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Examining Access to Mental Health Care for Children with Anxiety or Depression During the COVID-19 Pandemic.

Record Type:	Electronic resources : Monograph/item
Title/Author:	Examining Access to Mental Health Care for Children with Anxiety or Depression During the COVID-19 Pandemic./
Author:	Daskalska, Lora L.
Description:	1 online resource (115 pages)
Notes:	Source: Dissertations Abstracts International, Volume: 84-11, Section: B.
Contained By:	Dissertations Abstracts International84-11B.
Subject:	Public health. -
Online resource:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=30425601click for full text (PQDT)
ISBN:	9798379495633

Examining Access to Mental Health Care for Children with Anxiety or Depression During the COVID-19 Pandemic.
Daskalska, Lora L.

Examining Access to Mental Health Care for Children with Anxiety or Depression During the COVID-19 Pandemic. - 1 online resource (115 pages)

Source: Dissertations Abstracts International, Volume: 84-11, Section: B.

Thesis (Ph.D.)--The Medical College of Wisconsin, 2023.

Includes bibliographical references

Anxiety and depression are among the most common mental disorders in children. Recent studies show that global rates of anxiety and depression among children doubled since the start of the COVID-19 pandemic. During the pandemic, risk factors for anxiety and depression increased such as neighborhood violence exposure, especially for non-White children, and perceived discrimination, especially for non-Hispanic Black and Asian adults. Also, mortality rates due to COVID-19 were greater among Hispanic and non-Hispanic Black essential workers, compared to non-Hispanic Whites. Anxiety and depression are associated with adverse academic and health outcomes including missing school, poor physical health, and suicide ideation and attempt. Notably, suicide is the second leading cause of death among youth 10 to 14 years old. However, many children suffering from anxiety and depression in the United States are not receiving mental health care making access to care an urgent public health issue. The goal of this dissertation was to combine multiple sources of data to examine access to mental health care for children with anxiety or depression during the COVID-19 pandemic, including whether disparities exist in access by race/ethnicity or sex and perspectives on access from teens, parents, and mental health professionals. This study used the following mixed methods: 1) quantitative secondary data analysis of the 2021 National Survey of Children's Health on prevalence of anxiety and depression and unmet need for mental health care among children 3 to 17 years old, 2) semi-structured qualitative key informant interviews on access to mental health care for Black and Latino teens with anxiety or depression in Milwaukee County with a teen, three parents, and six mental health professionals, and 3) qualitative and quantitative secondary data analysis of the Wisconsin Child Psychiatry Consultation Program baseline and follow-up surveys on primary care clinician ability to provide mental health care to children in Milwaukee County. Key factors impacting childhood access to mental health care include the access to telehealth, knowledge on what resources are available, high quality and culturally appropriate services, and the mental health workforce shortage leading to long wait times, especially for children covered by Medicaid. Using a pragmatic interpretive framework, findings from these studies will be discussed with implications for policy and practice.

Electronic reproduction.
Ann Arbor, Mich. :
ProQuest,
2023

Mode of access: World Wide Web

ISBN: 9798379495633Subjects--Topical Terms:

534748
Public health.
Subjects--Index Terms:

AccessIndex Terms--Genre/Form:

542853
Electronic books.

Examining Access to Mental Health Care for Children with Anxiety or Depression During the COVID-19 Pandemic.
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