title: Emergency Mental Health Services for Children After the Terrorist Attacks of September 11, 2001.
abstract: Much literature documents elevated psychiatric symptoms among adults after the terrorist attacks of September 11, 2001 (9/11). We, however, know of no research in children that examines emergency mental health services following 9/11. We test whether children's emergency services for crisis mental health care rose above expected values in September 2001. We applied time-series methods to California Medicaid claims (1999-2003; N = 127,200 visits). Findings in California indicate an 8.7% increase of children's emergency mental health visits statistically attributable to 9/11. Non-Hispanic white more than African American children account for this acute rise in emergency services.
authors.affiliation: Program in Public Health & Department of Planning, Policy, and Design, University of California, Irvine, 300 Social Ecology I, Irvine, CA, 92697-7075, USA. tim.bruckner@uci.edu.
authors.forename: Tim A
authors.initials: TA
authors.lastname: Bruckner
authors.affiliation: Department of Planning, Policy, and Design, University of California, Irvine, Irvine, CA, USA.
authors.forename: Yonsu
authors.initials: Y
authors.lastname: Kim
authors.affiliation: Program in Public Health, University of California, Irvine, Irvine, CA, USA.
authors.forename: Pauline
authors.initials: P
authors.lastname: Lubens
authors.affiliation: Department of Planning, Policy, and Design, University of California, Irvine, Irvine, CA, USA.
authors.forename: Amrita
authors.initials: A
authors.lastname: Singh
authors.affiliation: Division of Health Policy and Management, School of Public Health, University of California, Berkeley, Berkeley, CA, USA.
authors.forename: Lonnie
authors.initials: L
authors.lastname: Snowden
authors.affiliation: Department of Emergency Medicine, School of Medicine, University of California, Irvine, Irvine, CA, USA.
authors.forename: Bharath
authors.initials: B
authors.lastname: Chakravarthy
mesh_terms: D000293:Adolescent; D001741:Black or African American; D001213:Asian; D002140:California / Q000453:epidemiology; D002648:Child; D002675:Child, Preschool; D004637:Emergency Services, Psychiatric / Q000706:statistics & numerical data*; D005006:Ethnicity; D005260:Female; D054625:Healthcare Disparities / Q000208:ethnology*; D006630:Hispanic or Latino; D006801:Humans; D065186:Interrupted Time Series Analysis; D008297:Male; D008484:Medicaid; D001523:Mental Disorders / Q000453:epidemiology / Q000208:ethnology* / Q000628:therapy; D008605:Mental Health Services / Q000706:statistics & numerical data*; D047851:September 11 Terrorist Attacks; D014481:United States / Q000453:epidemiology; D044465:White People; D055815:Young Adult
keywords: 9/11; Children; Emergency; Mental health; Racial disparities