The Impact of Youth and Family Risk Factors on Service Recommendations and Delivery in a School-Based System of Care

  • Melissa L. Whitson
  • Christian M. Connell
  • Stanley Bernard
  • Joy S. Kaufman


The present study examines the impact of child and family risk factors on service access for youth and families in a school-based system of care. Regression analyses examined the relationships between risk factors and services recommended, services received, and dosage of services received. Logistic regression analyses examined the relationship between risk factors and whether or not youth received specific types of services within the system of care. Results revealed that youth with a personal or family history of substance use had more services recommended than youth without these risk factors, while youth with a family history of substance use received more services. Youth with a history of substance use received a significantly higher dosage of services overall. Finally, history of family mental illness was associated with receiving mental health and operational services (e.g., family advocacy, emergency funds). Implications and limitations are discussed.



This project was funded through the Substance Abuse and Mental Health Services Administration’s Comprehensive Community Services for Children and their Families Program. Support for Dr. Whitson’s time was provided by a NIDA funded Postdoctoral Research Training Program in Substance Abuse Prevention (T32DA019426).


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Copyright information

© National Council for Community Behavioral Healthcare 2010

Authors and Affiliations

  • Melissa L. Whitson
    • 2
  • Christian M. Connell
    • 2
  • Stanley Bernard
    • 2
  • Joy S. Kaufman
    • 1
  1. 1.Division of Prevention and Community Research, Department of PsychiatryYale University School of Medicine, The Consultation CenterNew HavenUSA
  2. 2.Department of Public HealthSouthern Connecticut State UniversityNew HavenUSA

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