Differences in Ethnic Background between Regular and Forensic Youth Mental Health Care Patients
DOI:
https://doi.org/10.12970/2310-8231.2014.02.01.1Keywords:
Child and adolescent mental health care, ethnic minorities.Abstract
The ethnic composition of the group of patients treated at both regular and forensic youth mental health care in a big city area in the Netherlands was compared to that of the regional youth population. In this way more accurate information about the mental health care utilization of different ethnic groups was obtained. Based on patient and population statistics, treatment percentages and relative risks were calculated for the major ethnic groups with Dutch natives as a reference. For most immigrant children (age 5-10) the relative risk on receiving regular mental health treatment was about half of that of their Dutch native peers. For the adolescents (age 11-19) the results of immigrants compared to Dutch natives were about the same, whereas the relative risk on treatment in forensic facilities was much higher for immigrant youths than for Dutch natives. Because it is known from epidemiological research that the prevalence of child and adolescent mental disorders is at least as high for ethnic minority groups as for majorities, we concluded that the accessibility of the regular and the forensic child and adolescent mental health facilities was strongly biased by ethnic factors.
References
Patel V, Flisher AJ, Hetrick S, McGorry P. Mental health of young people: a global public-health challenge. Lancet 2007; 369(9569): 1302-13. http://dx.doi.org/10.1016/S0140-6736(07)60368-7
Copeland WE, Adair CE, Smetanin P, et al. Diagnotic transitions from childhood to adolescence to early adulthood. J Child Psychol Psychiatry 2013; 54(7): 791-9. http://dx.doi.org/10.1111/jcpp.12062
Nock MK, Kazdin AE, Hiripi E, Kessler RC. Lifetime prevalence, correlates, and persistence of oppositional defiant disorder: Results from the National Comorbidity Survey Replication. J Child Psychol Psychiatry 2007; 48(7): 703-13. http://dx.doi.org/10.1111/j.1469-7610.2007.01733.x
Reef J, Diamantopoulou S, Van Meurs I, Verhulst FC, Van der Ende J. Developmental trajectories of child to adolescent externalizing behavior and adult DSM-IV disorder: results of a 24-year longitudinal study. Soc Psychiatry Psychiatr Epidemiol 2011; 46(12): 1233-41. http://dx.doi.org/10.1007/s00127-010-0297-9
Belfer ML. Child and adolescent mental disorders: the magnitude of the problem across the globe. J Child Psychol Psychiatry 2008; 49(3): 226-36. http://dx.doi.org/10.1111/j.1469-7610.2007.01855.x
Rutter M, Stevenson J. Using epidemiology to plan services: A conceptual approach. In: Rutter M, Bishop D, Pine D, Scott S, Stevenson J, Taylor E, et al., editors. Rutters’s child and adolescent psychiatry Fifth edition. Oxford: Blackwell Publishing 2008. http://dx.doi.org/10.1002/9781444300895.ch6
WHO. Prevalence, severity, and unmet need for treatment of mental disorders in the World Health Organization World Mental Health Surveys. JAMA: The journal of the American Medical Association 2004; 291(21): 2581-90. http://dx.doi.org/10.1001/jama.291.21.2581
Fombonne E. Case identification in an epidemiological context. In: Rutter M, Taylor E, editors. Child and adolescent psychiatry Fourth edition. Oxford: Blackwell Publishing 2002; pp. 52-69.
Meltzer H, Gatward R, Goodman R, Ford T. The mental health of children and adolescents in Great Britain. Londen: Stationery Office 2000.
GGZNederland. Culturele herkomst van cliënten in de GGZ en verslavingszorg [Cultural background of patients in mental health care and addiction care]. Utrecht: GGZ Nederland 2008.
Sytema S, Gunther N, Reelick F, Drukker M, Pijl B, van het Land H. Verkenningen in de Kinder- en Jeugdpsychiatrie. Een bijdrage uit de psychiatrische casusregisters [Explorations in child and youth mental health care. A contribution from psychiatric case registers]. Utrecht: Trimbos Instituut 2006.
Domburgh L. Very Young offenders. Characteristics of children and their environment in relation to (re)-offending. Dissertation. Vrije Universiteit Amsterdam. Amsterdam: Author 2009.
Gosden NP, Kramp P, Gabrielsen G, Sestoft D. Prevalence of mental disorders among 15-17-year-old male adolescent remand prisoners in Denmark. Acta Psychiatr Scand 2003; 107(2): 102-10. http://dx.doi.org/10.1034/j.1600-0447.2003.01298.x
Champion LA, Goodall G, Rutter M. Behavior problems in childhood and stressors in early adult life: A 20-year-follow-up of London school-children. Psychol Med 1995; 25(2): 231-46. http://dx.doi.org/10.1017/S003329170003614X
Knorth EJ, Eldering L. Immigrant adolescents in residential group care and treatment settings: Research and experience in the Netherlands. Child Youth Care Forum 1998; 27(4): 237-58. http://dx.doi.org/10.1007/BF02589252
Vollebergh WAM. Gemiste Kansen, Culturele Diversiteit in de Jeugdzorg [Mist Opportunities, Cultural Diversity in Youth care]. Kind en Adolescent 2003; 24(4): 209-21. http://dx.doi.org/10.1007/BF03060894
Bovenkerk F, Yeşilgöz Y. Nieuwe strafrechtsproblemen in Nederland. [New judicial problems in The Netherlands]. In: Bovenkerk F, Komen M, Yeşilgöz Y, editors. Multiculturaliteit in de strafrechtpleging. Den Haag: Boom Juridische Uitgevers 2003.
Hamerlynck SMJJ, Doreleijers TAH, Vermeiren RRJM, Cohen-Kettenis PT. Civiel- en strafrechtelijk geplaatste meisjes in justitiële jeugdinrichtingen; psychiatrische stoornissen, traumatisering en psychosociale problemen. [Civil and court ordered girls in judicial youth care: psychiatric disorders, traumas and psychosocial problems]. Tijdschrift voor Psychiatrie 2009; 51(2): 87-96.
Vreugdenhil C, Doreleijers TAH, Vermeiren R, Wouters LFJM, Van den Brink W. Psychiatric disorders in a representative sample of incarcerated boys in The Netherlands. J Child Adolescent Psychiatry 2004; 43(1): 97-104. http://dx.doi.org/10.1097/00004583-200401000-00019
Bellaart H. Jeugdzorg en allochtone cliënten. [Youth care and non-native patients]. Houten: Bohn Stafleu van Loghum 2004.
Vollebergh WAM, Ten Have M, Dekovic M, Oosterwegel A, Pels T, Veenstra R, et al. Mental health in immigrant children in the Netherlands. Soc Psychiatry Psychiatr Epidemiol 2005; 40(6): 489-96. http://dx.doi.org/10.1007/s00127-005-0906-1
Roberts RE, Roberts CR, Xing Y. Prevalence of youth-reported DSM-IV psychiatric disorders among African, European, and Mexican American adolescents. J Am Acad Child Adolescent Psychiatry 2006; 45(11): 1329-37. http://dx.doi.org/10.1097/01.chi.0000235076.25038.81
Weisz JR, McCarty CA, Eastman KL, Chaiyasit W, Sawunlert S. Developmental psychopathology and culture: ten lessons from Thailand. In: Luthar SS, Burack JA, Cicchetti D, Weisz JR, Eds. Developmental Psychopathology: Perspectives on adjustment, risk, and disorder. Cambridge: Cambridge University Press 1997; pp. 568-92.
Janssen MMM, Verhulst FC, Bengi-Arslan L, Erol N, Salter CJ, Crijnen AAM. Comparison of self-reported emotional and behavioral problems in Turkish immigrant, Dutch and Turkish adolescents. Soc Psychiatry Psychiatr Epidemiol 2004; 39(2): 133-40. http://dx.doi.org/10.1007/s00127-004-0712-1
Luk ESL, Leung PWL, Ho T-P. Cross-cultural/ethnic aspects of childhood hyperactivity In: Sandberg S, Ed. Hyperactivity and attention disorders of childhood. Cambridge: Cambridge University Press 2002; pp. 64-98.
Murad SD, Joung IMA, van Lenthe FJ, Bengi-Arslan L, Crijnen AAM. Predictors of self-reported problem behaviors in Turkish immigrants and Dutch adolescents in the Netherlands. J Child Psychol Psychiatry 2003; 44(3): 412-23. http://dx.doi.org/10.1111/1469-7610.00131
Nikapota A, Rutter M. Sociocultural/Ethnic groups and psychopathology. In: Rutter M, Bishop D, Pine D, Scott S, Stevenson J, Taylor E, et al., Eds. Rutters’s child and adolescent psychiatry Fifth edition. Oxford: Blackwell Publising 2008; pp. 199-211. http://dx.doi.org/10.1002/9781444300895.ch15
Reijneveld SA, Harland P, Brugman E, Verhulst FC, Verloove-Vanhorick SP. Psychosocial problems among immigrant and non-immigrant children; Ethnicity plays a role in their occurrence and identification. Eur Child Adolescent Psychiatry 2005; 14(3): 145-52. http://dx.doi.org/10.1007/s00787-005-0454-y
Stevens GWJM. Mental Health in Moroccan Youth in the Netherlands. Rotterdam: Optima 2004.
Zwirs BWC, Burger H, Schulpen TW, Wiznitzer M, Fedder H, Buitelaar JK. Prevalence of psychiatric disorders among children of different ethnic origin. J Abnormal Child Psychol 2007; 35(4): 556-66. http://dx.doi.org/10.1007/s10802-007-9112-9
Merikangas KR, He JP, Burnstein M, Swanson SA, Avenevoli S, Cui L, et al. Lifetime prevalence of mental disorders in US adolescents: Results from the National Comorbidity Survey Replication - Adolescent Supplement (NCS-A). J Am Acad Child Adolescent Psychiatry 2010; 49(10): 980-9. http://dx.doi.org/10.1016/j.jaac.2010.05.017
WHO. World Health Organization Resource Book on Mental Health, Human Rights and Legislation. Geneva: World Health Organization 2005.
Garland AF, Lau AS, Yeh M, McCabe KM, Hough RL, Landsverk JA. Racial and ethnic differences in utilization of mental health services among high-risk youths. Am J Psychiatry 2005; 162(7): 1336. http://dx.doi.org/10.1176/appi.ajp.162.7.1336
CBS. Centraal Bureau voor de Statistiek. Statline. Voorburg: CBS 2009.
Chen E, Martin AD, Matthews KA. Understanding health disparities: The role of race and socioeconomic status in children's health. Am J Public Health 2006; 96(4): 702-8. http://dx.doi.org/10.2105/AJPH.2004.048124
Ten Have M, Oldehinkel A, Vollebergh WAM, Ormel J. Does educational background explain inequalities in care service use for mental health problems in the Dutch general population? Acta Psychiatrica Scand 2003; 107(3): 178-87. http://dx.doi.org/10.1034/j.1600-0447.2003.00074.x
Pumariega A, Glover S, Holzer C, Nguyen H. Utilization of mental health services in a tri-ethnic sample of adolescents. Commun Mental Health J 1998; 34(2): 145-56. http://dx.doi.org/10.1023/A:1018788901831
Paasche-Orlow MK, Parker RM, Gazmararian JA, Nielsen-Bohlman LT, Rudd RR. The prevalence of limited health literacy. J Genetic Inter Med 2005; 20(2): 175-84. http://dx.doi.org/10.1111/j.1525-1497.2005.40245.x
Wells K, Klap R, Koike A, Sherbourne C. Ethnic disparities in unmet need for alcoholism, drug abuse and mental health care. Am J Psychiatry 2001; 158(12): 2027-32. http://dx.doi.org/10.1176/appi.ajp.158.12.2027
Dieperink CJ, Van Dijk R, Wierdsma AI. GGZ voor allochtonen: ontwikkelingen in het zorggebruik in de regio Rotterdam, 1990-1998. [Mental health care for non-native patients: developments in mental health care utilization in Rotterdam and its surroundings, 1990-1998]. Maandblad Geestelijke Volksgezondheid 2002; 57(1): 87-97.
Dieperink CJ, Van Dijk R, De Vries S. Allochtonen in de GGZ 1990-2004: groei en diversiteit [Non-native patients in mental health care 1990-2004: growth and diversity]. Maandblad Geestelijke Volksgezondheid 2007; 62(9): 710-20.
Bhui K, Stansfeld S, Hull S, Priebe S, Mole FG. Ethnic variations in pathways to and use of specialist mental health services in the UK. Br J Psychiatry 2003; 182(2): 105-16. http://dx.doi.org/10.1192/bjp.182.2.105
Boon AE, De Haan AM, De Boer SSB. Youth Mental Health Care patients are no ethnic representation of the big city youths. What causes this bias: Socio Economic Status or ethnic background? Submitted 2013.
CBS. Centraal Bureau voor de Statistiek. Statline. [Central agency for statistics]. Voorburg: CBS 2012.
SPSS. PAWS Statistics 17.0 [Computer software]. Chicago: SPSS Inc. 2008.
Moffitt TE, Caspi A. Childhood predictors differentiate life-course persistent and adolescence-limited antisocial pathways among males and females. Dev Psychopathol 2001; 13(2): 355-75. http://dx.doi.org/10.1017/S0954579401002097
Moffitt TE. Life-course-persistent and adolescence-limited antisocial behavior: A 10-year research review and a research agenda. In: Lahey BB, Moffitt TE, Caspi A, Eds. Causes of conduct disorder and juvenile delinquency New York: The Guilford Press 2003; pp. 49-75.
Brauner CB, Stephens CB. Estimating the prevalence of early childhood serious emotional/behavioral disorders: challenges and recommendations. Public Health Reports 2006; 121(3): 303-10.
JAACAP. Practice Parameter for the Assessment and Treatment of Children and Adolescents With Oppositional Defiant Disorder. J Am Acad Child Adolescent Psychiatry 2007; 46(1): 126-41. http://dx.doi.org/10.1097/01.chi.0000246060.62706.af
Colijn S. Cultural aspects of adolescence, psychopathology, and Western psychosocial and psychiatric treatment. In: Boon AE, Colijn S, Eds. Adolescents in Residential Psychiatric Care: treatment outcome, social support and cultural background. Den Haag: Pasmans 2001.
De Jong JTVM. Zorgfilters [Care filters]. In: De Jong JTVM, Colijn S, Eds. Handboek Culturele psychiatrie en psychotherapie [Manual Cultural psychiatry and psychotherapy]. Utrecht: De Tijdstroom 2010.
Goldberg D, Huxley P. Mental illness in the comunity; the pathway to psychiatric care. Londen: Tavistock 1980.
De Swaan A. Professionalisering en proto-professionalisering [Professionalization and proto-professionalization]. In: Brinkgreve C, Onland JH, De Swaan A, Eds. Sociologie van psychotherapie deel 1: De opkomst van het psychotherapeutisch bedrijf. Utrecht and Antwerpen: Het Spectrum 1979; pp. 17-24.
De Haan AM, Boon AE, Vermeiren RRJM, De Jong JTVM. Ethnic differences in DSM–classifications in Youth Mental Health Care practice. Int J Culture Mental Health 2013; (ahead-of-print).
Kreps GL. Communication and racial inequalities in health care. Am Behav Sci 2006; 49(6): 760-74. http://dx.doi.org/10.1177/0002764205283800
Begeer S, El Bouk S, Boussaid W, Meerum Terwogt M, Koot H. Underdiagnosis and Referral Bias of Autism in Ethnic Minorities. J Autism Dev Disord 2009; 39(1): 142-8. http://dx.doi.org/10.1007/s10803-008-0611-5
Van Ryn M, Fu SS. Paved with good intentions: Do public health and human service providers contribute to racial/ethnic disparities in health? Am J Public Health 2003; 93(2): 248-55. http://dx.doi.org/10.2105/AJPH.93.2.248
Zwirs BWC, Burger H, Buitelaar JK, Schulpen TWJ. Ethnic differences in parental detection of externalizing disorders. Eur Child Adolescent Psychiatry 2006; 15(7): 418-26. http://dx.doi.org/10.1007/s00787-006-0550-7
Martin TW. White therapists' differing perceptions of black and white adolescents. Adolescence 1993; 28(110): 281-9.
Crone MR, Bekkema N, Wiefferink CH, Reijneveld SA. Professional identification of psychosocial problems among children from ethnic minority groups: Room for improvement. J Pediatrics 2010; 156(2): 277-84. http://dx.doi.org/10.1016/j.jpeds.2009.08.008
Snowden LR. Bias in mental health assessment and intervention: Theory and evidence. Am J Public Health 2004; 93(2): 239-43. http://dx.doi.org/10.2105/AJPH.93.2.239
Chavez LM, Shrout PE, Alegría M, Lapatin S, Canino G. Ethnic differences in perceived impairment and need for care. J Abnormal Child Psychol 2010; 38(8): 1165-77. http://dx.doi.org/10.1007/s10802-010-9428-8
Cashel ML. Child and adolescent psychological assessment: Current clinical practices and the impact of managed care. Psychol Res Pract 2002; 33(5): 446-53.
Zayas LH, Cabassa LJ, Perez MC, Howard MO. Clinician-patient ethnicity in psychiatric diagnosis: A pilot study with Hispanics. Journal of Ethnic and Cultural Diversity in Social Work: Innovation in Theory, Research and Practice 2005; 14(1-2): 93-109.