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• W2084202215 abstract "Objective: To determine factors influencing the use of outpatient mental health services provided by mental health professionals (OMHS) for children in foster care using a national probability sample in the United States. Method: As part of the National Survey of Child and Adolescent Well-being, detailed survey data were collected on 462 children, ages 2–15, who had been in out-of-home care for approximately 12 months at the time of sampling. A multivariate logistic regression model was used to determine how clinical need, as measured by a Total Problem, Externalizing, or Internalizing Scale T-score of 64 or greater on the Achenbach Child Behavior Checklist (CBCL), and non-clinical factors affected OSMHS use. Results: Over half of the children in the sample received at least one OMHS. Need, older age, and history of sexual abuse history all positively predicted OMHS. A history of physical neglect negatively predicted OSMHS. African-Americans used fewer services than children of Caucasian ancestry at all values on the CBCL. This finding was particularly salient at lower levels of CBCL scores; at higher levels, the discrepancy in the use of services diminished but the proportion of children receiving services remained lower for African-American children. Conclusions: This national study confirms previous findings regarding the use of mental health services based on regional data. Limitations in the use of services imposed by non-clinical factors, specifically, age, race/ethnicity and type of abuse, need to be examined in order to address implicit and explicit policies and practices that may result in inequitable distribution of services. French-language abstract not available at time of publication. Objetivo: Determinar los factores influyentes en el uso de servicios externos de salud mental de profesionales de salud mental (OMHS) para niños en acogimiento, haciendo uso de una muestra nacional de probabilidad en los Estados Unidos. Método: Como parte del National Survey of Child and Adolescent Well-being, se recogieron cuestionarios detallados de datos de 462 niños, de edades 2–15 años, que habı́an estado fuera del cuidado familiar durante aproximadamente 12 meses en el momento del muestreo. Un modelo de regresión logı́stica multivariado se utilizó para determinar la necesidad clı́nica, según fue medida de las puntuaciones T de 64 o mayor en las escalas de Problemas Total, Externalizando, o Internalizando del Achenbach Child Behavior Checklist (CBCL) y factores no clı́nicos que afectaban el uso de OMHS. Resultados: Más de la mitad de los niños/as de la muestra recibieron OMHS al menos en una ocasión. La necesidad, la edad mayor y la historia de abuso sexual predijeron positivamente OMHS. Una historia de negligencia fı́sica predijo negativamente OSMHS. Los afro-americanos utilizaron menos servicios que los niños/as de antecedentes caucásicos en todas los valores del CBCL. Este hallazgo es particularmente saliente en los niveles bajos de las puntuaciones del CBCL; a niveles mayores, la discrepancia en el uso de servicios disminuye pero la proporción de niños/as que reciben servicios se mantiene menor para los niños afro-americanos. Conclusiones: Este estudio nacional confirma los hallazgos previos referentes al uso de servicios de salud mental en datos a nivel regional. Las limitaciones en el uso de servicios impuestos por factores no clı́nicos, especı́ficamente: edad, raza/etnia y tipo de abuso necesita ser examinada con el objetivo de identificar las polı́ticas y prácticas implı́citas y explı́citas que puedan resultar en una distribución no equitativa de los servicios." @default.
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• W2084202215 date "2004-06-01" @default.
• W2084202215 modified "2023-10-17" @default.
• W2084202215 title "Outpatient mental health services for children in foster care: a national perspective" @default.
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• W2084202215 doi "https://doi.org/10.1016/j.chiabu.2004.01.004" @default.
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