Rural Child/Adolescent Mental Health Service Use

农村儿童/青少年心理健康服务的使用

• 批准号: 7121604
• 负责人: CRAIG ANNE HEFLINGER
• 金额: $ 26.89万
• 依托单位: VANDERBILT UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2005
• 资助国家: 美国
• 起止时间: 2005-09-15 至 2008-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7121604
• 关键词: Medicare /Medicaid; adolescence (12-20); behavioral /social science research tag; child behavior disorders; child mental disorders; child mental health service; geographic difference; health care service availability; health care service utilization; health services research tag; human data; middle childhood (6-11); outcomes research; rural area; rural health

In response to PA-04-061 (Research on Rural Mental Health and Drug Abuse Disorders), we propose to examine mental health service use and outcomes of Medicaid-enrolled children and adolescents with emotional and behavioral problems living in rural areas in Tennessee and Mississippi. This project has two primary aims. The first is to generate new knowledge on rural children's use of mental health services by: a) describing differences in predisposing, enabling, and need characteristics between rural and non-rural Medicaid-enrolled children; b) testing hypotheses about differences between rural and non-rural populations in access, service use patterns, and clinical outcomes. The second aim is to refine operational definitions of "rural residence" and theoretical models of service use and outcomes for future rural health services research. The project will use previously collected interview and administrative (i.e., eligibility and encounters/claims) Medicaid data. Such secondary analysis is an efficient method for examining the experiences of children and adolescents struggling with behavioral health problems in rural settings. Descriptive and hypothesis-testing analyses will address the following questions: 1.) What are the child, family, and community-level characteristics of Medicaid-enrolled rural children with special attention to emotional and behavioral disorders? 2.) What types of mental health services do Medicaid-enrolled rural children use, and what are their patterns of service use (including access)? 3.) What clinical outcomes of treatment do rural children experience? 4) What factors predict service use and clinical outcomes among rural children? For each question, we will also answer: How do these differ from non-rural children? Analyses to test service use and outcome differences will incorporate child, family, community, and service system factors as described in the theoretical model.

为了回应PA-04-061（有关农村心理健康和药物滥用障碍的研究），我们建议检查田纳西州和密西西比州农村地区的心理健康服务使用以及医疗补助注册的儿童和青少年的成果。该项目有两个主要目标。首先是为农村儿童使用精神卫生服务的新知识： b）测试关于农村人群和非农村人群在获取，服务使用模式和临床结果中差异的假设。第二个目的是完善对“农村居住”的运营定义以及对未来农村卫生服务研究的服务使用和成果的理论模型。该项目将使用先前收集的访谈和行政（即资格和遭遇/索赔）医疗补助数据。这种次要分析是一种有效的方法，用于研究在农村环境中为行为健康问题而苦苦挣扎的儿童和青少年的经历。描述性和假设测试分析将解决以下问题：1。）儿童，家庭和社区级别的特征是医疗补助注册的农村儿童，特别关注情绪和行为障碍？ 2.）使用医疗补助的农村儿童使用哪些类型的心理健康服务，他们的服务使用方式是什么（包括访问）？ 3.）农村儿童经历哪些临床治疗结果？ 4）哪些因素可以预测农村儿童的服务使用和临床结果？对于每个问题，我们还将回答：这些与非农村儿童有何不同？测试服务使用和结果差异的分析将纳入理论模型中所述的儿童，家庭，社区和服务系统因素。