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Administration and Policy in Mental Health and Mental Health Services Research

Erschienen in:

01.05.2014 | Original Article

Racial/Ethnic Disparities in Children’s Emergency Mental Health After Economic Downturns

verfasst von: Tim Bruckner, Yonsu Kim, Lonnie Snowden

Erschienen in: Administration and Policy in Mental Health and Mental Health Services Research | Ausgabe 3/2014

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Abstract

African American children—more than other race/ethnicities—rely on emergency psychiatric care. One hypothesized cause of this overrepresentation involves heightened sensitivity to economic downturns. We test whether the African American/white difference in psychiatric emergency visits increases in months when the regional economy contracts. We applied time-series methods to California Medicaid claims (1999–2008; N = 7.1 million visits). One month following mass layoffs, African American youths use more emergency mental health services than do non-Hispanic whites. Economic downturns may provoke or uncover mental disorder especially among African American youth who by and large do not participate in the labor force.

12.427 layoffs (in thousands) * 0.87 more visits per 1,000 layoffs = 10.81; maximum monthly African American/white disparity is 134; 10.81 more visits/134 = 8.1%.

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Titel: Racial/Ethnic Disparities in Children’s Emergency Mental Health After Economic Downturns
verfasst von: Tim Bruckner
Yonsu Kim
Lonnie Snowden
Publikationsdatum: 01.05.2014
Verlag: Springer US
Erschienen in: Administration and Policy in Mental Health and Mental Health Services Research / Ausgabe 3/2014
Print ISSN: 0894-587X
Elektronische ISSN: 1573-3289
DOI: https://doi.org/10.1007/s10488-013-0474-8

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