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Anne M. Libby, PhD, Heather D. Orton, MS, Richard P. Barth, PhD, Mary Bruce Webb, PhD, Barbara J. Burns, PhD, Patricia Wood, MS and Paul Spicer, PhD

Anne M. Libby, Heather D. Orton, and Paul Spicer are with the American Indian and Alaskan Native Programs at the University of Colorado, Denver, and Health Sciences Center, Aurora. Richard P. Barth is with the University of North Carolina, Chapel Hill. Mary Bruce Webb is with the Administration for Children and Families, US Department of Health and Human Services, Washington, DC. Barbara J. Burns is with Duke University, Durham, NC. Patricia Wood is with the Child and Adolescent Services Research Center, San Diego, Calif.

Correspondence: Requests for reprints should be sent to Anne M. Libby, PhD, University of Colorado Health Sciences Center, School of Medicine, Nighthorse Campbell Native Health Building, PO Box 6508, Campus Box F800, Aurora, CO 80045 (e-mail: anne.libby{at}uchsc.edu).

We used data on a national sample of children involved with child welfare systems to compare American Indian caregivers with White, Black, and Hispanic caregivers in their need for, and receipt of, specialty alcohol, drug, and mental health treatment. American Indian caregivers were significantly less likely to receive services than were Hispanic caregivers (P<.05) but not significantly less likely than were White or Black caregivers. Child placement, child age, and caregiver psychiatric comorbidity were significantly associated with service receipt.

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