Utilization of Mental Health Services in School-Based Health Centers

被引:14
|
作者
Bains, Ranbir M. [1 ]
Cusson, Regina [2 ]
White-Frese, Jesse [3 ]
Walsh, Stephen [4 ]
机构
[1] Yale New Haven Hosp, Barnard Environm Magnet Sch Based Hlth Ctr, 170 Derby Ave, New Haven, CT 06511 USA
[2] Univ Connecticut, Sch Nursing, Storrs Hall,Room 203,231 Glenbrook Rd,Unit 4026, Storrs, CT 06269 USA
[3] Connecticut Assoc Sch Based Hlth Ctr, POB 771, North Haven, CT USA
[4] Univ Connecticut, Sch Nursing, Storrs Hall,Room 313E,231 Glenbrook Rd,Unit 4026, Storrs, CT 06269 USA
关键词
school-based clinics; mental health; school-based health centers; mental health services; child and adolescent health; UTILIZATION PATTERNS; ELEMENTARY; STUDENTS; CARE; ADOLESCENTS; CHILDREN; ACCESS;
D O I
10.1111/josh.12528
中图分类号
G40 [教育学];
学科分类号
040101 ; 120403 ;
摘要
BACKGROUNDWe summarize utilization patterns for mental health services in school-based health centers. METHODSAdministrative data on school-based health center visits in New Haven, Connecticut were examined for the 2007-2009 school years. Relative frequencies of mental health visits by age were calculated as a percentage of all visits and were stratified by sex, ethnicity/race, and insurance status. RESULTSMental health visits accounted for the highest proportion of visits (31.8%). The proportion of mental health visits was highest at 8years (42.8%) and at 13years (39.0%). The proportion of mental health visits among boys (38.4%) was higher than among girls (26.7%). Hispanic students had a lower proportion of mental health visits than black students (23.5% vs 35.8%) in all but 2 age groups. Students in the white/other ethnicity category had higher proportions of mental health visits than Hispanic and black students between ages 12 and 15. Students with no health insurance (22.5%) had lower proportions of mental health visits than students covered by Medicaid (34.3%) or private insurance (33.9%). The percentage of mental health visits by students with private insurance was highest (37.2%-49%) in the 13-15 age range. CONCLUSIONSUsage patterns for mental health issues show pronounced, nonrandom variation relative to age and other demographic characteristics especially with 8-year-old boys.
引用
收藏
页码:584 / 592
页数:9
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