{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,11]],"date-time":"2026-10-11T19:03:05Z","timestamp":1791745385461,"version":"4.3.4"},"reference-count":53,"publisher":"American Academy of Pediatrics (AAP)","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2012,11,1]]},"abstract":"<jats:sec>\n                    <jats:title>OBJECTIVE:<\/jats:title>\n                    <jats:p>To examine the rates and predictors of mental health services use for a nationally representative cohort of youths who had been investigated for alleged maltreatment.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>METHODS:<\/jats:title>\n                    <jats:p>Data came from caregiver and caseworker baseline and 18-month interviews in the second National Survey of Child and Adolescent Well-being. These interviews took place from March 2008 to September 2008 and September 2010 to March 2011. Data on family and child characteristics and service use were gathered and examined by using weighted univariate and multivariate analyses.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>RESULTS:<\/jats:title>\n                    <jats:p>Children had numerous challenges: 61.8% had a previous report of maltreatment, 46.3% had poor socialization skills, and 23.9% had a mental health problem measured by the Child Behavior Checklist (CBCL). At baseline, 33.3% received some mental health service and this varied by age, with younger children receiving fewer services. This percentage decreased to 30.9% at the 18-month follow-up, although the youngest children had increases in services use. For younger children, race\/ethnicity, out-of-home placement, chronic physical health problems, low adaptive behaviors, and CBCL scores in the clinical range were related to use. For children \u226511, out-of-home placement, high CBCL scores, and family risk factors predicted services use at 18 months.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>CONCLUSIONS:<\/jats:title>\n                    <jats:p>Mental health services utilization increases as young children come into contact with schools and medical providers or have more intensive involvement with child welfare. Minority children receive fewer services adjusting for need. Over the 18-month follow-up, there was a decrease in service use that may be a result of the tremendous financial challenges taking place in the United States.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1542\/peds.2012-1330","type":"journal-article","created":{"date-parts":[[2012,10,8]],"date-time":"2012-10-08T21:01:54Z","timestamp":1349730114000},"page":"861-869","source":"Crossref","is-referenced-by-count":79,"title":["Mental Health Services Use by Children Investigated by Child Welfare Agencies"],"prefix":"10.1542","volume":"130","author":[{"given":"Sarah McCue","family":"Horwitz","sequence":"first","affiliation":[{"name":"Departments of Pediatrics, and"},{"name":"Stanford Health Policy, Stanford University, Stanford, California;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael S.","family":"Hurlburt","sequence":"additional","affiliation":[{"name":"School of Social Work, University of Southern California, Los Angeles, California;"},{"name":"Child and Adolescent Services Research Center, Rady Children\u2019s Hospital, San Diego, California;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeremy D.","family":"Goldhaber-Fiebert","sequence":"additional","affiliation":[{"name":"Stanford Health Policy, Stanford University, Stanford, California;"},{"name":"Medicine, Stanford University School of Medicine, Stanford, California;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amy M.","family":"Heneghan","sequence":"additional","affiliation":[{"name":"Palo Alto Medical Foundation, Palo Alto, California; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jinjin","family":"Zhang","sequence":"additional","affiliation":[{"name":"Child and Adolescent Services Research Center, Rady Children\u2019s Hospital, San Diego, California;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jennifer","family":"Rolls-Reutz","sequence":"additional","affiliation":[{"name":"Child and Adolescent Services Research Center, Rady Children\u2019s Hospital, San Diego, California;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emily","family":"Fisher","sequence":"additional","affiliation":[{"name":"Child and Adolescent Services Research Center, Rady Children\u2019s Hospital, San Diego, California;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John","family":"Landsverk","sequence":"additional","affiliation":[{"name":"Child and Adolescent Services Research Center, Rady Children\u2019s Hospital, San Diego, California;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ruth E.K.","family":"Stein","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Albert Einstein College of Medicine\/Children\u2019s Hospital at Montefiore, New York, New York"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"417","published-online":{"date-parts":[[2012,11,1]]},"reference":[{"issue":"4","key":"2021120903561555000_B1","doi-asserted-by":"crossref","first-page":"909","DOI":"10.1542\/peds.106.S3.909","article-title":"Health care needs of children in the foster care system.","volume":"106","author":"Simms","year":"2000","journal-title":"Pediatrics"},{"issue":"4","key":"2021120903561555000_B2","doi-asserted-by":"crossref","first-page":"594","DOI":"10.1542\/peds.93.4.594","article-title":"Assessing the health status of children entering foster care.","volume":"93","author":"Chernoff","year":"1994","journal-title":"Pediatrics"},{"key":"2021120903561555000_B3","doi-asserted-by":"crossref","first-page":"283","DOI":"10.1023\/A:1022989411119","article-title":"Mental health problems of children in foster care.","volume":"7","author":"Clausen","year":"1998","journal-title":"J Child Fam Stud"},{"key":"2021120903561555000_B4","doi-asserted-by":"crossref","first-page":"113","DOI":"10.1016\/0190-7409(91)90058-P","article-title":"Utilization of health care by foster children: application of a theoretical model.","volume":"3","author":"Combs-Orme","year":"1991","journal-title":"Child Youth Serv Rev"},{"issue":"4","key":"2021120903561555000_B5","doi-asserted-by":"crossref","first-page":"386","DOI":"10.1001\/archpedi.1995.02170160040006","article-title":"Health status of children in foster care. 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