Youths' access to mental health services: the role of providers' training, resource connectivity, and assessment of need.
This paper posits that providers with training in and knowledge of mental health resources are more likely to recognize youths' mental health problems, and provide youths with services. In 1994 and 1996, we interviewed 792 adolescents who were involved with St. Louis public health, juvenile justice, child welfare. or education service sectors. Two hundred eighty-two youths had received some services, listing 533 providers. We could identify 364 of those providers, and 61% (222) responded concerning service need, service use, and provider knowledge and behavior. Structural equation models demonstrate that provider assessment of youths' mental health problems is the largest and provider knowledge of service resources the second largest determinant of service provision. Youths' self-reported mental health is not positively associated with increased services and is only minimally associated with provider assessment of their problems. Training (both professional and inservice) contributes to higher assessments of youths' problems and greater resource knowledge, which is associated with increased service provision. Providers from the mental health and child welfare sectors have more professional training in mental health and are more likely to receive inservice training. Inservice training should be offered to all who work with youths.
George Warren Brown School of Social Work, Center for Mental Health Services, Washington University in St Louis, Missouri 63108, USA. arstiff@gwbmail.wustl.edu
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Stiffman
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Hadley-Ives
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Doré
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Polgar
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Horvath
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Striley
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Elze
D000293:Adolescent; D016497:Adolescent Health Services / Q000600:supply & distribution*; D002983:Clinical Competence; D005260:Female; D015276:Health Care Rationing; D006297:Health Services Accessibility; D006801:Humans; D008297:Male; D008605:Mental Health Services / Q000600:supply & distribution*; D008923:Missouri; D020380:Needs Assessment; D013663:Teaching