Browsing by Subject "Child mental health"
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Item Evaluation of a collaborative care model of mental healthcare for low-SES Latinx children and adolescents(2021-05-05) George-Jones, Julia; Rodríguez, Erin M.Integrated behavioral health (IBH) is a promising approach to improving access to mental healthcare. Low-SES Latinx and Black youth face various barriers when accessing mental healthcare, and current IBH research focuses more on patients with a single mental health condition as opposed to multiple conditions. The proposed study seeks to evaluate a collaborative care IBH model for primarily low-SES Latinx children at a clinic. Medical record data will be analyzed quantitatively to understand how Spanish-speaking families, patients with complex mental health concerns, and patients with chronic physical health conditions benefit from IBH, using regressions. A subset of parents and children will also be interviewed qualitatively to explore patient perspectives on receiving treatment through IBH.Item Examining the mediating role of family processes in the relationship between family income and mental health outcomes among young children involved in the child welfare system(2012-08) Berger Cardoso, Jodi; Padilla, Yolanda C.The negative relationship between economic hardship, child maltreatment, and child development in young children is well-documented. However, few studies have examined the mechanisms underlying the link between family economic hardship and child mental health outcomes in the context of child maltreatment. In this study, the family stress model is used to understand how family economic hardship affects child mental health. In this model, the effects of economic hardship on child mental health are indirect through their influence on family processes. Family processes are aspects of family life and are characterized by parental psychological functioning and parenting behavior. Because unhealthy family processes, which often lead to maltreatment, are associated with poor outcomes in the development of children, this framework can link developmental research and theory to an analysis of child maltreatment. The current study analyzes data from the National Survey of Child and Adolescent Well-Being-II, a survey of families in the child welfare system. The sample included children ages 18 months to 11 years and their parent (or caregivers). The results indicated that family income, a measure of economic hardship, was significantly associated with mental health problems in children involved in the child welfare system, but not in the way it was expected. Structural equation modeling analysis revealed no significant direct or indirect paths from family income to child mental health, but showed that family income affected other mechanisms contributing to poor child mental health. Lower family income was associated with greater parental depressive symptoms, alcohol use, drug use, and physical abuse. In line with the family stress model, the relationship between parental depression and child mental health was partially mediated through physical abuse. Similarly, physical abuse fully mediated the relationship between parental alcohol use and child mental health. However, neglect did not mediate the relationship between family processes and child mental health. Contrary to the study hypothesis, family processes did not mediate the relationship between family income and child mental health. Rather, family processes predicted poor child mental health. In particular, physical abuse was an important vehicle through which parental functioning translated to poor mental health outcomes in children.Item Familial religious involvement and children's mental health outcome(2008-05) Vaaler, Margaret Lommen, 1977-; Ellison, Christopher G., 1960-; Musick, Marc A.These three studies use two waves of the National Survey of Families and Households to investigate the influence of parents’ religious commitment and involvement on children’s internalizing and externalizing problems over time. In addition, the analyses will examine of different forms of family instability and parenting practices mediates this relationship. Furthermore, does parental religiosity moderate the relationship between instability and children’s mental health problems? The first study shows that children whose parents are both religiously unaffiliated, exhibit elevated internalizing problems compared to children from mixed-faith households. Evangelical Protestant affiliation moderated the relationship between parents’ frequent arguments and internalizing problems. In addition, children whose mothers are more theologically conservative than the fathers show elevated levels of internalizing problems. In addition, theological dissimilarity (mothers more conservative) plays a moderating role between frequent arguments and internalizing problems. The second study shows that children from religiously homogamous households, exhibit lower than average externalizing problems. In addition, fathers’ religious involvement protects their children from externalizing problems, even when accounting for various forms of family instability and parenting practices. Furthermore, children whose mothers are more theologically conservative than fathers, show elevated levels of some externalizing problems. Structural equation modeling analyses show that parents’ socioeconomic status is related to parental religious dissimilarity, parental divorce and parental praise of children. When mothers are more theologically conservative than fathers, these couples are at higher likelihood of frequent parental arguments. As a consequence, their children are at an elevated likelihood of difficulty concentrating, internalizing problems, and externalizing problems. Frequency of parental arguments is also positively related to divorce. If high conflict marriages end, children are at a reduced likelihood of externalizing problems. Implications and directions for future research are discussed.Item Family peer advocates : strengthening the alliance among high need families and mental health providers(2019-11-13) Jamison, Jesslyn M.; Bearman, Sarah KateFamily Peer Advocates (FPAs) are one type of peer-to-peer support proposed to help address unmet mental health needs of children and families and augment mental health treatment. This study examined whether FPA support predicted child mental health symptoms and therapeutic alliance with mental health providers at the end of mental health treatment for a sample of families in a larger effectiveness trial (N = 114) who elected to have support from a FPA (n= 76) and families who did not (n = 38). Study participants were primarily Caucasian/European(79.8%) and Child Welfare referred (75%). Additionally, this study examined whether being referred for treatment by Child Welfare moderated the relationship between FPA support and changes in child symptoms and parental therapeutic alliance with a mental health provider. Results indicated that FPA support did not predict child symptoms at end of outpatient mental health treatment or parent rating of therapeutic alliance in the sample as a whole. Child Welfare referral status moderated the relationship between FPA support and parental ratings of therapeutic alliance. Support from an FPA was a significant predictor of parental ratings of therapeutic alliance for families who were referred to treatment by Child Welfare (b = 3.88, t = 2.48, p = 0.015, ηp2 = .077), suggesting that FPA support may augment the therapeutic alliance with outpatient mental health provider for highly strained families. Keywords: Family Peer Advocate; Child Mental Health; Therapeutic Alliance; Child Welfare