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Adolescent depression and the use of services and psychotropic medications in relation to family structure and race/ethnicity

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  • Zhang, Saijun
  • Smith, Douglas C.
  • Tabb, Karen M.

Abstract

The study examines how family structure and race/ethnicity are jointly associated with the discrepancy of adolescent past-year Major Depressive Episode (MDE) rates and the use of mental health services and psychotropic medications. Results through analyzing data from the National Survey on Drug Use and Health (2009–2016, N = 131,777) show that past-year MDE rates were low for adolescents in two-parent families (9.68%) relative to those in one-parent (11.09%) and non-parent families (12.26%, p < .001). Among adolescents with past-year MDE, the odds of receiving specialty mental health services and psychotropic medications for those in one-parent (AOR = 1.41, CI = 1.24–1.6 for specialty services; AOR = 1.32, CI = 1.12–1.56 for psychotropic medications) and non-parent (AOR = 1.38, CI = 1.07–1.77 for specialty services; AOR = 1.99, CI = 1.44–2.74 for psychotropic medications) families were substantially higher than those in two-parent families after controlling for covariates. Noticeable racial/ethnic differences existed in the family structure related variation. The results suggest that policies and practices need to be responsive to the fact that adolescents in single and non-parent families generally are at a higher risk of depression and those with a past-year MDE have an unbalanced use of psychotropic medications across race and family structure.

Suggested Citation

  • Zhang, Saijun & Smith, Douglas C. & Tabb, Karen M., 2018. "Adolescent depression and the use of services and psychotropic medications in relation to family structure and race/ethnicity," Children and Youth Services Review, Elsevier, vol. 94(C), pages 636-643.
    • Handle: RePEc:eee:cysrev:v:94:y:2018:i:c:p:636-643
    DOI: 10.1016/j.childyouth.2018.09.004
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    References listed on IDEAS

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    3. Barnett, Erin R. & Boucher, Elizabeth A. & Neubacher, Katrin & Carpenter-Song, Elizabeth A., 2016. "Decision-making around psychotropic medications for children in foster care: Perspectives from foster parents," Children and Youth Services Review, Elsevier, vol. 70(C), pages 206-213.
    4. Bellonci, Christopher & Huefner, Jonathan C. & Griffith, Annette K. & Vogel-Rosen, Georgi & Smith, Gail L. & Preston, Scott, 2013. "Concurrent reductions in psychotropic medication, assault, and physical restraint in two residential treatment programs for youth," Children and Youth Services Review, Elsevier, vol. 35(10), pages 1773-1779.
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    Cited by:

    1. Wang, Hongxia & Wang, Yuhui & Nie, Jia & Lei, Li, 2021. "Family socioeconomic status and internet altruistic behavior among Chinese adolescents: The mediating effect of personal belief in a just world and emotional intelligence," Children and Youth Services Review, Elsevier, vol. 121(C).
    2. Zhang, Saijun & Lim, Younghee & Boyas, Javier F. & Burlaka, Viktor, 2020. "Family structure and youth illicit drug use, use disorder, and treatment services utilization," Children and Youth Services Review, Elsevier, vol. 111(C).

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