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Mental Health Need and Access to Mental Health Services by Youths Involved with Child Welfare: A National Survey

NCJ Number
206501
Journal
Journal of the American Academy of Child and Adolescent Psychiatry Volume: 43 Issue: 8 Dated: August 2004 Pages: 960-970
Author(s)
Barbara J. Burns Ph.D.; Susan D. Phillips M.S.W; H. Ryan Wagner Ph.D.; Richard P. Barth Ph.D.; David J. Kolko Ph.D.; Yvonne Campbell M.S.W; John Landsverk Ph.D.
Editor(s)
Mina K. Dulcan M.D.
Date Published
August 2004
Length
11 pages
Annotation
Utilizing data from the National Survey of Child and Adolescent Well-Being (NSCAW), this study attempted to identify factors related to the need for and use of mental health services among youths early in an episode with the child welfare system.
Abstract
Research on the need for and use of mental health services by children served by child welfare agencies has focused primarily on youths placed in nonrelative foster care with less known about the great majority of youths that child welfare encounters who remain in their homes or live with relatives. The aim of the current study was to assess the relationship between the need for and use of mental health services among a national sample of children from the National Survey of Child and Adolescent Well-Being (NSCAW) who were investigated by child welfare agencies after reported maltreatment. NSCAW consists of two cohorts of children randomly selected between October 1999 and December 2000 along with their caregivers and child welfare workers. The article addresses the clinical need and related characteristics, the correlates of mental health service utilization, and the rates and types of mental health service use. The sample used in this analysis was constrained to children aged 2 through 14 years of age (n = 3,803). Findings from this analysis indicate that easily one half of the youths who come to the attention of the child welfare system have manifest emotional and/or behavioral problems. The need for serious attention to the mental health needs of these youths is apparent and the potential to intervene effectively is possible. However, there needs to be a true partnership established between the child mental health and child welfare service systems. References

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