Examining Access To Mental Health Care Services Among Children with Anxiety/Depression, Autism or Autism Spectrum Disorder (ASD), Attention Deficit Disorder (ADD)/Attention Deficit Hyperactivity Disorder (ADHD)

dc.contributor.advisorKitsantas, Panagiota
dc.contributor.authorBaafif, Ohud
dc.creatorBaafif, Ohud
dc.date2020-08-14
dc.date.accessioned2021-09-22T14:29:46Z
dc.date.available2021-09-22T14:29:46Z
dc.description.abstractUsing the newest data of the National Survey of Children's Health (NSCH) 2017-2018, this thesis examines the difficulties in accessing mental health care services among children with depression/anxiety, Autism or Autism Spectrum Disorder (ASD), and Attention Deficit Disorder (ADD)/Attention Deficit Hyperactivity Disorder (ADHD). It attempts to investigate the barriers, and challenges, which prevent children with depression/anxiety and ASD/ADD/ADHD from accessing the mental health care services needed and their association with the difficulty getting these services. Adapting Andersen’s Behavioral Model of health care utilization, which involves three critical elements related to the associated factors with health care utilization, including predisposing factors, enabling factors, and need factors. To do that, many analyses have been conducted for all two conditions separately, first, to measure the sample characteristics and distribution of iii sociodemographic and health-related characteristics, weighted descriptive analysis was made, then to assess the association between difficulties in accessing mental health care services and children’s characteristics, weighted bivariate analyses were performed. Moreover, two binary multiple logistic regression models and two classification trees using CART were built to identify the factors that influence the mental health services access and the association between dependent and independent variables in order to identify the risk factors associated with difficulties in obtaining mental health services. The results showed that most of the independent variables greatly influence the difficulty in accessing health care services, which was expected. To be more specific, both methods have proven that the enabling factors, such as adequacy of health insurance and ability of families to pay medical/health-related bills have more influence on children with depression/anxiety and ASD/ADD/ADHD, which leads to difficulties in accessing mental health care services.
dc.identifier.urihttps://hdl.handle.net/1920/12060
dc.language.isoen
dc.subjectChildren mental health
dc.subjectAndersen’s behavioral model
dc.subjectAutism Spectrum Disorders (ASD)
dc.subjectAnxiety
dc.subjectAccess to health care services
dc.titleExamining Access To Mental Health Care Services Among Children with Anxiety/Depression, Autism or Autism Spectrum Disorder (ASD), Attention Deficit Disorder (ADD)/Attention Deficit Hyperactivity Disorder (ADHD)
dc.typeThesis
thesis.degree.disciplineHealth Informatics
thesis.degree.grantorGeorge Mason University
thesis.degree.levelMaster's
thesis.degree.nameMaster of Science in Health Informatics

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