The Role of Caregiver Strain and Other Family Variables in Determining Children's Use of Mental Health Services

Author:

Brannan Ana María1,Heflinger Craig Anne2,Foster E. Michael3

Affiliation:

1. Vanderbilt Institute for Public Policy Studies,

2. Department of Human and Organizational Development at Vanderbilt University

3. Department of Health Policy and Administration of The Pennsylvania State University

Abstract

This study used a prominent model of family stress and coping to examine whether caregiver and family variables predicted child mental health service utilization patterns, holding constant the child clinical and demographic variables.We were especially interested in the impact of caregiver strain on children's use of mental health services. We found caregiver strain to be associated with the combination of services used, sequencing of services, gaps in care, and cost of services. Other family variables that predicted children's service use included material resources, life events, and family functioning. Child clinical variables improved the explanatory power of the models considerably. When all other variables were included in the model, child's age was the only demographic variable that predicted service use patterns.

Publisher

SAGE Publications

Subject

Psychiatry and Mental health,Clinical Psychology,Developmental and Educational Psychology,Education

Reference48 articles.

1. Behar, L., Bickman, L., Lane, T., Keeton, W.P., Schwartz, M., Brannock, J.E. (1996). The Fort Bragg child and adolescent mental health demonstration project. In M. C. Roberts (Ed.), Model programs in child and family mental health (pp. 351-372). Mahwah, NJ: Erlbaum.

2. Who Gets Hospitalized in a Continuum of Care

3. Evaluating Managed Mental Health Services

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