{"id":{"repo_id":"uiuc","oai_identifier":"oai:www.ideals.illinois.edu:2142/102766"},"canonical_url":"https://search.dev.ndltd.org/etd/uiuc/oai:www.ideals.illinois.edu:2142/102766","repository":{"repo_id":"uiuc","name":"University of Illinois - Urbana-Champaign","base_url":"https://www.ideals.illinois.edu/oai-pmh"},"display":{"title":"Examining individual, family, and community predictors of youth receipt of therapy in systems of care","abstract":"Though a variety of psychotherapy interventions have been empirically supported for youth, the majority of children and adolescents with mental health needs do not receive therapy services to treat their disorder. This study examines the predictors of receipt of therapy services for youth within the Children’s Mental Health Initiative (CMHI), the largest federally-funded effort in the United States to serve youth with serious emotional disturbance. Using data from 1604 youth aged 10 to 17 in 33 CMHI-funded system of care communities, the impact of youth, family and community-level variables on receipt of individual, family, and group outpatient therapy in the first six months of service were examined. Youth who were African-American, had caregivers with less education, or were in families below the poverty level were less likely to receive therapy overall. At the community level, youth in sites that served a higher rate of impoverished families were less likely to receive therapy. Externalizing behaviors uniquely predicted receipt of group therapy above internalizing behaviors. These results highlight populations that may be underserved within systems of care. Limitations and implications are discussed.","abstract_html":"Though a variety of psychotherapy interventions have been empirically supported for youth, the majority of children and adolescents with mental health needs do not receive therapy services to treat their disorder. This study examines the predictors of receipt of therapy services for youth within the Children’s Mental Health Initiative (CMHI), the largest federally-funded effort in the United States to serve youth with serious emotional disturbance. Using data from 1604 youth aged 10 to 17 in 33 CMHI-funded system of care communities, the impact of youth, family and community-level variables on receipt of individual, family, and group outpatient therapy in the first six months of service were examined. Youth who were African-American, had caregivers with less education, or were in families below the poverty level were less likely to receive therapy overall. At the community level, youth in sites that served a higher rate of impoverished families were less likely to receive therapy. Externalizing behaviors uniquely predicted receipt of group therapy above internalizing behaviors. These results highlight populations that may be underserved within systems of care. Limitations and implications are discussed.","abstract_has_math":false,"creators":["Fitts, Jessica Jacqueline"],"institution":"University of Illinois at Urbana-Champaign","degree_name":"M.S.","degree_level":"Thesis","degree_discipline":"Psychology","degree_department":null,"school":null,"contributors":["Aber, Mark","Allen, Nicole"],"advisors":[],"committee_chairs":[],"committee_members":[],"year":2019,"date_issued":"2019-02-07T20:35:48Z","date_published":"2019-02-07T20:35:48Z","updated_at":"2026-07-22T22:24:42Z","subjects":["Systems of care","Youth mental health"],"languages":["en"],"rights":["Copyright 2018 Jessica Fitts"],"rights_urls":[],"identifier_entries":[]},"links":{"outbound_url":"http://hdl.handle.net/2142/102766","outbound_label":"Handle","outbound_source":"dc:identifier"},"metadata_groups":[{"id":"people","label":"People","entries":[{"key":"dc:contributor","label":"Contributor","values":["Aber, Mark","Allen, Nicole"]},{"key":"dc:creator","label":"Author","values":["Fitts, Jessica Jacqueline"]}]},{"id":"academic_context","label":"Academic Context","entries":[{"key":"dc:date","label":"Dc Date","values":["2019-02-07T20:35:48Z","2021-02-08T10:15:29Z","2018-02-05","2018-12"]},{"key":"dc:type","label":"Dc Type","values":["text"]},{"key":"thesis:degree_discipline","label":"Discipline","values":["Psychology"]},{"key":"thesis:degree_level","label":"Degree Level","values":["Thesis"]},{"key":"thesis:degree_name","label":"Degree Name","values":["M.S."]},{"key":"thesis:institution_name","label":"Thesis Institution Name","values":["University of Illinois at Urbana-Champaign"]}]},{"id":"subjects_keywords","label":"Subjects and Keywords","entries":[{"key":"dc:subject","label":"Dc Subject","values":["Systems of care","Youth mental health"]}]},{"id":"language_rights","label":"Language and Rights","entries":[{"key":"dc:language","label":"Dc Language","values":["en"]},{"key":"dc:rights","label":"Dc Rights","values":["Copyright 2018 Jessica Fitts"]}]},{"id":"identifiers","label":"Identifiers","entries":[{"key":"dc:identifier","label":"Identifier","values":["http://hdl.handle.net/2142/102766"]}]},{"id":"additional","label":"Additional Metadata","entries":[{"key":"dc:description","label":"Description","values":["Though a variety of psychotherapy interventions have been empirically supported for youth, the majority of children and adolescents with mental health needs do not receive therapy services to treat their disorder. This study examines the predictors of receipt of therapy services for youth within the Children’s Mental Health Initiative (CMHI), the largest federally-funded effort in the United States to serve youth with serious emotional disturbance. Using data from 1604 youth aged 10 to 17 in 33 CMHI-funded system of care communities, the impact of youth, family and community-level variables on receipt of individual, family, and group outpatient therapy in the first six months of service were examined. Youth who were African-American, had caregivers with less education, or were in families below the poverty level were less likely to receive therapy overall. At the community level, youth in sites that served a higher rate of impoverished families were less likely to receive therapy. Externalizing behaviors uniquely predicted receipt of group therapy above internalizing behaviors. These results highlight populations that may be underserved within systems of care. Limitations and implications are discussed.","Submission published under a 24 month embargo labeled 'U of I Access', the embargo will last until 2020-12-01","The student, Jessica Fitts, accepted the attached license on 2018-02-02 at 17:20.","The student, Jessica Fitts, submitted this Thesis for approval on 2018-02-02 at 18:14.","This Thesis was approved for publication on 2018-02-05 at 11:51.","DSpace SAF Submission Ingestion Package generated from Vireo submission #12032 on 2019-02-07 at 14:15:50","Made available in DSpace on 2019-02-07T20:35:48Z (GMT). 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This study examines the predictors of receipt of therapy services for youth within the Children’s Mental Health Initiative (CMHI), the largest federally-funded effort in the United States to serve youth with serious emotional disturbance. Using data from 1604 youth aged 10 to 17 in 33 CMHI-funded system of care communities, the impact of youth, family and community-level variables on receipt of individual, family, and group outpatient therapy in the first six months of service were examined. Youth who were African-American, had caregivers with less education, or were in families below the poverty level were less likely to receive therapy overall. At the community level, youth in sites that served a higher rate of impoverished families were less likely to receive therapy. Externalizing behaviors uniquely predicted receipt of group therapy above internalizing behaviors. These results highlight populations that may be underserved within systems of care. Limitations and implications are discussed.","Submission published under a 24 month embargo labeled 'U of I Access', the embargo will last until 2020-12-01","The student, Jessica Fitts, accepted the attached license on 2018-02-02 at 17:20.","The student, Jessica Fitts, submitted this Thesis for approval on 2018-02-02 at 18:14.","This Thesis was approved for publication on 2018-02-05 at 11:51.","DSpace SAF Submission Ingestion Package generated from Vireo submission #12032 on 2019-02-07 at 14:15:50","Made available in DSpace on 2019-02-07T20:35:48Z (GMT). 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