Barriers to mental health care for urban, lower income families referred from pediatric primary care

Justine Larson, Susan Dosreis, Miriam Stewart, Rochelle Kushner, Emily Frosch, Barry Solomon

Research output: Contribution to journalArticlepeer-review

28 Scopus citations

Abstract

The aim of this study was to evaluate the association of parent-reported barriers on the likelihood of attending a mental health evaluation after referral from pediatric primary care. As the part of procedure, parents of children (N = 55) referred for mental health from primary care completed a 23-item questionnaire (three subscales; Cronbach alpha > 0.7): intangible barriers, tangible barriers, and child functioning. Logistic regression examined associations between responses and referral follow-through. The results showed that the high levels of intangible barriers were associated with decreased odds of attending the mental health evaluation (OR = 0.20, 0.06-0.83; P = 0.03). Therefore, we conclude that parental concerns about mental health care may be important for engagement in treatment.

Original languageEnglish (US)
Pages (from-to)159-167
Number of pages9
JournalAdministration and Policy in Mental Health and Mental Health Services Research
Volume40
Issue number3
DOIs
StatePublished - May 2013

Keywords

  • Access to healthcare
  • Community mental health services
  • Pediatric
  • Referrals and consultation

ASJC Scopus subject areas

  • Phychiatric Mental Health
  • Health Policy
  • Public Health, Environmental and Occupational Health
  • Psychiatry and Mental health

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