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Unmet mental health need and access to services for children with special health care needs and their families.
Ambul Pediatr. 2007 Nov-Dec; 7(6):431-8.AP

Abstract

OBJECTIVES

Studies suggest that children with disabilities or serious health conditions are vulnerable to mental health problems due to adjustment and limitation problems. The aim of this study was to examine rates and predictors of unmet mental health need among children with special health care needs (CSHCN) and their family members and to determine if race/ethnicity and language are associated with unmet need for the child and family members who have a mental health need attributed to the child's special needs.

METHODS

Data are from the 2001 National Survey of Children with Special Health Care Needs, a nationally representative sample of CSHCN.

RESULTS

Rates of unmet need were higher for CSHCN and family members of CSHCN with a chronic emotional, behavioral, or developmental problem (EBDP) compared to CSHCN with a mental health need but not a chronic EBDP. In multivariate analysis controlling for condition impact and demographics, among CSHCN with a chronic EBDP, African-American children had greater odds of unmet need (OR 1.60, 95% CI, 1.12-2.28), and family members of Hispanic children with a Spanish language parent interview had greater odds of unmet need compared to others (OR 4.48, 95% CI, 1.72-11.63). Lacking a personal doctor or nurse was associated with higher odds of unmet need for CSHCN with and without a chronic EBDP.

CONCLUSION

Parents reported prevalent mental health needs of CSHCN as well as family members. Given the importance of family members to the care of CSHCN, research on racial/ethnic disparities in access to perceived needs should focus on children and their family members.

Authors+Show Affiliations

Department of Health Services, School of Public Health, University of California, Los Angeles, UCLA Center for Healthier Children, Families, and Communities, Los Angeles, CA 90024, USA. minkelas@ucla.eduNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, N.I.H., Extramural
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

17996836

Citation

Inkelas, Moira, et al. "Unmet Mental Health Need and Access to Services for Children With Special Health Care Needs and Their Families." Ambulatory Pediatrics : the Official Journal of the Ambulatory Pediatric Association, vol. 7, no. 6, 2007, pp. 431-8.
Inkelas M, Raghavan R, Larson K, et al. Unmet mental health need and access to services for children with special health care needs and their families. Ambul Pediatr. 2007;7(6):431-8.
Inkelas, M., Raghavan, R., Larson, K., Kuo, A. A., & Ortega, A. N. (2007). Unmet mental health need and access to services for children with special health care needs and their families. Ambulatory Pediatrics : the Official Journal of the Ambulatory Pediatric Association, 7(6), 431-8.
Inkelas M, et al. Unmet Mental Health Need and Access to Services for Children With Special Health Care Needs and Their Families. Ambul Pediatr. 2007 Nov-Dec;7(6):431-8. PubMed PMID: 17996836.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Unmet mental health need and access to services for children with special health care needs and their families. AU - Inkelas,Moira, AU - Raghavan,Ramesh, AU - Larson,Kandyce, AU - Kuo,Alice A, AU - Ortega,Alexander N, PY - 2007/02/11/received PY - 2007/07/30/revised PY - 2007/08/06/accepted PY - 2007/11/13/pubmed PY - 2008/1/19/medline PY - 2007/11/13/entrez SP - 431 EP - 8 JF - Ambulatory pediatrics : the official journal of the Ambulatory Pediatric Association JO - Ambul Pediatr VL - 7 IS - 6 N2 - OBJECTIVES: Studies suggest that children with disabilities or serious health conditions are vulnerable to mental health problems due to adjustment and limitation problems. The aim of this study was to examine rates and predictors of unmet mental health need among children with special health care needs (CSHCN) and their family members and to determine if race/ethnicity and language are associated with unmet need for the child and family members who have a mental health need attributed to the child's special needs. METHODS: Data are from the 2001 National Survey of Children with Special Health Care Needs, a nationally representative sample of CSHCN. RESULTS: Rates of unmet need were higher for CSHCN and family members of CSHCN with a chronic emotional, behavioral, or developmental problem (EBDP) compared to CSHCN with a mental health need but not a chronic EBDP. In multivariate analysis controlling for condition impact and demographics, among CSHCN with a chronic EBDP, African-American children had greater odds of unmet need (OR 1.60, 95% CI, 1.12-2.28), and family members of Hispanic children with a Spanish language parent interview had greater odds of unmet need compared to others (OR 4.48, 95% CI, 1.72-11.63). Lacking a personal doctor or nurse was associated with higher odds of unmet need for CSHCN with and without a chronic EBDP. CONCLUSION: Parents reported prevalent mental health needs of CSHCN as well as family members. Given the importance of family members to the care of CSHCN, research on racial/ethnic disparities in access to perceived needs should focus on children and their family members. SN - 1530-1567 UR - https://www.unboundmedicine.com/medline/citation/17996836/Unmet_mental_health_need_and_access_to_services_for_children_with_special_health_care_needs_and_their_families_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S1530-1567(07)00143-8 DB - PRIME DP - Unbound Medicine ER -