Mental Health Services Research

, Volume 6, Issue 4, pp 189–198 | Cite as

Building a Model to Understand Youth Service Access: The Gateway Provider Model

  • Arlene Rubin Stiffman
  • Bernice Pescosolido
  • Leopoldo J. Cabassa


Enhancing the functioning of parents, teachers, juvenile justice authorities, and other health and mental heal professionals who direct children and adolescents to services is a major mental health services concern. The Gateway Provider Model is an elaborated testable subset of the Network-Episode Model (NEM; B. A. Pescosolido & C. A. Boyer, 1999) that synthesizes it with Decision (D. H. Gustafson, et al., 1999) and organizational theory (C. Glisson, 2002; C. Glisson & L. James, 1992, 2002). The Gateway Provider Model focuses on central influences that affect youth's access to treatment, i.e., the individual who first identifies a problem and sends a youth to treatment (the “gateway provider”); and the need those individuals have for information on youth problems and relevant potential resources. Preliminary studies by the authors and other applicable studies (D. Carise & O. Gurel, 2003) show that providers' perception of need, and their knowledge of resources, and their environment are related to the decision to offer or refer to services, supporting key aspects of the Model.

service access providers service theory youth mental health 


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Copyright information

© Springer Science+Business Media, Inc. 2004

Authors and Affiliations

  • Arlene Rubin Stiffman
    • 1
  • Bernice Pescosolido
    • 2
  • Leopoldo J. Cabassa
    • 1
  1. 1.George Warren Brown School of Social WorkWashington UniversitySt. Louis
  2. 2.Department of SociologyIndiana UniversityBloomington

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