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.
N1 - Funding Information:
Acknowledgments The ‘‘Starting Early Starting Smart’’ cross-site collaborative initiative was supported by Grant 6 UD1 SP08255 from the US Department of Health and Human Services (DHHS), the Substance Abuse and Mental Health Services Administration (SAMHSA) and its three centers, the Center for Mental Health Services (CMHS), the Center for Substance Abuse Prevention (CSAP) and the Center for Substance Abuse Treatment (CSAT), and Casey Family Programs. This report would not have been possible without the contributions of staff from DHHS, the SAMHSA Office on Early Childhood, Casey Family Programs, the Starting Early Starting Smart (SESS) principal investigators, project directors and researchers, and the parent representatives, who helped design and supervise the data collection. The content of this publication does not necessarily reflect the views or policies of DHHS or Casey Family Programs, nor does the mention of trade names, commercial products or organizations imply endorsement by the US Government. Responsibility for the content of this report, however, rests solely with the named authors.
Copyright:
Copyright 2010 Elsevier B.V., All rights reserved.
PY - 2010/1
Y1 - 2010/1
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
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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 -
