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Related Experiment Videos

Do needs drive services use in young children?

Sarah McCue Horwitz1, Lisa C Gary, Margaret J Briggs-Gowan

  • 1Department of Epidemiology and Public Health, Yale University School of Medicine, New Haven, Connecticut 06520-8034, USA. sarah.horwitz@uhh.com

Pediatrics
|December 5, 2003
PubMed
Summary
This summary is machine-generated.

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Parental recognition of child mental health issues varies by family factors, but service use is limited, especially for mental health concerns compared to physical or developmental problems. Needs alone do not drive service use.

Area of Science:

  • Child and Adolescent Psychiatry
  • Health Services Research
  • Pediatric Mental Health

Background:

  • Parental recognition of child health problems is crucial for timely intervention.
  • Understanding factors influencing service utilization is key to improving pediatric care.
  • Disparities in service use for mental health versus physical/developmental issues warrant investigation.

Purpose of the Study:

  • To identify predictors of parental recognition of children's mental health problems.
  • To examine factors associated with service use for these problems.
  • To compare how mental health, physical health, and developmental problems influence service use.

Main Methods:

  • Survey of parents from a random sample of children in Connecticut.

Related Experiment Videos

  • Analysis of age- and sex-stratified data from birth records.
  • Logistic regression to assess relationships between child/family factors and outcomes.

    • Main Results:

    • Child and family factors predicted problem recognition (e.g., considering services).
    • Service use was primarily linked to physical health, developmental problems, parental worry about language, and family conflict.
    • Mental health problems were less likely to be discussed with professionals or lead to service receipt compared to physical/developmental issues.

    Conclusions:

    • Factors influencing problem recognition differ from those driving service use.
    • While all problem types affect recognition, mental health issues do not translate to service use at the same rate.
    • Service use patterns suggest that factors beyond identified needs influence access to care.