Perceived Need for Treatment and Engagement in Mental Health Services Among Community-Referred Racial/Ethnic Minority Adolescents

Adm Policy Ment Health. 2018 Sep;45(5):751-764. doi: 10.1007/s10488-018-0863-0.


This study examines clinical and family predictors of perceived need for treatment and engagement in mental health treatment services among community-referred racial/ethnic minority adolescents and their primary caregivers. Findings indicated that the majority of families perceived a need for treatment, but that perceived need was not associated with treatment engagement. Family factors (i.e., low cohesion and high conflict within the family) predicted perceived need for treatment among adolescents, whereas clinical factors (i.e., adolescent internalizing and externalizing symptomatology) predicted caregiver perceived need for adolescent treatment. Neither clinical nor family factors predicted treatment engagement.

Keywords: Acial/ethnic minority youth; Perceived need for treatment; Treatment engagement; Unmet treatment need.

Publication types

  • Randomized Controlled Trial
  • Research Support, N.I.H., Extramural

MeSH terms

  • Adolescent
  • Caregivers / psychology
  • Continental Population Groups / psychology
  • Continental Population Groups / statistics & numerical data
  • Ethnic Groups / psychology
  • Ethnic Groups / statistics & numerical data
  • Family Relations
  • Female
  • Health Services Accessibility
  • Humans
  • Male
  • Mental Disorders / diagnosis*
  • Mental Disorders / ethnology
  • Mental Disorders / psychology
  • Mental Disorders / therapy*
  • Mental Health Services / statistics & numerical data*
  • Minority Groups / psychology
  • Minority Groups / statistics & numerical data*
  • New York City
  • Patient Acceptance of Health Care / statistics & numerical data*
  • Perception
  • Referral and Consultation / statistics & numerical data
  • Risk Factors
  • Socioeconomic Factors