OBJECTIVES: We examined rates and intensity of crisis services use by race/ethnicity for 351,174 children younger than 18 years who received specialty mental health care from California's 57 county public mental health systems between July 1998 and June 2001. METHODS: We used fixed-effects regression for a controlled assessment of racial/ethnic disparities in children's use of hospital-based services for the most serious mental health crises (crisis stabilization services) and community-based services for other crises (crisis intervention services). RESULTS: African American children were more likely than were White children to use both kinds of crisis care and made more visits to hospital-based crisis stabilization services after initial use. Asian American/Pacific Islander and American Indian/Alaska Native children were more likely than were White children to use hospital-based crisis stabilization services but, along with Latino children, made fewer hospital-based crisis stabilization visits after an initial visit. CONCLUSIONS: African American children used both kinds of crisis services more than did White children, and Asian Americans/Pacific Islander and American Indians/Alaska Native children visited only when they experienced the most disruptive and troubling kind of crises, and made nonrecurring visits.
OBJECTIVES: We examined rates and intensity of crisis services use by race/ethnicity for 351,174 children younger than 18 years who received specialty mental health care from California's 57 county public mental health systems between July 1998 and June 2001. METHODS: We used fixed-effects regression for a controlled assessment of racial/ethnic disparities in children's use of hospital-based services for the most serious mental health crises (crisis stabilization services) and community-based services for other crises (crisis intervention services). RESULTS: African American children were more likely than were White children to use both kinds of crisis care and made more visits to hospital-based crisis stabilization services after initial use. Asian American/Pacific Islander and American Indian/Alaska Native children were more likely than were White children to use hospital-based crisis stabilization services but, along with Latino children, made fewer hospital-based crisis stabilization visits after an initial visit. CONCLUSIONS: African American children used both kinds of crisis services more than did White children, and Asian Americans/Pacific Islander and American Indians/Alaska Native children visited only when they experienced the most disruptive and troubling kind of crises, and made nonrecurring visits.
Authors: Tim A Bruckner; Parvati Singh; Jangho Yoon; Bharath Chakravarthy; Lonnie R Snowden Journal: Health Serv Res Date: 2019-11-10 Impact factor: 3.402
Authors: Naomi S Bardach; Tumaini R Coker; Bonnie T Zima; J Michael Murphy; Penelope Knapp; Laura P Richardson; Glenace Edwall; Rita Mangione-Smith Journal: Pediatrics Date: 2014-03-17 Impact factor: 7.124
Authors: Sidra Goldman-Mellor; Kevin Kwan; Jonathan Boyajian; Paul Gruenewald; Paul Brown; Deborah Wiebe; Magdalena Cerdá Journal: Gen Hosp Psychiatry Date: 2018-12-08 Impact factor: 3.238