Mental Health Problems in Young Children Investigated by U.S. Child Welfare Agencies
Mental Health Problems in Young Children Investigated by U.S. Child Welfare Agencies
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DOI：
10.1016/j.jaac.2012.03.006
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发表时间：
2012-06-01
影响因子：
13.3
通讯作者：
Stein, Ruth E. K.
中科院分区：
文献类型：
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作者：
Horwitz, Sarah McCue;Hurlburt, Michael S.;Stein, Ruth E. K.
目的：调查曾接受虐待调查的 12 至 36 个月大儿童的心理健康 (MH) 问题和服务使用的患病率/预测因素。方法：数据来自第二次全国儿童和青少年福祉调查 (NSCAW II)，这是一项针对美国儿童福利机构的 0 至 17.5 岁青少年的纵向研究。这些分析涉及 1117 名 12 至 36 个月大的儿童。收集了儿童和照顾者的社会人口统计、社会服务、发育和健康数据。结果是针对 12 至 18 个月大婴儿的简短婴幼儿社会和情绪评估量表 (BITSEA) 以及针对 19 至 36 个月大婴儿的儿童行为检查表 (CBCL) 的临床截止分数。结果：总体而言，34.6% 的 12 至 18 个月婴儿在 BITSEA 问题量表上得分较高，20.9% 在能力量表上得分较高，而 10.0% 的 19 至 36 个月婴儿在 CBCL 临床临界值上得分较高。黑人儿童在 BITSEA 问题量表上得分较高的可能性较小，而与未婚照顾者住在一起的儿童得分较高的可能性是其五倍。能力问题与之前的儿童福利史有关。 CBCL 分数升高与与抑郁的照顾者一起生活有关。发现 MH 问题的儿童（2.2%）很少接受 MH 服务。当我们添加可能与儿童问题治疗相关的育儿技能培训时，19.2% 的人接受了服务。结论：可识别的 MR 问题很常见，但很少有儿童接受针对这些问题的服务。这些年幼、面临多重挑战的儿童缺乏服务是服务系统和社会政策的失败。 J. Am.阿卡德。儿童青少年。精神病学，2012；51(6)：572-581。
Objective: To examine the prevalence/predictors of mental health (MH) problems and services use in 12- to 36-month-old children who had been investigated for maltreatment. Method: Data came from the second National Survey of Child and Adolescent Well-Being (NSCAW II), a longitudinal study of youth ages 0 to 17.5 years referred to U.S. child welfare agencies. These analyses involved 1117 children 12 to 36 months of age. Sociodemographic, social services, developmental and health data were collected on the children and caregivers. Outcomes were scores over the clinical cutoffs on the Brief Infant Toddler Social and Emotional Assessment (BITSEA) Scales for 12- to 18-month-olds and the Child Behavior Checklist (CBCL) for 19- to 36-month-olds. Results: In all, 34.6% of 12 to 18 month-olds scored high on the Problem Scale of the BITSEA, and 20.9% on the Competence Scale, whereas 10.0% of 19- to 36-month-olds scored over the CBCL clinical cut-off. Children of black ethnicity were less likely to have elevated scores on the BITSEA Problem Scale, whereas children who lived with a never-married caregiver were five times more likely to have elevated scores. Competence problems were associated with prior child welfare history. Elevated CBCL scores were associated with living with a depressed caregiver. Few children with identified MH problems, 2.2%, received an MH service. When we added parenting skills training that might be related to the treatment of child problems, 19.2% received a service. Conclusions: Identifiable MR problems are common, but few children receive services for those problems. The lack of services received by these young, multi-challenged children is a services systems and social policy failure. J. Am. Acad. Child Adolesc. Psychiatry, 2012;51(6):572-581.