Racial and Ethnic Disparities in Pediatric Mental Health

被引:332
|
作者
Alegria, Margarita [1 ,2 ]
Vallas, Melissa [3 ]
Pumariega, Andres J. [4 ]
机构
[1] Harvard Univ, Sch Med, Dept Psychiat, Boston, MA 02115 USA
[2] Cambridge Hlth Alliance, Ctr Multicultural Mental Hlth Res, Somerville, MA 02143 USA
[3] Lucile Packard Childrens Hosp Stanford, Div Child & Adolescent Psychiat, Stanford, CA 94305 USA
[4] Temple Univ, Sch Med, Reading Hosp & Med Ctr, Sect Child & Adolescent Psychiat, Reading, PA 19612 USA
关键词
Ethnic; Racial; Disparities; Youth; Mental health; Minorities; Health care; 15-YEAR FOLLOW-UP; PREVENTIVE INTERVENTIONS; PSYCHIATRIC-DISORDERS; POSTTRAUMATIC-STRESS; CONDUCT PROBLEMS; UNITED-STATES; CHILD HEALTH; CARE; SERVICES; ADOLESCENTS;
D O I
10.1016/j.chc.2010.07.001
中图分类号
R749 [精神病学];
学科分类号
100205 ;
摘要
Disparities remain in mental health status and care for racial and ethnic minority youth, despite national attention to disparity reduction. This article offers a comprehensive picture of the status of pediatric disparities, by addressing the major areas affecting minority youth mental health, including: prevention of problems, need for services, access to care, mental health treatment types, and treatment outcomes. The authors address relevant factors in the family, community and socioeconomic context, and describe various local and national programs that aim to tackle the obstacles and fill the gaps in high-quality care for racial/ethnic minority youth. The article concludes by offering recommendations for improvement that acknowledge the importance of understanding preferences and attitudes toward treatment, ensuring that screening and diagnosis is appropriate to minority youth, and Ensuring that evidence-based programs are available at multiple levels to best service children and succeed in addressing their needs.
引用
收藏
页码:759 / +
页数:18
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