Why bother with beliefs? Examining relationships between race/ethnicity, parental beliefs about causes of child problems, and mental health service use. Journal of Consulting and Clinical Psychology, 73, 800-807

Joint Doctoral Program in Clinical Psychology, San Diego State University, San Diego, CA 92123, USA.
Journal of Consulting and Clinical Psychology (Impact Factor: 4.85). 11/2005; 73(5):800-7. DOI: 10.1037/0022-006X.73.5.800
Source: PubMed


In this study, the authors examined the role of parental beliefs about the causes of child problems in predicting later mental health service use in a large, diverse population of at-risk youths. Study hypotheses were that parental beliefs consistent with biopsychosocial causes would be associated with later mental health service use; sociological, spiritual, or nature disharmony etiologies would be negatively associated with service use; and beliefs would partially mediate the relationship between race/ethnicity and service use. Of the 5 biopsychosocial beliefs, 2 were positively related to later mental health service use. Unexpectedly, of the 6 parental beliefs related to sociological, spiritual, or nature disharmony etiologies, only 1 was negatively associated with later service use patterns. Parental endorsement of etiologies relating to physical causes, relational issues, trauma, and prejudice was found to partially mediate the relationship between race/ethnicity and service use for Asian/Pacific Islander American and Latino youths. ((c) 2005 APA, all rights reserved).

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    • "T here are a paucity of studies that explore the perceptions of host culture versus immigrant parents who are seeking help for their children's severe mental health problems (Tharp, 1991; Schwab-Stone, Ruchkin, Vermeiren , & Leckman, 2001; Messant & Murrell, 2003; Yeh, et al., 2005). "
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    ABSTRACT: This qualitative study of the perceptions of native-born Canadian and immigrant parents whose children attended a psychiatric day hospital for significant behavior impairment, focused on parental helpseeking pathways, explanatory models of mental health, and referral or access experiences. A sample of ten immigrant and ten native born parents were recruited for semi-structured interviews analyzed thematically to discern similarities and differences between the two groups. The immigrant group more frequently reported barriers and delays in accessing mental health services. They often reported lack of primary care physicians and language barriers. They were less likely to have a biomedical perspective or to use specialized resources for their children prior to admission. Both groups reported apprehension about medication trials, though the immigrant parents were less likely to agree to psychopharmacological treatment. None of the professionals treating parents for mental health problems initiated referral of their impaired children. Based on the qualitative analysis of this sample, native born single parents and immigrant parents may feel especially vulnerable to lack of social support. Adjustments of primary care, schools and community resources, as well as promoting best practices of culturally competent child mental health care, may increase access and willingness to pursue treatment in both groups.
    Journal of the Canadian Academy of Child and Adolescent Psychiatry = Journal de l'Academie canadienne de psychiatrie de l'enfant et de l'adolescent 11/2013; 22(4):275-81.
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    • "There is limited research on help seeking within the pediatric context, especially in relation to universal screening and the availability of on-site mental health providers . Although the literature exists regarding links between sociocultural beliefs and explanatory models, problem recognition , and help seeking (e.g., Bussing, Gary, et al., 2003; Yeh et al., 2005), little is known about how these factors influence pediatric-based problem identification, referral, and communication with parents, particularly in relation to other relevant factors, such as provider knowledge of and beliefs about childhood mental health problems, family-provider history, provider confidence in screening tools, and the information gathered during the visit. Little is also known about how provider– parent match with regard to beliefs about child mental health and appropriate treatment options impacts the visit and parent follow-through. "
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    ABSTRACT: Young children, particularly uninsured children of color, suffer from mental health disturbances at rates similar to older children and adults, yet they have higher rates of unmet needs. To address unmet needs, efforts to identify mental health problems in primary care pediatric settings have grown in recent years, thanks in large part to expanded screening efforts. Yet, health disparities in early detection remain. Enhancing understanding of how early childhood mental health problems can be identified and addressed within pediatric settings is an important and growing area of research. The authors draw on theoretical models from public health policy, health psychology, and child development, including health beliefs, help seeking, transtheoretical, motivation to change, and dynamic systems, to better understand and address challenges to and disparities in identifying and addressing mental health problems in pediatric settings. These theories have not previously been applied to early mental health screening and identification efforts. Developmental and sociocultural considerations are highlighted in an effort to address and reduce higher rates of unmet needs among young, uninsured children of color.
    American Journal of Orthopsychiatry 01/2013; 83(1):73-88. DOI:10.1111/ajop.12005 · 1.36 Impact Factor
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    • "Although our focus is on schizophrenia, interventions at the different pathways of care could apply to other disorders as well. For example, Yeh and colleagues (2005) found that parental attributions for youth behavior problems play an important role in whether the parents seek mental health care for their children. Community education could address the timely recognition of mental health problems of youth as well. "
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    ABSTRACT: Since publication of the U.S. Surgeon General's report Mental Health: Culture, Race and Ethnicity-A Supplement to Mental Health: A Report of the Surgeon General (U.S. Department of Health and Human Services, 2001), several federal initiatives signal a sustained focus on addressing African American-White American disparities in mental health treatment access and quality and open the way to unprecedented disparity reduction. These initiatives include institutional commitments to (a) research by the National Center for Minority Health and Health Disparities; (b) disparities monitoring by the Agency for Healthcare Research and Quality; (c) new epidemiologic and service delivery information on African American populations from the National Survey of American Life sponsored by the National Institute of Mental Health; as well as (d) opportunities inherent in the World Health Organization's interest in disease burden for making it possible to view African Americans' likely greater disease burden from mental illness as a legitimate source of concern. The Patient Protection and Affordable Care Act affords unprecedented opportunities for increasing African Americans' treatment access and quality of care nationwide. By familiarizing themselves with these initiatives, and taking advantage of possibilities they offer, those committed to reducing African American-White American disparities in mental illness, and treatment access and quality, can make inroads toward improving African Americans' mental health and facilitating their successful functioning in all spheres of community living. (PsycINFO Database Record (c) 2012 APA, all rights reserved).
    American Psychologist 10/2012; 67(7):524-31. DOI:10.1037/a0030054 · 6.87 Impact Factor
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