Area-socioeconomic disparities in mental health service use among children involved in the child welfare system |
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| Institution: | 1. Cincinnati Children''s Hospital Medical Center (C Tan, MV Greiner, K Nause and SJ Beal), Cincinnati, Ohio;2. University of Cincinnati College of Medicine (C Tan, MV Greiner, and SJ Beal), Cincinnati, Ohio;3. Rowan School of Osteopathic Medicine (Z Shahabuddin), Stratford, NJ;1. Universidad de Oviedo, Spain;2. Universidad del País Vasco, Spain;3. Universidad de La Laguna, Spain;4. Universidad de Cantabria, Spain |
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| Abstract: | Relying on data from a nationally representative sample of youth involved in the child welfare system (CWS) in 1999–2000 (the National Survey of Child and Adolescent Well-Being, Cohort 1) and 2008–2009 (Cohort 2), this study implemented a diverse set of disparity indicators to estimate area-socioeconomic disparities in mental health (MH) services use and changes in area-socioeconomic disparities between the two cohorts. Our study found that there are area-socioeconomic disparities in MH service use, indicating that the rates of MH service use among youth referred to the CWS differ by area-socioeconomic positions defined by county-level poverty rates. We also found that area-socioeconomic disparities increased over time. However, the magnitude of the increase varied widely across disparity measures, suggesting that there are different conclusions about the trend and magnitude of area-socioeconomic disparities, depending upon which disparity measures are implemented. A greater understanding of the methodological differences among disparity measures is warranted, which will in turn impact how interventions are designed to reduce socioeconomic disparities among children in the CWS. |
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| Keywords: | Child welfare Disparity Mental health services Poverty Dispariy indicators Socioeconomic status |
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