title: Barriers to mental health care for urban, lower income families referred from pediatric primary care.
abstract: The aim of this study was to evaluate the association of parent-reported barriers on the likelihood of attending a mental health evaluation after referral from pediatric primary care. As the part of procedure, parents of children (N = 55) referred for mental health from primary care completed a 23-item questionnaire (three subscales; Cronbach alpha > 0.7): intangible barriers, tangible barriers, and child functioning. Logistic regression examined associations between responses and referral follow-through. The results showed that the high levels of intangible barriers were associated with decreased odds of attending the mental health evaluation (OR = 0.20, 0.06-0.83; P = 0.03). Therefore, we conclude that parental concerns about mental health care may be important for engagement in treatment.
authors: Division of Child and Adolescent Psychiatry, Johns Hopkins School of Medicine, Baltimore, MD, USA. jlarson8@jhmi.edu
authors: Justine
authors: J
authors: Larson
authors: Susan
authors: S
authors: dosReis
authors: Miriam
authors: M
authors: Stewart
authors: Rochelle
authors: R
authors: Kushner
authors: Emily
authors: E
authors: Frosch
authors: Barry
authors: B
authors: Solomon
mesh_terms: D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D003156:Community Mental Health Services; D016001:Confidence Intervals; D005190:Family; D005260:Female; D006297:Health Services Accessibility; D006801:Humans; D007223:Infant; D008297:Male; D016017:Odds Ratio; D010372:Pediatrics; D011203:Poverty; D011320:Primary Health Care; D012017:Referral and Consultation; D011795:Surveys and Questionnaires; D014505:Urban Population