Mental health services for Latino adolescents with psychiatric disorders.
OBJECTIVE
The major objectives of this study were to examine the prevalence of mental disorders and the use of mental health services among Latino adolescents who were receiving services in at least one of five public sectors of care in San Diego County.


METHODS
Survey data were gathered for a random sample of adolescents aged 12 to 18 years (N=1,164) who were receiving public-sector care. Mental disorders were assessed with the Diagnostic Interview Schedule for Children, and use of mental health services was assessed with the Service Assessment for Children and Adolescents.


RESULTS
Rates of disruptive disorders were significantly lower among Latino adolescents than among white adolescents. Although more than half of the Latino sample received specialty mental health services, those with psychiatric disorders were significantly underserved compared with their white counterparts. Latino adolescents with psychiatric disorders entered specialty mental health services at a later age and had made significantly fewer specialty mental health service visits in the previous year. In multivariate analyses, Latino youths were significantly less likely than white youths to use specialty mental health services independent of diagnosis, gender, age, and the service sector from which they were selected.


CONCLUSIONS
Public service systems need to ensure that Latino youths are appropriately assessed for disruptive disorders and that they are provided with appropriate specialty mental health care.
Hough
Richard L
RL
Child and Adolescent Services Research Center, Sociology Department, San Diego University, 3020 Children's Way (MC5033), San Diego, CA 92123, USA. rlhough@aol.com
Hazen
Andrea L
AL
Soriano
Fernando I
FI
Wood
Patricia
P
McCabe
Kristen
K
Yeh
May
M
D000293:Adolescent; D005260:Female; D006630:Hispanic or Latino / Q000523:psychology*; D006801:Humans; D008297:Male; D001523:Mental Disorders / Q000208:ethnology* / Q000628:therapy*; D008605:Mental Health Services / Q000458:organization & administration* / Q000592:standards / Q000600:supply & distribution; D011570:Psychiatry; D011634:Public Health; D014481:United States / Q000453:epidemiology