Article

Culturally Competent Systems of Care for Children’s Mental Health: Advances and Challenges

Child and Adolescent Psychiatry, East Tennessee State University, 204 McWherter Hall, Box 70567, Johnson City, TN 37614, USA.
Community Mental Health Journal (Impact Factor: 1.03). 11/2005; 41(5):539-55. DOI: 10.1007/s10597-005-6360-4
Source: PubMed

ABSTRACT

There has been a remarkable growth in cultural diversity in the United States over the past 20 years. The population of minority groups has increased at a much faster rate than the European-background population in America, and faster even among children and youth. At the same time, minority youth face increasing disparities in their mental health and in access to mental health services. These are related to the multiple challenges they already face in socioeconomic status, but are aggravated by the lack of culturally competent services that can address their specific mental health needs within the context of their culture, family, and community. This paper reviews the current knowledge about the mental health of culturally diverse youth in the United States, and provides guidance on approaches to address the disparities they face.

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Available from: Eugenio Rothe, Aug 22, 2014
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    • "Several epidemiologic studies have shown that only one in five children with emotional and behavioral disorders receive mental health services [1-3]. Low-income and ethnically diverse children lag well behind their middle class, Caucasian counterparts in rate of service utilization [3,4]. Access barriers, such as lack of specialized services in low-income communities, high cost,and poor service quality, and stigma have been found to affect service utilization by ethnically diverse children [5-9]. "
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    • "Greater perception of social support was related to fewer withdrawn/depressed and anxious/depressed symptoms in tenth grade. Overall, these findings are consistent with the research conducted with non-immigrant populations that has demonstrated the importance of social support in adolescent socio-emotional functioning (Cauce, Mason, Gonzales, Hiraga, & Liu, 1994; Clark-Lempers, Lempers, & Ho, 1991; Pumariega, Rogers, & Rothe, 2005). Further, anxious/depressed symptoms decreased even when acculturative stress is included in the model. "
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