Abstract
Using the National Adolescent and Treatment Study (NACTS;
Greenbaum et al., 1996) longitudinal database, this study explored whether
adolescents with comorbidity had different service utilization rates
than those with only a mental health disorder. Participants were 668
children (75% male, aged 9-17 years at the beginning of the study [M
= 13.44, SD = 2.27], 72% white, 20% African American, and 8%
Hispanic and other) and their caretakers. Receipt of 11 different services
from the following five service areas were examined: (a) mental health
(i.e., psychological testing, individual counseling, family counseling,
group therapy, alcohol and drug counseling, psychotropic medication),
(b) education (i.e., special education classes, speech therapy), (c)
vocational rehabilitation, (d) nonroutine health care (e.g., doctor
visits, emergency room), and (e) criminal justice (i.e., police contact).
Logistic regression analyses indicated significantly (p <
.05) higher rates of alcohol and drug counseling among the co-occurring
group. However, in absolute terms, only slightly more than half (i.e.,
54%) of those with co-occurrence obtained at least one alcohol or drug
counseling service during the entire 6-year study period. Increased
contact with law enforcement also was found among those with CO-occurrence
Finally, little support was found for systems-related barriers to receiving
services.
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