Abstract
Introduction
Youth with incarcerated parents (YIP) experience more Adverse Childhood Experiences
(ACEs) than other youth, placing them at higher risk for mental health and substance
use disorders. Despite their increased risk, these youth may be less likely to access
mental health services, particularly given their racial and ethnic makeup. Therefore,
this study aimed to assess racial and ethnic disparities in access to mental health
services for YIP.
Methods
This secondary data analysis used longitudinal data from 2016 to 2019 from the Adolescent
Brain Cognitive Development Study. Logistic regression models assessed the relationships
among incarceration, cumulative ACEs, DSM-5 diagnoses and mental health services.
Additional analyses stratified these models by race and ethnicity. All analyses were
performed in 2022.
Results
YIP were more likely to report 4 or more ACEs (51% vs 14%, aOR 3.92, 95% CI 3.3-4.65,
p <0.001) and to have received mental health services (25% vs 15%, 1.89 aOR, 1.6-2.21,
p<0.001) compared to unexposed youth. However, Black YIP (19% vs 34%, aOR 0.38, 95%
CI .27-.52, p<0.001) and Latinx YIP (10% vs 17%, aOR 0.5, 95% CI .33-.76, p<0.001)
were significantly less likely to report receiving mental health services compared
to White YIP and non-Latinx YIP, respectively.
Conclusions
YIP were more likely to report utilization of mental health services, but significant
racial and ethnic disparities exist between Black and Latinx YIP compared to White
and non-Latinx YIP. There is a continued need to expand mental health services to
YIP and to address racial and ethnic disparities in access to care.
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Copyright
© 2023 Published by Elsevier Inc. on behalf of American Journal of Preventive Medicine.
