ArticleJournal of the American Academy of Child and Adolescent Psychiatry2022
Racial/Ethnic Disparity Trends in Children's Mental Health Care Access and Expenditures From 2010-2017: Disparities Remain Despite Sweeping Policy Reform.
Article in Journal of the American Academy of Child and Adolescent Psychiatry, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 56 papers.
What it found
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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
56 citing papers in PubMed, 117 citations in OpenAlex.
- Adolescent Client and Clinician Predictors of Measurement-Based Care Fidelity in Community Mental Health Settings.Journal of clinical child and adolescent psychology : the official journal for the Society of Clinical Child and Adolescent Psychology, American Psychological Association, Division 53Trial
- Who Is Getting the Help They Need? An AI-Driven Study of Intersectional Disparities in Mental Health Service Utilization Among Young Adults with Suicidal Ideation.Prevention science : the official journal of the Society for Prevention Research · 2026Article
- Persistent Racial and Ethnic Disparities in Untreated Adolescent Depression in the United States, 2021-2024.Journal of racial and ethnic health disparities · 2026Article
- Racial and gender disparities in reasons for seeking mental healthcare in Canada.Discover mental health · 2026Article
- Youth Mental Health Treatment Knowledge and Information Sources Among Racially and Ethnically Minoritized Parents: A Cross-Sectional Study.The journal of behavioral health services & research · 2026Article
- Transforming Mental Health Service Delivery in Schools: Recommendations for Implementation of a Cross-System Collaborative Approach.Administration and policy in mental health · 2026Article
- Racial and Ethnic Disparities in Treatment of Youth With Bipolar Disorders.Journal of the American Academy of Child and Adolescent Psychiatry · 2026Article
- The Role of Associated Treatment Factors and Mental Health on Transition From Pediatric to Adult Care for Adolescent/Young Adults With Sickle Cell Disease.Pediatric blood & cancer · 2026Article
- Toward developing adolescent-centered machine learning methods to detect depression: Interviews with Latino adolescents to identify signals of emotional and somatic symptoms within social media data.PLOS digital health · 2026Article
- A review of youth mental health in the U.S.: the current landscape, youth perspectives, and strategies for equitable solutions.Frontiers in health services · 2026Review
- Mental health outcomes among United States remote-eligible working adults post COVID-19: national evidence.Frontiers in public health · 2026Article
- Community-minded, adolescent-driven: addressing behavioral health disparities through youth participatory research designs.Frontiers in public health · 2026Article
- Modification of an observational tool to evaluate how community health workers engage low-income latino parents in parent-child interaction therapy.Frontiers in child and adolescent psychiatry · 2026Article
- Article
- Are Family Factors Differentially Associated with Externalizing Symptoms Among Youth with Perinatally Acquired HIV?Child psychiatry and human development · 2025Article
- Strategic Treatment and Assessment for Youth (STAY): Development of a culturally humble measurement-based care training.School Psychology International · 2025Article
- Evaluating Equity in Universal Suicide Screening: Race/Ethnic Differences in Screening Acceptance and Results.American journal of preventive medicine · 2025Article
- State-Level Variation in Racial-Ethnic Disparities in Access to Children's Mental Health Care.Psychiatric services (Washington, D.C.) · 2025Article
- Telehealth Use for Mental Health Treatment Among US Adolescents.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2025Article
- Family partnerships to support equity and cultural humility in pediatric intervention research.Journal of pediatric psychology · 2025Article
Corrections and comments
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Authors and funding
5 authors at 2 institutions in 1 country.
Funding
Abstract
objectiveTo examine trends in mental health care use for Black and Latinx children and adolescents.
methodData from the Medical Expenditure Panel Survey for 2010-2017 were analyzed to assess trends among youth ages 5-17 in use and expenditures for any mental health care, outpatient mental health care, and psychotropic medication prescription fills. Unadjusted trends for all youth and the subpopulation of youth reporting need for mental health care and disparities adjusting for need were examined.
resultsBetween 2010 and 2017, Black youth rates of any past year mental health care use decreased (from 9% to 8%), while White (from 13% to 15%) and Latinx (from 6% to 8%) youth rates increased. Among the subpopulation with need and in regression analysis adjusting for need, we identified significant Black-White and Latinx-White disparities in any mental health care use and any outpatient mental health care use in 2010-2011 and 2016-2017, with significant worsening of Black-White disparities over time. White youth were more than twice as likely as Latinx youth to use psychotropic medications, and Latinx-White and Black-White disparities in psychotropic medication prescription fills persisted over time. Black-White disparities existed in overall mental health expenditures (2016-2017) and outpatient mental health expenditures (2010-2011 and 2016-2017).
conclusionAffordable, ubiquitous access to mental health care for Black and Latinx youth remains an elusive target. Significant disparities exist in receiving mental health care despite reforms and policies designed to increase mental health care access in the general population. Additional outreach and treatment strategies tailored to the cultural, linguistic, and structural needs of youth of color are required.
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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.