Impacts of COVID‐19 on early childhood mental health

Infant Mental Health Journal, Год журнала: 2025, Номер unknown

Опубликована: Фев. 20, 2025

Abstract This study investigates the impact of COVID‐19 pandemic on young children's mental health and their engagement in services midwestern United States. Previous research investigating service utilization has rarely included children under 5 years. Therefore, this examined how caregiver‐child relationship impacted symptoms. It also investigated child's symptom presentation caregivers’ attendance treatment. Data were collected with 0 to years old ( n = 486) from January 2017 April 2022 using archival records a community organization. Participants primarily low‐income (81.9%) White (81.3%). Results found that symptoms before during pandemic. Both caregivers rated as more engaged after began if child experienced externalizing Children attended fewer therapy sessions started, those received overall than without.

Язык: Английский

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Randomized Trial of the Parent And Caregiver Active Participation Toolkit for Child Mental Health Treatment

Journal of Clinical Child & Adolescent Psychology, Год журнала: 2016, Номер 47(sup1), С. S150 - S160

Опубликована: Июль 21, 2016

The purpose of this pilot study was to examine preliminary feasibility, acceptability, and effectiveness a toolkit (Parent And Caregiver Active Participation Toolkit) increase parent participation in community-based child mental health services. Study participants included 29 therapists (93% female; M age = 34.1 years; 38% Latino) 20 parent/child dyads (children 80% 8.6 parents 40% 6 diverse community clinics. Therapists were randomly assigned standard care or the with care. Therapist survey data observational coding treatment sessions utilized. Mean comparisons repeated measures analyses used test differences between conditions over 4 months. Results supported feasibility acceptability toolkit, participating ongoing training, adhering use, perceiving as feasible acceptable within their setting. preliminarily demonstrated improvement therapists' job attitudes, well actual use engagement strategies. also increases therapy more regular attendance, some indication support for perceived effectiveness. Overall, results suggest potential enhance therapist attitudes; practices that engagement, itself, consumer perspectives on outcomes; promise future research area interventions

Язык: Английский

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Youth Engagement in Pediatric Rehabilitation: Service Providers' Perceptions in a Real-Time Study of Solution-Focused Coaching for Participation Goals

Physical & Occupational Therapy In Pediatrics, Год журнала: 2018, Номер 38(5), С. 527 - 547

Опубликована: Янв. 5, 2018

Aim: Client engagement is assumed to affect therapy outcomes. This study examined service providers' perceptions of youth in solution-focused coaching sessions focusing on participation-oriented goals for with cerebral palsy. Method: Service providers completed the Pediatric Rehabilitation Intervention Measure Engagement—Service Provider version (PRIME-SP) at end each session brief intervention (3–5 sessions) 10 youth. Results: Youth was high yet fluctuated over sessions. noted a range components engagement/disengagement (affective, cognitive, and behavioral) related factors, including client states, behavior change (success or nonsuccess between sessions, pleasure success), provider strategies. Four preliminary patterns involving engagement, client-reported success, goal difficulty (personally achievable dependent others) appeared be meaningfully quantitative measures Conclusions: The provides insights into highly engaging nature relational, co-constructed therapeutic interaction. indicates utility PRIME-SP as tool recording observations factors that may useful clinical decisions about use strategies general reflections practice.

Язык: Английский

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Parental Cognitions and Motivation to Engage in Psychological Interventions: A Systematic Review

Child Psychiatry & Human Development, Год журнала: 2018, Номер 50(3), С. 347 - 361

Опубликована: Ноя. 14, 2018

Язык: Английский

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How Do Lay Health Workers Engage Caregivers? A Qualitative Study to Enhance Equity in Evidence-Based Parenting Programs

Evidence-Based Practice in Child and Adolescent Mental Health, Год журнала: 2021, Номер 8(2), С. 221 - 235

Опубликована: Ноя. 4, 2021

Engaging caregivers in their children's mental health treatment is critical for delivering high quality, evidence-based care, particularly young children with externalizing behaviors. Lay workers (LHWs), including peer providers and promotoras de salud, have been identified as important workforces addressing structural stigma-related barriers to engagement services. Importantly, research has suggested that LHWs may be integral efforts address disparities behavioral parent training programs (BPTs) Latinx caregivers. The purpose of the study was understand how different LHW engage within usual services, order inform strategies improve access BPTs. Qualitative interviews were conducted two workforces: volunteer (i.e., salud) (n = 14), who part a community-embedded network, paid support partners, home visitors) 9) embedded agencies. Participants predominately (79%) female (96%). analyses revealed three primary themes related used by care: 1.) Building Trust, 2.) Empowerment, 3.) Increasing Access. Although majority sub-themes consistent across workforces, agency-embedded often discussed having means provide resources through organizations, whereas acting bridge services providing information conducting outreach. Findings implications partnering increase equity

Язык: Английский

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Community providers’ experiences with evidence-based practices: The role of therapist race/ethnicity.

Cultural Diversity & Ethnic Minority Psychology, Год журнала: 2020, Номер 27(3), С. 471 - 482

Опубликована: Май 11, 2020

Objectives Examining therapists' experiences implementing evidence-based practices (EBPs) is fundamental to understanding how these interventions are perceived, adapted, and delivered in community settings. However, little known about racial/ethnic variation the of therapists serving minority youth their families. Through an innovative QUAN → qual mixed-methods approach, we examined differences perceptions, adaptations performed, client-engagement challenges largest county-operated department mental health United States. Method Surveys were completed by 743 (Latinx [44%], White [34%], other ethnic [22%]), most whom female (88%), master's level (85%), unlicensed (58%). A subset (n = 60) semistructured interviews. Results Latinx reported more positive EBPs, making encountering fewer than from groups. Qualitative analyses expanded on results, revealing that commonly described adapting EBPs terms language culture improve fit promote client engagement. Informed qualitative themes, a refined statistical model revealed ability deliver languages English might have accounted for therapist-reported EBP challenges. Conclusions The findings suggest In case therapists, bilingual/bicultural competence may facilitate ways reduce perceptions engagement with racially/ethnically diverse clients. (PsycInfo Database Record (c) 2020 APA, all rights reserved).

Язык: Английский

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Therapist Reports of EBP Client Engagement Challenges in Sessions with Diverse Youth and Families in Community Mental Health Settings

Child & Youth Care Forum, Год журнала: 2018, Номер 48(1), С. 55 - 75

Опубликована: Сен. 19, 2018

Язык: Английский

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Caregiver Attendance as a Quality Indicator in the Implementation of Multiple Evidence-Based Practices for Children

Journal of Clinical Child & Adolescent Psychology, Год журнала: 2019, Номер 49(6), С. 868 - 882

Опубликована: Дек. 4, 2019

Objective: This study investigated a quality indicator for children's mental health, caregiver attendance in youth psychotherapy sessions, within system-driven implementation of multiple evidence-based practices (EBPs) community health services. Method: Administrative claims from nine fiscal years were analyzed to characterize and predict attendance. Data included characteristics therapists (n = 8,626), clients 134,368), sessions (e.g., individual, family), the EBP delivered. Clients primarily Latinx (63%), male (54%) mean age was 11; they presented with range problems. Three-level mixed models conducted examine association between therapist, youth, service, Results: Caregivers attended, on average, 46.0% per client full sample 59.6% who clinically indicated, based presenting problem, receive caregiver-focused treatment. Following initial implementation, proportion increased over time. attended higher when younger, had an externalizing disorder, non-Hispanic White, male. Further, proportions occurred services delivered clinic setting (compared school other settings), by bilingual therapists, prescribed all sessions. Conclusions: Overall, patterns appear consistent evidence-informed practice parameters problem age. Yet, several improvement targets emerged such as racial/ethnic background service setting. Potential reasons these disparities are discussed.

Язык: Английский

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Examining ethnic disparities in provider and parent in-session participation engagement

Journal of Children s Services, Год журнала: 2017, Номер 12(1), С. 47 - 58

Опубликована: Март 20, 2017

Well-documented ethnic disparities exist in the identification and provision of quality services among children receiving community-based mental health services. These extend to parent treatment engagement, an important component effective Currently, little is known about differences how providers support parents' participation degree which parents actively participate it. The purpose this paper examine potential both provider in-session behaviours.Participants included 17 providing standard for 18 parent-child dyads, with 44 per cent dyads self-identifying as Hispanic/Latino. In-session was measured engagement child psychotherapy therapist alliance, collaboration, empowerment strategies observational coding systems.Overall, results indicate significantly lower levels behaviours Hispanic/Latino families compared their Non-Hispanic/Non-Latino counterparts. No significant were seen providers' across families.These findings contribute literature on by utilising measures suggest that further investigation warranted documenting understanding treatment.This contributes evaluation through demonstrating utility system a measure engagement.

Язык: Английский

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Community Therapist Reports of Client Engagement Challenges During the Implementation of Multiple EBPs in Children’s Mental Health

Evidence-Based Practice in Child and Adolescent Mental Health, Год журнала: 2018, Номер 3(3), С. 197 - 212

Опубликована: Апрель 6, 2018

This study investigated therapist reports of client engagement challenges in delivering evidence-based practices (EBPs), within the context a large-scale implementation multiple children's mental health services. Data were drawn from an online survey 668 therapists (88% female, 35.0% Non-Hispanic White). The majority (75.4%) endorsed at least one challenge during their EBP with identified over previous two months. Two types distinct correlates but similar overall frequencies could be readily differentiated – Expressed Client Concerns and Limited Engagement therapy activities. more commonly reported for clients externalizing problems by higher emotional exhaustion negative perceptions specific being delivered, whereas Hispanic/Latino less likely to report Engagement. In contrast, positive general attitudes towards EBPs, among parent training EBP. not linked therapists' self-reported ability carry out target client. Findings suggest that are frequent delivery may impact differently based on whether they relate engaging activities versus addressing concerns raised

Язык: Английский

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