The journal of mental health administration

, Volume 23, Issue 4, pp 389–405

Use of the public mental health system by children in foster care: Client characteristics and service use patterns

  • Elaine Blumberg
  • John Landsverk
  • Elissa Ellis-MacLeod
  • William Ganger
  • Shirley Culver
Articles

Abstract

This study examined client crossover from the social services (DSS) to the mental health (SDMHS) system in San Diego County. Public mental health service use was examined in 1,352 subjects participating in a longitudinal study of children in foster care. Overall, 17.4% (n=235) of the children in DSS were also served in SDMHS. Children in DSS who also received services from SDMHS (multiple-system youth) were compared with children only served in DSS (single-system youth). Multiple-system youth were significantly older and had different removal and placement histories than single-system youth. Within multiple-system youth, analyses compared demographic and diagnostic data of subgroups defined by the number of episodes and/or the levels of mental health care received. These analyses revealed that a small group of multiple-system youth (16.6%) were the most severely disturbed and received the most services. Methodological issues related to tracking clients across service sectors are discussed.

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Copyright information

© Association of Mental Health Administrators 1996

Authors and Affiliations

  • Elaine Blumberg
    • 1
  • John Landsverk
    • 2
    • 3
  • Elissa Ellis-MacLeod
    • 1
    • 2
    • 3
  • William Ganger
    • 4
  • Shirley Culver
    • 5
    • 6
  1. 1.Center for Behavioral Epidemiology and Community Health, Graduate School of Public HealthSan Diego State UniversitySan Diego
  2. 2.Center for Child Protection, Children's HospitalSan Diego
  3. 3.School of Social WorkSan Diego State UniversitySan Diego
  4. 4.Child and Family Research GroupSan Diego
  5. 5.Children, Youth, and FamiliesSan Diego Mental Health ServicesSan Diego
  6. 6.Center for Research on Child and Adolescent Mental Health ServicesChildren's HospitalSan Diego

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