring for their children. MH/SUD treatment can improve outcomes for both parents and their children. This study evaluated whether parents with Medicaid with MH/SUD conditions whose children had child protective services (CPS) involvement were receiving MH/SUD treatment and whether receipt differed by race. We analyzed the 2020 Child and Caregiver Outcomes Using Linked Data (CCOULD) which contains Medicaid and child welfare records from Kentucky and Florida on 58,551 CPS-involved caregivers. Among caregivers with an MH diagnosis, White individuals were more likely than Black individuals to have received counseling (42% vs. 20%) or an MH medication (69% vs. 52%). Among caregivers with an SUD, White individuals were more likely than Black individuals to have received counseling (43% vs. 20%) or an SUD medication (43% vs. 11%). More effort is needed to connect parents with CPS involvement to MH/SUD treatment, particularly Black parents.

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肯塔基州和佛罗里达州的儿童福利和医疗补助关联数据凸显了在获得护理方面的种族差异。

患有严重精神健康（MH）和药物使用障碍（SUD）的父母在照顾子女时可能会面临巨大的挑战。MH/SUD 治疗可以改善父母及其子女的状况。本研究评估了有儿童保护服务（CPS）介入的、患有 MH/SUD 的医疗补助父母是否接受了 MH/SUD 治疗，以及接受治疗的情况是否因种族而异。我们分析了 2020 年使用关联数据的儿童和照顾者结果（CCOULD），该数据包含肯塔基州和佛罗里达州的医疗补助和儿童福利记录，涉及 58,551 名参与 CPS 的照顾者。在确诊患有精神疾病的照顾者中，白人比黑人更有可能接受心理咨询（44% 对 24%）或精神疾病药物治疗（69% 对 52%）。在患有药物滥用症的照护者中，白人比黑人更有可能接受过心理咨询（45% 对 23%）或药物滥用症治疗（43% 对 11%）。需要做出更多努力，将涉及 CPS 的父母与 MH/SUD 治疗联系起来，尤其是黑人父母。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Child Maltreatment Multiple-

CiteScore

6.80

自引率

7.80%

发文量

期刊介绍： Child Maltreatment is the official journal of the American Professional Society on the Abuse of Children (APSAC), the nation"s largest interdisciplinary child maltreatment professional organization. Child Maltreatment"s object is to foster professional excellence in the field of child abuse and neglect by reporting current and at-issue scientific information and technical innovations in a form immediately useful to practitioners and researchers from mental health, child protection, law, law enforcement, medicine, nursing, and allied disciplines. Child Maltreatment emphasizes perspectives with a rigorous scientific base that are relevant to policy, practice, and research.