The primary focus of the entry is service utilization. As background, the risks for and prevalence of childhood mental disorders are summarized. Then, the current children's mental health services system is described, including the role of nonspecialty sectors of care and informal support systems. Service use barriers and disparities, pathways to services, and strategies to increase service use are discussed. The conclusion notes other current issues in child mental health, including the need to implement evidence-based treatments.
Continuing a history of inequity, private insurers have placed restrictions and limitations on coverage for mental health conditions making access to treatment services increasingly more challenging. A state-by-state advocacy movement has led to the enactment of various state laws to require mental health parity. With the Clinton Administration’s attempt at health care reform, mental health parity became part of the health reform debate and led to the passage of the Mental Health Parity Act of 1996. The inadequacies of this law were partially corrected in the Mental Health Parity and Addiction Equity Act of 2008, which included mandated coverage for substance use conditions. The Obama Administration in 2011 included these provisions in the Patient Protection and Affordable Care Act, which does not require compliance monitoring nor does it provide a definition for “mental health,” which leaves insurers to define it and hence determine what coverage will actually be available.
Carmen Ortiz Hendricks
Latinos are a heterogeneous and highly complex population that presents the profession with one of the greatest challenges in understanding diversity and what constitutes culturally and linguistically competent social work interventions. At this point in history, Latinos are the fastest growing racial and ethnic group in the United States. This has given rise to strong anti‐immigration sentiment, English only legislation, and increased discrimination and racism, which Latino newcomers must contend with upon arrival in the United States. Social workers need to work to reduce both external and internal institutional barriers to service delivery for Latinos while responding effectively to their interpersonal and familial needs.
Dorothy M. Pearson
Carl A. Scott (1928–1986) was assistant professor at the New York University School of Social Work. As a senior consultant on minority groups at the Council on Social Work Education he developed programs directed toward enhancing minority presence in curricula.
Lonnie R. Snowden
This entry describes the extent of the mental health problem in the United States, trends in treatment rates, and evidence that public recognition of mental illness and related interventions is increasing both in the United States and internationally. Emphasis is given to the structure of the mental health system's major sectors, to the key roles that social workers play, and to the challenges they face, outlined at the conclusion of several sections, in providing effective and quality care against the complex backdrop of this system.
Rebecca L. Sperling
Marion Edwena Kenworthy (1891–1980) was a psychiatrist who introduced psychoanalytic concepts into the social work curriculum. She was influential in the professionalization of social work and specialized in child psychiatry and mental health services for the armed forces.
Alvin L. Schorr
Leonard Withington Mayo (1899–1993) was concerned with child welfare, mental retardation, and public health. He was dean and vice president at Western Reserve University, professor at Colby College, and served on four White House Conferences on Children and Youth.
Hyman J. Weiner (1926–1980) was a program innovator, administrator, and educator. He was a pioneer in the conceptualization and implementation of group services in the health field. He also pioneered an Industrial Social Welfare Center and contributed to the building of industrial welfare curricula throughout the United States.
Yuhwa Eva Lu
Chinese Americans were the first group of immigrants from Asia who came to the United States in the mid-19th century. A second wave of immigrants came following the Immigrant Act of 1965. These new immigrants had more diverse backgrounds and introduced new patterns of lifestyle. Since 1965, the Chinese population has increased 10-fold to reaching 2.9 million in the 2000 census, becoming 1% of the total U.S. population. Chinese Americans are in a varied background and with diverse identities. Two-thirds are foreign-born and experiencing stereotype, prejudice, and acculturation adjustment.