Evidence map›Paper›PMID 27917490›Full record

ArticleThe Journal of school health2017

Ethnic Disparities in School-Based Behavioral Health Service Use for Children With Psychiatric Disorders.

Jill Locke, Christina D Kang-Yi, Melanie Pellecchia, Steven Marcus, Trevor Hadley, David S Mandell

Abstract read
In one paragraph

Article in The Journal of school health, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

32 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  7. Occurrence of mosaic Down syndrome and prevalence of co-occurring conditions in Medicaid enrolled adults, 2016-2019.American journal of medical genetics. Part C, Seminars in medical genetics · 2024
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Jill LockeUniversity of Washington, Speech and Hearing Sciences, University of Washington Autism Center, Box 357920, Seattle, WA 98195.
Christina D Kang-YiUniversity of Pennsylvania Center for Mental Health Policy and Services Research, Philadelphia, PA 19104.
Melanie PellecchiaUniversity of Pennsylvania Center for Mental Health Policy and Services Research, Philadelphia, PA 19104.
Steven MarcusDepartment of Social Policy and Practice, University of Pennsylvania Perelman School of Medicine, 3535 Market Street, 3rd floor, Philadelphia, PA 19104.
Trevor HadleyUniversity of Pennsylvania Center for Mental Health Policy and Services Research, Philadelphia, PA 19104.
David S MandellUniversity of Pennsylvania Center for Mental Health Policy and Services Research, The Children's Hospital of Philadelphia Center for Autism Research, Philadelphia, PA 19104.

Funding

Staff and School Factors Affecting Implementation of ASD Interventions in SchoolsK01MH100199 · NIMH · UNIVERSITY OF WASHINGTON · PI LOCKE, JILL J · 2014 to 2017
$698k
NIMH NIH HHS K01 MH100199
6 · The paper itself

Abstract

backgroundWe examined racial/ethnic disparities in school-based behavioral health service use for children with psychiatric disorders.

methodsMedicaid claims data were used to compare the behavioral healthcare service use of 23,601 children aged 5-17 years by psychiatric disorder (autism, attention deficit hyperactivity disorder [ADHD], conduct/oppositional defiant disorder, and "other") and by race/ethnicity (African-American, Hispanic, white, and other). Logistic and generalized linear regression analyses were used.

resultsDifferences in service use by racial/ethnic group were identified within and across diagnostic groups, both for in-school service use and out-of-school service use. For all disorders, Hispanic children had significantly lower use of in-school services than white children. Among children with ADHD, African-American children were less likely to receive in-school services than white children; however, there were no differences in adjusted annual mean Medicaid expenditures for in-school services by race/ethnicity or psychiatric disorders. Statistically significant differences by race/ethnicity were found for out-of-school service use for children with ADHD and other psychiatric disorders. There were significant differences by race/ethnicity in out-of-school service use for each diagnostic group.

conclusionsDifferences in the use of school-based behavioral health services by racial and ethnic groups suggest the need for culturally appropriate outreach and tailoring of services to improve service utilization.

Indexed as

Health Services AccessibilityAdolescentBlack or African AmericanChildChild, PreschoolCommunity Mental Health ServicesFemaleHealthcare DisparitiesHispanic or LatinoHumansInsurance Claim ReviewLogistic ModelsMaleMedicaidMental DisordersMinority Healthbehavioral healthhealth disparityMedicaidmental healthschool-based health services

Identifiers

PMID27917490
PMCPMC5142755

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Registered trials

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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.