ERIC Number: EJ871491
Record Type: Journal
Publication Date: 2010-Feb
Abstractor: As Provided
Reference Count: 0
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
Morrow, Connie E.; Mansoor, Elana; Hanson, K. Lori; Vogel, April L.; Rose-Jacobs, Ruth; Genatossio, Carolyn Seval; Windham, Amy; Bandstra, Emmalee S.
Journal of Child and Family Studies, v19 n1 p42-56 Feb 2010
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 less than 0.001; CI = 3.33-6.26) more likely to receive parenting services, 2.1 times (p less than 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.
Descriptors: Integrated Services, Health Services, Health Needs, Public Health, Caregivers, Mental Health, Child Health, Child Rearing, Young Children, Access to Health Care, At Risk Persons, Pediatrics, National Programs, Comparative Analysis, Longitudinal Studies, Parents, Public Policy, Correlation, Family Needs, Family Programs, Use Studies, Mental Health Programs, Program Effectiveness, Drug Rehabilitation
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Publication Type: Journal Articles; Reports - Evaluative
Education Level: N/A
Authoring Institution: N/A