Abstract
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 < 0.001; CI = 3.33-6.26) more likely to receive parenting services, 2.1 times (p < 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.
| Original language | English |
|---|---|
| Pages (from-to) | 42-56 |
| Number of pages | 15 |
| Journal | Journal of Child and Family Studies |
| Volume | 19 |
| Issue number | 1 |
| DOIs | |
| State | Published - Jan 1 2010 |
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Keywords
- Caregiver behavioral health
- Integrated services
- Parenting
- Service utilization
- Young children
ASJC Scopus subject areas
- Developmental and Educational Psychology
- Life-span and Life-course Studies
Cite this
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.
In: Journal of Child and Family Studies, Vol. 19, No. 1, 01.01.2010, p. 42-56.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - The starting early starting smart integrated services model
T2 - Improving access to behavioral health services in the pediatric health care setting for at-risk families with young children
AU - Morrow, Connie E
AU - Mansoor, Elana
AU - Hanson, K. Lori
AU - Vogel, April L.
AU - Rose-Jacobs, Ruth
AU - Genatossio, Carolyn Seval
AU - Windham, Amy
AU - Bandstra, Emmalee S
PY - 2010/1/1
Y1 - 2010/1/1
N2 - 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 < 0.001; CI = 3.33-6.26) more likely to receive parenting services, 2.1 times (p < 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.
AB - 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 < 0.001; CI = 3.33-6.26) more likely to receive parenting services, 2.1 times (p < 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.
KW - Caregiver behavioral health
KW - Integrated services
KW - Parenting
KW - Service utilization
KW - Young children
UR - http://www.scopus.com/inward/record.url?scp=75749099654&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=75749099654&partnerID=8YFLogxK
U2 - 10.1007/s10826-009-9280-z
DO - 10.1007/s10826-009-9280-z
M3 - Article
AN - SCOPUS:75749099654
VL - 19
SP - 42
EP - 56
JO - Journal of Child and Family Studies
JF - Journal of Child and Family Studies
SN - 1062-1024
IS - 1
ER -