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Patterns of Child Mental Health Service Delivery in a Public System: Rural Children and the Role of Rural Residence

  • Craig Anne HeflingerEmail author
  • Virginia Shaw
  • Charmaine Higa-McMillan
  • Laurel Lunn
  • Ana Maria Brannan
Article

Abstract

This study uses existing data from Hawaii’s public mental health system for children and youth as an example of a state-level examination of service use patterns and health care disparities. The purpose of this study was to compare differences in mental health service utilization between rural and non-rural children, especially use of residential services. This study used a performance measure approach to conduct multi-level modeling on existing administrative data to examine the impact of community factors on service utilization. Rural children were found to have the most serious levels of mental health problems at intake, more likely to be placed in out-of-home care, more likely to receive only out-of-home care, more likely to in stay out-of-home longer, and less likely to receive follow-up care than their non-rural counterparts. Practice, policy, and research implications are discussed.

Keywords

Mental Health Service Mental Health System Rural Child Mental Health Service Utilization Public Mental Health System 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Notes

Acknowledgments

The authors thank Robert Saunders, Ph.D., for his early work on the dataset. At the time the data for this study were pulled, Dr. Higa-McMillan was working for the Hawaii Department of Health, and Dr. Brannan was affiliated with Vanderbilt University. This research was supported by a grant from the National Institute of Mental Health (R01MH70680). The opinions contained in this document are those of the authors and do not necessarily reflect those of the funding source or the Hawaii Department of Health.

Conflict of Interest

There are no conflicts of interest or disclosures.

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Copyright information

© National Council for Behavioral Health 2015

Authors and Affiliations

  • Craig Anne Heflinger
    • 1
    Email author
  • Virginia Shaw
    • 2
  • Charmaine Higa-McMillan
    • 3
  • Laurel Lunn
    • 1
  • Ana Maria Brannan
    • 4
  1. 1.Vanderbilt UniversityNashvilleUSA
  2. 2.Hawaii Department of Health, Child and Adolescent Mental Health DivisionMaui Family Guidance CenterKahaluiUSA
  3. 3.University of HawaiiHiloUSA
  4. 4.Indiana UniversityBloomingtonUSA

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