The Role of Quality Service Systems in Involving Families in Mental Health Treatment for Children with Severe Emotional Disturbances.
The Role of Quality Service Systems in Involving Families in Mental Health Treatment for Children with Severe Emotional Disturbances.
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DOI：
10.1177/1063426611398876
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发表时间：
2012-12
影响因子：
1.9
通讯作者：
Heflinger CA
中科院分区：
文献类型：
--
作者：
Mayberry LS;Heflinger CA
事实证明，家庭参与心理健康治疗的规划和执行对儿童的结果产生积极影响;然而，家庭的参与程度存在很大差异。本研究探讨了儿童、家庭照顾者、服务系统和社区因素对严重情绪障碍儿童（SED）心理健康治疗中家庭参与水平的影响。虽然以前在这方面的工作主要集中在家庭和儿童的特点，目前的研究增加了知识基础，还探讨了与服务质量相关的因素，可能会影响家庭的参与程度。目前的研究是对密西西比和田纳西州医疗补助影响研究现有数据的二次分析，该研究使用了对父母的深入采访和案例审查评级。在密西西比和田纳西州接受医疗补助的136名儿童和青少年的心理健康治疗是本研究的重点，在研究开始时评估儿童和照顾者的特征，并在研究开始后6个月评定服务系统因素。多元回归分析的结果显示，服务提供系统的质量对家庭参与水平的影响最大。结果表明，家庭参与的水平可能与照顾者的健康，或其他家庭特征，更多地与服务提供系统的质量。
Family involvement in the planning and execution of mental health treatment has been shown to positively influence child outcomes; however, there is wide variability in the levels of involvement by families. The current study investigated the influence of child, family caregiver, service system, and community factors on the level of family involvement in the mental health treatment of children with severe emotional disturbances (SED). While prior work in this area has primarily focused on family and child characteristics, the current study adds to the knowledge base by also exploring factors associated with the quality of service delivery that may influence levels of family involvement. The current study is a secondary analysis of existing data from the Impact Study of Medicaid in Mississippi and Tennessee that used in-depth interviews with parents and case review ratings. One hundred thirty-six children and adolescents who received Medicaid coverage for mental health treatment in Mississippi and Tennessee were the focus of this study that assessed child and caregiver characteristics at the beginning of the study and rated service system factors six-month after the study began. Results of the multiple regression analysis revealed the quality of the service delivery system had the most influence on level of family involvement. Results suggest that levels of family involvement may have less to do with caregiver health, or other family characteristics, and more to do with the quality of the service delivery system.