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MENTAL HEALTH SERVICE USE BY CHILDREN AND YOUTH IN THE CHILD WELFARE SYSTEM: A FOCUS ON NEED AND PREDISPOSING FACTORS AND CAREGIVER TYPE
by
Margarita Villagrana
A Dissertation Presented to the
FACULTY OF THE GRADUATE SCHOOL
UNIVERSITY OF SOUTHERN CALIFORNIA
In Partial Fulfillment of the
Requirements for the Degree
DOCTOR OF PHILOSOPHY
(SOCIAL WORK)
December 2008
Copyright 2008 Margarita Villagrana
Object Description
| Title | Mental health service use by children and youth in the child welfare system: a focus on need and predisposing factors and caregiver type |
| Author | Villagrana, Margarita |
| Author email | villagrm@usc.edu; maggie1065@hotmail.com |
| Degree | Doctor of Philosophy |
| Document type | Dissertation |
| Degree program | Social Work |
| School | School of Social Work |
| Date defended/completed | 2008-10-06 |
| Date submitted | 2008 |
| Restricted until | Unrestricted |
| Date published | 2008-11-17 |
| Advisor (committee chair) | Palinkas, Lawrence A. |
| Advisor (committee member) |
Schneiderman, Janet U. Chung, Ruth |
| Abstract | Studies have documented that children in foster care are in need of mental health intervention, but not all foster care children receive the mental health services they need. One area that lacks attention and may help explain the underutilization of mental health services is the influence that the caregiver has on a child's utilization of services. Caregivers serve as gatekeepers for children while in the child welfare system, but few studies have focused on the factors that influence a caregiver's use of mental health services for the children under their care. This study represents a step toward addressing this gap in the literature by examining the influence that caregivers have on the utilization of mental health services for children and youth in the child welfare system. This study examined whether the caregivers' perceptions and knowledge of mental health services mediate need and predisposing factors and the utilization of mental health services for children under their care. This study also examined caregiver type as a moderator to understand whether type of caregiver was significant.; Hierarchal logistic regression and structural equation modeling with a mediating-moderating effect were used to test the hypotheses proposed. Results indicate that older caregivers were more likely to use mental health services for their children. Caregivers' with children with high externalizing behaviors and a high level of stress were more likely to use mental health services for their children. No mediation effect was found. However, statistically significant associations between need and predisposing factors and perceptions and knowledge of mental health services were found with the higher the need factor the more negative the perceptions and knowledge of mental health services and the higher the predisposing factor the more negative the perceptions and knowledge of mental health services were by the caregiver.; In addition, a moderating effect was found with the higher the need factor the more negative the perceptions and knowledge of mental health services among birth parents and relative caregivers. Furthermore, the higher the need factor the less likely that relative caregivers and foster parents were to use mental health services for the children under their care. |
| Keyword | mental health services; children and youth; child welfare; foster care; caregivers |
| Language | English |
| Part of collection | University of Southern California dissertations and theses |
| Publisher (of the original version) | University of Southern California |
| Place of publication (of the original version) | Los Angeles, California |
| Publisher (of the digital version) | University of Southern California. Libraries |
| Provenance | Electronically uploaded by the author |
| Type | texts |
| Legacy record ID | usctheses-m1800 |
| Rights | Villagrana, Margarita |
| Repository name | Libraries, University of Southern California |
| Repository address | Los Angeles, California |
| Repository email | http://www.usc.edu/isd/libraries/services/ask_a_librarian/email/ |
| Filename | etd-Villagrana-2472 |
| Archival file | uscthesesreloadpub_Volume17/etd-Villagrana-2472.pdf |
Description
| Title | Page 1 |
| Full text | MENTAL HEALTH SERVICE USE BY CHILDREN AND YOUTH IN THE CHILD WELFARE SYSTEM: A FOCUS ON NEED AND PREDISPOSING FACTORS AND CAREGIVER TYPE by Margarita Villagrana A Dissertation Presented to the FACULTY OF THE GRADUATE SCHOOL UNIVERSITY OF SOUTHERN CALIFORNIA In Partial Fulfillment of the Requirements for the Degree DOCTOR OF PHILOSOPHY (SOCIAL WORK) December 2008 Copyright 2008 Margarita Villagrana |
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