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Published on: September 19, 2019
Adolescent Enrollment in Psychosocial Care: Do Parents Make a Difference?
Katerina Paclikova1, Zuzana Dankulincova Veselska2,3, Andrea Madarasova Geckova1,2,3
1Olomouc University Social Health Institute, Palacky University in Olomouc, 711 11 Olomouc, Czech Republic.
Parental characteristics influence adolescent access to psychosocial care for emotional and behavioral problems (EBP). Poorer supervision is linked to both receiving care without EBP and EBP without care, highlighting a need for parenting support.
Area of Science:
- Child and Adolescent Psychology
- Public Health
- Sociology
Background:
- Unequal distribution of care for adolescents with emotional and behavioral problems (EBP) is a significant concern.
- Parental factors may influence adolescent access to psychosocial care.
- Understanding these associations is crucial for improving care equity.
Purpose of the Study:
- To investigate the relationship between parental characteristics and adolescent enrollment in psychosocial care.
- To identify specific parental factors associated with care access for adolescents with EBP.
- To inform interventions aimed at equitable care distribution.
Main Methods:
- Utilized data from the Care4Youth cohort study.
- Sample included 446 adolescents and 382 parents.
- Classified participants into four groups based on EBP and care enrollment: no EBP/no care, no EBP/care, EBP/no care, EBP/care.
Main Results:
- Adolescents receiving care without EBP (Group 2) showed lower socioeconomic position, higher psychological distress, poorer supervision, and lower family social support compared to those with no EBP/no care (Group 1).
- Adolescents with EBP receiving care (Group 4) had lower socioeconomic position and poorer supervision than Group 1.
- Adolescents with EBP but no care (Group 3) exhibited significantly poorer supervision than Group 4, indicating a critical gap in care access.
Conclusions:
- Parental socioeconomic position, psychological distress, supervision quality, and family social support are associated with adolescent psychosocial care enrollment.
- Adolescents with EBP and poor parental supervision are at high risk of not receiving necessary care.
- Enhanced parenting support and training are recommended to improve parental supervision and ensure equitable access to care for adolescents with EBP.
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