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Service needs of severely disturbed children.

E W Trupin1, A Forsyth-Stephens, B P Low

  • 1University of Washington School of Medicine, Department of Psychiatry & Behavioral Sciences, Seattle 98195.

American Journal of Public Health
|August 1, 1991
PubMed
Summary

Severely emotionally disturbed children require diverse mental health services. Needs vary significantly by age and gender, impacting service system development.

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Area of Science:

  • Child and Adolescent Psychiatry
  • Mental Health Services Research
  • Developmental Psychology

Background:

  • Part of a statewide Children's Mental Health System Analysis in Washington State.
  • Focused on identifying specific service needs for severely emotionally disturbed children.

Purpose of the Study:

  • To investigate the unique mental health service requirements of severely emotionally disturbed children.
  • To analyze how service needs differ based on age and gender.

Main Methods:

  • Survey administered to primary case-workers of 3398 children in state care.
  • Log linear analysis used to examine service needs of 2455 severely emotionally disturbed children.

Main Results:

  • School- and home-based services were key needs for school-aged children.
  • Adolescents require services focused on adult preparation.
  • Gender-specific needs identified: females need family support and therapy; males need substance abuse treatment and employment preparation.

Conclusions:

  • Severely emotionally disturbed children need a range of non-traditional mental health services.
  • Age and gender significantly influence service needs, requiring tailored approaches.
  • Findings have critical implications for developing effective child mental health service systems.

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