Toche-Manley Linda L, Dietzen Laura, Nankin Jesse, Beigel Astrid
Polaris Health Directions, 444 Oxford Valley Road, Suite 300, Langhorne, PA, 19047, USA,
J Behav Health Serv Res. 2014 Jul;41(3):356-69. doi: 10.1007/s11414-012-9280-4.
Among youth in child welfare ages 6-17 years, 40 % meet the criteria for one or more DSM diagnoses. For minority youth in child welfare, poor mental health is compounded by limited access to care and racial disparity bias, leading to poorer outcomes. This paper uses data collected and analyzed by an automated behavioral health assessment system for a multiyear study that focused on ways to improve case planning in child welfare. Youth, their caseworkers, and, in some cases, parents completed assessments that measured and monitored the youths' needs and strengths. More than 60 % of youth participating in the study were African-American; permanency rates after six months of case planning were found to be only one third. Predictive factors related to better behavioral health and permanency outcomes are identified and discussed, as well as the implications for improving case planning by incorporating the views of multiple informants, including the youth.
在6至17岁处于儿童福利系统中的青少年中，40%符合一项或多项《精神疾病诊断与统计手册》（DSM）的诊断标准。对于处于儿童福利系统中的少数族裔青少年而言，有限的医疗服务可及性和种族差异偏见加剧了他们的心理健康问题，导致更糟糕的结果。本文使用了一个自动化行为健康评估系统收集和分析的数据，该数据来自一项为期多年的研究，该研究聚焦于改善儿童福利个案规划的方法。青少年、他们的个案工作者，以及在某些情况下还有家长，都完成了评估，这些评估衡量并监测了青少年的需求和优势。参与该研究的青少年中，超过60%是非裔美国人；个案规划六个月后的永久性安置率仅为三分之一。本文确定并讨论了与更好的行为健康和永久性安置结果相关的预测因素，以及通过纳入包括青少年在内的多方信息提供者的观点来改善个案规划的意义。
