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Racial/Ethnic Representation Across Five Public Sectors of Care for Youth

Center for Research on Child and Adolescent Mental Health Services Research

May Yeh

Center for Research on Child and Adolescent Mental Health Services

Richard L. Hough

San Diego State University

John Landsverk

Center for Research on Child and Adolescent Mental Health Services

Michael S. Hurlburt

Children's Hospital in San Diego

Shirley Wells Culver

Center for Research on Child & Adolescent Mental Health Services and the chief of Quality, Research & Outcomes for San Diego County Mental Health

Beth Reynolds

Cornell Presidential Research Scholars Program at Cornell University

We examined service representation patterns of four racial/ethnic groups (African Americans, Asian/ Pacific Islander Americans, Caucasian Americans, and Latinos) across five public youth service sectors (alcohol/drug treatment, child welfare, juvenile justice, mental health, and public school services for children with serious emotional disturbance) in San Diego County. A full enumeration of children ages 0 to 18 served by those sectors during a 6-month period was analyzed to determine representation of each racial/ethnic group. Comparison groups of San Diego children were culled from three sources: 1996 census estimates, 1996 census estimates at or below 200% of poverty level, and the 1997 San Diego County school enrollment census. Results varied by racial/ethnic group and comparison group used, indicating that race/ethnicity affects service use patterns and that socioeconomic status should be taken into consideration when examining racial/ethnic representation. When socioeconomic status was taken into account, African Americans and Caucasian Americans were overrepresented across most sectors, Latinos were underrepresented across all sectors, and Asian/ Pacific Islander Americans demonstrated a mixed pattern. Results are discussed in terms of methodological and policy implications.

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