title: Predictors of Initial Engagement in Child Anxiety Mental Health Specialty Services.
abstract: BACKGROUND
  Child and family mental health services remain largely underutilized despite the relatively high rate of youth suffering from mental, emotional, and behavioral (MEB) disorders. As such, it is important to address challenges and examine factors related to child mental health service use and engagement, especially when it comes to children in need of services for anxiety.
  
  
  OBJECTIVE
  Informed by the Behavioral Model of Health Services Use (BMHS), the present study sought to examine predictors of service use and engagement for families seeking assistance for their anxious children. Initial levels of engagement in culturally tailored services were predicted from predisposing characteristics (e.g., child age, ethnicity), enabling resources (e.g., Spanish services, transportation), and need characteristics (e.g., child clinical severity).
  
  
  METHODS
  Participants included Latino (n= 126) and Caucasian (n= 116) families who presented to a specialty clinic due to child emotional and behavior problems related to anxiety. Initial service utilization and engagement was assessed along the following levels toward services care: (1) initiated contact and completed a clinical intake, (2) completed a home screen, and (3) completed an on-site diagnostic assessment. All procedures were culturally tailored to the presenting needs of families.
  
  
  RESULTS
  Predisposing characteristics, enabling resources and need characteristics emerged as significant predictors of child mental health service use, with some variations. Child age, ethnicity, referral source, and enabling resources predicted completion of a home screen. Proximity to services predicted completion of the on-site diagnostic assessment.
  
  
  CONCLUSIONS
  Knowledge of factors that predict engagement in child mental health services can help identify avenues to promote service utilization, especially among ethnic minority children and families. Our culturally tailored approach to serving families appears to be promising in bridging the cross-ethnic services gap and therefore has implications for practice.
authors.affiliation: Arizona State University.
authors.forename: Argero A
authors.initials: AA
authors.lastname: Zerr
authors.affiliation: Arizona State University.
authors.forename: Armando A
authors.initials: AA
authors.lastname: Pina
keywords: Latino; Mental health service use; anxiety; children and adolescents