In this article, a mental health help-seeking model is offered as a framework for understanding cultural and contextual factors that affect ethnic minority adolescents' pathways into mental health services. The effects of culture and context are profound across the entire help-seeking pathway, from problem identification to choice of treatment providers. The authors argue that an understanding of these help-seeking pathways provides insights into ethnic group differences in mental health care utilization and that further research in this area is needed.

Research published during the past decade on African American, Latino, and Asian American families is reviewed. Emphasis is given to selected issues within the broad domains of marriage and parenting. The first section highlights demographic trends in family formation and family structure and factors that contributed to secular changes in family structure among African Americans. In the second section, new conceptualizations of marital relations within Latino families are discussed, along with research documenting the complexities in African American men's conceptions of manhood. Studies examining within-group variation in marital conflict and racial and ethnic differences in division of household labor, marital relations, and children's adjustment to marital and family conflict also are reviewed. The third section gives attention to research on (a) paternal involvement among fathers of color; (b) the relation of parenting behavior to race and ethnicity, grandmother involvement, neighborhood and peer characteristics, and immigration; and (c) racial and ethnic socialization. The article concludes with an overview of recent advances in the study of families of color and important challenges and issues that represent research opportunities for the new decade.

Homeless youths who identify themselves as members of sexual minority groups are at increased risk for negative outcomes. Recommendations for treatment programs and implications for public health are discussed.

A large and heterogeneous sample of 364 homeless adolescents was interviewed about residential and family histories, as well as about their experiences while homeless.They were also administered a diagnostic interview and various self-report measures of emotional and behavioral functioning. Analyses were conducted to provide a better description of these youth, with a special focus on gender and age heterogeneity. Results of analyses suggested that homeless youth came from generally troubled backgrounds and had elevated rates of psychiatric disorders. For boys, their histories typically included physical abuse during childhood, physical assault on the street, and elevated rates of externalizing disorders. For girls, histories were more often marked by sexual abuse during childhood, sexual victimization on the streets, and elevated rates of internalizing disorders. Implications of these results for service delivery are discussed.

Path analysis was used to investigate the impact of childhood sexual abuse on later sexual victimization among 372 homeless and runaway youth in Seattle. Young people were interviewed directly on the streets and in shelters by outreach workers in youth service agencies. High rates of both childhood sexual abuse and street sexual victimization were reported, with females experiencing much greater rates compared with their male counterparts. Early sexual abuse in the home increased the likelihood of later sexual victimization on the streets indirectly by increasing the amount of time at risk, deviant peer affiliations, participating in deviant subsistence strategies, and engaging in survival sex. These findings suggest that exposure to dysfunctional and disorganized homes place youth on trajectories for early independence. Subsequently, street life and participation in high‐risk behaviors increases their probability of sexual victimization.

This study examines the structure of social support and its relationship to adjustment for adolescents from high-stress lower socioeconomic class inner-city backgrounds. An attempt is made to (a) identify meaningful dimensions of perceived social support for this population; (b) examine the degree to which the perceived helpfulness of each source of support varied as a function of age, sex, and ethnic background; and (c) determine the relationship between the dimensions of social support, personal characteristics of the adolescent, and indices of personal and academic adjustment. Factor analyses reveal three distinct support dimensions: Family, Formal, and Informal Support. Multivariate and univariate analyses of variance show differences in the perceived helpfulness of the support dimensions as a function of the adolescent's age, sex, and ethnic background as well as in the relationship of each source of support to the adjustment indices. Implications of the findings for elaborating the impact of social support on coping efforts are discussed.

The processes by which children with emotional and behavioral disorders seek and obtain help have received little study; yet, they are critical for determining mental health policy and practice. In this article, help-seeking pathways for children are defined and a pathway model is presented. Influences on help-seeking pathways are then reviewed, including illness profile variables, predisposing factors, and barriers to and facilitators of care. Research targets such as the role of informal supports, collateral services, and cultural influences on help-seeking are recommended. Methodological considerations are presented that include assessment of clinically defined mental health need as well as subjective assessment of need, use of complementary qualitative and quantitative methods, and use of cross-system data. The implications for practice and policy of research on help-seeking pathways are described.

This study examined whether maternal control protects African American adolescents from the negative influence of problem peers. Two forms of control were examined, behavioral control and psychological control. It was hypothesized that there would be a curvilinear relation between control and adolescent problem behavior, with the strength of the relationship and the amount of control optimal for adolescent development varying by the level of peer problem behavior. In general, data supported this model, particularly in regard to behavioral control, where the predicted curvilinear interaction occurred even after controlling for initial levels of problem behavior. The predicted curvilinear interaction between psychological control and peer problem behavior was statistically significant if initial levels of problem behavior were not controlled for but was not significant after controlling for initial problem behavior. These findings suggest that high-quality parenting can play a modest but critical role in the face of environmental adversity.