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10-05-2019 | Original Paper

Comparing Early-Childhood and School-Aged Systems of Care for Children with Emotional and Behavioral Difficulties: Risk, Symptom Presentation, and Outcomes

Auteurs: Alayna Schreier, Joy S. Kaufman, Cindy A. Crusto

Gepubliceerd in: Journal of Child and Family Studies | Uitgave 8/2019

Abstract

Objectives

Most large-scale evaluations of systems of care (SOCs) have focused on school-aged populations, with limited research examining early childhood SOCs. As a result, little is known about how risk profiles, symptom presentation, and outcomes may vary between early childhood and school-aged SOC participants. This descriptive study uses data from two SOCs—an early childhood SOC (EC-SOC) and a school-aged SOC (SA-SOC)—to examine the differences across age groups in how children and families present to SOCs and the extent to which risk factors and symptoms change over six months of enrollment.

Method

Participants were 184 children in the EC-SOC (m_age = 3.91) and 142 children in the SA-SOC (m_age = 9.36). Families completed measures assessing risk factors and functioning at enrollment and at six-month follow up. Descriptive analyses measured the presence of risk factors and symptoms at enrollment and follow-up. Correlations were computed to determine the associations between symptom measures.

Results

Results identified areas of similarity and difference between families presenting for SOCs at different developmental stages. Younger children experienced greater behavioral problems (Hedge’s g = 0.52, p< 0.001) with more associated caregiver stress (Hedge’s g range = 0.34–0.62, p < 0.01) and strain (Hedge’s g = 0.34, p= 0.005). Trauma was more strongly associated with child and caregiver symptoms among younger children. Greater change in symptom measures was observed for the EC-SOC.

Conclusions

Findings highlight the importance of providing services in early childhood and provide guidance for SOC service provision at different ages.

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volgende artikel Correction to: A Systematic Review of the Evidence for Family and Parenting Interventions in Low- and Middle-Income Countries: Child and Youth Mental Health Outcomes

Abidin, R. R. (1995). Parenting Stress Index. 3rd ed. Odessa, FL: Psychological Assessment Resources.

Achenbach, T. M., & Rescorla, L. A. (2001). Manual for the ASEBA Preschool Forms & Profiles. Burlington, VT: University of Vermont Department of Psychiatry.

American Academy of Child & Adolescent Psychiatry. (2002). Best principles for early childhood systems of care. Retrieved from: https://www.aacap.org/App_Themes/AACAP/docs/clinical_practice_center/systems_of_care/Best_Principles_for_Early_Childhood_SOC.pdf.

Bickman, L., Noser, K., & Summerfelt, W. T. (1999). Long-term effects of a system of care on children and adolescents. Clinical Outcomes, 26, 185–202. https://doi.org/10.1007/BF02287490. CrossRef

Bird, H. R., Shaffer, D., Fisher, P., & Gould, M. S. (1993). The Columbia Impairment Scale (CIS): Pilot findings on a measure of global impairment for children and adolescents. International Journal of Methods in Psychiatric Research, 3, 167–176.

Brannan, A. M., Baughman, L. N., Reed, E. D., & Katz-Leavy, J. (2002). System-of-care assessment: Cross-site comparison of findings. Children’s services: Social policy, research, and practice, 5, 37–56. https://doi.org/10.1207/S15326918C50501_4. CrossRef

Brannan, A. M., Heflinger, C. A., & Bickman, L. (1997). The Caregiver Strain Questionnaire: Measuring the impact on the family of living with a child with serious emotional disturbance. Journal of Emotional and Behavioral Disorders, 5, 212–222. CrossRef

Brannan, A. M., Heflinger, C. A., & Foster, E. M. (2002). The role of caregiver strain and other family variables in determining children’s use of mental health services. Journal of Emotional and Behavioral Disorders, 11, 77–91. https://doi.org/10.1177/106342660301100202. CrossRef

Bruns, E. J., Walker, J. S., Adams, J., Miles, P., Osher, T. W., & Rast, J., National Wraparound Initiative Advisory Group. (2004). Ten principles of the wraparound process. Portland, OR: National Wraparound Initiative, Research and Training Center on Family Support and Children’s Mental Health, Portland State University.

Campbell, S. B., Spieker, S., Burchinal, M., & Poe, M. D., the National Institute of Child Health and Human Development Early Child Care Research Network. (2006). Trajectories of aggression from toddlerhood to age 9 predict academic and social functioning through age 12. Journal of Child Psychology and Psychiatry, 47, 791–800. https://doi.org/10.1111/j.1469-7610.2006.01636.x. CrossRefPubMed

Chenven, M. (2010). Community systems of care for children’s mental health. Child and Adolescent Psychiatric Clinics of North America, 19, 163–174. https://doi.org/10.1016/j.chc.2009.08.006. CrossRefPubMed

Coldiron, J. S., Bruns, E. J., & Quick, H. (2017). A comprehensive review of wraparound care coordination research, 1986-2014. Journal of Child and Family Studies, 26, 1245–1265. https://doi.org/10.1007/s10826-016-0639-7. CrossRef

Cook, J. R., & Kilmer, R. P. (2012). Systems of care: New partnerships for community psychology. American Journal of Community Psychology, 49, 393–403. https://doi.org/10.1007/s10464-012-9516-8. CrossRefPubMed

Connell, A. M., & Goodman, S. H. (2002). The association between psychopathology in fathers versus mothers and children’s internalizing and externalizing behavior problems: A meta-analysis. Psychological Bulletin, 128, 746–773. https://doi.org/10.1037/0033-2909.128.5.746. CrossRefPubMed

Crijnen, A. A. M., Achenbach, T. M., & Verhulst, F. C. (1997). Comparison of problems reported by parents of children in 12 cultures: Total problems, externalizing, and internalizing. Journal of the American Academy of Child & Adolescent Psychiatry, 36, 1269–1277. https://doi.org/10.1097/00004583-199709000-00020. CrossRef

Crusto, C.A., Finley, M.K., Gargiulo, J., Roberts, Y., & Huang, C. (2012). Rhode Island Positive Educational Partnership (RIPEP) Comprehensive Evaluation Report. New Haven, CT: The Consultation Center.

Fanti, K. A., & Henrich, C. C. (2010). Trajectories of pure and co-occurring internalizing and externalizing problems from age 2 to age 12: Findings from the National Institute of Child Health and Human Development Study of Early Child Care. Developmental Psychology, 46, 1159–1175. https://doi.org/10.1037/a0020659. CrossRefPubMed

Fawley-King, K., Haine-Schagel, R., Trask, E. V., Zhang, J., & Garland, A. F. (2012). Caregiver participation in community-based mental health services for children receiving outpatient care. Journal of Behavioral Health Services & Research, 40, 180–190. https://doi.org/10.1007/s11414-012-9311-1. CrossRef

Foster, E. M., Stephens, R., Krivelyova, A., & Gamfi, P. (2007). Can system integration improve mental health outcomes for children and youth? Children and Youth Services Review, 29, 1301–1319. https://doi.org/10.1016/j.childyouth.2007.05.004. CrossRef

Gilliam, W. S., & Shahar, G. (2006). Preschool and childcare expulsion and suspension: Rates and predictors in one state. Infants & Young Children, 19, 228–245. CrossRef

Goodman, S. H., Rouse, M. H., Connell, A. M., Robbins Broth, M., Hall, C. M., & Heyward, D. (2011). Maternal depression and child psychopathology: A meta-analytic review. Clinical Child and Family Psychology Review, 14, 1–27. https://doi.org/10.1007/s10567-0080-1. CrossRefPubMed

Graves, K. N. (2005). The links among perceived adherence to the system of care philosophy, consumer satisfaction, and improvements in child functioning. Journal of Child and Family Studies, 14, 403–415. https://doi.org/10.1007/s10826-005-6852-4. CrossRef

Haine-Schlagel, R., & Walsh, N. E. (2015). A review of parent participation engagement in child and family mental health treatment. Clinical Child and Family Psychology Review, 18, 133–150. https://doi.org/10.1007/s10567-015-0182-x. CrossRefPubMedPubMedCentral

Heckman, J. J. (2008). The case for investing in disadvantaged young children. CESifo DICE Report, 6, 3–8.

Horner, R. H., Sugai, G., Todd, A. W., & Lewis-Palmer, T. (2005). Schoolwide positive behavior support. In L. M. Bambara & L. Kern (Eds.), Individualized Supports for Students with Problem Behaviors: Designing Positive Behavior Plans (pp. 359–390). New York: Guilford.

Ippen, C.G., Ford, J., Racusin, R., Acker, M., Bosquet, M., Rogers, K., … Edwards, J. (2002). Traumatic Events Screening Inventory— Parent Report Revised.

Kaufman, J. S., & Griffin, A. (2012). New London Building Blocks Comprehensive Evaluation Report. New Haven, CT: The Consultation Center.

Kim, H., Kim, S., Williams, T. G., & Garrity, J. F. (2015). New and ongoing users: The differences in outcomes among children and adolescents receiving mental health services. Journal of Emotional and Behavioral Disorders, 23, 238–247. https://doi.org/10.1177/1063426614565053. CrossRef

Lowell, D. I., Carter, A. S., Godoy, L., Paulicin, B., & Briggs-Gowan, M. J. (2011). A randomized controlled trial of Child FIRST: A comprehensive home-based intervention translating research into early childhood practice. Child Development, 82, 193–208. https://doi.org/10.1111/j.1467-8624.2010.01550.x. CrossRefPubMed

McGahan, P. L., Griffith, J. A., Parente, R., & McLellan, A. T. (1986). Addiction severity index composite scores manual. Philadelphia, PA: Treatment Research Institute. Retrieved from: https://tresearch.org/images_specific/CompositeManual.pdf.

McLellan, T. A., Luborsky, L., Woody, G. E., & O’Brien, C. P. (1980). An improved diagnostic evaluation for substance abuse patients: The Addiction Severity Index. Journal of Nervous & Mental Disease, 168, 26–33. CrossRef

Neece, C. L., Green, S. A., & Baker, B. L. (2012). Parenting stress and child behavior problems: A transactional relationship across time. American Journal of Intellectual and Developmental Disabilities, 117, 48–66. https://doi.org/10.1352/1944-7558-117.1.48. CrossRef

Parke, R., & Clarke-Stewart, K.A. (2002). Effects of parental incarceration on young children. Paper presented at the From Prison to Home conference, Bethesda, MD.

Radloff, L. S. (1977). The CES-D Scale: A self-report depression scale for research in the general population. Applied Psychological Measurement, 1, 385–401. https://doi.org/10.1177/014662167700100306. CrossRef

SAMHSA. (2007). Promotion and prevention: Strengthening parenting and enhancing child resilience. Retrieved from: https://store.samhsa.gov/shin/content/SVP07-0186/SVP07-0186.pdf.

SAMHSA. (2015). The comprehensive community mental health services for children with serious emotional disturbances program: Report to Congress 2015. Retrieved from: https://www.samhsa.gov/sites/default/files/programs_campaigns/nitt-ta/2015-report-to-congress.pdf.

SAMHSA. (2016a). Increasing access to behavioral health services and supports through systems of care. Retrieved from: https://www.samhsa.gov/sites/default/files/programs_campaigns/childrens_mental_health/awareness-day-2016-short-report.pdf.

SAMHSA. (2016b). Considerations in system of care expansion: Expanding Early Childhood Systems of Care. Retrieved from: http://www.fredla.org/wp-content/uploads/2016/04/Expanding-early-childhood-systems-of-care.pdf.

Scheeringa, M. S., Myers, L., Putnam, F. W., & Zeanah, C. H. (2015). Maternal factors as moderators or mediators of PTSD symptoms in very young children: A two-year prospective study. Journal of Family Violence, 30, 633–642. https://doi.org/10.1007/s10896-015-9695-9. CrossRefPubMedPubMedCentral

Scheeringa, M. S., & Zeanah, C. H. (2001). A relational perspective on PTSD in early childhood. Journal of Traumatic Stress, 14, 799–815. https://doi.org/10.1023/A:1013002507972. CrossRef

Skreden, M., Skari, H., Malt, U. F., Pripp, A. H., Bjork, M. D., Faugli, A., & Emblem, R. (2012). Parenting stress and emotional well-being in mothers and fathers of preschool children. Scandinavian Journal of Public Health, 40, 596–604. https://doi.org/10.1177/1403494812460347. CrossRefPubMed

Snyder, F. J., Roberts, Y. H., Crusto, C. A., Connell, C. M., Griffin, A., Finley, M. K., & Kaufman, J. S. (2012). Exposure to traumatic events and the behavioral health of children enrolled in an early childhood system of care. Journal of Traumatic Stress, 25, 700–704. https://doi.org/10.1002/jts.21756. CrossRefPubMedPubMedCentral

Stroul, B. A. (2002). Issue brief: Systems of care: A framework for system reform in children’s mental health. Washington, DC: National Technical Assistance Center for Children’s Mental Health, Georgetown University Center for Child and Human Development.

Stroul, B. A., Blau, G. M., & Sondheimer, D. L. (2008). Systems of care: A strategy to transform children’s mental health care. In B. A. Stroul & G. M. Blau (Eds.), The system of care handbook: Transforming mental health services for children, youth, and families (pp. 3–23). Baltimore, MD: Paul H Brookes Publishing.

Stroul, B. A., & Friedman, R. M. (1986). A system of care for children and youth with severe emotional disturbances. Washington, DC: Georgetown University Child Development Center, CASSP Technical Assistance Center.

Stroul, B. A., & Friedman, R. M. (1994). A system of care for children and youth with severe emotional disturbances (Revised edition). Washington, DC: Georgetown University Child Development Center, CASSP Technical Assistance Center.

Sugai, G., & Horner, R. R. (2006). A promising approach for expanding and sustaining school-wide positive behavior support. School Psychology Review, 35, 245–259.

U.S. Census Bureau. (2010a). Profile of General Population and Housing Characteristics. Retrieved from “American FactFinder”, May 1, 2018.

U.S. Census Bureau. (2010b). 2010 American Community Survey 5-Year Estimates. Retrieved from “American FactFinder”, May 1, 2018.

U.S. Department of Health and Human Services. (2003). CMHS national evaluation: Data profile report. Atlanta, GA: ORC Macro.

U.S. Department of Health and Human Services. (2007). CMHS national evaluation data manual. Atlanta, GA: ORC Macro.

U.S. Department of Health and Human Services, Administration on Children, Youth, and Families. (2018). Child maltreatment 2016. Washington, DC: Author. https://www.acf.hhs.gov/cb/resource/child-maltreatment-2016.

van der Kolk, B. A. (2005). Developmental trauma disorder: Toward a rational diagnosis for children with complex trauma histories. Psychiatric Annals, 35, 401–408. CrossRef

Whitson, M. L., Bernard, S., & Kaufman, J. S. (2013). The effects of cumulative risk and protection on problem behaviors for youth in an urban school-based system of care. Community Mental Health Journal, 49, 576–586. 10/1007/s10597-012-9535-9. CrossRefPubMed

Whitson, M. L., Bernard, S., & Kaufman, J. S. (2015). The mediating role of parenting stress for children exposed to trauma: Results from a school-based system of care. Journal of Child and Family Studies, 24, 1141–1151. 10/1007/s10826-014-9922-7. CrossRef

Titel: Comparing Early-Childhood and School-Aged Systems of Care for Children with Emotional and Behavioral Difficulties: Risk, Symptom Presentation, and Outcomes
Auteurs: Alayna Schreier
Joy S. Kaufman
Cindy A. Crusto
Publicatiedatum: 10-05-2019
Uitgeverij: Springer US
Gepubliceerd in: Journal of Child and Family Studies / Uitgave 8/2019
Print ISSN: 1062-1024
Elektronisch ISSN: 1573-2843
DOI: https://doi.org/10.1007/s10826-019-01447-z

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Abstract

Objectives

Method

Results

Conclusions

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