Title:
Factors associated with parental perception of unmet need in mental health services: An analysis of the National Survey of Children with Special Health Care Needs (CSHCN)
Author:
Kristen S. Reese
Thesis Advisor:
Sharon Green-Hennessy
Committee Member:
Matthew W. Kirkhart
Committee Member:
Amanda Thomas
Degree Granting Institution:
Loyola University Maryland--College of Arts and Sciences
Place:
Baltimore (Md.)
Publisher:
Loyola University Maryland
Date Created:
2004
Type of Resource:
text
Genre:
thesis
Language:
eng
Format:
application/pdf
Physical Form:
electronic
Digital Source:
reformatted digital
Abstract:
Objective. To determine, in a sample of children with special health care needs, whether insurance, collaboration in the parent-provider relationship, and various demographic variables contribute to parental perception that their child's mental health needs are not being met. Methods. Two subsamples (n = 9,748) and (n = 367) were selected from the National Survey of Children With Special Health Care Needs based on parental endorsement of their children needing mental health or counseling services in the past year. Respondents indicating that their child needed mental health care or counseling in the last year, irrespective of other service utilization, were included in Group 1 (n = 9,748). A second subgroup of children, Group 2 (n = 367), was identified as children in need of mental health or counseling services but not in need of a specialty doctor; physical, occupational, or speech therapy; dental care; substance abuse services; or home health care. Parents were queried as to whether or not their child had received all the mental health services he or she needed in the prior 12 months. Forced-entry logistic regression analyses were conducted to determine whether insurance status and perceived collaborative care uniquely contributed to perceived unmet need over and above other demographic variables. Results. Several factors, including insurance and the degree of perceived parent-provider collaboration, predicted whether parents reported their child as having unmet mental health needs in the past year. Parents who perceived unmet need were less likely to perceive the parent-provider relationship as collaborative and respectful. In addition, they were more likely to be uninsured and to come from the western or southern regions of the United States. Conclusions. Insurance coverage and perception of collaborative care between the parent and provider were found to be predictive of perceived unmet need. These findings highlight the importance of parental perceptions of mental health care, an area that has not received much attention in the literature.
Subject:
Child mental health services--Utilization
Subject:
Child mental health services--Parent participation
Degree:
Doctor of Psychology
Level:
Doctoral
Discipline:
Psychology
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Identifier:
ReeseKS-04
