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Administration and Policy in Mental Health and Mental Health Services Research

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10.03.2018 | Original Article

Perceived Need for Treatment and Engagement in Mental Health Services Among Community-Referred Racial/Ethnic Minority Adolescents

verfasst von: Jacqueline Horan Fisher, Emily Lichvar, Aaron Hogue, Sarah Dauber

Erschienen in: Administration and Policy in Mental Health and Mental Health Services Research | Ausgabe 5/2018

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Abstract

This study examines clinical and family predictors of perceived need for treatment and engagement in mental health treatment services among community-referred racial/ethnic minority adolescents and their primary caregivers. Findings indicated that the majority of families perceived a need for treatment, but that perceived need was not associated with treatment engagement. Family factors (i.e., low cohesion and high conflict within the family) predicted perceived need for treatment among adolescents, whereas clinical factors (i.e., adolescent internalizing and externalizing symptomatology) predicted caregiver perceived need for adolescent treatment. Neither clinical nor family factors predicted treatment engagement.

Initial plans to operationalize treatment attendance as the number of treatment sessions attended were abandoned for a number of reasons. First, preliminary analyses indicated that these data were significantly skewed due to the large number of families who attended very few treatment sessions. Second, prior research has highlighted the lack of validity of such an operationalization due to variability in treatment program requirements regarding the number of treatment sessions to reach completion (Gopalan et al. 2010; Johnson et al. 2008). We determined that we could not account for this variability given the range of presenting problems among study participants and treatment modalities across the different clinics.

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Titel: Perceived Need for Treatment and Engagement in Mental Health Services Among Community-Referred Racial/Ethnic Minority Adolescents
verfasst von: Jacqueline Horan Fisher
Emily Lichvar
Aaron Hogue
Sarah Dauber
Publikationsdatum: 10.03.2018
Verlag: Springer US
Erschienen in: Administration and Policy in Mental Health and Mental Health Services Research / Ausgabe 5/2018
Print ISSN: 0894-587X
Elektronische ISSN: 1573-3289
DOI: https://doi.org/10.1007/s10488-018-0863-0

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