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A Pilot Study Examining a School-Based Parent Engagement Intervention Following School Mental Health Screening

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Abstract

In this pilot study, we conducted a randomized controlled trial to examine the effects of a school-based engagement intervention on parent adherence to recommendations for children screened for social, emotional, behavioral, and adaptive problems at kindergarten entry. The aims were to evaluate the impact of an enhanced feedback session on parents’ adherence to service-engagement recommendations, compared to a standard feedback session, and to examine predictors of adherence to recommendations. Parent and teacher reports of the behavior assessment system for children, second edition, were used to screen children (N = 597). Parents of children identified as at risk for social, emotional, behavioral, and adaptive problems were randomized to the standard or enhanced feedback condition. Results offer preliminary evidence that the school-based engagement strategy following the screening resulted in increased parent adherence to sharing screening results with medical doctors. Analyses also revealed that after controlling for feedback condition, parents’ previous service use predicted adherence to the recommendation of sharing screening results with the teachers. These findings highlight the importance of continued examination of school-based engagement interventions for families in the early stages of seeking mental health services.

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Notes

  1. At the time this study was conducted, the BASC-2 Behavioral and Emotional Screening System (BESS) had not yet been published.

References

  • Achenbach, T. M., & Rescorla, L. A. (2000). Manual for the ASEBA preschool forms & profiles. Burlington, VT: University of Vermont, Research Center for Children, Youth, & Families.

    Google Scholar 

  • Anderson, R. M. (1995). Revisiting the behavioral model and access to medical care: Does it matter? Journal of Health and Social Behavior, 36, 1–10.

    Article  Google Scholar 

  • Atkins, M. S., Frazier, S. L., Birman, D., Abdul-Adil, J., Jackson, M., Graczyk, P., et al. (2006). School-based mental health services for children living in high poverty urban communities. Administration and Policy in Mental Health and Mental Health Services Research, 33, 146–159.

    Article  PubMed  Google Scholar 

  • Atkins, M. S., Graczyk, P. A., Frazier, S. L., & Abdul-Adil, J. (2003). Toward a new model for promoting urban children’s mental health: Accessible, effective, and sustainable school-based mental health services. School Psychology Review, 32, 503–514.

    Google Scholar 

  • Barkley, R. A., Shelton, T. L., Crosswait, C., Moorehouse, M., Fletcher, K., et al. (2000). Multi-method educational intervention for preschool children with disruptive behavior: Preliminary results at post-treatment. Journal of Child Psychology and Psychiatry, 41, 319–332.

    Article  PubMed  Google Scholar 

  • Baydar, N., Reid, M. J., & Webster-Stratton, C. (2003). The role of mental health factors and program engagement in the effectiveness of a preventive parenting program for Head Start mothers. Child Development, 74(5), 1433–1453.

    Article  PubMed  Google Scholar 

  • Bussing, R., Zima, B. T., Gary, F. A., & Garvan, C. W. (2003). Barriers to detection, help seeking, and service-use for children with ADHD symptoms. The Journal of Behavioral Health Services and Research, 30, 176–189.

    Article  PubMed  Google Scholar 

  • Clauss-Ehlers, C. S., Serpell, Z. N., & Weist, M. D. (Eds.). (2013). Handbook of culturally responsive school mental health: Advancing research, training, practice, and policy. New York, NY: Springer.

    Google Scholar 

  • Cohen, J. (1988). Statistical power analysis for the behavioral sciences (2nd ed.). Hillsdale, NJ: Lawrence Earlbaum Associates.

    Google Scholar 

  • Conduct Prevention Problems Group & Dodge, K. A. (2007). Fast track randomized controlled trial to prevent externalizing psychiatric disorders: Findings from grades 3 to 9. Journal of the American Academy of Child and Adolescent Psychiatry, 46, 1250–1262.

    Article  Google Scholar 

  • Cunningham, C. E., Boyle, M., Offord, D., Racine, Y., Hundert, J., Secord, M., et al. (2000). Tri-ministry study: Correlates of school-based parenting course utilization. Journal of Consulting and Clinical Psychology, 68, 928–933.

    Article  PubMed  Google Scholar 

  • Danko, C. M., Brown, T., Van Schoick, L., & Budd, K. S. (2016). Predictors and correlates of homework completion and treatment outcomes in parent–child interaction therapy. Child and Youth Care Forum, 45, 467–485.

    Article  Google Scholar 

  • Dishion, T. J., Brennan, L. M., Shaw, D. S., McEachern, A. D., Wilson, M. N., & Jo, B. (2014). Prevention of problem behavior through annual family check-ups in early childhood: Intervention effects from home to early elementary school. Journal of Abnormal Child Psychology, 42(3), 343–354.

    Article  PubMed  PubMed Central  Google Scholar 

  • Dowdy, E., Ritchey, K., & Kamphaus, R. W. (2010). School-based screening: A population-based approach to inform and monitor children’s mental health needs. School Mental Health, 2(4), 166–176.

    Article  PubMed  PubMed Central  Google Scholar 

  • Dunst, C. J., Trivette, C. M., & Hamby, D. W. (2007). Meta-analysis of family-centered help giving practices research. Mental Retardation and Developmental Disabilities Research Reviews, 13(4), 370–378.

    Article  PubMed  Google Scholar 

  • Eklund, K., Renshaw, T., Dowdy, E., Jimerson, S., Hart, S. R., Jones, C. N., et al. (2009). Early identification of behavior and emotional problems in youth: Universal screening versus teacher-referral identification. California School Psychologist, 14, 89–95.

    Article  Google Scholar 

  • Girio-Herrera, E., Owens, J., & Langberg, J. (2013). Perceived barriers to help-seeking among parents of at-risk kindergarteners in rural communities. Journal of Clinical Child and Adolescent Psychology, 42, 68–77.

    Article  PubMed  Google Scholar 

  • Goldsmith, H., Jackson, D., & Hough, R. (1988). Process model of seeking mental health services: Proposed framework for organizing the research literature on help-seeking. In H. Goldsmith, R. Bell, & D. Jackson (Eds.), Needs assessment: It’s future (pp. 49–64). Washington, DC: Government Printing Office.

    Google Scholar 

  • Halfon, N., Regalado, M., Sareen, H., Inkelas, M., Peck Reuland, C., Glascoe, F., et al. (2004). Assessing development in the pediatric office. Pediatrics, 113, 1926–1933.

    PubMed  Google Scholar 

  • Havens, J. R., Young, A. M., & Havens, C. E. (2010). Nonmedical prescription drug use in a nationally representative sample of adolescents: Evidence of greater use among rural adolescents. Archives of Pediatric of Adolescent Medicine. Published online Nov 1, 2010.

  • Hollingshead, A. B. (1975). Four factor index of social status. New Haven, CT: Yale University Department of Sociology.

    Google Scholar 

  • Ingoldsby, E. M. (2010). Review of interventions to improve family engagement and retention in parent and child mental health programs. Journal of Child and Family Studies, 19, 629–645.

    Article  PubMed  PubMed Central  Google Scholar 

  • Kataoka, S., Stein, B., Nadeem, E., & Wong, M. (2007). Who gets care? Mental health service use following a school-based suicide program. Journal of the American Academy of Child and Adolescent Psychiatry, 46, 1341–1348.

    Article  PubMed  Google Scholar 

  • Kazdin, A., Holland, L., & Crowley, M. (1997a). Family experience of barriers to treatment premature termination from child therapy. Journal of Consulting and Clinical Psychology, 65, 453–463.

    Article  PubMed  Google Scholar 

  • Kazdin, A., Holland, L., Crowley, M., & Breton, S. (1997b). Barriers to treatment participation scale: Evaluation and validation in the context of child outpatient treatment. Journal of Child Psychology and Psychiatry, 38, 1051–1062.

    Article  PubMed  Google Scholar 

  • King, T., & Glascoe, F. (2003). Developmental surveillance of infants and young children in pediatric primary care. Current Opinion in Pediatrics, 15, 624–629.

    Article  PubMed  Google Scholar 

  • Levitt, J. M., Saka, N., Romanelli, L. H., & Hoagwood, K. (2007). Early identification of mental health problems in schools: The status of instrumentation. Journal of School Psychology, 45(2), 163–191.

    Article  Google Scholar 

  • Lindsey, M., Brandt, N. E., Becker, K. D., Lee, B. R., Barth, R. P., Daleiden, E., et al. (2014). Identifying the common elements of treatment engagement interventions in children’s mental health services. Clinical Child and Family Psychology Review, 17, 283–298.

    Article  PubMed  Google Scholar 

  • MacNaughton, K., & Rodrigue, J. (2001). Predicting adherence to recommendations by parents of clinic-referred children. Journal of Consulting and Clinical Psychology, 69, 262–270.

    Article  PubMed  Google Scholar 

  • Mathiesen, K. S., & Sanson, A. (2000). Dimensions of early childhood behavior problems: Stability and predictors of change from 18 to 30 months. Journal of Abnormal Child Psychology, 28, 15–31.

    Article  PubMed  Google Scholar 

  • McGinty, K. L., Diamond, J. M., Brown, M. B., & McCammon, S. L. (2003). Training child and adolescent psychiatrists and child mental health professionals for systems of care. In A. J. Pumariega & N. C. Winters (Eds.), The handbook of child and adolescent systems of care: The new community psychiatry (pp. 487–507). San Francisco: Jossey-Bass.

    Google Scholar 

  • McKay, M. M., McCadam, K., & Gonzales, J. J. (1996). Addressing the barriers to mental health services for inner city children and their caretakers. Community Mental Health Journal, 32, 353–361.

    Article  PubMed  Google Scholar 

  • Merikangas, K. R., He, J., Brody, D., Fisher, P. W., Bourdon, K., & Koretz, D. S. (2010). Prevalence and treatment of mental health disorders among US children in 2001–2004 NHANES. Pediatrics, 125, 75–81.

    Article  PubMed  Google Scholar 

  • Merikangas, K. R., He, J., Burstein, M., Swendsen, J., Avenevoli, S., Case, B., et al. (2011). Service utilization for lifetime mental health disorders in US adolescents: Results from the national comorbidity survey replication—Adolescent supplement (NCS-A). Journal of the American Academy of Child and Adolescent Psychiatry, 50, 32–45.

    Article  PubMed  Google Scholar 

  • Nemeroff, R., Levitt, J. M., Faul, L., Wonpat-Borja, A., Bufferd, S., Setterberg, S., et al. (2008). Establishing ongoing, early identification programs for mental health problems in our schools: A feasibility study. Journal of the American Academy of Child and Adolescent Psychiatry, 47, 328–338.

    Article  PubMed  Google Scholar 

  • Owens, P., Hoagwood, K., Horwitz, S., Leaf, P., Poduska, J., Kellam, S., et al. (2002). Barriers to children’s mental health services. Journal of the American Academy of Child and Adolescent Psychiatry, 41, 731–738.

    Article  PubMed  Google Scholar 

  • Owens, J. S., Murphy, C. E., Richardson, L., Girio, E. L., & Himawan, L. K. (2008). Science to practice in underserved communities: The effectiveness of school mental health programming. Journal of Clinical Child and Adolescent Psychology, 37(2), 434–447.

    Article  PubMed  Google Scholar 

  • Pavuluri, M. N., Luk, S., & McGee, R. (1996). Help-seeking for behavior problems by parents of preschool children: A community study. Journal of the American Academy of Child and Adolescent Psychiatry, 35, 215–222.

    Article  PubMed  Google Scholar 

  • Pineda, D. A., Aguirre, M. S., Garcia, M. A., Lopera, F. J., Palacio, L. G., & Kamphaus, R. W. (2005). Validation of two rating scales for attention-deficit hyperactivity disorder diagnosis in colombian children. Pediatric Neurology, 33(1), 15–25.

    Article  PubMed  Google Scholar 

  • Reynolds, C., & Kamphaus, R. (2004). Behavior assessment system for children (2nd ed.). Circle Pines, MN: American Guidance Service.

    Google Scholar 

  • Richardson, L. A. (2001). Seeking and obtaining mental health services: What do parents expect? Archives of Psychiatric Nursing, 15, 223–231.

    Article  PubMed  Google Scholar 

  • Robinson, W. D., Springer, P. R., Bischoff, R., Geske, J., Backer, E., Olson, M., et al. (2012). Rural experiences with mental illness: Through the eyes of patients and their families. Families, Systems, & Health, 30, 308–321.

    Google Scholar 

  • Rogler, L. H., & Cortes, D. E. (1993). Help-seeking pathways: A unifying concept in mental health care. American Journal of Psychiatry, 150, 554–561.

    Article  PubMed  Google Scholar 

  • Romer, D., & McIntosh, M. (2005). The roles and perspectives of school mental health professionals in promoting adolescent mental health. In D. L. Evans, E. B. Foa, R. E. Gur, H. Hendin, C. O’Brien, M. Seligman, & B. Walsh (Eds.), Treating and preventing adolescent mental health disorders (pp. 598–615). Oxford: Oxford University Press.

    Google Scholar 

  • Spoth, R. L., Kavanagh, K. A., & Dishion, T. J. (2002). Family-centered preventive intervention science: Toward benefits to larger populations of children, youth, and families. Prevention Science, 3(3), 145–152.

    Article  PubMed  Google Scholar 

  • Srebnik, D., Cauce, A., & Baydar, N. (1996). Help-seeking pathways for children and adolescents. Journal of Emotional and Behavioral Disorders, 4, 210–220.

    Article  Google Scholar 

  • Staudt, M. M. (2003). Helping children access and use services: A review. Journal of Child and Family Studies, 12(1), 49–60.

    Article  Google Scholar 

  • Staudt, M. M. (2007). Treatment engagement with caregivers of at-risk children: Gaps in research and conceptualization. Journal of Child and Family Studies, 16(2), 183–196.

    Article  Google Scholar 

  • Teagle, S. E. (2002). Parental problem recognition and child mental health service use. Mental Health Services Research, 4(4), 257–266.

    Article  PubMed  Google Scholar 

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Correspondence to Erin Girio-Herrera.

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All procedures performed in the studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendment or comparable ethical standards.

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Informed consent was obtained from all individual participants included in the study. This article does not contain any studies with animals performed by any of the authors. This research was not grant-funded.

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Girio-Herrera, E., Sarno Owens, J. A Pilot Study Examining a School-Based Parent Engagement Intervention Following School Mental Health Screening. School Mental Health 9, 117–131 (2017). https://doi.org/10.1007/s12310-017-9208-5

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