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Problem-Specific Racial/Ethnic Disparities in Pathways From Maltreatment Exposure to Specialty Mental Health Service Use for Youth in Child Welfare

NCJ Number
243365
Journal
Child Maltreatment Volume: 18 Issue: 2 Dated: May 2013 Pages: 98-107
Author(s)
Jonathan I. Martinez; Omar G. Gudino; Anna S. Lau
Date Published
May 2013
Length
10 pages
Annotation
This study examined racial/ethnic differences in pathways from maltreatment exposure to specialty mental health service use for youth in contact with the Child Welfare system.
Abstract
The authors examined racial/ethnic differences in pathways from maltreatment exposure to specialty mental health service use for youth in contact with the Child Welfare system. Participants included 1,600 non-Hispanic White, African-American, and Latino youth (age 4-14) who were the subjects of investigations for alleged maltreatment and participated in the National Survey of Child and Adolescent Well-Being. Maltreatment exposure, internalizing, and externalizing problems were assessed at baseline and subsequent specialty mental health service use was assessed 1 year later. Maltreatment exposure predicted both internalizing and externalizing problems across all racial/ethnic groups, but non-Hispanic White youth were the only group for whom maltreatment exposure was linked with subsequent service use via both internalizing and externalizing problem severity. Only externalizing problems predicted subsequent service use for African-American youth and this association was significantly stronger relative to non-Hispanic White youth. Neither problem type predicted service use for Latinos. Future research is needed to understand how individual-, family-, and system-level factors contribute to racial/ethnic differences in pathways linking maltreatment exposure to services via internalizing/externalizing problems. Abstract published by arrangement with Sage Journals.