Skip to main content

Advertisement

Log in

Mental Health Screening of African American Adolescents and Facilitated Access to Care

  • Original Paper
  • Published:
Community Mental Health Journal Aims and scope Submit manuscript

Abstract

This study retrospectively reviews de-identified records from school-based mental health screening in a predominantly African American community. We compare participation rates, screening results, referrals to services and access to care of white and African American adolescents. Among those offered screening, 20.1% of white students (n = 297), and 28.8% of African American students (n = 499) were screened (χ2 = 32.47, df = 1, P < .001). African American students (45.1%) were significantly more likely than white students (33.0%), (AOR = 1.59; P = .003) to be identified as being at risk. In both racial groups, most youth accessed the school-based services (89.02%, 95% CI 82.25–95.79) and community services (86.57%, 95% CI 78.41–94.73) to which they were referred. The groups did not differ in the odds of accessing community-based services (AOR = .58; P = .49). African American students were, however, more likely than white students to access school-based services (AOR = 10.08; P = .022). The findings support the effectiveness of screening in school settings in predominantly African American communities.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  • Alexandre, P. K., Younis, M. Z., Martins, S. S., & Richard, P. (2010). Disparities in adequate mental health care for past-year major depressive episodes among white and non-white youth. Journal of Health Care Finance, 36(3), 57–72.

    Google Scholar 

  • Angold, A., Erkanli, A., Farmer, E. M. Z., Fairbank, J. A., Burns, B. J., Keeler, G., et al. (2002). Psychiatric disorder, impairment, and service use in rural African American and White youth. Archives of General Psychiatry, 59, 893–901.

    Article  PubMed  Google Scholar 

  • Brown, M. M., & Goldstein Grumet, J. (2009). School-based suicide prevention with African American youth in an urban setting. Professional Psychology: Research and Practice, 40(2), 111–117.

    Article  Google Scholar 

  • Burns, B. J., Costello, E. J., Angold, A., Tweed, D., Stangl, D., Farmer, E. M., et al. (1995). Children’s mental health services use across service sectors. Health Affairs, 14, 147–159.

    Article  PubMed  CAS  Google Scholar 

  • Cheung, A., Dewa, C., Cairney, J., Veldhuizen, S., & Schaffer, A. (2009). Factors associated with use of mental health services for depressed and/or suidical youth aged 15–24. Community Mental Health Journal, 45, 300–306.

    Article  PubMed  Google Scholar 

  • Ciguralov, K., Chen, P. Y., Thurber, B. W., & Stallones, L. (2008). What prevents adolescents from seeking help after a suicide education program? Suicide and Life Threatening Behavior, 38(1), 74–86.

    Article  Google Scholar 

  • Elster, A., Jarosik, J., VanGeest, J., & Fleming, M. (2003). Racial and ethnic disparities in health care for adolescents: A systematic review of the literature. Archives of Pediatric Adolescent Medicine, 157, 867–874.

    Article  Google Scholar 

  • Garland, A. F., Lau, A. S., Yeh, M., McCabe, K. M., Hough, R. L., & Landsverk, J. A. (2005). Racial and ethnic differences in utilization of mental health services among high risk youths. American Journal of Psychiatry, 162(7), 1336–1343.

    Article  PubMed  Google Scholar 

  • Gould, M. S., Marrocco, F. A., Kleinman, M., Thomas, J. G., Mostkoff, K., Cote, J., et al. (2005). Evaluating iatrogenic risk of youth suicide screening programs: A randomized controlled trial. Journal of the American Medical Association, 293(13), 1635–1643.

    Article  PubMed  CAS  Google Scholar 

  • Gould, M. S., Marrocco, F. A., Hoagwood, K., Kleinman, M., Amakawa, L., & Altschuler, E. (2009). Service use by at-risk youths after school-based suicide screening. Journal of the American Academy of Child and Adolescent Psychiatry, 48(12), 1–9.

    Article  Google Scholar 

  • Halbert, C., Armstrong, K., Gandy, O. J., & Shaker, L. (2006). Racial differences in trust in health care providers. Archives of Internal Medicine, 166(8), 896–901.

    Article  PubMed  Google Scholar 

  • Hallfors, D., Brodish, P. H., Khatapoush, S., Sanchez, V., Cho, H., & Steckler, A. (2006). Feasibility of screening adolescents for suicide risk in “real-world” high school settings. American Journal of Public Health, 96, 282–287.

    Article  PubMed  Google Scholar 

  • Ialongo, N., McCreary, B., Pearson, J., Koenig, A., Wagner, B., Schmidt, N., et al. (2002). Suicidal behavior among urban, African American young adults. Suicide and Life Threatening Behavior, 32(3), 256–271.

    Article  PubMed  Google Scholar 

  • Joe, S., Baser, R., Breeden, G., Neighbors, H., & Jackson, J. (2006). Prevalence of and risk factors for lifetime suicide attempts among blacks in the US. Journal of the American Medical Association, 296(17), 2112–2123.

    Article  PubMed  CAS  Google Scholar 

  • Kataoka, S., Stein, B., Nadeem, E., & Wong, M. (2007). Who gets care? Mental health service use following a school-based suicide prevention program. Journal of the American Academy of Child and Adolescent Psychiatry, 46(10), 1341–1348.

    Article  PubMed  Google Scholar 

  • Kessler, R. C., Demler, O., Frank, R. G., Olfson, M., Pincus, H. A., Walters, E. E., et al. (2005). Prevalence and treatment of mental disorders: 1990–2003. New England Journal of Medicine, 352, 2515–2523.

    Article  PubMed  CAS  Google Scholar 

  • Louisiana Department of Education. (2008). Louisiana Department of Education: Planning, analysis and information resources. Retrieved April 15, 2010 from http://www.doe.state.la.us/lde/pair/1489.html.

  • Merikangas, K. R., He, J.-P., Burstein, M., Swanson, S. A., Avenevoli, S., Cui, L., et al. (2010). Lifetime prevalence of mental disorders in US adolescents: Results from the national comorbidity study: Adolescent supplement (NCS-A). Journal of the American Academy of Child and Adolescent Psychiatry (in press).

  • Mojtabai, R. (2007). Americans’ attitudes toward mental health treatment seeking: 1990–2003. Psychiatric Services, 58(5), 642–651.

    Article  PubMed  Google Scholar 

  • National Center for Chronic Disease Prevention and Health Promotion. (2009). Health risk behaviors by race/ethnicity: National YRBS: 2007. Retrieved April 19, 2010.

  • Scherff, A. R., Eckert, T. L., & Miller, D. N. (2005). Youth suicide prevention: A survey of public school superintendents’ acceptability of school-based programs. Suicide and Life Threatening Behavior, 35(2), 154–169.

    Article  PubMed  Google Scholar 

  • Schnittker, J., Pescosolido, B. A., & Croghan, T. W. (2005). Are African Americans really less willing to use health care? Social Problems, 52(2), 255–271.

    Article  Google Scholar 

  • Schools and Community Office at the NCMHC at Columbia University. (2010). TeenScreen implementation guide. Retrieved September 21, 2010, from http://www.teenscreen.org/images/stories/PDF/teenscreen%20schools%20and%20communities%20brochure%208.09.pdf.

  • Shaffer, D., Scott, M., Wilcox, H., Maslow, C., Hicks, R., Lucas, C., et al. (2004). The Columbia suicide screen: Validity and reliability of a screen for youth suicide and depression. Journal of the American Academy of Child and Adolescent Psychiatry, 43, 71–79.

    Article  PubMed  Google Scholar 

  • Shim, R. S., Compton, M., Rust, G., Druss, B. G., & Kaslow, N. J. (2009). Race-ethnicity as a predictor of attitudes toward mental health treatment seeking. Psychiatric Services, 60, 1336–1341.

    Article  PubMed  Google Scholar 

  • Sturm, R., Ringel, J. S., & Andreyeva, T. (2003). Geographic disparities in children’s mental health care. Pediatrics, 112, 308–315.

    Article  Google Scholar 

  • US Census Bureau. (2009). State and county quickfacts. Data derived from population estimates, census of population and housing, small area income and poverty estimates, state and county housing unit estimates, county business patterns, nonemployer statistics, economic census, survey of business owners, building permits, consolidated federal funds report. http://quickfacts.census.gov/qfd/states/42/42049.html. Retrieved March 1, 2010.

  • US Preventive Services Task Force. (2009). Screening and treatment for major depressive disorder in children and adolescents. Recommendation statement retrieved September 10, 2009 from http://www.ahrq.gov/clinic/uspstf09/depression/chdeprrs.html.

  • Wang, P. S., Berglund, P., & Kessler, R. C. (2000). Recent care of common mental disorders in the US: Prevalence and conformance with evidence-based recommendations. Journal of General Internal Medicine, 15, 284–292.

    Article  PubMed  CAS  Google Scholar 

  • Wu, P., Katic, B. J., Liu, X., Fan, B., & Fuller, C. J. (2010). Mental health service use among suicidal adolescents: Findings from an US national community survey. Psychiatric Services, 61(1), 17–24.

    Article  PubMed  Google Scholar 

Download references

Acknowledgments

We gratefully acknowledge the work of Margie Godwin and Jan Daniels in implementing mental health screening programs and granting permission to perform a review of their screening records.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Mathilde M. Husky.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Husky, M.M., Kanter, D.A., McGuire, L. et al. Mental Health Screening of African American Adolescents and Facilitated Access to Care. Community Ment Health J 48, 71–78 (2012). https://doi.org/10.1007/s10597-011-9413-x

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10597-011-9413-x

Keywords

Navigation