ABSTRACT
It is estimated that, in the United States, one in ten children and adolescents suffer from illness severe enough to cause some level of psychosocial dysfunction. Urban children, and in particular low-income children of color, are at greater risk of developing mental health problems, and are less likely to receive effective child mental health services. Prompt and effective access to mental health services by urban children of color is a critical direct practice and social policy concern. This article provides an overview of significant barriers to mental health care experienced by poverty affected urban children of color and their families. It also addresses a broad range of practice and policy issues that need to be raised in order to ensure competent delivery of mental health services for children living in urban environments. The role of social work in assisting poor urban children of color to access and benefit from mental health services is stressed.
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References
Armbruster P., Fallon T., (1994), Clinical, sociodemographic, and systems risk factors for attrition in a children’s mental health clinic American Journal of Orthopsychiatry 64:577–585
Bernal G., Bonilla J., Padilla L., Perez-Prado E., (1998). Factors associated to outcome in psychotherapy: An effectiveness study in Puerto Rico Journal of Consulting and Clinical Psychology 54:329–342
Betson D. M., Michael R. T., (1997). Why so many children are poor The Future of Children 7:25–39
Brooks-Gunn J., Klebanov P. K., Liaw F., (1995). The learning, physical and emotional environment of the home in the context of poverty: The infant health development program Children and Youth Services Review 17(1/2):251–276
Bui C. T., Takeuchi D. T., (1992). Ethnic minority adolescents and the use of community mental health care services American Journal of Community Psychology 20:403–417
Burns B. J., Costello E. J., Angold A., Tweed D. , Stangl D., Farmer E. M. Z., Erkanli A., (1995). Data watch: Children’s mental health service use across service sectors Health Affair 14:147–159
Canino I. A., Spurlock J., (2000). Culturally diverse children and adolescents: Assessment, diagnosis, and treatment (2nd ed). Guilford Press. New York
Children’s Defense Fund. (2000). Families struggling to make it in the work force: A post welfare report. Washington, DC: Author
Children’s Defense Fund. (2002). Affordable housing: A quiet crisis for families. Washington, DC: Author
Cohen P., Hesselbart C. S., (1993). Demographic factors in the use of children’s mental health services American Journal of Public Health 83:49–52
Comer J. P., (1980). The school program: School power. Free Press. New York
Corcoran M. E., Chaudry A., (1997). The dynamic of children poverty The Future of Children 7:40–54
Costello E. J., (1993). How can epidemiology improve mental health services for children and adolescents? Journal of the American Academy of Child and Adolescent Psychiatry 32:1106–1114
De La Cancela V., Sotomayor G. M., (1993). Rainbow warriors: Reducing institutional racism in mental health Journal of Mental Health Counseling 15:55–71
Department of Health and Human Services. (2000). Report of the surgeon general’s conference on children’s mental health: A national action agenda. Washington, DC: Author
Devaney B. L., Ellwood M. R., Love J. M., (1997). Programs that mitigate the effects of poverty on children The Future of Children 7:88–112
Garbarino J., (1992). Children and families in the social environment (2nd ed.). Aldine De Gruyter. New York
Garland A. F., Zigler E. F., (1994). Psychological correlates of help-seeking attitudes among children and adolescents American Journal of Orthopsychiatry 64:584–593
Gibbs J. T., & Huang L. N., (Eds.). (1989). Children of color: Psychological interventions with minority youth. San Francisco: Jossey-Bass
Griffin J. A., Cicchetti D., Leaf P. J., (1993). Characteristics of youths identified from A psychiatric case register as first-time users of services Hospital and Community Psychiatry 44:62–65
Haveman R., Wolfe B., (1994). Succeeding generations: (On the effects of investment on children. Russell Sage Foundation. New York
Hibbs, E. D., & Jensen P., (Eds.). (1996). Psychosocial treatments for child and adolescent disorders. Washington, DC: American Psychological Association
Hernandez D. J., (1993). America’s children: Resources from family, government, and the economy. Russell Sage Foundation. New York
Homel R., Burns A., (1989). Environmental quality and the well-being of children Social Indicators Research 21:133–458
Hutchinson M. R., Poole D. L., (1998). Editorial: Adolescent health and school health: It’s time to meet the challenge Health and Social Work 23:3–7
lsaacs M. R., Benjamin M. P., (1991). Towards a culturally competent system of care. Georgetown University Press. Washington, DC
Kazdin A. E., (1993). Premature termination for treatment among children referred for antisocial behavior Journal of Child Psychology and Psychiatry and Allied Disciplines 31:415–425
Landrum-Brown J., (1990). Black mental health and racial oppression. In D. S. Ruiz., (Ed.), Handbook of mental health and mental disorder among Black Americans. Westport, CT: Greenwood
Lewit E. M., Terman D. L., Behrman R. E., (1997). Children and poverty: Analysis and recommendations The Future of Children 7:4–24
Martin J. I., (1997). Political aspects of mental Health treatment. In T. R. Watkins, J. W. Callicutt, (Eds.), Mental health policy and practice today. Sage Publications. Thousand Oaks, CA, pp. 32–48
Mays V. M., Albee G. W., (1992). Psychotherapy and ethnic minorities. In D. K. Freedheim, (Ed.), History of psychotherapy of change. American Psychological Association, Washington, DC, 555–570
McDaniel S., Bielin I. N., (1990). Project self-esteem. Enhancing Education, Newport Beach, CA
McKay M., McCadam K., Gonzales J., (1996). Addressing the barriers to mental health services for inter-City children and their caregivers Community Mental Health Journal 32:353–361
McKay M., Stoewe J., McCadam K., Gonzales J., (1998). Increasing access to child mental health services for urban children and their caregivers Health and Social Work 23:9–15
McLeod J. D., Shanahan R., (1997). Mental health services of minority groups of color American Sociological Review 58:351–356
McNeil J., Kennedy R., (1997). Mental health services of minority groups of color. In T. R. Watkins, J. W. Callicutt, (Eds.), Mental health policy and practice today. Sage. Thousand Oaks, CA, pp. 235–251
Miranda G., (1996). Introduction to the special section on recruiting and retaining minorities in psychotherapy research Journal of Consulting Clinical Psychology 64:868–875
National Center for Children in Poverty. (2004). Low-children in the United States: A brief demographic profile. New York: Author
Perron D. L., (1982). An overview of minority group mental health weds and issues as presented to the President’s Commission on Mental Health. In F. U. Munoz, R. Endo, (Eds), Perspectives on minority group mental health. University Press of America. Washington, DC, pp. 3–22
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Manny John González, D.S.W., is an Assistant Professor of Social Work at Fordham University Graduate School of Social Service.
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González, M.J. Access to Mental Health Services: The Struggle of Poverty Affected Urban Children of Color. Child Adolesc Soc Work J 22, 245–256 (2005). https://doi.org/10.1007/s10560-005-0036-3
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DOI: https://doi.org/10.1007/s10560-005-0036-3