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Unmet mental health care needs in U.S. children with medical complexity, 2005-2010

Ruopeng An1

  • 1Department of Kinesiology and Community Health, College of Applied Health Sciences, University of Illinois at Urbana-Champaign, 1206 S 4(th) Street, Champaign, IL 61820, USA.

Journal of Psychosomatic Research
|March 6, 2016
PubMed

Insights

Unmet mental healthcare needs increased for children with special healthcare needs (CSHCN) from 2005-2010. Children with medical complexity experienced significantly higher unmet needs, highlighting access disparities.

Area of Science:

  • Pediatric Healthcare
  • Mental Health Services
  • Health Disparities

Background:

  • Children with Special Healthcare Needs (CSHCN) often require services beyond typical pediatric care.
  • A subset of CSHCN, those with medical complexity, face heightened medical vulnerability and intensive care needs.
  • Existing healthcare models struggle to adequately address the complex needs of these children.

Purpose of the Study:

  • To estimate the national prevalence of unmet mental healthcare needs among CSHCN.
  • To compare unmet mental healthcare needs between CSHCN with and without medical complexity.
  • To analyze trends in unmet mental healthcare needs from 2005 to 2010.

Main Methods:

  • Secondary data analysis utilizing the National Survey of CSHCN.
  • Data collected from 2005-2006 and 2009-2010 survey waves.
  • Involved a sample size of 80,965 children.

Main Results:

  • The prevalence of unmet mental healthcare needs among CSHCN increased from 3.71% (2005-2006) to 5.62% (2009-2010).
  • In 2005-2006, children with medical complexity had a 9.92% unmet mental healthcare need rate, triple that of CSHCN without medical complexity (3.10%).
  • By 2009-2010, unmet mental healthcare needs rose to 13.71% for children with medical complexity and 5.07% for those without.

Conclusions:

  • Significant disparities in mental healthcare access exist between CSHCN with and without medical complexity.
  • The overall prevalence of unmet mental healthcare needs has notably increased for both groups between 2005 and 2010.
  • Older CSHCN with medical complexity and those from lower socioeconomic households faced greater unmet mental healthcare needs.
Abstract

Keywords:
Children with special healthcare needsMedical complexityMental health care

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