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. 2017 Apr 1;68(4):411-414.
doi: 10.1176/appi.ps.201600111. Epub 2016 Dec 1.

Parent Burden in Accessing Outpatient Psychiatric Services for Adolescent Depression in a Large State System

Kaitlin P Gallo  1 , S Serene Olin  1 , Amy Storfer-Isser  1 , Briannon C O'Connor  1 , Emma D Whitmyre  1 , Kimberly E Hoagwood  1 , Sarah McCue Horwitz  1
Affiliations

Parent Burden in Accessing Outpatient Psychiatric Services for Adolescent Depression in a Large State System

Kaitlin P Gallo et al. Psychiatr Serv. .

Abstract

Objective: This study examined barriers facing parents who seek outpatient psychiatric care in a large state system for adolescents with depression.

Methods: A total of 264 outpatient facilities licensed to treat youths in New York were contacted by using a mystery shopper methodology. Callers tracked the number of call attempts, in-person appointments, and other steps required prior to seeing a psychiatrist.

Results: Fewer than two-thirds of parents made a psychiatry, therapy, or intake appointment. Of those who did not make an appointment, 19% received no referrals. Most callers made at least two calls and spoke with at least two people before initiating scheduling. Virtually all clinics required at least one intake or therapy appointment before receipt of a psychiatry appointment. Parental burden did not differ by region, urbanicity, clinic type, seasonality (spring or summer), or insurance status.

Conclusions: Families of youths with mental health needs face considerable burden in accessing timely treatment.

Keywords: Adolescents/adolescence; Community mental health services; Depression; Mental health systems/hospitals; Psychiatry/general.

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Conflict of interest statement

Disclosures: None of the authors have any conflict of interest to report.

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References

    1. Kataoka SH, Zhang L, Wells KB. Unmet need for mental health care among US children: Variation by ethnicity and insurance status. American Journal of Psychiatry. 2002;159:1548–1555. - PubMed
    1. Merikangas KR, He J-p, Burstein M, et al. Lifetime prevalence of mental disorders in U.S. adolescents: Results from the National Comorbidity Survey Replication–Adolescent Supplement (NCS-A) Journal of the American Academy of Child & Adolescent Psychiatry. 2010;49:980–989. - PMC - PubMed
    1. Wells KB, Miranda J, Bauer MS, et al. Overcoming barriers to reducing the burden of affective disorders. Biological Psychiatry. 2002;52:655–675. - PubMed
    1. Stiffman AR, Stelk W, Horwitz SM, et al. A public health approach to children’s mental health services: Possible solutions to current service inadequacies. Administration and Policy in Mental Health and Mental Health Services Research. 2010;37:120–124. - PMC - PubMed
    1. Horwitz S, Hoagwood K. Children and adolescents. Mental Health Services Research. 2002;4:239–243. - PubMed

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