亲属关系护理中儿童心理健康服务的使用：Andersen健康服务使用行为模型的应用

IF 1.2 4区社会学 Q3 SOCIAL WORK

Journal of Public Child Welfare Pub Date : 2022-06-23 DOI:10.1080/15548732.2022.2092809

Yanfeng Xu, Merav Jedwab, N. Soto-Ramírez, M. Weist

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引用次数: 1

摘要

摘要本研究调查了与心理健康（MH）服务相关的倾向、使能和需求因素，以及在亲属关系护理中儿童使用基于学校、医学和专业的MH服务，以及使用≥2种MH服务的情况。我们分析了从第二波全国儿童和青少年幸福调查中选择的亲属关系护理儿童样本（N=718）。结果表明，儿童的年龄、性别、种族（西班牙裔）以及临床上显著的内化和外化问题与他们使用MH服务有关。此外，研究结果表明，西班牙裔、年龄较大的儿童、主要由男性照顾者生活在贫困中，以及有临床上显著的外化问题，接受学校MH服务的几率较高，而女孩和身体健康状况较好的照顾者生活，接受医疗MH服务的可能性较低。经历家庭挑战和与MH较好的照顾者一起生活与接受专业MH服务的几率相关。经历家庭挑战、身为西班牙裔和年龄较大的儿童以及生活在正式的亲属关系护理中，接受≥2 MH服务的几率较高。这些发现表明了为亲属关系护理中的儿童提供可获得的和多样化的MH服务的重要性。

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The use of mental health services among children in kinship care: an application of Andersen’s Behavioral Model for Health Services Use

ABSTRACT This study examined predisposing, enabling, and need factors associated with mental health (MH) services, the use of school-based, medical-based, and specialty MH services, and the use of ≥2 MH services among children in kinship care. We analyzed a sample of children in kinship care (N = 718) selected from wave II of the National Survey on Child and Adolescent Well-Being II. Results indicated that child’s age, gender, ethnicity (being Hispanic) and clinically significant internalizing and externalizing problems were associated with their use of MH services. Furthermore, results indicated being Hispanic, older children, living in poverty primarily with male caregivers, and having clinically significant externalizing problems were associated with higher odds of receiving school-based MH services, while being a girl and living with caregivers with better physical health were associated with lower odds of receiving medical-based MH services. Experiencing household challenges and living with caregivers with better MH were associated with the odds of receiving specialty MH services. Experiencing household challenges, being Hispanic and older children, and living in formal kinship care were associated with higher odds of receiving ≥2 MH services. These findings suggest the importance of providing accessible and diverse MH services to children in kinship care.

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来源期刊

Journal of Public Child Welfare SOCIAL WORK-

CiteScore

3.10

自引率

12.50%

发文量

期刊介绍： Decisions made in the practice of child welfare have lifelong effects on children and their entire families which in turn affects every facet of society. To effectively practice in this vital field, social workers, psychologists, counselors, juvenile court judges, attorneys, and other child welfare professionals need to stay informed about the latest findings and important issues in public child welfare. To answer this crucial need, the Journal of Public Child Welfare provides a broad forum for theory-based and applied research in child welfare. Rather than limit itself to primarily private agencies, this essential journal provides the quality research and comprehensive information that child welfare professionals and public agencies need most.