Youth and Provider Perspectives on Social Service Providers' Roles in Mental Health Services

Stiffman, Arlene Rubin; Elze, Diane; Hadley-Ives, Eric; Johnson, Sharon

doi:10.1300/j079v25n03_06

Cited by 8 publications

(3 citation statements)

References 17 publications

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“…25,26 Providers report insufficient training and knowledge to identify need. 22 Research w shows that each sector has problems identifying need. General practitioners consistently overlook between 46% to 86% of mental health problems and diagnoses.…”

Section: What Constitutes Need In Adolescents?mentioning

confidence: 99%

Organizational context and provider perception as determinants of mental health service use

Stiffman¹,

Striley²,

Horvath³

et al. 2001

The Journal of Behavioral Health Services & Research

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This study refines and tests an individual client model of service use and contrasts it with a model of service provision based on gateway provider perspectives. Structural equation models demonstrate that provider variables account for more service use variation than client variables. The client model accounts for 24% of the variance in service use, while the provider model accounts for 55% of the variance. Youth self-reported mental health was not positively associated with increased services or with provider perception of youth mental health. The provider model demonstrates the critical role played by provider perceptions, which are influenced more by work environment than by client problems.

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Section: What Constitutes Need In Adolescents?mentioning

confidence: 99%

Organizational context and provider perception as determinants of mental health service use

Stiffman¹,

Striley²,

Horvath³

et al. 2001

The Journal of Behavioral Health Services & Research

Self Cite

View full text Add to dashboard Cite

show abstract

“…Among adolescents and young adults hospitalized for a suicide attempt, only 37% to 52% received mental health services in the month before their attempt (Barnes, Ikeda, & Kresnow, 2001; Suominen, Isometsä, Marttunen, Ostamo, & Lönnqvist, 2004). In general, only 20% to 50% of youth in need of mental health services receive professional help (Angold et al, 2002; Cuffe et al, 2001; Leaf et al, 1996; Stiffman, Elze, Hadley‐Ives, & Johnson, 1999).…”

mentioning

confidence: 99%

Racial Disparities in Mental Health Service Use by Adolescents Who Thought About or Attempted Suicide

Freedenthal

2007

Suicide & Life Threat Behav

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Differences in rates and predictors of mental health service use among 2,226 Black, Hispanic, and White adolescents (aged 12-17) who reported recent suicidal thoughts or an attempt were examined. Black adolescents were 65% (OR = .65, p < .05), and Hispanic adolescents were 55% (OR = .55, p < .001), as likely as White adolescents to report service use, even when controlling for need for care and ability to secure services. Suicide attempt and psychiatric symptoms each interacted with race to increase the odds of service use uniquely for White adolescents. Results indicate that racial disparities characterize adolescents' mental health service use even when suicide risk increases.

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“…CLTC agencies fit the Institute of Medicine’s definition of primary care: Their providers give first-contact care, conduct comprehensive assessments tapping the family and community context, and act as “gatekeepers” for the health, mental health, and psychosocial needs of frail elders who coordinate referrals to specialty care (Branger, Duisterhout, Pop, & Rollema, 1997; Grumbach et al, 1999; Starfield, 1992; Stiffman, Elze, Hadley-Ives, & Johnson, 1999). Universal screening through the use of short portable forms could systematically identify high-risk clients who could then be assessed for depression severity by clinical or mental health specialists.…”

Section: Discussionmentioning

confidence: 99%

Notation of Depression in Case Records of Older Adults in Community Long-Term Care

Proctor¹,

Morrow‐Howell²,

Choi³

et al. 2008

Social Work

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Although significant numbers of social service clients experience mental health problems, virtually no research has examined the responsiveness of social service agencies to mental disorder. This article examines the extent to which client depression is reflected in records of a public social service agency, community long-term care (CLTC). Researchers assessed new, consenting CLTC clients for depression using standardized research criteria in a telephone interview. Agency case records were abstracted to determine the extent to which client depression was noted. Sensitivity and specificity of depression notation were 25.21 percent and 92.80 percent, respectively, indicating that agency records reflected depression for about one in four clients meeting depression criteria. Factors associated with accurate depression notation included cognitive impairments, low social support, psychotropic medications, and mental health treatment. The depression notation rates found are comparable to those in medical settings. Structured screening and assessment might enhance detection of mental disorder for social service clients.

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Youth and Provider Perspectives on Social Service Providers' Roles in Mental Health Services

Cited by 8 publications

References 17 publications

Organizational context and provider perception as determinants of mental health service use

Organizational context and provider perception as determinants of mental health service use

Racial Disparities in Mental Health Service Use by Adolescents Who Thought About or Attempted Suicide

Notation of Depression in Case Records of Older Adults in Community Long-Term Care

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