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American Journal of Public Health, 10.2105/AJPH.2004.059436

Research and Practice

Alcohol, Drug, and Mental Health Specialty Treatment Services and Race/Ethnicity: A National Study of Children and Families Involved With Child Welfare

Anne M. Libby 1*, Heather D. Orton 1, Richard P. Barth 2, Mary Bruce Webb 3, Barbara J. Burns 4, Patricia Wood 5, Paul Spicer 1

1 University of Colorado Health Sciences Center
2 University of North Carolina Chapel Hill
3 ACF
4 Duke University
5 Child and Adolescent Services Research Center

* To whom correspondence should be addressed. E-mail: anne.libby{at}uchsc.edu.


  Abstract

We used data on a national sample of children involved with child welfare systems to compare American Indian caregivers with White, Black, and Hispanic caregivers in their need for, and receipt of, specialty alcohol, drug, and mental health treatment. American Indian caregivers were significantly less likely to receive services than were Hispanic caregivers (P<.05) but not significantly less likely White or Black caregivers. Child placement, child age, and caregiver psychiatric comorbidity were significantly associated with service receipt.

Key Words: Health Care Facilities/Services, Health Service Delivery, Mental Health, Native Americans, Race/Ethnicity, Substance Abuse




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