Article2002

Psychiatric Disorder, Impairment, and Service Use in Rural African American and White Youth

Adrian C. Angold · Alaattin Erkanli · Elizabeth M. Z. Farmer · John A. Fairbank · Barbara J. Burns · Gordon P. Keeler +1 more

537 citations0/0 files storedArchives of General Psychiatry

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Mental Health Treatment and Access Child and Adolescent Psychosocial and Emotional Development Psychology and Mental Health

Abstract

Background:The Caring for Children in the Community Study examined the prevalence of DSM-IV psychiatric disorders and correlates of mental health service use in rural African American and white youth.Methods: Four thousand five hundred youth aged 9 to 17 years from 4 North Carolina counties were randomly selected from school databases.Parents completed telephone questionnaires about their children's behavior problems.A second-stage sample of 1302 was identified for recruitment into the interview phase of the study, and 920 (70.7%) of these were successfully interviewed at home using the Child and Adolescent Psychiatric Assessment and related measures of service use.Results: Weighted back to general population estimates, 21.1% of youth had 1 or more DSM-IV psychiatric disorders in the past 3 months.Prevalence was similar in African American (20.5%) and white (21.9%) youth.

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1994Lifetime and 12-Month Prevalence of DSM-III-R Psychiatric Disorders in the United States 1987Child/adolescent behavioral and emotional problems: Implications of cross-informant correlations for situational specificity.1988The Composite International Diagnostic Interview 1997The Effects of Poverty on Children 1991Psychiatric disorders in America: the epidemiologic catchment area study 1990SCAN 1981Behavioral Problems and Competencies Reported by Parents of Normal and Disturbed Children Aged Four Through Sixteen 1996The NIMH Diagnostic Interview Schedule for Children Version 2.3 (DISC-2.3): Description, Acceptability, Prevalence Rates, and Performance in the MECA Study

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