Improving Functioning of Children Birth to Five with Emotional and Behavioral Problems: The Role of Comprehensive Mental Health Services and Supports

被引：0
作者：
Cohen, Alison K. [1 ]
Hazelton, Tracy [2 ]
Bassey, Henrissa [3 ]
Gutierrez-Padilla, Margie [2 ]
Novosel, Carolyn [2 ]
Nichols, Chloe R. [4 ]
Jain, Sonia [3 ]
机构：
[1] Univ Calif San Francisco, Sch Med, Dept Epidemiol & Biostat, San Francisco, CA 94158 USA
[2] Alameda Cty Behav Hlth Care Serv, Oakland, CA 94606 USA
[3] Data Act, Oakland, CA 94611 USA
[4] Northeastern Univ, Dept Hlth Sci, Boston, MA 02115 USA
来源：
PEDIATRIC REPORTS | 2023年 / 15卷 / 01期
关键词：
childhood; health promotion; health services; mental health; program evaluation; public services; EARLY-CHILDHOOD SYSTEM; CULTURAL COMPETENCE; YOUNG-CHILDREN; CARE; OUTCOMES; NEEDS;
D O I：
10.3390/pediatric15010005
中图分类号：
R72 [儿科学];
学科分类号：
100202 ;
摘要：
Introduction: Emotional and behavioral problems are growing among children ages birth to five, and racial/ethnic and socioeconomic disparities exist. Comprehensive, culturally responsive, family-driven systems of care, such as the one operated by California's diverse, urban Alameda County, offer one potential intervention. Methods: We used client-level service data (n = 496 children) to calculate descriptive statistics and regression analyses (including multilevel models to account for observations for the same client at multiple points in time). We estimated the prevalence of mental health issues and assessed the association between the length of time using services and emotional and behavioral functioning. Results: Comprehensive mental health services and supports were associated with improved emotional and behavioral functioning outcomes for children over time, even after controlling for other risk factors. Discussion: Systems of care appear to support the multidimensional functioning of children and their families.
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页码：33 / 44
页数：12
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