Mental health beliefs and barriers to accessing mental health services in youth aging out of foster care

Christina Sakai, Thomas I. Mackie, Rashmi Shetgiri, Sara Franzen, Anu Partap, Glenn Flores, Laurel K. Leslie

Research output: Contribution to journalArticle

17 Scopus citations

Abstract

OBJECTIVE: To examine the perspectives of youth on factors that influence mental health service use after aging out of foster care. METHODS: Focus groups were conducted with youth with a history of mental health needs and previous service use who had aged out of foster care. Questions were informed by the Health Belief Model and addressed 4 domains: youth perceptions of the "threat of mental health problems," treatment benefits versus barriers to accessing mental health services, self-efficacy, and "cues to action." Data were analyzed using a modified grounded-theory approach. RESULTS: Youth (N = 28) reported ongoing mental health problems affecting their functioning; however, they articulated variable levels of reliance on formal mental health treatment versus their own ability to resolve these problems without treatment. Past mental health service experiences influenced whether youth viewed treatment options as beneficial. Youth identified limited self-efficacy and insufficient psychosocial supports "cueing action" during their transition out of foster care. Barriers to accessing mental health services included difficulties obtaining health insurance, finding a mental health provider, scheduling appointments, and transportation. CONCLUSIONS: Youths' perceptions of their mental health needs, self-efficacy, psychosocial supports during transition, and access barriers influence mental health service use after aging out of foster care. Results suggest that strategies are needed to 1) help youth and clinicians negotiate shared understanding of mental health treatment needs and options, 2) incorporate mental health into transition planning, and 3) address insurance and other systemic barriers to accessing mental health services after aging out of foster care.

Original languageEnglish (US)
Pages (from-to)565-573
Number of pages9
JournalAcademic Pediatrics
Volume14
Issue number6
DOIs
StatePublished - Jan 1 2014

Keywords

  • Foster care
  • Health care transition
  • Mental health
  • Qualitative research

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

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    Sakai, C., Mackie, T. I., Shetgiri, R., Franzen, S., Partap, A., Flores, G., & Leslie, L. K. (2014). Mental health beliefs and barriers to accessing mental health services in youth aging out of foster care. Academic Pediatrics, 14(6), 565-573. https://doi.org/10.1016/j.acap.2014.07.003