High value correlates of caregiver reported counseling service need and utilization for adolescents at-risk for childhood maltreatment and neglect.

Adolescents with a history of child maltreatment experience increased risk for psychopathology that sets them on a trajectory towards a range of difficulties in adulthood. Various factors influence caregivers' decisions to seek mental health services (MHS) that could improve developmental outco...

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Autores principales: Alejandro L Vázquez, Tommy Chou, Cynthia M Navarro Flores, Tyson S Barrett, Miguel T Villodas, Melanie M Domenech Rodríguez
Formato: article
Lenguaje:EN
Publicado: Public Library of Science (PLoS) 2021
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Acceso en línea:https://doaj.org/article/c3131cd5d00e49c9b938c3f0adecb28b
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spelling oai:doaj.org-article:c3131cd5d00e49c9b938c3f0adecb28b2021-12-02T20:17:25ZHigh value correlates of caregiver reported counseling service need and utilization for adolescents at-risk for childhood maltreatment and neglect.1932-620310.1371/journal.pone.0258082https://doaj.org/article/c3131cd5d00e49c9b938c3f0adecb28b2021-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0258082https://doaj.org/toc/1932-6203Adolescents with a history of child maltreatment experience increased risk for psychopathology that sets them on a trajectory towards a range of difficulties in adulthood. Various factors influence caregivers' decisions to seek mental health services (MHS) that could improve developmental outcomes. The present study applied a machine learning algorithm, elastic net, to a sample of 878 adolescent-caregiver dyads from the Longitudinal Studies of Child Abuse and Neglect. Analyses simultaneously examined a large number of factors to determine their ability to discriminate between caregivers who perceived a need for MHS and those who did not, as well as caregivers who utilized MHS and those who did not. Results highlight family demographics, chronic parental stressors, youth psychopathology, and exposure to recent adversities as good classifiers of caregiver perceived need for (77.6%; sensitivity = .77; specificity = .78) and utilization of (71%; sensitivity = .71; specificity = .71) adolescent MHS. Elastic net identified adolescent clinical externalizing and internalizing problems, and parental stress related to child(ren)'s behavior as high value classifiers of both outcomes. Youth living with non-kin caregivers were also significantly more likely to utilize MHS. Findings highlight the importance of assessing clinical need, stress related to child(ren)'s behavior, and caregiver kinship in understanding the likelihood that at-risk families will seek adolescent MHS.Alejandro L VázquezTommy ChouCynthia M Navarro FloresTyson S BarrettMiguel T VillodasMelanie M Domenech RodríguezPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 10, p e0258082 (2021)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Alejandro L Vázquez
Tommy Chou
Cynthia M Navarro Flores
Tyson S Barrett
Miguel T Villodas
Melanie M Domenech Rodríguez
High value correlates of caregiver reported counseling service need and utilization for adolescents at-risk for childhood maltreatment and neglect.
description Adolescents with a history of child maltreatment experience increased risk for psychopathology that sets them on a trajectory towards a range of difficulties in adulthood. Various factors influence caregivers' decisions to seek mental health services (MHS) that could improve developmental outcomes. The present study applied a machine learning algorithm, elastic net, to a sample of 878 adolescent-caregiver dyads from the Longitudinal Studies of Child Abuse and Neglect. Analyses simultaneously examined a large number of factors to determine their ability to discriminate between caregivers who perceived a need for MHS and those who did not, as well as caregivers who utilized MHS and those who did not. Results highlight family demographics, chronic parental stressors, youth psychopathology, and exposure to recent adversities as good classifiers of caregiver perceived need for (77.6%; sensitivity = .77; specificity = .78) and utilization of (71%; sensitivity = .71; specificity = .71) adolescent MHS. Elastic net identified adolescent clinical externalizing and internalizing problems, and parental stress related to child(ren)'s behavior as high value classifiers of both outcomes. Youth living with non-kin caregivers were also significantly more likely to utilize MHS. Findings highlight the importance of assessing clinical need, stress related to child(ren)'s behavior, and caregiver kinship in understanding the likelihood that at-risk families will seek adolescent MHS.
format article
author Alejandro L Vázquez
Tommy Chou
Cynthia M Navarro Flores
Tyson S Barrett
Miguel T Villodas
Melanie M Domenech Rodríguez
author_facet Alejandro L Vázquez
Tommy Chou
Cynthia M Navarro Flores
Tyson S Barrett
Miguel T Villodas
Melanie M Domenech Rodríguez
author_sort Alejandro L Vázquez
title High value correlates of caregiver reported counseling service need and utilization for adolescents at-risk for childhood maltreatment and neglect.
title_short High value correlates of caregiver reported counseling service need and utilization for adolescents at-risk for childhood maltreatment and neglect.
title_full High value correlates of caregiver reported counseling service need and utilization for adolescents at-risk for childhood maltreatment and neglect.
title_fullStr High value correlates of caregiver reported counseling service need and utilization for adolescents at-risk for childhood maltreatment and neglect.
title_full_unstemmed High value correlates of caregiver reported counseling service need and utilization for adolescents at-risk for childhood maltreatment and neglect.
title_sort high value correlates of caregiver reported counseling service need and utilization for adolescents at-risk for childhood maltreatment and neglect.
publisher Public Library of Science (PLoS)
publishDate 2021
url https://doaj.org/article/c3131cd5d00e49c9b938c3f0adecb28b
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