naa a22 4500 510781764 CHVBK 20180411083250.0 cr unu---uuuuu 180411e20130101xx s 000 0 eng 10.1007/s11414-012-9298-7 doi (NATIONALLICENCE)springer-10.1007/s11414-012-9298-7 Race/Ethnicity, Parent-Identified Emotional Difficulties, and Mental Health Visits Among California Children [Elektronische Daten] [Jim Banta, Sigrid James, Mark Haviland, Ronald Andersen] Variability in mental health services utilization by race/ethnicity was evaluated with a Behavioral Model approach. Subjects were 17,705 children 5 to 11years of age in the 2005, 2007, and 2009 California Health Interview Surveys. Parents identified minor emotional difficulties in 18.7% of these children (ranging from 14.8% in Asians to 24.4% in African Americans) and definite or severe difficulties in 7.4% (5.5% in Asians to 9.7% in "other race”). Overall, 7.6% of children had at least one mental health visit in the prior year (2.3% in Asians to 11.2% in African Americans). Parent-identified need was the most salient predictor of mental health visits for all racial/ethnic groups. Beyond need, no consistent patterns could be determined across racial/ethnic groups with regard to the relationship between contextual, predisposing, and enabling measures and mental health service utilization. Different factors operated for each racial/ethnic group, suggesting the need for studies to examine mental health need, mental health service use, and determinants by racial/ethnic subgroup. These findings suggest that a "one-size-fits-all approach” with regard to policies and practices aimed at reducing mental health disparities will not be effective for all racial/ethnic groups. National Council for Community Behavioral Healthcare, 2012 Banta Jim Department of Health Policy and Management, Loma Linda University School of Public Health, 24951 North Circle Drive, 92350, Loma Linda, CA, USA aut James Sigrid Department of Social Work and Social Ecology, Loma Linda University School of Behavioral Health, 92350, Loma Linda, CA, USA aut Haviland Mark Department of Psychiatry, Loma Linda University School of Medicine, 1686 Barton Road, Box D, 92373, Redlands, CA, USA aut Andersen Ronald Department of Health Services, UCLA School of Public Health, Box 951772, 90095-1772, Los Angeles, CA, USA aut The Journal of Behavioral Health Services & Research Springer US; http://www.springer-ny.com 40/1(2013-01-01), 5-19 1094-3412 40:1<5 2013 40 11414 https://doi.org/10.1007/s11414-012-9298-7 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s11414-012-9298-7 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Banta Jim Department of Health Policy and Management, Loma Linda University School of Public Health, 24951 North Circle Drive, 92350, Loma Linda, CA, USA aut NATIONALLICENCE 700 1- James Sigrid Department of Social Work and Social Ecology, Loma Linda University School of Behavioral Health, 92350, Loma Linda, CA, USA aut NATIONALLICENCE 700 1- Haviland Mark Department of Psychiatry, Loma Linda University School of Medicine, 1686 Barton Road, Box D, 92373, Redlands, CA, USA aut NATIONALLICENCE 700 1- Andersen Ronald Department of Health Services, UCLA School of Public Health, Box 951772, 90095-1772, Los Angeles, CA, USA aut NATIONALLICENCE 773 0- The Journal of Behavioral Health Services & Research Springer US; http://www.springer-ny.com 40/1(2013-01-01), 5-19 1094-3412 40:1<5 2013 40 11414 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer