Little is known about the extent and correlates of unmet need for mental health services in community samples of children and adolescents.
Data were obtained from the 1285 parent/youth pairs interviewed at four sites in the USA and Puerto Rico in the Methods for the Epidemiology of Child and Adolescent Mental Disorders (MECA) Study.
Unmet need was defined to exist if psychopathology and associated functional impairment were present but no mental health services had been received in the previous 6 months.
Of the total sample, 17.1% had unmet need.
Adjusting for demographic variables, logistic regression analyses revealed that unmet need was significantly associated with :
indicators of economic disadvantage, such as being on public assistance and not being covered by health insurance ;
opinions of the parents and children or adolescents that the latter had poor mental health ;
parental psychopathology ;
poor school grades ;
and parent-reported access barriers such as concern that the child would want to solve the problem unassisted, would refuse to attend mental health services, or would be hospitalized or taken away against the parent's will.
No youth-reported access barriers were significantly associated with unmet need.
The economic correlates of unmet need may attain increased importance in the light of current reform in health care financing in the USA. (...)
Mots-clés Pascal : Trouble psychiatrique, Besoin utilisateur, Service santé, Organisation santé, Etats Unis, Amérique du Nord, Amérique, Accessibilité, Soin, Enfant, Homme, Age scolaire, Adolescent
Mots-clés Pascal anglais : Mental disorder, User need, Health service, Public health organization, United States, North America, America, Accessibility, Care, Child, Human, School age, Adolescent
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0480819
Code Inist : 002B18H05B. Création : 03/02/1998.