Top

Gepubliceerd in:

22-11-2018 | Original Paper

Predictors of Service Dosage, Recommendation, and Usage in an Early Childhood System of Care

Auteurs: Alayna Schreier, Robey B. Champine, Joy S. Kaufman

Gepubliceerd in: Journal of Child and Family Studies | Uitgave 2/2019

Abstract

Objective: Children and families enrolled in early childhood systems of care (SOC) present with various psychological and behavioral risk factors that may inhibit healthy development. Within a SOC, wraparound services are designed to increase families’ access to numerous child-serving sectors in order to target those risk factors. This study examined whether child and family risk factors at enrollment in an early childhood SOC predicted dosage, service recommendation, and usage of recommended services. Method: Participants were 144 children ranging in age from 1.38 to 5.89 years and their caregivers. Families completed measures of child and caregiver functioning prior to participation in the SOC. Service recommendation and usage were measured at intake and three months, respectively. We used multiple regression analysis to examine the relationship between risk factors and dosage of services received. Logistic regression analyses identified the relationships between risk factors and service recommendation and usage according to specific service types within the SOC. Results: Children with greater behavior problems received more services overall (R² = .103, β = .243, p = .033). Child risk factors predicted recommendation for child welfare (trauma exposure: OR = 1.352, p = .052) and mental health services (behavior problems: OR = 1.061, p = .034; trauma exposure: OR = 1.316, p = .046), whereas families with substance use issues were less likely to be recommended for mental health services (OR = .229, p = .017). Conclusions: Findings highlight opportunities for improved service provision and service-level decision making in early childhood SOCs.

vorige artikel Parenting Practices in the Context of Legal Marijuana: Voices from Seattle Parents

volgende artikel Kayla Harrison, Cynthia S. Kaplan, and Blaise Aguirre: Fighting back

Abidin, R. R. (1995). Parenting Stress Index. Odessa: 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. https://www.aacap.org/App_Themes/AACAP/docs/clinical_practice_center/systems_of_care/Best_Principles_for_Early_Childhood_SOC.pdf

Ammerman, R. T., Putnam, F. W., Bosse, N. R., Teeters, A. R., & Van Ginkel, J. B. (2010). Maternal depressionin home visiting: A systematic review. Aggression and Violent Behavior, 15, 191–200. https://doi.org/10.1016/j.avb.2009.12.002.CrossRefPubMedPubMedCentral

Attride-Stirling, J., Davis, H., Farrell, L., Groark, C., & Day, C. (2004). Factors influencing parental engagementin a community child and adolescent mental health service: A qualitative comparison of completers and non-completers. Clinical Child Psychology and Psychiatry, 9, 347–361. https://doi.org/10.1177/1359104504043918.CrossRef

Baruch, G., Gerber, A., & Fearon, P. (1998). Adolescents who drop out of psychotherapy at a community based psychotherapy centre: A preliminary investigation of the characteristics of early dropouts, late dropouts, and those who continue treatment. British Journal of Medical Psychology, 71, 233–245. https://doi.org/10.1111/j.2044-8341.1998.tb00988.x.CrossRefPubMed

Basten, M., Tiemeier, H., Althoff, R. R., van de Schoot, R., Jaddoe, V. W. V., Hofman, A., ... van der Ende, J. (2016). The stability of problem behavior across the preschool years: An empirical approach in the general population. Journal of Abnormal Child Psychology, 44, 393–404. https://doi.org/10.1007/s10802-015-9993-y.

Brannan, A. M., Heflinger, C. A., & Foster, E. M. (2003). 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/10.1177/106452660301100202.CrossRef

Briggs, E. C., Fairbank, J. A., Greeson, J. K. P., Layne, C. M., Steinberg, A. M., Amaya-Jackson, L. A., ... Pynoos, R. S. (2013). Links between child and adolescent trauma exposure and service use histories in a national clinic-referred sample. Psychological Trauma: Theory, Research, Practice, and Policy, 5, 101–109. https://doi.org/10.1037/a0027312.

Burns, B. J., Costello, E. J., Angold, A., Tweed, D., Stangl, D., Farmer, E. M., & Erkanli, A. (1995). Children’s mental health service use across service sectors. Health Affairs, 14, 147–159. https://doi.org/10.1377/hlthaff.14.3.147.CrossRefPubMed

Champine, R. B., Whitson, M. L., & Kaufman, J. S. (2018). Service characteristics and family involvement in an early childhood system of care. Journal of Child and Family Studies, 27, 324–338. https://doi.org/10.1007/s19826-017-0875-5.CrossRef

Child Welfare Information Gateway (2008). Systems of care. https://www.childwelfare.gov/pubPDFs/soc.pdf

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

Cornelius, J. R., Pringle, J., Jernigan, J., Kirisci, L., & Clark, D. B. (2001). Correlates of mental health service utilization and unmet need among a sample of male adolescents. Addictive Behaviors, 26, 11–19. https://doi.org/10.1016/S0306-4603(00)00075-7.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 ofChild & Adolescent Psychiatry, 36, 1269–1277. https://doi.org/10.1097/00004583-199709000-00020.CrossRef

Crusto, C. A., Lowell, D. I., Paulicin, B., Reynolds, J., Feinn, R., Friedman, S. R., & Kaufman, J. S. (2008). Evaluation of a wraparound process for children exposed to family violence. Best Practices in Mental Health, 4, 1–18.

Cunningham, P. B., & Henggeler, S. W. (1999). Engaging multiproblem families in treatment: Lessons learnedthroughout the development of multisystemic therapy. Family Process, 38, 265–281. https://doi.org/10.1111/j.1545-5300.1999.00265.x.CrossRefPubMed

de Haan, A. M., Boon, A. E., de Jong, J. T. V. M., Hoeve, M., & Vermeiren, R. R. J. M. (2013). A meta-analytic review on treatment dropout in child and adolescent outpatient mental health. Clinical Psychology Review, 33, 698–711. https://doi.org/10.1016/j.cpr.2013.04.005.CrossRefPubMed

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

Godoy, L., Mian, N. D., Eisenhower, A. S., & Carter, A. S. (2014). Pathways to service receipt: modeling parent help-seeking for childhood mental health problems. Administration and Policy in Mental Health and Mental Health Services Research, 41, 469–479. https://doi.org/10.1007/s/10488-013-0484-6.CrossRefPubMed

Golberstein, E., Eisenberg, D., & Gollust, S. E. (2008). Perceived stigma and mental health care seeking. Psychiatric Services, 59, 392–339. https://doi.org/10.1176/ps.2008.59.4.392.CrossRefPubMed

Gopalan, G., Goldstein, L., Klingenstein, K., Sicher, C., Blake, C., & McKay, M. M. (2010). Engaging families intochild mental health treatment: Updates and special consideration. Journal of the Canadian Academy of Child and Adolescent Psychiatry, 19, 182–196.PubMedPubMedCentral

Inkelas, M., Raghavan, R., Larson, K., Kuo, A. A., & Ortega, A. N. (2007). Unmet mental health need and access to services for children with special health care needs and their families. Ambulatory Pediatrics, 7, 431–438. https://doi.org/10.1016/j.ambp.2007.08.001.CrossRefPubMed

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

Johnson, E., Mellor, D., & Brann, P. (2008). Differences in dropout between diagnoses in child and adolescent mental health services. Clinical Child Psychology and Psychiatry, 13, 515–530. https://doi.org/10.1177/1359104508096767.CrossRefPubMed

Kazdin, A. E. (1995). Conduct disorders in childhood and adolescence. Thousand Oaks, CA: Sage.CrossRef

Lennon, M., Blome, J., & English, K. (2001). Depression and low-income women: Challenges for TANF and welfare-to-work policies and programs. New York: National Center for Children in Poverty, Mailman School of Public Health, Columbia University.

Levitt, J. M., Hoagwood, K. E., Greene, L., Rodriguez, J., & Radigan, M. (2009). Mental health care for children in the wake of disasters. In Y. Neria, S. Galea & F. H. Norris (Eds.), Mental Health and Disasters (pp. 350–365). New York: Cambridge University Press.

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

McKay, M. M., Lynn, C. J., & Bannon, W. M. (2005). Understanding inner city child mental health need and trauma exposure: Implications for preparing urban service providers. American Journal of Orthopsychiatry, 75, 201–210. https://doi.org/10.1037/0002-9432.75.2.201.CrossRefPubMed

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. https://doi.org/10.1097/00005053-198001000-00006.CrossRef

Mowbray, C. T., Lewandowski, L., Bybee, D., & Oyserman, D. (2004). Children of mothers diagnosed with serious mental illness: Patterns and predictors of service use. Health Services Research, 6, 167–183. https://doi.org/10.1023/B:MHSR.0000036490.10086.95.CrossRef

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. https://doi.org/10.1097/00004583-199602000-00015.CrossRefPubMed

Prinz, R. J., & Miller, G. E. (1994). Family-based treatment for childhood antisocial behavior: experimental influences on dropout and engagement. Journal of Consulting and Clinical Psychology, 62, 645–650. https://doi.org/10.1037/0022-006X.62.3.645.CrossRefPubMed

Radloff, L. S. (1977). The CES-D Scale: A Self-Report Depression Scale for Research in the General Population. Applied Psychological Measurement, 1(3), 385–401. https://doi.org/10.1177/014662167700100306.CrossRef

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

SAMHSA. (2016). Considerations in system of care expansion: expanding early childhood systems of care. http://www.fredla.org/wp-content/uploads/2016/04/Expanding-early-childhood-systems-of-care.pdf

Sloper, P. (2004). Facilitators and barriers for coordinated multi-agency services. Child: Care, Health, and Development, 30, 571–580. https://doi.org/10.1111/j.1365-2214.2004.00468.x.CrossRef

Smith, C. O., Thompson, M. P., Johnson, K., Nitsche, A. M., & Kaslow, N. J. (2009). Service utilization patterns of maltreated and nonmaltreated children from low-income, African-American families. Psychiatric Services, 60, 1386–1389. https://doi.org/10.1176/ps.2009.60.10.1386.CrossRefPubMed

Staudt, M. (2007). Treatment engagement with caregivers of at-risk children: Gaps in research andconceptualization. Journal of Child and Family Studies, 16, 183–196. https://doi.org/10.1007/s10826-006-9077-2.CrossRef

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: 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.

Suter, J. C., & Bruns, E. J. (2009). Effectiveness of the wraparound process for children with emotional and behavioral disorders: A meta-analysis. Clinical Child and Family Psychology Review, 12, 336–351. https://doi.org/10.1007/s10567-009-0059-y.CrossRefPubMed

Tebes, J. K., Ayers, T. S., Kaufman, J. S., Hansen, C., Ricksecker, E. G., Altieri, P. A., & Vanderbilt, J. (1995). Rhode Island Child and Adolescent Service System Project Evaluation Report. New Haven: The Consultation Center, Yale School of Medicine.

Tebes, J. K., Bowler, S. M., Shah, S., Connell, C. M., Ross, E., Simmons, R., ... Kaufman, J. S. (2005). Service access and service system development in a children’s behavioral health system of care. Evaluation and Program Planning, 28, 151–160. https://doi.org/10.1016/j.evalprogplan.2004.10.008.

Turchi, R. M., & Antonelli, R. C. (2004). Patient- and family-centered care coordination: A framework for integrating care for children and youth across multiple systems. Pediatrics, 133, e1451–e1460. https://doi.org/10.1542/peds.2014-0318.CrossRef

U.S. Department of Health and Human Services, Administration on Children, Youth, and Families (2017). Child maltreatment 2015. Washington, DC: Author. https://www.acf.hhs.gov/sites/default/files/cb/cm2015.

van Boekel, L. C., Brouwers, E. P. M., van Weeghel, J., & Garretsen, H. F. L. (2013). Stigma among health professionals towards patients with substance use disorders and its consequences for health care delivery: systematic review. Drug and Alcohol Dependence, 131, 23–35. https://doi.org/10.1016/j.drugalcdep.2013.02.018.CrossRefPubMed

Walrath, C. M., Ybarra, M. L., & Holden, E. W. (2006). Understanding the pre-referral factors associated with differential 6-month outcomes among children receiving system-of-care services. Psychological Services, 3, 35–50. https://doi.org/10.1037/1541-1559.3.1.35.CrossRef

Whitson, M. L., Connell, C. M., Bernard, S., & Kaufman, J. S. (2011). The impact of youth and family risk factors on service recommendations and delivery in a school-based system of care. The Journal of Behavioral Health Services & Research, 38, 146–158. https://doi.org/10.1007/s11414-009-9208-9.CrossRef

Wu, P., Hoven, C. W., Bird, H. R., Moore, R. E., Cohen, P., Alegria, M., ... Roper, M. T. (1999). Depressive and disruptive disorders and mental health service utilization in children and adolescents. Journal of the American Academy of Child and Adolescent Psychiatry, 38, 1081–1090. https://doi.org/10.1097/00004583-1999909000-00010.

Titel: Predictors of Service Dosage, Recommendation, and Usage in an Early Childhood System of Care
Auteurs: Alayna Schreier
Robey B. Champine
Joy S. Kaufman
Publicatiedatum: 22-11-2018
Uitgeverij: Springer US
Gepubliceerd in: Journal of Child and Family Studies / Uitgave 2/2019
Print ISSN: 1062-1024
Elektronisch ISSN: 1573-2843
DOI: https://doi.org/10.1007/s10826-018-1290-2

Bohn Stafleu van Loghum

Deel dit onderdeel of sectie (kopieer de link)

Abstract

Log in om toegang te krijgen

Andere artikelen Uitgave 2/2019

Improving Family Functioning Following Diagnosis of ASD: A Randomized Trial of a Parent Mentorship Program

Parents’ Instrumental use of Media in Childrearing: Relationships with Confidence in Parenting, and Health and Conduct Problems in Children

Effects of Suicidal Ideation on Unmet Mental Health Needs Among Young Adults in Canada

Jailed Parents and their Young Children: Residential Instability, Homelessness, and Behavior Problems

A Naturalistic Study of Child and Family Screen Media and Mobile Device Use

Change in Risk Patterns Across Early Childhood and Children’s First-grade Adjustment