title: Utilization of mental health services among adolescents in community-based substance abuse outpatient clinics.
abstract: This study examined the rates and correlates of self-reported receipt for mental health services among 1,190 adolescents, aged 12-19, who were admitted to community-based substance abuse outpatient clinics and had a co-occurring mental health problem. Utilization of mental health service was ascertained 3 months post-intake. About one third (35%) of adolescents with a co-occurring mental health problem identified at intake received mental health service in the 3 months after treatment entry. After holding other correlates constant, history of mental health treatment, suicidal behavior, family history of mental disorder and insurance coverage at intake were associated with mental health service utilization at the 3-month follow up. Predictors of service utilization varied by gender and racial/ethnic status. Implications for integrated substance use and mental health services are discussed.
authors.affiliation: Chestnut Health Systems, 720 West Chestnut, Bloomington, IL 61701, USA. yfchan@chestnut.org
authors.forename: Ya-Fen
authors.initials: YF
authors.lastname: Chan
authors.forename: Mark D
authors.initials: MD
authors.lastname: Godley
authors.forename: Susan H
authors.initials: SH
authors.lastname: Godley
authors.forename: Michael L
authors.initials: ML
authors.lastname: Dennis
mesh_terms: D000293:Adolescent; D000554:Ambulatory Care Facilities / Q000706:statistics & numerical data; D002648:Child; D003156:Community Mental Health Services / Q000706:statistics & numerical data*; D017831:Diagnosis, Dual (Psychiatry); D005260:Female; D006801:Humans; D008297:Male; D016320:Substance Abuse Treatment Centers / Q000706:statistics & numerical data*; D055815:Young Adult