家庭团聚中断:心理健康,种族和州级因素
Lauren M Beard1, Kyung Won Choi1
1The University of Chicago, Chicago, IL, USA.
Social science & medicine (1982)
|March 27, 2024
概括
患有精神疾病的年轻人面临重新进入儿童福利系统的更高风险. 扩大医疗补助计划的准入加强了这种联系,突出了综合护理的必要性.
科学领域:
- 儿童福利 儿童福利
- 儿科心理健康 儿科心理健康
- 医疗保健服务研究 医疗服务研究
背景情况:
- 患有精神疾病的年轻人在儿童福利系统中占有不成比例的比例.
- 心理健康是儿童福利服务中最重要的未满足的健康需求.
- 系统参与可能会通过监视增加持续儿童福利参与的风险.
研究的目的:
- 调查MHC和儿童福利系统重新进入之间的关联.
- 检查州级因素,如医疗补助扩张和学校辅导员的可用性,如何调节这种关联.
- 探索MHC和系统重新进入之间的关系中的种族和种族差异.
主要方法:
- 收养和寄养分析报告系统 (AFCARS) 对2016年重聚的青年数据的分析 (N=41,860).
- 多层次建模以评估MHC与36个月内系统重新进入之间的联系.
- 双向和三向相互作用分析,以检查国家和种族/民族差异.
主要成果:
- 大发心脏病与儿童福利系统重新进入的几率增加显著相关,控制个人和国家因素.
- 在扩大医疗补助计划和在医疗补助计划/CHIP中儿童参与率较高的州,MHC和重新入境之间的关联更为强烈.
- 学生对学校辅导员的比例调节了跨种族和种族群体的关联.
结论:
- 对参与儿童福利系统的年轻人来说,加强心理健康支持至关重要.
- 医疗补助的扩张和儿童在医疗保险中的参与度增加似乎影响了重新入境的风险.
- 解决基于学校的心理健康资源的差异对于跨种族和种族群体的公平结果至关重要.
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