Social support networks may encourage or dissuade help-seeking for youth behavior problems in ways that contribute to racial/ethnic disparities in mental health services. The authors examined how parental social network characteristics were related to the use of mental health services in a diverse sample of families in contact with Child Welfare. Data from 1,519 families of White (n = 812), African American (n = 418), and Latino (n = 289) origin were drawn from the National Survey of Child and Adolescent Well-Being. Data were collected prospectively after the initiation of a Child Welfare investigation for alleged maltreatment. Results revealed that parental perceptions of support were negatively associated with service use across racial/ethnic groups, and this association was explained by better subsequent mental health status enjoyed by children of parents with stronger social support. Moderator analyses suggested that larger social networks were associated with a decreased use of services among Whites and more highly educated families.
Achenbach, T.M. ( 1991). Manual for the Child Behavior Check-list/4-18 and 1991 profile. Burlington, VT: University of Vermont, Department of Psychiatry.
2.
Antonucci, T.C., & Israel, B.A. ( 1986). Veridicality of social support: A comparison of principal network members’ responses. Journal of Consulting and Clinical Psychology, 54, 432-437.
3.
Ascher, B.H., Farmer, E., Burns, B.J., & Angold, A. ( 1996). The Child and Adolescent Services Assessment (CASA): Description of psychometrics. Journal of Emotional and Behavioral Disorders, 4, 12-20.
4.
Baron, R.M., & Kenny, D.A. ( 1986). The moderator-mediator variable distinction in social psychological research: Conceptual, strategic, and statistical considerations . Journal of Personality and Social Psychology, 51, 1173-1182.
5.
Blazer, D.G. ( 1982). Social support and mortality in an elderly community population. American Journal of Epidemiology, 115, 684-694.
6.
Bishop, S.J., & Leadbeater, B.J. (1999). Maternal social support patterns and child maltreatment: Comparison of maltreating and nonmaltreating mothers. American Journal of Orthopsychiatry, 69, 172-181.
7.
Broadhead, W.E. ( 1980). Social support, life change and illness in elderly Durham County residents (Unpublished master’s thesis). School of Public Health, University of North Carolina at Chapel Hill.
8.
Broadhead, W.E., Gehlbach, S.H., de Gruy, F.V., & Kaplan, B.H. ( 1988). The Duke-UNC functional social support questionnaire: Measurement of social support in family medicine patients. Medical Care, 26, 709-723.
9.
Burns, B.J., Angold, A., Magruder-Habib, K., Costello, E.J., & Patrick, M.K. ( 1996). The Child and Adolescent Services Assessment (CASA) parent interview. Durham, NC: Developmental Epidemiology Program, Department of Psychiatry and Behavioral Sciences, Duke University Medical Center .
10.
Burns, B.J., Costello, E.J., Angold, A., Tweed, D., Stangl, D., Farmer, E.M.Z., . . . . Erklani, A. ( 1995). Children’s mental health service use across service sectors. Health Affairs, 14, 147-159.
11.
Bussing, R., Zima, B.T., Gary, F.A., Mason, D.M., Leon, C.E., Sinha, K., & Garvan, C.W. ( 2003). Social networks, care-giver strain, and utilization of mental health services among elementary school students at high risk for ADHD . Journal of the American Academy of Child and Adolescent Psychiatry, 42, 842-850.
12.
Catalano, R., Rook, K., & Dooley, D. ( 1986). Labor markets and help-seeking: A test of the employment security hypothesis. Journal of Health and Social Behavior , 27, 277-287.
13.
Coohey, C. ( 1996). Child maltreatment: Testing the social isolation hypothesis . Child Abuse and Neglect, 20, 241-254.
14.
Costello, E.J., Pescosolido, B.A., Angold, A., & Burns, B.J. ( 1998). A family network-based model of access to child mental health services. Research in Community and Mental Health, 9, 165-190.
15.
Dixon, M.A. ( 1986). Families of adolescent clients and nonclients: Their environments and help-seeking behaviors. Advances in Nursing Science, 8, 75-88.
16.
Garralda, M.E., & Bailey, D. ( 1988). Child and family factors associated with referral to child psychiatrists. British Journal of Psychiatry, 153, 81-99.
17.
Golding, J.M., & Wells, K.B. ( 1990). Social support and use of mental health services by Mexican Americans and non-Hispanic Whites. Basic and Applied Social Psychology, 11, 443-458.
18.
Gourash, N. ( 1978). Help-seeking: A review of the literature. American Journal of Community Psychology, 6, 413-423.
19.
Harrison, M.E., McKay, M.M., & Bannon, W.M., Jr. (2004). Inner-city child mental health service use: The real question is why youth and families do not use services . Community Mental Health Journal, 40, 119-131.
20.
John, L.H., Offord, D.R., Boyle, M.H., & Racine, Y.A. ( 1995). Factors predicting use of mental health and social services by children 6-16 years old: Findings from the Ontario Child Health Study. American Journal of Orthopsychiatry, 65, 76-86.
21.
Kadushin, C. ( 1966). The friends and supporters of psychotherapy: On social circles in urban life. American Social Review, 31, 786-802.
22.
Kataoka, S., Zhang, L., & Wells, K. ( 2002). Unmet need for mental health care among U.S. children: Variation by ethnicity and insurance status. American Journal of Psychiatry, 159, 1548-1555.
23.
Kleinbaum, D.G., Kupper, L.L., Muller, K.E., & Nizam, A. ( 1998). Applied regression analysis and other multivariate methods (3rd ed.). Pacific Grove, CA : Brookes/Cole.
24.
Leslie, L.K., Hurlburt, M.S., James, S., Landsverk, J., Slymen, D.J., & Zhang, J. ( 2005). Relationship between entry into child welfare and mental health service use. Psychiatric Services, 56, 981-987.
25.
McMiller, W.P., & Weisz, J.R. ( 1996). Help-seeking preceding mental health clinic intake among African-American, Latino, and Caucasian youths. Journal of the American Academy of Child & Adolescent Psychiatry, 35, 1086-1094.
26.
Miville, M.L., & Constantine, M.G. (2006). Sociocultural predictors of psychological help-seeking attitudes and behavior among Mexican American college students. Cultural Diversity & Ethnic Minority Psychology, 12, 420-432.
27.
Morrisey-Kane, E., & Prinz, R.J. ( 1999). Engagement in child and adolescent treatment: The role of parental cognitions and attributions. Clinical Child & Family Psychology Review, 2, 183-198.
28.
Padgett, D.K., Patrick, C., Burns, B.J., Schlesinger, H.J., & Cohen, J. ( 1993). The effect of insurance benefit changes on use of child and adolescent outpatient mental health services. Medical Care, 31, 96-110.
29.
Pescosolido, B.A. ( 1992). Beyond rational choice: The social dynamics of how people seek help. American Journal of Sociology, 97, 1096-1138.
30.
Pescosolido, B.A., Wright, E.R., Alegria, M., & Vera, M. ( 1998). Social networks and patterns of use among the poor with mental health problems in Puerto Rico. Medical Care, 36, 1057-1072.
31.
Sarason, I.G., Levine, H.M., Basham, R.B., & Sarason, B.R. ( 1983). Assessing social support: The social support questionnaire . Journal of Personality & Social Psychology, 44, 127-139.
32.
Sarason, I.G., Sarason, B.R., Shearin, E.N., & Pierce, G.R. ( 1987). A brief measure of social support: Practical and t heoretical implications. Journal of Social and Personal Relationships , 4, 497-510.
33.
Sherbourne, C.D. ( 1988). The role of social support and life stress events in use of mental health services. Social Science & Medicine , 27, 1393-1400.
34.
Snowden, L.R. ( 2001). Barriers to effective mental health services for African Americans. Mental Health Services Research, 3, 181-187.
35.
Stata Corp. (2005). Stata Statistical Software (Release 9.2) [Computer software]. College Station, TX: Stata Corp LP.
36.
Surtees, P.G. ( 1980). Social support, residual adversity, and depressive outcome . Social Psychiatry and Psychiatric Epidemiology, 15, 71-80.
37.
Taussig, H.N. ( 2002). Risk behaviors in maltreated youth placed in foster care: A longitudinal study of protective and vulnerability factors. Child Abuse & Neglect, 26, 1179-1999.
38.
Thompson, R., Lindsey, M.A., English, D.J., Hawley, K.M., Lambert, S., & Browne, D.C. ( 2007). The influence of family environment on mental health need and service use among vulnerable children. Child Welfare , 86(5), 57-74.
39.
U.S. Department of Health and Human Services. ( 2001). Mental health: Culture, race, ethnicity, supplement to mental health: report of the surgeon general. Washington, DC: Author.
40.
Wells, K.B., Manning, W.M., Jr., & Benjamin, B. ( 1986). A comparison of the effects of sociodemographic factors and health status on use of outpatient mental health services in HMO and fee-for-service plans. Medical Care, 24, 949-960.
41.
Wells, K.B., Manning, W.M., Jr., Duan, N., Newhouse, J.P., & Ware, J.E., Jr. (1986). Sociodemographic factors and the use of outpatient mental health services. Medical Care, 24, 75-85.
42.
Woodward, A.M., Dwinell, A.D., & Arons, B.S. ( 1992). Barriers to mental health care for Hispanic Americans: A literature review and discussion. Journal of Mental Health Administration, 19, 224-236.
43.
Yeh, M., McCabe, K., Hough, R., Dupuis, D., & Hazen A. ( 2003). Racial/ethnic differences in parental endorsement of barriers to mental health services for youth. Mental Health Services Research, 5, 65-77.
