TY - JOUR
T1 - Patterns of medical, educational, and mental health service use in a national sample of US children
AU - Stein, Ruth E.K.
AU - Silver, Ellen Johnson
N1 - Funding Information:
Supported in part by a Data Utilization and Enhancement grant (MCJ-36D257) from the Maternal Child Health Bureau (Title V, Social Security Act), Health Resources and Service Administration, US Department of Health and Human Services, Bethesda, Md (Dr Stein). All analyses, interpretations, and conclusions derived from these data are the responsibility of the authors and not the National Center for Health Statistics, which is responsible only for the quality of the data set.
PY - 2003
Y1 - 2003
N2 - Background. - Special services are provided to children by the medical, educational, and mental health service systems, but it is unknown whether the same group of children receives different types of services or whether discrete subgroups predominantly receive these services. Objective. - To determine the proportions of children who receive special medical, educational, and mental health services, individually and in combination. Design/Methods. - Using data from the 1994 National Health Interview Survey (NHIS) and its concurrent Disability Supplement (NHIS-D), we determined the proportions of children under age 18 (N = 30032) who received each of 3 types of special services (medical, educational, mental health). We also examined the proportions of children who used combinations of these services. Finally, we determined whether the patterns of service use differed across age, sex, socioeconomic, or racial/ethnic groups. Results. - Overall, 9.6% of children used some type of special services. Somewhat greater proportions of children used specialized health services (5.5%) or educational services (5%) than mental health services (1.5%). About one third of children receiving services in each of the special medical and educational sectors are users of another type of services as well, but among children receiving mental health services, the majority also are recipients of another type of services. Highest rates of overall service use and of use in all 3 sectors were found among subgroups of children who were elementary school-aged or adolescents, male, of white non-Hispanic race/ethnicity, and living below the federal poverty level. This pattern is consistent with the literature on service utilization within the 3 systems of care and with the greater prevalence of children with chronic conditions in these same subgroups. Conclusion. - These findings underscore the importance of communication in the planning of services for children across the medical, educational, and mental health sectors. Further research is needed to assess the actual degree of overlap among the various systems providing this care and the degree to which children and their families would benefit from more integrated systems.
AB - Background. - Special services are provided to children by the medical, educational, and mental health service systems, but it is unknown whether the same group of children receives different types of services or whether discrete subgroups predominantly receive these services. Objective. - To determine the proportions of children who receive special medical, educational, and mental health services, individually and in combination. Design/Methods. - Using data from the 1994 National Health Interview Survey (NHIS) and its concurrent Disability Supplement (NHIS-D), we determined the proportions of children under age 18 (N = 30032) who received each of 3 types of special services (medical, educational, mental health). We also examined the proportions of children who used combinations of these services. Finally, we determined whether the patterns of service use differed across age, sex, socioeconomic, or racial/ethnic groups. Results. - Overall, 9.6% of children used some type of special services. Somewhat greater proportions of children used specialized health services (5.5%) or educational services (5%) than mental health services (1.5%). About one third of children receiving services in each of the special medical and educational sectors are users of another type of services as well, but among children receiving mental health services, the majority also are recipients of another type of services. Highest rates of overall service use and of use in all 3 sectors were found among subgroups of children who were elementary school-aged or adolescents, male, of white non-Hispanic race/ethnicity, and living below the federal poverty level. This pattern is consistent with the literature on service utilization within the 3 systems of care and with the greater prevalence of children with chronic conditions in these same subgroups. Conclusion. - These findings underscore the importance of communication in the planning of services for children across the medical, educational, and mental health sectors. Further research is needed to assess the actual degree of overlap among the various systems providing this care and the degree to which children and their families would benefit from more integrated systems.
KW - Children
KW - Health care
KW - Mental health
KW - Services
KW - Special education
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U2 - 10.1367/1539-4409(2003)003<0087:POMEAM>2.0.CO;2
DO - 10.1367/1539-4409(2003)003<0087:POMEAM>2.0.CO;2
M3 - Article
C2 - 12643781
AN - SCOPUS:0037355954
SN - 1530-1567
VL - 3
SP - 87
EP - 92
JO - Ambulatory Pediatrics
JF - Ambulatory Pediatrics
IS - 2
ER -
