Snowden Lonnie R, Masland Mary C, Fawley Kya, Wallace Neal
J Child Fam Stud. 2009 Oct;18(5):512-519. doi: 10.1007/s10826-008-9253-7. Epub 2009 Feb 5.
For children and youth making a mental health crisis visit, we investigated ethnic disparities in whether the children and youth were currently in treatment or whether this crisis visit was an entry or reentry point into mental health treatment. We gathered Medicaid claims for mental health services provided to 20,110 public-sector clients ages 17 and younger and divided them into foster care and non-foster care subsamples. We then employed logistic regression to analyze our data with sociodemographic and clinical controls. Among children and youth who were not placed in foster care, African Americans, Latinos, and Asian Americans were significantly less likely than Caucasians to have received mental health care during the three months preceding a crisis visit. Disparities among children and youth in foster care were not statistically significant. Ethnic minority children and youth were more likely than Caucasians to use emergency care as an entry or reentry point into the mental health treatment, thereby exhibiting a crisis-oriented pattern of care.
对于有心理健康危机就诊经历的儿童和青少年，我们调查了在这些儿童和青少年是否正在接受治疗，或者此次危机就诊是否是进入心理健康治疗或重新进入治疗的切入点方面存在的种族差异。我们收集了为20110名17岁及以下公共部门客户提供的心理健康服务的医疗补助索赔数据，并将其分为寄养和非寄养子样本。然后，我们采用逻辑回归分析数据，并纳入社会人口统计学和临床对照因素。在未被安置在寄养机构的儿童和青少年中，非裔美国人、拉丁裔和亚裔美国人在危机就诊前三个月接受心理健康护理的可能性明显低于白人。寄养儿童和青少年之间的差异无统计学意义。少数族裔儿童和青少年比白人更有可能将急诊作为进入心理健康治疗或重新进入治疗的切入点，从而呈现出以危机为导向的护理模式。
