Increasing access to child mental health services for urban children and their caregivers.

This article presents the results of a study that evaluated the effects of two engagement interventions on the initial attendance and ongoing retention in child mental health services of 109 primarily children of color and their families. Both the combined intervention (telephone and first interview) and the telephone-alone intervention were associated with significant increases in attendance at initial intake appointments over the usual intake procedure, but only the combined intervention was related to the greater ongoing use of services. Implications for future research and recommendations for modifying procedures in outpatient child mental health centers are also presented.

[1]  P. Szatmari,et al.  Ontario Child Health Study. II. Six-month prevalence of disorder and rates of service utilization. , 1987, Archives of general psychiatry.

[2]  N W Zane,et al.  Community mental health services for ethnic minority groups: a test of the cultural responsiveness hypothesis. , 1991, Journal of consulting and clinical psychology.

[3]  G. Zahner,et al.  Children's mental health service needs and utilization patterns in an urban community: an epidemiological assessment. , 1992, Journal of the American Academy of Child and Adolescent Psychiatry.

[4]  P. Armbruster,et al.  Clinical, sociodemographic, and systems risk factors for attrition in a children's mental health clinic. , 1994, The American journal of orthopsychiatry.

[5]  F. X. Acosta Self-Described Reasons for Premature Termination of Psychotherapy by Mexican American, Black American, and Anglo-American Patients , 1980, Psychological reports.

[6]  J Hatch,et al.  Community research: partnership in black communities. , 1993, American journal of preventive medicine.

[7]  M. Mckay,et al.  Evaluating a Social Work Engagement Approach to Involving Inner-City Children and Their Families in Mental Health Care , 1996 .

[8]  F. Goodwin,et al.  The de facto US mental and addictive disorders service system. Epidemiologic catchment area prospective 1-year prevalence rates of disorders and services. , 1993, Archives of general psychiatry.

[9]  A. Brickman,et al.  Engaging adolescent drug abusers and their families in treatment: a strategic structural systems approach. , 1988, Journal of consulting and clinical psychology.

[10]  J. Gonzales,et al.  Addressing the barriers to mental health services for inner city children and their caretakers , 1996, Community mental health journal.

[11]  Gloria E. Miller,et al.  Enhancement of social learning family interventions for childhood conduct disorder. , 1990, Psychological bulletin.

[12]  S. Sue,et al.  The mental health of Asian Americans , 1982 .

[13]  T. Todd,et al.  Engaging "resistant" families in treatment. , 1981, Family process.

[14]  Jacob Cohen,et al.  The Effect of Insurance Benefit Changes on Use of Child and Adolescent Outpatient Mental Health Services , 1993, Medical care.

[15]  J. Zarski,et al.  Home/community-based services: a two-tier approach. , 1991, The American journal of orthopsychiatry.

[16]  B. Brett,et al.  Reducing Dropout Rates through Improved Intake Procedures , 1987 .

[17]  P. Tolan,et al.  Adolescents' Mental Health Service Use and Provider, Process, and Recipient Characteristics , 1988 .

[18]  J. A. Griffin,et al.  Characteristics of youths identified from a psychiatric case register as first-time users of services. , 1993, Hospital & community psychiatry.

[19]  T. Lin Psychiatry and Chinese culture. , 1983, The Western journal of medicine.

[20]  D. Takeuchi,et al.  Ethnic minority adolescents and the use of community mental health care services , 1992, American journal of community psychology.

[21]  E. Costello,et al.  How can epidemiology improve mental health services for children and adolescents? , 1993, Journal of the American Academy of Child and Adolescent Psychiatry.

[22]  A. Padilla,et al.  The Mexican-American Extended Family As An Emotional Support System , 1979 .

[23]  A. Kazdin,et al.  Treatment outcome among children with externalizing disorder who terminate prematurely versus those who complete psychotherapy. , 1994, Journal of the American Academy of Child and Adolescent Psychiatry.

[24]  R. Wahler,et al.  Attentional problems in dysfunctional mother-child interactions: an interbehavioral model. , 1989, Psychological bulletin.

[25]  P. Cohen,et al.  Demographic factors in the use of children's mental health services. , 1993, American journal of public health.

[26]  R. Friedman,et al.  The epidemiology of childhood psychiatric disorders: prevalence findings from recent studies. , 1990, Journal of the American Academy of Child and Adolescent Psychiatry.

[27]  M. Muecke In search of healers--Southeast Asian refugees in the American health care system. , 1983, The Western journal of medicine.

[28]  I. M. Shivack,et al.  Use of telephone prompts at an inner-city outpatient clinic. , 1989, Hospital & community psychiatry.

[29]  J. Flaskerud The effects of culture-compatible intervention on the utilization of mental health services by minority clients , 1986, Community mental health journal.

[30]  P. Tolan,et al.  Preventing Serious Antisocial Behavior in Inner-City Children: An Empirically Based Family Intervention Program , 1996 .

[31]  A. Kazdin Hospitalization of antisocial children: Clinical course, follow-up status, and predictors of outcome , 1989 .

[32]  A. Kazdin Premature termination from treatment among children referred for antisocial behavior. , 1990, Journal of child psychology and psychiatry, and allied disciplines.