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Referrals, language proficiency, and enrolment for children's mental health services
Authors:Emmanuel Ngwakongnwi  Elizabeth Fradgley  Hude Quan  Mingshan Lu  David Cawthorpe
Affiliation:aDepartment of Community Health Sciences, University of Calgary, Calgary, Alberta, Canada;bO'Brien Centre Bachelor of Health Sciences Program, University of Calgary, Calgary, Alberta, Canada;cDepartment of Economics, University of Calgary, Calgary, Alberta, Canada;dAlberta Health Services, Psychiatry, Calgary, Alberta, Canada
Abstract:Alberta Health Services maintains a database of children, adolescents and adults referred to the child and adolescent mental health and psychiatry intake service. In this study, we sought to systematically assess the impact, if any, of English language proficiency on enrolment of children for mental health services. Specifically, we assessed the extent to which children referred for mental health services were enrolled. In doing so, we categorized our sample (12,143) as English Proficient (EP), or Less English Proficient (LEP). Overall, we found that LEP children were significantly less likely to be enrolled compared to EP children. This disparity in enrolment was only present when other variables were not taken into account. English Proficiency is an important factor for some subgroups.
Keywords:Referrals   English language proficiency   Children   Mental health
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