Correlates of mental health service utilization and unmet need among a sample of male adolescents

Cornelius, Jack R.; Pringle, Jan; Jernigan, Jan; Kirisci, Levent; Clark, Duncan B.

doi:10.1016/s0306-4603(00)00075-7

Cited by 53 publications

(45 citation statements)

References 18 publications

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“…Family size proved to exert a comparable differential effect on parental problem recognition and help seeking, for it was found that the presence of siblings was related to a smaller chance of parents perceiving child behaviour as problematic [45], but not to a decrease in the likelihood of these parents seeking help [8,16,45].…”

Section: S Child Characteristics Influencing the First Filtermentioning

confidence: 98%

“…While several studies have confirmed the hypothesis of an increased chance of problem recognition and help seeking for externalising problems [8,37,48], others have found an opposite effect [23], or no effect at all [20,42,45].…”

Section: S Child Characteristics Influencing the First Filtermentioning

confidence: 99%

“…The presence of psychological problems in the parents has been shown to increase problem recognition, but not to increase mental health services need and utilisation [8,17,45]. When parents or relatives received mental health care themselves, an increase in help seeking for child psychopathology did show [11].…”

Section: S Child Characteristics Influencing the First Filtermentioning

confidence: 99%

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Help seeking for emotional and behavioural problems in children and adolescents

Zwaanswijk

Verhaak

Bensing

et al. 2003

European Child & Adolescent Psychiatry

220

206

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s Abstract In order to understand the discrepancy between rates of child and adolescent psychopathology and rates of mental health service use, variables influencing the help-seeking process need to be investigated. The present article aims to extend and refine previous findings by reviewing 47 recent empirical studies on parental and adolescent problem recognition and help seeking, and problem recognition by the general practitioner (GP). Several variables (child age, the presence of medical and school-related problems, informal help seeking, past treatment of parents or relatives, family size, and type of maltreatment) were discovered to influence parental/adolescent problem recognition and/or help seeking, while refinements were found for the effects of type of psychopathology, child gender, adolescent attitudes and personality, parental psychopathology, social support, and sociodemographic variables. Although recent studies uncovered several determinants of problem recognition by the GP (child gender, age, past treatment, academic problems, family composition, life events, type of visit, and acquaintance with child), this aspect of the help-seeking pathway remains relatively uncharted and, therefore, needs to be the focus of future research.s Key words help seeking -child and adolescent psychopathologyproblem recognition -mental health services

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Section: S Child Characteristics Influencing the First Filtermentioning

confidence: 98%

Section: S Child Characteristics Influencing the First Filtermentioning

confidence: 99%

Section: S Child Characteristics Influencing the First Filtermentioning

confidence: 99%

See 1 more Smart Citation

Help seeking for emotional and behavioural problems in children and adolescents

Zwaanswijk

Verhaak

Bensing

et al. 2003

European Child & Adolescent Psychiatry

220

206

View full text Add to dashboard Cite

show abstract

“…Another set of important predictors of adolescent service utilization are family factors and parent functioning, although the precise nature of the relationship remains very unclear (Cornelius, Pringle, Jernigan, Kirisci, & Clark, 2001;Farmer, Burns, Angold, & Costello, 1997). Parental well-being and parental feelings of competence in dealing with their children's problem have been negatively associated with service use as the parents of high utilization youth reported lower levels of both well-being and feelings of competence (Farmer et al, 1997).…”

Section: Family and Parental Predictorsmentioning

confidence: 99%

“…Logan and King (2001) present a converging literature on service utilization by both adults and child/adolescents suggesting that family history of psychological problems may increase the likelihood of service use. However, research examining mental health service use among male adolescents suggests that parental psychopathology and parental substance abuse can act as deterrents to adequate mental health treatment by adolescents (Cornelius et al, 2001). These apparently inconsistent findings on the effects of parental psychopathology may depend on the overall level of psychopathology of the parent.…”

Section: Family and Parental Predictorsmentioning

confidence: 99%

Psychiatric, Family, and Ethnicity-Related Factors That Can Impact Treatment Utilization Among Hispanic Substance Abusing Adolescents

Santisteban

Dillon

Mena

et al. 2005

Journal of Social Work Practice in the Addictions

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SUMMARYThere is great significance to improving our understanding of predictors of treatment utilization among Hispanic substance abusing youth. One hundred and ten Hispanic substance abusing adolescents and their parents participated in a study of treatment utilization. Analyses showed that adolescents with lower numbers of externalizing disorders (χ 2 = 4.18, df = 1, p < .05) and parents with better parenting strategies (χ 2 = 8.73, df = 2, p < .05), predicted overall treatment utilization (residential + outpatient). Better parenting practices and higher parental years in the U.S. predicted more utilization of outpatient services and lower parenting stress predicted more utilization of residential services. Without specialized engagement strategies, adolescents and families most in need may be the least likely to engage in recommended treatment.

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