Carleton Russell A, DiGirolamo Ann M, McGarrie Lisa, Whitmore Ani S, Gilmer-Hughes Annelise
Georgia Health Policy Center, Georgia State University, Atlanta, Georgia, USA.
Infants Young Child. 2024 Apr;37(2):131-141. doi: 10.1097/IYC.0000000000000263. Epub 2024 Mar 8.
Secondary analysis of the Early Head Start Family and Child Experiences Survey 2018 data set (Baby FACES 2018) explored links between family risk events and referral-making and referral uptake among families receiving Early Head Start (EHS) services. Referrals to both behavioral health and entitlement programs were considered. Results showed that referrals to behavioral health programs were much more likely to be given to families receiving care from home-based care than center-based care, and that referrals were slightly more likely to be given to families who did not have any family risk events. Several factors also moderated the relationship between family risk and referrals, including perceived closeness of the parent/caregiver-EHS staff relationship, family conflict, and caregiver depression. There were no observed effects for referrals to entitlement programs. Caregiver depression weakened the link between family risk and service uptake for entitlement programs.
对2018年早期开端家庭与儿童经历调查数据集（2018年婴儿FACES）进行的二次分析，探讨了接受早期开端（EHS）服务的家庭中家庭风险事件与转诊决策及转诊接受情况之间的联系。研究考虑了向行为健康和权益项目的转诊情况。结果显示，与接受中心式照料的家庭相比，接受居家照料的家庭更有可能被转诊至行为健康项目，并且没有任何家庭风险事件的家庭被转诊的可能性略高。几个因素也调节了家庭风险与转诊之间的关系，包括家长/照料者与EHS工作人员关系的感知亲密度、家庭冲突和照料者抑郁。对于向权益项目的转诊，未观察到相关影响。照料者抑郁削弱了家庭风险与权益项目服务接受之间的联系。
