naa a22 4500 510781810 CHVBK 20180411083250.0 cr unu---uuuuu 180411e20130101xx s 000 0 eng 10.1007/s11414-012-9301-3 doi (NATIONALLICENCE)springer-10.1007/s11414-012-9301-3 Psychopathology as a Predictor of Medical Service Utilization for Youth in Residential Treatment [Elektronische Daten] [Timothy Nelson, Tori Smith, Robert Pick, Michael Epstein, Ronald Thompson, Thomas Tonniges] Rising health care costs have led to an emphasis on identifying factors that contribute to medical service utilization. Previous research has suggested an association between youth psychopathology and service utilization; however, prospective studies among high-risk populations are needed. The current study examined youth psychopathology as a predictor of subsequent medical service utilization among a large sample (N = 536) of youth entering residential treatment. Youth psychopathology and medical status were assessed at intake, and medical service utilization was tracked across the duration of the residential placement. Results indicated that higher levels of psychopathology predicted greater youth medical service utilization, even after controlling for the presence of a diagnosed medical condition. Internalizing problems was a significant independent predictor of utilization, but externalizing problems was not. These findings highlight the association between mental health and medical service utilization and suggest that effective behavioral health services may be helpful in reducing costly medical service needs. National Council for Community Behavioral Healthcare, 2012 Nelson Timothy Department of Psychology, University of Nebraska-Lincoln, 319 Burnett Hall, 6858 8-0308, Lincoln, NE, USA aut Smith Tori Department of Psychology, University of Nebraska-Lincoln, 319 Burnett Hall, 6858 8-0308, Lincoln, NE, USA aut Pick Robert Boys Town Nebraska/Iowa Region, Boys Town, NE, USA aut Epstein Michael Center for Child and Family Well-Being, University of Nebraska-Lincoln, Lincoln, NE, USA aut Thompson Ronald Boys Town National Research Institute, Boys Town, NE, USA aut Tonniges Thomas Boys Town Institute for Child Health Improvement, Boys Town, NE, USA aut The Journal of Behavioral Health Services & Research Springer US; http://www.springer-ny.com 40/1(2013-01-01), 36-45 1094-3412 40:1<36 2013 40 11414 https://doi.org/10.1007/s11414-012-9301-3 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s11414-012-9301-3 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Nelson Timothy Department of Psychology, University of Nebraska-Lincoln, 319 Burnett Hall, 6858 8-0308, Lincoln, NE, USA aut NATIONALLICENCE 700 1- Smith Tori Department of Psychology, University of Nebraska-Lincoln, 319 Burnett Hall, 6858 8-0308, Lincoln, NE, USA aut NATIONALLICENCE 700 1- Pick Robert Boys Town Nebraska/Iowa Region, Boys Town, NE, USA aut NATIONALLICENCE 700 1- Epstein Michael Center for Child and Family Well-Being, University of Nebraska-Lincoln, Lincoln, NE, USA aut NATIONALLICENCE 700 1- Thompson Ronald Boys Town National Research Institute, Boys Town, NE, USA aut NATIONALLICENCE 700 1- Tonniges Thomas Boys Town Institute for Child Health Improvement, Boys Town, NE, USA aut NATIONALLICENCE 773 0- The Journal of Behavioral Health Services & Research Springer US; http://www.springer-ny.com 40/1(2013-01-01), 36-45 1094-3412 40:1<36 2013 40 11414 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer