Juvenile Protective Association, 1707 N. Halsted, Chicago, IL 60614, USA.
Psychiatr Serv. 2012 Sep 1;63(9):913-9. doi: 10.1176/appi.ps.201100394.
The purpose of this research was to examine the factors associated with various levels of engagement with mental health services in a large sample of mothers at high risk of maltreating their children.
Data were collected by LONGSCAN (the Consortium for Longitudinal Studies of Child Abuse and Neglect) for 909 mothers of six-year-old children. These women reported on recent use of mental health services, with four levels of engagement: no use of services (76%), consideration of services (8%), use of and dissatisfaction with services (4%), and use of and satisfaction with services (11%). Logistic regression analyses were conducted to predict level of engagement in services.
Predictors of considering services included being formerly married, previous receipt of services, physical victimization, psychological intimate partner victimization, and depressive symptoms. Predictors of satisfaction with services were social support and lack of sexual victimization.
It is important to take a broad approach to assessing mental health needs, including not only current functioning, but social networks, prior experiences with services, and trauma exposure. Further research is needed on the process of engagement in mental health services, including examination of the factors associated with satisfaction with these services.
本研究旨在探讨在一个有大量虐待儿童高风险的母亲大样本中，与心理健康服务不同参与水平相关的因素。
LONGSCAN（儿童虐待和忽视纵向研究联合会）为 909 名 6 岁儿童的母亲收集了数据。这些女性报告了最近使用心理健康服务的情况，分为四个参与水平：无服务使用（76%）、考虑服务（8%）、使用服务但不满意（4%）和使用服务且满意（11%）。进行逻辑回归分析以预测服务参与水平。
考虑服务的预测因素包括曾离异、之前接受过服务、身体受害、心理亲密伴侣受害和抑郁症状。对服务满意的预测因素是社会支持和缺乏性受害。
评估心理健康需求时采用广泛的方法很重要，不仅包括当前功能，还包括社会网络、以前的服务经历和创伤暴露。需要进一步研究心理健康服务的参与过程，包括检查与这些服务满意度相关的因素。
