文章基本信息

标题：Alcohol, Drug, and Mental Health Specialty Treatment Services and Race/ Ethnicity: A National Study of Children and Families Involved With Child Welfare
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作者：Anne M. Libby ; Heather D. Orton ; Richard P. Barth 等
期刊名称：American journal of public health
印刷版ISSN：0090-0036
出版年度：2006
卷号：96
期号：4
页码：628-631
DOI：10.2105/AJPH.2004.059436
语种：English
出版社：American Public Health Association
摘要：We used data on a national sample of children involved with child welfare systems to compare American Indian caregivers with White, Black, and Hispanic caregivers in their need for, and receipt of, specialty alcohol, drug, and mental health treatment. American Indian caregivers were significantly less likely to receive services than were Hispanic caregivers ( P <.05) but not significantly less likely than were White or Black caregivers. Child placement, child age, and caregiver psychiatric comorbidity were significantly associated with service receipt. Mental and substance abuse disorders generate costs to society estimated in the billions of dollars. 1 ^, 2 American Indians have increased morbidity and mortality rates compared with the rest of the United States, 3 ^, 4 especially alcohol problems and trauma. 5 ^– 11 In addition, child abuse and neglect have been shown to be elevated in some tribal communities. 12 ^, 13 Child welfare systems aim to protect child safety and often provide care for parental alcohol, drug, and mental health problems. 14 As many as 40% to 80% of families involved with child welfare systems have substance abuse problems, although no established methods are available to measure this nationally. 2 ^, 15 ^, 16 This study used a national sample of children involved with child welfare systems to compare American Indian caregivers with White, Black, and Hispanic caregivers in their need for, and receipt of, treatment for alcohol, drug, and mental health problems.