The use of mental health services among children in kinship care: an application of Andersen’s Behavioral Model for Health Services Use

Abstract

ABSTRACT This study examined predisposing, enabling, and need factors associated with mental health (MH) services, the use of school-based, medical-based, and specialty MH services, and the use of ≥2 MH services among children in kinship care. We analyzed a sample of children in kinship care (N = 718) selected from wave II of the National Survey on Child and Adolescent Well-Being II. Results indicated that child’s age, gender, ethnicity (being Hispanic) and clinically significant internalizing and externalizing problems were associated with their use of MH services. Furthermore, results indicated being Hispanic, older children, living in poverty primarily with male caregivers, and having clinically significant externalizing problems were associated with higher odds of receiving school-based MH services, while being a girl and living with caregivers with better physical health were associated with lower odds of receiving medical-based MH services. Experiencing household challenges and living with caregivers with better MH were associated with the odds of receiving specialty MH services. Experiencing household challenges, being Hispanic and older children, and living in formal kinship care were associated with higher odds of receiving ≥2 MH services. These findings suggest the importance of providing accessible and diverse MH services to children in kinship care.