title: The impact of youth and family risk factors on service recommendations and delivery in a school-based system of care.
abstract: The present study examines the impact of child and family risk factors on service access for youth and families in a school-based system of care. Regression analyses examined the relationships between risk factors and services recommended, services received, and dosage of services received. Logistic regression analyses examined the relationship between risk factors and whether or not youth received specific types of services within the system of care. Results revealed that youth with a personal or family history of substance use had more services recommended than youth without these risk factors, while youth with a family history of substance use received more services. Youth with a history of substance use received a significantly higher dosage of services overall. Finally, history of family mental illness was associated with receiving mental health and operational services (e.g., family advocacy, emergency funds). Implications and limitations are discussed.
authors.affiliation: Department of Public Health, Southern Connecticut State University, 501 Crescent Street, New Haven, CT 06515, USA. melissa.whitson@yale.edu
authors.forename: Melissa L
authors.initials: ML
authors.lastname: Whitson
authors.forename: Christian M
authors.initials: CM
authors.lastname: Connell
authors.forename: Stanley
authors.initials: S
authors.lastname: Bernard
authors.forename: Joy S
authors.initials: JS
authors.lastname: Kaufman
mesh_terms: D000293:Adolescent; D016497:Adolescent Health Services / Q000706:statistics & numerical data*; D003237:Connecticut; D003430:Cross-Sectional Studies; D005191:Family Characteristics; D005260:Female; D006301:Health Services Needs and Demand; D006801:Humans; D007182:Income; D016015:Logistic Models; D008297:Male; D008605:Mental Health Services / Q000706:statistics & numerical data*; D010290:Parents; D012017:Referral and Consultation / Q000706:statistics & numerical data; D012307:Risk Factors; D012572:School Health Services / Q000706:statistics & numerical data*; D012574:Schools; D019966:Substance-Related Disorders / Q000523:psychology* / Q000628:therapy; D011795:Surveys and Questionnaires