| Summary: | The Gateways and Pathways Project (GAPP) extended the Youth Services Project (YSP) by examining the characteristics, training, resource connectivity, views, treatment, and referral practices of those service providers who were named by the YSP youths as having helped them. The GAPP study collected data from the youths' providers. The GAPP includes surveys of youth providers and the administrators of organizations which employ these providers. These surveys were used to measure respondent background, knowledge of the service system, the extent of referrals to and from services in the region, the degree of coordination involved in caring for youths with mental health problems, and perceived barriers to quality care. This study provides the first opportunity to test an extensive model of pathways to service use from both provider and client perspectives. This study characterizes differences in the perception of need and knowledge of services between gateway providers who link mentally ill youth to mental health services and those who do not, differences in the availability, accessibility, affordability, acceptability, and to the structural characteristics of mental health services that explain providers' actions in linking youths to mental health services, and differences in the organizational structure (support, flexibility, resources) of gateway providers that explain providers' actions in linking youths to services.
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