HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Full Text (PDF) Submit a response Purchase Article View Shopping Cart Alert me when this article is cited Alert me when eLetters are posted Alert me if a correction is posted Services Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Zahner, G E Articles by Daskalakis, C Search for Related Content PubMed PubMed Citation Articles by Zahner, G E Articles by Daskalakis, C

Factors associated with mental health, general health, and school-based service use for child psychopathology.

G E Zahner and C Daskalakis

Department of Epidemiology, Harvard School of Public Health, Boston, Mass 02115, USA.

OBJECTIVES: This study was designed to identify factors associated with service use for child psychopathology in three settings: mental health, general health, and school. METHODS: Subjects were 2519 children, 6 to 11 years of age, assessed in two cross-sectional Connecticut surveys in the late 1980s. Three groups of variables (sociodemographics, child's illness profile, and parental attitudes) were examined through multivariate logistic regression. RESULTS: Most sociodemographics showed moderate associations with all settings, although some previously reported effects (e.g. birth order, sibship size) were not observed. Of the illness profile measures, only Child Behavior Checklist total scores predicted use in the final model (odds ratio [OR] = 1.6, 95% confidence interval [CI] = 1.1, 2.3). Health problems were associated with increased use in all settings (OR = 1.5, 95% CI = 1.3, 1.9), while academic problems were associated only with increased school service use (OR = 5.2, 95% CI = 3.9, 7.0). Parental belief that the child needed help was most strongly associated with service use (common OR for all settings = 5.3, 95% CI = 4.1, 6.8). CONCLUSIONS: Sociodemographics, parental attitudes, and children's illness profiles independently influence service use for psychopathology in school-aged children.

This article has been cited by other articles:

				D. J. Gaskin, A. Kouzis, and P. Richard Children's and Adolescents' Use of Mental Health Care Is a Family Matter Med Care Res Rev, December 1, 2008; 65(6): 748 - 762. [Abstract] [PDF]

				L. K. Leslie, K. M. Lambros, G. A. Aarons, R. A. Haine, and R. L. Hough School-Based Service Use by Youth With ADHD in Public-Sector Settings Journal of Emotional and Behavioral Disorders, September 1, 2008; 16(3): 163 - 177. [Abstract] [PDF]

				S. dosReis, M. P. Mychailyszyn, M. Myers, and A. W. Riley Coming to Terms With ADHD: How Urban African-American Families Come to Seek Care for Their Children Psychiatr Serv, May 1, 2007; 58(5): 636 - 641. [Abstract] [Full Text] [PDF]

				P. Vostanis, L. Anderson, and S. Window Evaluation of a Family Support Service: Short-term Outcome Clinical Child Psychology and Psychiatry, October 1, 2006; 11(4): 513 - 528. [Abstract] [PDF]

				B. W. Graetz, M. G. Sawyer, P. Baghurst, and C. Hirte Gender Comparisons of Service Use Among Youth With Attention-Deficit/Hyperactivity Disorder Journal of Emotional and Behavioral Disorders, January 1, 2006; 14(1): 2 - 11. [Abstract] [PDF]

				S. J. Simonian Screening and Identification in Pediatric Primary Care Behav Modif, January 1, 2006; 30(1): 114 - 131. [Abstract] [PDF]

				S. M. Horwitz, L. C. Gary, M. J. Briggs-Gowan, and A. S. Carter Do Needs Drive Services Use in Young Children? Pediatrics, December 1, 2003; 112(6): 1373 - 1378. [Abstract] [Full Text] [PDF]

				M. M. Staudt Mental Health Services Utilization by Maltreated Children: Research Findings and Recommendations Child Maltreat, August 1, 2003; 8(3): 195 - 203. [Abstract] [PDF]

				A. Raviv, A. Raviv, Y. Edelstein-Dolev, and O. Silberstein The gap between a mother seeking psychological help for her child and for a friend's child International Journal of Behavioral Development, July 1, 2003; 27(4): 329 - 337. [Abstract] [PDF]

				T. Ford, R. Goodman, and H. Meltzer Service Use Over 18 Months among a Nationally Representative Sample of British Children with Psychiatric Disorder Clinical Child Psychology and Psychiatry, January 1, 2003; 8(1): 37 - 51. [Abstract] [PDF]

				S. H. Kataoka, L. Zhang, and K. B. Wells Unmet Need for Mental Health Care Among U.S. Children: Variation by Ethnicity and Insurance Status Am J Psychiatry, September 1, 2002; 159(9): 1548 - 1555. [Abstract] [Full Text] [PDF]

				J. A. Cohen, E. Deblinger, A. P. Mannarino, and M. A. de Arellano The Importance of Culture in Treating Abused and Neglected Children: An Empirical Review Child Maltreat, May 1, 2001; 6(2): 148 - 157. [Abstract] [PDF]

				P. Wu, C. W. Hoven, P. Cohen, X. Liu, R. E. Moore, Q. Tiet, N. Okezie, J. Wicks, and H. R. Bird Factors Associated With Use of Mental Health Services for Depression by Children and Adolescents Psychiatr Serv, February 1, 2001; 52(2): 189 - 195. [Abstract] [Full Text] [PDF]

				D. Finkelhor, J. Wolak, and L. Berliner Police Reporting and Professional Help Seeking for Child Crime Victims: A Review Child Maltreat, February 1, 2001; 6(1): 17 - 30. [Abstract] [PDF]

				T. Ford and A. Nikapota Teachers' attitudes towards child mental health services Psychiatr. Bull., December 1, 2000; 24(12): 457 - 461. [Abstract] [Full Text]

				N. J Horton and N. M Laird Maximum likelihood analysis of generalized linear models with missing covariates Statistical Methods in Medical Research, February 1, 1999; 8(1): 37 - 50. [Abstract] [PDF]