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Distance as a Barrier to Child and Adolescent Mental Health Service Access in Post-Katrina Orleans Parish

Socially vulnerable populations are more susceptible to the impacts of natural disasters than other groups. An aspect of social vulnerability is lack of access to resources following a disaster. Distance is one barrier that prevents socially vulnerable populations from accessing services. Using 2000 U.S. Census Bureau data and current outpatient child and adolescent mental health facilities in post-Katrina Orleans Parish, Louisiana, this thesis seek to understand if those facilities are located farther from block groups with higher percentages of demographically disadvantaged residents than from block groups with lower percentages of demographically disadvantaged residents. Block group demographic disadvantage is defined in terms of the percent of residents who are African American, the percent of individuals living in poverty, and the percent of households headed by females with children under 18 years old.
The sample had 483 block groups in Orleans Parish. Pearsons r and OLS regression were run comparing linear distance (dependent variable) with the independent variables of percent African American, percent poverty, and percent female-headed households with children under 18 years old. In the bivariate analysis, percent African American and female-headed households were not significantly correlated with linear distance. Percent poverty had a significant negative correlation with linear distance. While the negative association between poverty and distance remained in the in the multivariate analysis, percent African American and percent female-headed were positively correlated, as predicted.
ArcGIS was used to create maps showing the percent African-American, poor, and female-headed households in Orleans Parish. The location of the outpatient child and adolescent mental health services were mapped out as well. Analyzing the locations of these facilities showed that there is a lack of facilities in the east of Orleans Parish.
Policy planners should consider alternative approaches to providing mental health care for children and adolescents that may reside in non-poor areas with large percentages of African American. Current locations should be maintained since they are near the poorest block groups in the parish. More study is needed for understanding why distance becomes significant for block groups with higher percentages African American or female-headed households with children under 18 years old.

Identiferoai:union.ndltd.org:LSU/oai:etd.lsu.edu:etd-11132008-124813
Date13 November 2008
CreatorsHarrison, Rob
ContributorsPriscilla Allen, Daphne Cain, Michelle Livermore
PublisherLSU
Source SetsLouisiana State University
LanguageEnglish
Detected LanguageEnglish
Typetext
Formatapplication/pdf
Sourcehttp://etd.lsu.edu/docs/available/etd-11132008-124813/
Rightsunrestricted, I hereby certify that, if appropriate, I have obtained and attached herein a written permission statement from the owner(s) of each third party copyrighted matter to be included in my thesis, dissertation, or project report, allowing distribution as specified below. I certify that the version I submitted is the same as that approved by my advisory committee. I hereby grant to LSU or its agents the non-exclusive license to archive and make accessible, under the conditions specified below and in appropriate University policies, my thesis, dissertation, or project report in whole or in part in all forms of media, now or hereafter known. I retain all other ownership rights to the copyright of the thesis, dissertation or project report. I also retain the right to use in future works (such as articles or books) all or part of this thesis, dissertation, or project report.

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