Risk factors for psychosocial dysfunction among enrollees in the State Children's Health Insurance Program

Andrew L. Brickman, Clelia P. Garrity, Jon Shaw

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

Objective: The authors studied enrollees in the State Children's Health Insurance Program (SCHIP) (Title XXI) to characterize risk factors for psychosocial dysfunction among children of the working poor. Methods: Medical and psychosocial variables were included in a survey completed by 393 parents of children enrolled in SCHIP. Regression analysis was used to examine the relationship between these variables and scores on the Pediatric Symptom Checklist, a measure of psychosocial dysfunction among children. Results: Stepwise multiple regression showed that parental dysphoria, parental history of psychiatric or substance use problems, childhood chronic medical illness, and exposure to traumatic events each contributed independently to variance in psychosocial dysfunction in this population, explaining 34 percent of total variance. Conclusions: Despite strong progress in implementing SCHIP at the state level, the behavioral health care needs of children of the working poor have not been well defined. This study identified risk factors that can be easily found in the patient's medical record or detected during an interview by the primary care physician. Thus screening to identify children at risk of psychosocial dysfunction is warranted among SCHIP enrollees.

Original languageEnglish
Pages (from-to)614-619
Number of pages6
JournalPsychiatric Services
Volume53
Issue number5
DOIs
StatePublished - May 9 2002

Fingerprint

health insurance
Primary Care Physicians
Checklist
Health Status
Medical Records
Psychiatry
Chronic Disease
Parents
Regression Analysis
Children's Health Insurance Program
Interviews
Pediatrics
Delivery of Health Care
Population
regression analysis
parents
illness
childhood
physician
health care

ASJC Scopus subject areas

  • Psychiatry and Mental health
  • Public Health, Environmental and Occupational Health
  • Health(social science)
  • Health Professions(all)

Cite this

Risk factors for psychosocial dysfunction among enrollees in the State Children's Health Insurance Program. / Brickman, Andrew L.; Garrity, Clelia P.; Shaw, Jon.

In: Psychiatric Services, Vol. 53, No. 5, 09.05.2002, p. 614-619.

Research output: Contribution to journalArticle

@article{5b17cf81eefe44d28f571b450d491a16,
title = "Risk factors for psychosocial dysfunction among enrollees in the State Children's Health Insurance Program",
abstract = "Objective: The authors studied enrollees in the State Children's Health Insurance Program (SCHIP) (Title XXI) to characterize risk factors for psychosocial dysfunction among children of the working poor. Methods: Medical and psychosocial variables were included in a survey completed by 393 parents of children enrolled in SCHIP. Regression analysis was used to examine the relationship between these variables and scores on the Pediatric Symptom Checklist, a measure of psychosocial dysfunction among children. Results: Stepwise multiple regression showed that parental dysphoria, parental history of psychiatric or substance use problems, childhood chronic medical illness, and exposure to traumatic events each contributed independently to variance in psychosocial dysfunction in this population, explaining 34 percent of total variance. Conclusions: Despite strong progress in implementing SCHIP at the state level, the behavioral health care needs of children of the working poor have not been well defined. This study identified risk factors that can be easily found in the patient's medical record or detected during an interview by the primary care physician. Thus screening to identify children at risk of psychosocial dysfunction is warranted among SCHIP enrollees.",
author = "Brickman, {Andrew L.} and Garrity, {Clelia P.} and Jon Shaw",
year = "2002",
month = "5",
day = "9",
doi = "10.1176/appi.ps.53.5.614",
language = "English",
volume = "53",
pages = "614--619",
journal = "Psychiatric Services",
issn = "1075-2730",
publisher = "American Psychiatric Association",
number = "5",

}

TY - JOUR

T1 - Risk factors for psychosocial dysfunction among enrollees in the State Children's Health Insurance Program

AU - Brickman, Andrew L.

AU - Garrity, Clelia P.

AU - Shaw, Jon

PY - 2002/5/9

Y1 - 2002/5/9

N2 - Objective: The authors studied enrollees in the State Children's Health Insurance Program (SCHIP) (Title XXI) to characterize risk factors for psychosocial dysfunction among children of the working poor. Methods: Medical and psychosocial variables were included in a survey completed by 393 parents of children enrolled in SCHIP. Regression analysis was used to examine the relationship between these variables and scores on the Pediatric Symptom Checklist, a measure of psychosocial dysfunction among children. Results: Stepwise multiple regression showed that parental dysphoria, parental history of psychiatric or substance use problems, childhood chronic medical illness, and exposure to traumatic events each contributed independently to variance in psychosocial dysfunction in this population, explaining 34 percent of total variance. Conclusions: Despite strong progress in implementing SCHIP at the state level, the behavioral health care needs of children of the working poor have not been well defined. This study identified risk factors that can be easily found in the patient's medical record or detected during an interview by the primary care physician. Thus screening to identify children at risk of psychosocial dysfunction is warranted among SCHIP enrollees.

AB - Objective: The authors studied enrollees in the State Children's Health Insurance Program (SCHIP) (Title XXI) to characterize risk factors for psychosocial dysfunction among children of the working poor. Methods: Medical and psychosocial variables were included in a survey completed by 393 parents of children enrolled in SCHIP. Regression analysis was used to examine the relationship between these variables and scores on the Pediatric Symptom Checklist, a measure of psychosocial dysfunction among children. Results: Stepwise multiple regression showed that parental dysphoria, parental history of psychiatric or substance use problems, childhood chronic medical illness, and exposure to traumatic events each contributed independently to variance in psychosocial dysfunction in this population, explaining 34 percent of total variance. Conclusions: Despite strong progress in implementing SCHIP at the state level, the behavioral health care needs of children of the working poor have not been well defined. This study identified risk factors that can be easily found in the patient's medical record or detected during an interview by the primary care physician. Thus screening to identify children at risk of psychosocial dysfunction is warranted among SCHIP enrollees.

UR - http://www.scopus.com/inward/record.url?scp=0036240844&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0036240844&partnerID=8YFLogxK

U2 - 10.1176/appi.ps.53.5.614

DO - 10.1176/appi.ps.53.5.614

M3 - Article

VL - 53

SP - 614

EP - 619

JO - Psychiatric Services

JF - Psychiatric Services

SN - 1075-2730

IS - 5

ER -