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Subject: LCSH

School health services, School mental health services, Teenagers--Medical care, Substance abuse




The present study examines the impact of child and family risk factors on service access for youth and families in a school-based system of care. Regression analyses examined the relationships between risk factors and services recommended, services received, and dosage of services received. Logistic regression analyses examined the relationship between risk factors and whether or not youth received specific types of services within the system of care. Results revealed that youth with a personal or family history of substance use had more services recommended than youth without these risk factors, while youth with a family history of substance use received more services. Youth with a history of substance use received a significantly higher dosage of services overall. Finally, history of family mental illness was associated with receiving mental health and operational services (e.g., family advocacy, emergency funds). Implications and limitations are discussed. Systems of care were developed in response to the need for more appropriate and accessible preventive and treatment services for children with severe emotional and behavioral difficulties and their families. In 1992, the United States Congress established the Comprehensive Community Mental Health Services (CMHS) for Children and Their Families Program, which has provided funding to 126 communities over the past 14 years for the development of local systems of care.1 A system of care is a coordinated network of community-based services and supports that is created to meet the challenges of children.


This is the authors' accepted manuscript of the published article.

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Publisher Citation

Whitson, Melissa L., Connell, Christian M., Bernard, Stanley, & Kaufman, Joy. The Impact of Youth and Family Risk Factors on Service Recommendations and Delivery in a School-Based System of Care. Journal of Behavioral Health Services & Research. 2011 April ; 38(2): 146–158. doi:10.1007/s11414-009-9208-9.

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