改善0至5岁有情绪和行为问题儿童的机能：综合心理健康服务与支持的作用。
Improving Functioning of Children Birth to Five with Emotional and Behavioral Problems: The Role of Comprehensive Mental Health Services and Supports.
作者信息
Cohen Alison K, Hazelton Tracy, Bassey Henrissa, Gutierrez-Padilla Margie, Novosel Carolyn, Nichols Chloe R, Jain Sonia
机构信息
Department of Epidemiology & Biostatistics, School of Medicine, University of California, San Francisco, CA 94158, USA.
Alameda County Behavioral Health Care Services, Oakland, CA 94606, USA.
出版信息
Pediatr Rep. 2023 Jan 9;15(1):33-44. doi: 10.3390/pediatric15010005.
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 ( 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.
引言
出生至五岁儿童的情绪和行为问题日益增多，且存在种族/族裔和社会经济差异。全面的、具有文化响应性的、以家庭为驱动的照护系统，比如加利福尼亚州多元化的城市阿拉米达县所运营的系统，提供了一种潜在的干预措施。
方法
我们使用客户层面的服务数据（496名儿童）来计算描述性统计数据并进行回归分析（包括多层次模型，以考虑同一客户在多个时间点的观察结果）。我们估计了心理健康问题的患病率，并评估了使用服务的时长与情绪和行为功能之间的关联。
结果
随着时间推移，即使在控制了其他风险因素之后，全面的心理健康服务和支持与儿童情绪和行为功能的改善结果相关。
讨论
照护系统似乎支持儿童及其家庭的多维度功能。
Zotero 插件