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Parent–adolescent concordance on perceived need for mental health services and its impact on service use

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  • Williams, Crystal D.
  • Lindsey, Michael
  • Joe, Sean

Abstract

Mental health service underutilization among African American adolescents is well documented, yet not fully understood. Discordance between adolescents and their parents on perceived need for seeing a counselor for an emotional need or psychiatrist for psychiatric or medical services may help explain low service use among this population. This exploratory, prospective study examined the relationship between parent–adolescent concordance on perceived need for emotional counseling or psychiatric services and mental health service use. The relationships between gender and perceived service need and concordance and adolescent severity of depressive symptoms were also explored. Parent–adolescent dyads (n=108) receiving community-based adolescent outpatient mental health services responded to interview questions concerning their perception of whether an emotional counselor and a psychiatrist were needed in the past six months. Findings revealed low parent–adolescent concordance on perceived need for an emotional counselor and a psychiatrist. A greater proportion of adolescents reported a need than parents. There was no association between gender and perceived need for an emotional counselor and a psychiatrist. Lower rates of parent–adolescent concordance were found among youth reporting elevated depressive symptoms compared to youth reporting normal range symptoms. Concordant dyads kept a higher number of appointments than discordant dyads. Implications for clinical social work practice and future research are discussed.

Suggested Citation

  • Williams, Crystal D. & Lindsey, Michael & Joe, Sean, 2011. "Parent–adolescent concordance on perceived need for mental health services and its impact on service use," Children and Youth Services Review, Elsevier, vol. 33(11), pages 2253-2260.
    • Handle: RePEc:eee:cysrev:v:33:y:2011:i:11:p:2253-2260
    DOI: 10.1016/j.childyouth.2011.07.011
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    References listed on IDEAS

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    1. Cheng, Tyrone C., 2009. "Factors related to adolescents' seeking help from social workers in mental health settings," Children and Youth Services Review, Elsevier, vol. 31(7), pages 807-812, July.
    2. Zahner, G.E.P. & Daskalakis, C., 1997. "Factors associated with mental health, general health, and school-based service use for child psychopathology," American Journal of Public Health, American Public Health Association, vol. 87(9), pages 1440-1448.
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    1. Alexander Hassett & Charis Green & Toby Zundel, 2018. "Parental Involvement: A Grounded Theory of the Role of Parents in Adolescent Help Seeking for Mental Health Problems," SAGE Open, , vol. 8(4), pages 21582440188, October.
    2. Li, Haibin & Liebenberg, Linda & Ungar, Michael, 2015. "Understanding service provision and utilization for vulnerable youth: Evidence from multiple informants," Children and Youth Services Review, Elsevier, vol. 56(C), pages 18-25.
    3. Decker, L.B. & Patel, A.A. & Conway, C.A. & Kim, S. & Adnopoz, J. & Woolston, J.L., 2021. "When parents and clinicians disagree: Consequences for high-risk youth receiving in-home family-based psychiatric treatment," Children and Youth Services Review, Elsevier, vol. 121(C).

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