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Disparities in Mental Health Service Referrals in Child Sexual Abuse Cases

Bibliographic Data

ID12803646
AuthorsKatie M Bean (University School, corresponding author), Christian A L Bean (0000-0002-3119-7841, Kent State University), Leslie Dingeldein (Rainbow Babies & Children's Hospital), Katherine Slain (0000-0002-3325-3202, Case Western Reserve University)
Year2022
Volume18
Issue1
Pages47-60
Publication date2022-12-06
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueJournal of Public Child Welfare (JOURNAL)
Journal identifiersISSN: 1554-8732 • E-ISSN: 1554-8740
PublisherTaylor & Francis (PUBLISHER • GB)
DOI10.1080/15548732.2022.2155753
OpenAlexW4311640178
LanguageEN
References cited38

Child sexual abuse increases risk for future negative mental health outcomes. However, the factors influencing the likelihood of receiving referrals for mental health services for victims of child sexual abuse are not well understood. The current study sought to determine such factors and disparities via a secondary analysis of the National Survey of Child and Adolescent Well-being (NSCAW), a national probability study of children and caregivers investigated by US child welfare agencies. The sample consisted of the subset of children from NSCAW residing in-home with confirmed sexual abuse cases (n = 225, weighted N = 58,635). Weighted multivariable logistic regression analyses were conducted to estimate the odds of receiving a mental health service referral while controlling for important demographic and clinical characteristics. Black children and children residing in non-urban counties were significantly less likely to receive mental health referrals, while child health insurance coverage type and symptoms of mental health concerns were non-significant predictors. These results highlight an urgent need for efforts to overcome systemic biases and increase access to mental health services for victims of child sexual abuse

Child sexual abuse · Environmental health · Family medicine · Logistic regression · Mental health · Odds · Poison control · Psychiatry · Referral · Sexual abuse · Suicide prevention · Welfare · Child Abuse and Trauma · Child and Adolescent Health · Child Welfare and Adoption · Clinical Psychology · Medicine

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Citation velocityhistorical
Highly citedNo
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