Race and Gender Differences in the Treatment of Psychiatric Disorders in Young Adolescents

STEVEN P. CUFFE, JENNIFER L. WALLER, MICHAEL L. CUCCARO, ANDRES J. PUMARIEGA, CAROL Z. GARRISON

Research output: Contribution to journalArticle

141 Scopus citations

Abstract

Most children and adolescents with mental illness remain untreated. Evidence suggests that race is a factor in the referral of children for treatment. This study examines race and gender differences in treatment of adolescent psychiatric disorders. During a two-stage, school-based, epidemiological study of depression, data were collected on 478 adolescents. Instruments included the Schedule for Affective Disorders and Schizophrenia for School-Age Children and the Children's Global Assessment Scale. Twenty-two percent of the sample had contact with professionals during the prior year, including 56% of adolescents with a psychiatric diagnosis. Significant odds ratios (ORs) were found between all diagnoses and treatment. Trends for undertreatment of females and African- Americans were evident in univariable and multivariable models. The OR (0.34) for African-American females was significant in the multivariable model. African-Americans were significantly more likely to receive only one or two treatment contacts. Data suggest race and gender differences in the treatment of adolescent psychiatric disorders. Possible explanations include referral bias, low cultural competence of mental health professionals, and cultural differences in the expression and tolerance of symptoms and help-seeking behaviors. Further study of factors influencing treatment decisions is needed.

Original languageEnglish (US)
Pages (from-to)1536-1543
Number of pages8
JournalJournal of the American Academy of Child and Adolescent Psychiatry
Volume34
Issue number11
DOIs
StatePublished - Jan 1 1995
Externally publishedYes

Keywords

  • adolescent
  • gender
  • race
  • treatment

ASJC Scopus subject areas

  • Developmental and Educational Psychology
  • Psychiatry and Mental health

Fingerprint Dive into the research topics of 'Race and Gender Differences in the Treatment of Psychiatric Disorders in Young Adolescents'. Together they form a unique fingerprint.

  • Cite this