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Who is accessing family mental health programs? Demographic differences before and after system reform

机译：谁在使用家庭心理健康计划？体制改革前后的人口差异

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Childhood mental health disorders are on the rise in the United States. To ensure equitable access to care, it is important to examine the characteristics of children and families who access services. This study compares the demographic characteristics of two samples of families who participated in National Institute of Mental Health-funded studies of a Multiple Family Group model, entitled the 4Rs and 2Ss Multiple Family Group (4Rs and 2Ss) in New York City. One sample is currently receiving services, and the other received services a decade ago. Significant differences in demographic characteristics were found between the two samples pertaining to child race, child nativity, caregiver age, primary caregiver, caregiver marital status, caregiver race, caregiver education, caregiver employment, and family income. Families currently engaging in the public mental health service system are primarily White, and are less disadvantaged than families a decade ago. These differences are examined in light of changing policy and epidemiological trends, and potential unintended consequences are discussed.
机译：在美国，儿童心理健康障碍正在上升。为了确保公平获得护理，重要的是要检查获得服务的儿童和家庭的特征。这项研究比较了两个参加美国国家心理健康研究所资助的多家庭组模型研究的家庭样本的人口统计学特征，该模型称为纽约市的4Rs和2Ss多个家庭组（4Rs和2Ss）。一个样本当前正在接受服务，另一样本则在十年前接受服务。在两个样本之间发现了人口统计学特征的显着差异，分别涉及儿童种族，儿童出生，照料者年龄，主要照料者，照料者婚姻状况，照料者种族，照料者教育，照料者就业和家庭收入。当前从事公共精神卫生服务系统的家庭主要是白人，与十年前相比，家庭处于不利地位。将根据不断变化的政策和流行病学趋势检查这些差异，并讨论潜在的意外后果。

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