Need and unmet need for care coordination among children with mental health conditions

Nicole M. Brown, Jeremy C. Green, Mayur M. Desai, Carol C. Weitzman, Marjorie S. Rosenthal

Research output: Contribution to journalArticle

29 Citations (Scopus)

Abstract

OBJECTIVE: To determine prevalence and correlates of need and unmet need for care coordination in a national sample of children with mental health conditions. METHODS: Using data from the 2007 National Survey of Children's Health, we identified children aged 2 to 17 years with ≥1 mental health condition (attention-deficit/hyperactivity disorder, anxiety disorder, conduct disorder, or depression) who had received ≥2 types of preventive or subspecialty health services in the past year. We defined 2 outcome measures of interest: (1) prevalence of need for care coordination; and (2) prevalence of unmet need for care coordination in those with a need. Logistic regression models were used to estimate associations of clinical, sociodemographic, parent psychosocial, and health care characteristics with the outcome measures. RESULTS: In our sample (N = 7501, representing an estimated 5 750 000 children), the prevalence of having any need for care coordination was 43.2%. Among parents reporting a need for care coordination, the prevalence of unmet need was 41.2%. Higher risk of unmet need for care coordination was associated with child anxiety disorder, parenting stress, lower income, and public or no insurance. Parents reporting social support and receipt of family-centered care had a lower risk of unmet need for care coordination. CONCLUSIONS: Approximately 40% of parents of children with mental health conditions who reported a need for care coordination also reported that their need was unmet. Delivery of family-centered care and enhancing family supports may help to reduce unmet need for care coordination in this vulnerable population.

Original languageEnglish (US)
JournalPediatrics
Volume133
Issue number3
DOIs
StatePublished - 2014
Externally publishedYes

Fingerprint

Mental Health
Parents
Anxiety Disorders
Logistic Models
Outcome Assessment (Health Care)
Conduct Disorder
Parenting
Vulnerable Populations
Attention Deficit Disorder with Hyperactivity
Insurance
Social Support
Health Services
Depression
Delivery of Health Care

Keywords

  • Care coordination
  • Family-centered care
  • Health care delivery
  • Medical home
  • Mental health

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Arts and Humanities (miscellaneous)

Cite this

Brown, N. M., Green, J. C., Desai, M. M., Weitzman, C. C., & Rosenthal, M. S. (2014). Need and unmet need for care coordination among children with mental health conditions. Pediatrics, 133(3). https://doi.org/10.1542/peds.2013-2590

Need and unmet need for care coordination among children with mental health conditions. / Brown, Nicole M.; Green, Jeremy C.; Desai, Mayur M.; Weitzman, Carol C.; Rosenthal, Marjorie S.

In: Pediatrics, Vol. 133, No. 3, 2014.

Research output: Contribution to journalArticle

Brown, NM, Green, JC, Desai, MM, Weitzman, CC & Rosenthal, MS 2014, 'Need and unmet need for care coordination among children with mental health conditions', Pediatrics, vol. 133, no. 3. https://doi.org/10.1542/peds.2013-2590
Brown, Nicole M. ; Green, Jeremy C. ; Desai, Mayur M. ; Weitzman, Carol C. ; Rosenthal, Marjorie S. / Need and unmet need for care coordination among children with mental health conditions. In: Pediatrics. 2014 ; Vol. 133, No. 3.
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