ArticleMedical care research and review : MCRR2014
Episodes of mental health treatment among a nationally representative sample of children and adolescents.
Article in Medical care research and review : MCRR, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 3 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
26 citing papers in PubMed, 3 syntheses or guidelines pooled it, 56 citations in OpenAlex.
- Codesign of Mental Health Interventions With Young People From Racially Minoritised Populations: A Systematic Review of Methods and Outcomes.Health expectations : an international journal of public participation in health care and health policy · 2025Pooled it
- Quality improvement, implementation, and dissemination strategies to improve mental health care for children and adolescents: a systematic review.Implementation science : IS · 2017Pooled it
- Multilevel Mechanisms of Implementation Strategies in Mental Health: Integrating Theory, Research, and Practice.Administration and policy in mental health · 2016Pooled it
- Brief Behavioral Therapy for Pediatric Anxiety and Depression in Primary Care: A Follow-up.Journal of the American Academy of Child and Adolescent Psychiatry · 2020Trial
- Article
- Racial and Ethnic Differences in Suicide Mortality Among Youth Aged 12-25 Years Following Medical and Recreational Cannabis Legalization in the U.S.American journal of preventive medicine · 2026Article
- Child and Adolescent Virtual Mental Health Care and Duration of Treatment: Retrospective Cohort Study.JMIR mental health · 2025Article
- Racial and Gender Disparities in Suicide and Mental Health Care Utilization in a Pediatric Primary Care Setting.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2024Article
- Adequacy of Children's Psychopharmacology Services: Variations by Race and Clinical Characteristics.Psychiatric services (Washington, D.C.) · 2023Article
- Disparities in Youth and Family Experiences of System-of-Care Principles by Level of Youth Need.Community mental health journal · 2023Article
- Service Utilization for Parent Management of Early Childhood Behavior Problems in a Private Outpatient Behavioral Clinic: The Impact of Out-of-Pocket Cost, Travel Distance, and Initial Treatment Progress.Administration and policy in mental health · 2023Article
- Article
- Racial/Ethnic Disparity Trends in Children's Mental Health Care Access and Expenditures From 2010-2017: Disparities Remain Despite Sweeping Policy Reform.Journal of the American Academy of Child and Adolescent Psychiatry · 2022Article
- Patterns of Child Mental Health Service Utilization Within a Multiple EBP System of Care.Administration and policy in mental health · 2022Article
- Diversion as a Pathway to Improving Service Utilization Among At-Risk Youth.Psychology, public policy, and law : an official law review of the University of Arizona College of Law and the University of Miami School of Law · 2022Article
- Promoting Racial/Ethnic Equity in Psychosocial Treatment Outcomes for Child and Adolescent Anxiety and Depression.Psychiatric research and clinical practice · 2022Article
- Implementing child and youth mental health services: early lessons from the Australian Primary Health Network Lead Site Project.International journal of mental health systems · 2021Article
- Re-Accessing Community Mental Health Services for Children and Adolescents.The journal of behavioral health services & research · 2020Article
- Predicting patterns of service utilization within children's mental health agencies.BMC health services research · 2019Article
- Emotional and Behavioral Health Needs in Elementary School Students in an Underserved Hispanic Community.The Journal of school nursing : the official publication of the National Association of School Nurses · 2019Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors at 2 institutions in 1 country.
Funding
Abstract
Despite renewed national interest in mental health care reform, little is known about treatment patterns among youth in the general population. Using longitudinal data from the Medical Expenditure Panel Survey, we examined both initiation and continuity of mental health treatment among 2,576 youth aged 5 to 17 with possible mental health treatment need (defined as a high score on a parent-assessed psychological impairment scale, fair/poor mental health status, or perceived need for counseling). Over a 2-year period, fewer than half of sampled youth initiated new mental health treatment. Minority, female, uninsured, and lower-income youth were significantly less likely to initiate care. Only one third of treatment episodes met criteria for minimal adequacy (≥4 provider visits with psychotropic medication treatment or ≥8 visits without medication). Episodes were significantly shorter for Latino youth. Efforts to strengthen mental health treatment for youth should be broadly focused, emphasizing not only screening and access but also treatment continuity.
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What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.