Skip to main content
Top
Gepubliceerd in: Journal of Child and Family Studies 1/2010

01-02-2010 | Original Paper

The Starting Early Starting Smart Integrated Services Model: Improving Access to Behavioral Health Services in the Pediatric Health Care Setting for At-Risk Families with Young Children

Auteurs: Connie E. Morrow, Elana Mansoor, K. Lori Hanson, April L. Vogel, Ruth Rose-Jacobs, Carolyn Seval Genatossio, Amy Windham, Emmalee S. Bandstra

Gepubliceerd in: Journal of Child and Family Studies | Uitgave 1/2010

Log in om toegang te krijgen
share
DELEN

Deel dit onderdeel of sectie (kopieer de link)

  • Optie A:
    Klik op de rechtermuisknop op de link en selecteer de optie “linkadres kopiëren”
  • Optie B:
    Deel de link per e-mail

Abstract

We evaluated the Starting Early Starting Smart (SESS) national initiative to integrate behavioral health services (parenting, mental health, and drug treatment) into the pediatric health care setting for families with young children. Data are presented from five pediatric care (PC) sites, drawing from families at risk due to demographic and behavioral health factors, with infants less than 12 months of age (n = 612). Families were randomly assigned to either the SESS program or a standard care Comparison group. We utilized longitudinal analyses to estimate differences in utilization rates for parenting, mental health, and drug treatment over 6 follow-up time points (3, 6, 9, 12, 15 and 18 months). Our findings indicate that SESS caregiver participants were 4.6 times (p < 0.001; CI = 3.33–6.26) more likely to receive parenting services, 2.1 times (p < 0.001; CI = 1.48–2.86) more likely to receive outpatient mental health treatment, and 1.8 times (p = 0.025; CI = 1.08–3.14) more likely to receive drug treatment than Comparison group participants. Our results demonstrate the success of the SESS program in coordinating and improving access to behavioral health services for high-risk caregivers within the pediatric health care setting and highlight the importance of continuing to focus public health policy on the behavioral health care needs of families with young children.
Literatuur
go back to reference Accornero, V. H., Morrow, C. E., Bandstra, E. S., Johnson, A. L., & Anthony, J. C. (2002). Behavioral outcome of preschoolers exposed prenatally to cocaine: Role of maternal behavioral health. Journal of Pediatric Psychology, 27, 259–269.CrossRefPubMed Accornero, V. H., Morrow, C. E., Bandstra, E. S., Johnson, A. L., & Anthony, J. C. (2002). Behavioral outcome of preschoolers exposed prenatally to cocaine: Role of maternal behavioral health. Journal of Pediatric Psychology, 27, 259–269.CrossRefPubMed
go back to reference Anhalt, K., Telzrow, C. F., & Brown, C. L. (2007). Maternal stress and emotional status during the perinatal period and childhood adjustment. School Psychology Quarterly, 22, 74–90.CrossRef Anhalt, K., Telzrow, C. F., & Brown, C. L. (2007). Maternal stress and emotional status during the perinatal period and childhood adjustment. School Psychology Quarterly, 22, 74–90.CrossRef
go back to reference Annie E. Casey Foundation. (1999). Kids count data book 1999: State profiles of child well-being Baltimore. MD: Author. Annie E. Casey Foundation. (1999). Kids count data book 1999: State profiles of child well-being Baltimore. MD: Author.
go back to reference Bean, D. L., Leibowitz, A., Rotheram-Borus, M. J., Duan, N., Horwitz, S. M., Jordan, D., et al. (2000). False-negative reporting and mental health services utilization: Parents’ reports about child and adolescent services. Mental Health Services Research, 2, 239–249. doi:10.1023/A:1010116604540.CrossRef Bean, D. L., Leibowitz, A., Rotheram-Borus, M. J., Duan, N., Horwitz, S. M., Jordan, D., et al. (2000). False-negative reporting and mental health services utilization: Parents’ reports about child and adolescent services. Mental Health Services Research, 2, 239–249. doi:10.​1023/​A:​1010116604540.CrossRef
go back to reference Bruner, C. (1994). State government and family support: From marginal to mainstream. In S. L. Kagan & B. Weissbourd (Eds.), Putting families first: America’s family support movement and the challenge of change (pp. 338–357). San Francisco, CA: Jossey-Bass. Bruner, C. (1994). State government and family support: From marginal to mainstream. In S. L. Kagan & B. Weissbourd (Eds.), Putting families first: America’s family support movement and the challenge of change (pp. 338–357). San Francisco, CA: Jossey-Bass.
go back to reference Canino, G., Shrout, P. E., Alegria, M., Rubio-Stipec, M., Chavez, L. M., Ribera, J. C., et al. (2002). Methodological challenges in assessing children’s mental health services utilization. Mental Health Services Research, 4, 97–107. doi:10.1023/A:1015252217154.CrossRefPubMed Canino, G., Shrout, P. E., Alegria, M., Rubio-Stipec, M., Chavez, L. M., Ribera, J. C., et al. (2002). Methodological challenges in assessing children’s mental health services utilization. Mental Health Services Research, 4, 97–107. doi:10.​1023/​A:​1015252217154.CrossRefPubMed
go back to reference Carnegie Corporation of New York & Task Force on Meeting the Needs of Young Child. (1994). Starting points: Meeting the needs of our youngest children: The report of the Carnegie Task Force on Meeting the Needs of Young Children. New York, NY: Carnegie Corporation of New York. Carnegie Corporation of New York & Task Force on Meeting the Needs of Young Child. (1994). Starting points: Meeting the needs of our youngest children: The report of the Carnegie Task Force on Meeting the Needs of Young Children. New York, NY: Carnegie Corporation of New York.
go back to reference Department of Health and Human Services. (2001). Report of a surgeon general’s working meeting on the integration of mental health services and primary health care. Rockville, MD: US DHHS, Public Health Service, Office of the Surgeon General. Department of Health and Human Services. (2001). Report of a surgeon general’s working meeting on the integration of mental health services and primary health care. Rockville, MD: US DHHS, Public Health Service, Office of the Surgeon General.
go back to reference Derogatis, L. R., & Spencer, P. M. (1999). The brief symptom inventory: Administration, scoring, and procedures manual (2nd ed.). Baltimore, MD: Clinical Psychometric Research, Inc. Derogatis, L. R., & Spencer, P. M. (1999). The brief symptom inventory: Administration, scoring, and procedures manual (2nd ed.). Baltimore, MD: Clinical Psychometric Research, Inc.
go back to reference Diggle, P., Liang, K. Y., & Zeger, S. L. (1994). Analysis of longitudinal data. London, UK: Oxford University Press. Diggle, P., Liang, K. Y., & Zeger, S. L. (1994). Analysis of longitudinal data. London, UK: Oxford University Press.
go back to reference Evans, G. W., Boxhill, L., & Pinkaya, M. (2008). Poverty and maternal responsiveness: The role of maternal stress and social resources. International Journal of Behavioral Development, 32, 232–237. doi:10.1177/0165025408089272.CrossRef Evans, G. W., Boxhill, L., & Pinkaya, M. (2008). Poverty and maternal responsiveness: The role of maternal stress and social resources. International Journal of Behavioral Development, 32, 232–237. doi:10.​1177/​0165025408089272​.CrossRef
go back to reference Friedman, R. M., & Burns, B. J. (1996). The evaluation of the Fort Bragg Demonstration Project: An alternative interpretation of the findings. Journal of Mental Health Administration, 23, 128–136. doi:10.1007/BF02518651.CrossRefPubMed Friedman, R. M., & Burns, B. J. (1996). The evaluation of the Fort Bragg Demonstration Project: An alternative interpretation of the findings. Journal of Mental Health Administration, 23, 128–136. doi:10.​1007/​BF02518651.CrossRefPubMed
go back to reference Goldberg, R. W., Seybolt, D. C., & Lehman, A. (2002). Reliable self-report of health service use by individuals with serious mental illness. Psychiatric Services (Washington, DC), 53, 879–881. doi:10.1176/appi.ps.53.7.879. Goldberg, R. W., Seybolt, D. C., & Lehman, A. (2002). Reliable self-report of health service use by individuals with serious mental illness. Psychiatric Services (Washington, DC), 53, 879–881. doi:10.​1176/​appi.​ps.​53.​7.​879.
go back to reference Hanson, L., Deere, D., Lee, C. A., Lewin, A., & Seval, C. (2001). Key principles in providing integrated behavioral health services for young children and their families: The starting early starting smart experience. Washington, DC: Casey Family Programs and the US Department of Health and Human Services, Substance Abuse and Mental Health Services Administration. Hanson, L., Deere, D., Lee, C. A., Lewin, A., & Seval, C. (2001). Key principles in providing integrated behavioral health services for young children and their families: The starting early starting smart experience. Washington, DC: Casey Family Programs and the US Department of Health and Human Services, Substance Abuse and Mental Health Services Administration.
go back to reference Hawley, T. (1998). Ready to succeed: The lasting effects of early relationships. An ounce of prevention fund and zero to three paper. Washington, DC: Zero to Three: National Center for Infants, Toddlers and Families. Hawley, T. (1998). Ready to succeed: The lasting effects of early relationships. An ounce of prevention fund and zero to three paper. Washington, DC: Zero to Three: National Center for Infants, Toddlers and Families.
go back to reference Johnson, A. L., Bandstra, E. S., Morrow, C. E., Accornero, V. H., Xue, L., & Anthony, J. C. (2002). Maternal cocaine use: Estimated effects on mother-child play interactions in the preschool period. Journal of Developmental & Behavioral Pediatrics, 23, 191–202. Johnson, A. L., Bandstra, E. S., Morrow, C. E., Accornero, V. H., Xue, L., & Anthony, J. C. (2002). Maternal cocaine use: Estimated effects on mother-child play interactions in the preschool period. Journal of Developmental & Behavioral Pediatrics, 23, 191–202.
go back to reference Kessler, R. C., McGonagle, K. A., Zhao, S., Nelson, C. B., Hughes, M., Eshleman, S., et al. (1994). Lifetime and 12-month prevalence of DSM-III-R psychiatric disorders in the United States. Results from the National Comorbidity Survey. Archives of General Psychiatry, 51, 8–19.PubMed Kessler, R. C., McGonagle, K. A., Zhao, S., Nelson, C. B., Hughes, M., Eshleman, S., et al. (1994). Lifetime and 12-month prevalence of DSM-III-R psychiatric disorders in the United States. Results from the National Comorbidity Survey. Archives of General Psychiatry, 51, 8–19.PubMed
go back to reference Knitzer, J. (2001). Building services and systems to support the healthy emotional development of young children: An action guide for policymakers. New York, NY: National Center for Children in Poverty. Knitzer, J. (2001). Building services and systems to support the healthy emotional development of young children: An action guide for policymakers. New York, NY: National Center for Children in Poverty.
go back to reference Lavigne, J. V., Gibbons, R. D., Arend, R., Rosenbaum, D., Binns, H. J., & Christoffel, K. K. (1999). Rational service planning in pediatric primary care: Continuity and change in psychopathology among children enrolled in pediatric practices. Journal of Pediatric Psychology, 24, 393–403. doi:10.1093/jpepsy/24.5.393.CrossRefPubMed Lavigne, J. V., Gibbons, R. D., Arend, R., Rosenbaum, D., Binns, H. J., & Christoffel, K. K. (1999). Rational service planning in pediatric primary care: Continuity and change in psychopathology among children enrolled in pediatric practices. Journal of Pediatric Psychology, 24, 393–403. doi:10.​1093/​jpepsy/​24.​5.​393.CrossRefPubMed
go back to reference Leinonen, J. A., Solantaus, T. S., & Punamaki, R. L. (2003). Parental mental health and children’s adjustment: The quality of marital interaction and parenting as mediating factors. Journal of Child Psychology and Psychiatry and Allied Disciplines, 44, 227–241. doi:10.1111/1469-7610.t01-1-00116.CrossRef Leinonen, J. A., Solantaus, T. S., & Punamaki, R. L. (2003). Parental mental health and children’s adjustment: The quality of marital interaction and parenting as mediating factors. Journal of Child Psychology and Psychiatry and Allied Disciplines, 44, 227–241. doi:10.​1111/​1469-7610.​t01-1-00116.CrossRef
go back to reference McLellan, A., Parikh, G., Bragg, A., Cacciola, J., Fureman, B., & Incmikoski, R. (1990). Addiction severity index-administration manual (5th ed.). Penn, VA: Center for Studies of Addiction. McLellan, A., Parikh, G., Bragg, A., Cacciola, J., Fureman, B., & Incmikoski, R. (1990). Addiction severity index-administration manual (5th ed.). Penn, VA: Center for Studies of Addiction.
go back to reference Mordock, J. B. (1997). The Fort Bragg continuum of care demonstration project: The population served was unique and the outcomes are questionable. Child Psychiatry and Human Development, 27, 241–254. doi:10.1007/BF02353353.CrossRefPubMed Mordock, J. B. (1997). The Fort Bragg continuum of care demonstration project: The population served was unique and the outcomes are questionable. Child Psychiatry and Human Development, 27, 241–254. doi:10.​1007/​BF02353353.CrossRefPubMed
go back to reference National Research Council Institute of Medicine. (2000). From neurons to neighborhoods: The science of early childhood development. Washington, DC: National Academy Press. National Research Council Institute of Medicine. (2000). From neurons to neighborhoods: The science of early childhood development. Washington, DC: National Academy Press.
go back to reference Nicholson, J., & Biebel, K. (2002). Commentary on “Community mental health care for women with severe mental illness who are parents”—The tragedy of missed opportunities: What providers can do. Community Mental Health Journal, 38, 167–172. doi:10.1023/A:1014551306288.CrossRefPubMed Nicholson, J., & Biebel, K. (2002). Commentary on “Community mental health care for women with severe mental illness who are parents”—The tragedy of missed opportunities: What providers can do. Community Mental Health Journal, 38, 167–172. doi:10.​1023/​A:​1014551306288.CrossRefPubMed
go back to reference Nicholson, J., Sweeney, E. M., & Geller, J. L. (1998). Mothers with mental illness: I. The competing demands of parenting and living with mental illness. Psychiatric Services (Washington, DC), 49, 635–642. Nicholson, J., Sweeney, E. M., & Geller, J. L. (1998). Mothers with mental illness: I. The competing demands of parenting and living with mental illness. Psychiatric Services (Washington, DC), 49, 635–642.
go back to reference Poulsen, M. K. (1994). The development of policy recommendations to address individual and family needs of infants and young children affected by family substance use. Topics in Early Childhood Special Education, 14, 275–292. doi:10.1177/027112149401400209.CrossRef Poulsen, M. K. (1994). The development of policy recommendations to address individual and family needs of infants and young children affected by family substance use. Topics in Early Childhood Special Education, 14, 275–292. doi:10.​1177/​0271121494014002​09.CrossRef
go back to reference Statacorp. (1999). Stata statistical software. College Station, TX: Stata Corporation. Statacorp. (1999). Stata statistical software. College Station, TX: Stata Corporation.
go back to reference US Public Health Service. (2000). Report of the Surgeon General’s conference on children’s mental health: A national action agenda. Washington, DC: Department of Health and Human Services. US Public Health Service. (2000). Report of the Surgeon General’s conference on children’s mental health: A national action agenda. Washington, DC: Department of Health and Human Services.
go back to reference Zima, B. T., Wells, K. B., Benjamin, B., & Duan, N. (1996). Mental health problems among homeless mothers: Relationship to service use and child mental health problems. Archives of General Psychiatry, 53, 332–338.PubMed Zima, B. T., Wells, K. B., Benjamin, B., & Duan, N. (1996). Mental health problems among homeless mothers: Relationship to service use and child mental health problems. Archives of General Psychiatry, 53, 332–338.PubMed
Metagegevens
Titel
The Starting Early Starting Smart Integrated Services Model: Improving Access to Behavioral Health Services in the Pediatric Health Care Setting for At-Risk Families with Young Children
Auteurs
Connie E. Morrow
Elana Mansoor
K. Lori Hanson
April L. Vogel
Ruth Rose-Jacobs
Carolyn Seval Genatossio
Amy Windham
Emmalee S. Bandstra
Publicatiedatum
01-02-2010
Uitgeverij
Springer US
Gepubliceerd in
Journal of Child and Family Studies / Uitgave 1/2010
Print ISSN: 1062-1024
Elektronisch ISSN: 1573-2843
DOI
https://doi.org/10.1007/s10826-009-9280-z

Andere artikelen Uitgave 1/2010

Journal of Child and Family Studies 1/2010 Naar de uitgave