Table 2.
Associations of school-level characteristics and 12-month mental health service use by severity of 12-month DSM-IV/CIDI disorder in the multilevel logistic regression model1
| Severity of Disorder | ||||
|---|---|---|---|---|
| Mild/Moderate | SED | |||
| OR | (95% CI) | OR | (95% CI) | |
| Student/mental health provider ratio | 1.0 | (0.9–1.1) | 0.7 | (0.4–1.2) |
| School Mental Health Resources | ||||
| Number of MH curricula | 1.0 | (0.8–1.2) | 1.0 | (0.5–1.7) |
| Memo of agreement | 1.1 | (0.8–1.6) | 1.9 | (0.4–8.7) |
| Counseling | 0.8* | (0.6–0.9) | 0.8 | (0.3–2.1) |
| Prevention | 1.2 | (1.0–1.4) | 0.9 | (0.5–1.8) |
| Early identification | 1.4* | (1.2–1.6) | 1.0 | (0.5–1.8) |
| Collaboration with families | 1.1 | (0.9–1.2) | 0.6 | (0.4–1.0) |
| School-level Covariates | ||||
| School Violence | 1.0 | (0.8–1.1) | 0.7 | (0.5–1.1) |
| Emotional/Behavioral Problems | 0.9 | (0.8–1.1) | 2.3* | (1.3–4.3) |
| Academic engagement | 0.9 | (0.7–1.2) | 0.7 | (0.3–1.7) |
| Teacher connection | 0.9 | (0.7–1.1) | 0.8 | (0.4–1.7) |
| Socio-demographics | ||||
| Public (vs. private) | 0.8 | (0.4–1.6) | 1.1 | (0.2–7.9) |
| Percent students who are non-Latino White | 1.0 | (0.8–1.1) | 0.9 | (0.5–1.8) |
| Major Metropolitan area (vs. rural) | 1.0 | (0.7–1.6) | 17.5* | (3.8–81.9) |
| Other urbanized area (vs. rural) | 1.2 | (0.8–1.9) | 4.9* | (1.7–14.1) |
| Student/teacher ratio | 1.0 | (0.8–1. 3) | 1.2 | (0.7–2.0) |
| χ216 | 56.5* | 126.4* | ||
| (n) | (1,602) | (324) | ||
*
Significant at the .05 level, two-sided test.
1
Results are based on a multilevel random-effects regression model estimated in 227 schools. See text for a description of the individual-level controls included in the model. Adolescents with no disorder are not included in the table because of non-significant associations of school-level characteristics and mental health service use.