Abstract
Understanding early childhood mental health service utilization in community-based clinical settings is important. Project Linking Actions for Unmet Needs in Children’s Health (Project LAUNCH) provided mental health-related services for young children and families within pediatric medical homes. Using data from the Project LAUNCH evaluation (n = 106), we implemented negative binomial regression models to determine if baseline variables were associated with service utilization, defined as the number of encounters between the family and the team. Past-year homelessness emerged as a significant predictor of service utilization. Encounters for families with children who experienced homelessness within the last 12 months occurred at a rate 34.5% lower than those who had not experienced homelessness. Results highlight the importance of addressing homelessness as a barrier to mental health service utilization for families. Screening for recent housing insecurity and developing interventions that integrate housing support services into mental health programs may inform strategies to increase attendance for families with young children.
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Acknowledgements
Project Linking Actions for Unmet Needs in Children’s Health (Project LAUNCH) was an initiative of the Massachusetts Department of Public Health and the Boston Public Health Commission. The evaluation study was carried out by the Institute for Health Equity and Social Justice Research at Northeastern University, Boston, MA. The authors of this paper would like to acknowledge the families who participated in Project LAUNCH, the staff and leadership, the partnering primary care practices, and the Massachusetts Partnership for Early Childhood Mental Health (ECMHMatters.org).
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Project LAUNCH was funded by the U.S. Substance Abuse and Mental Health Services Administration (SAMHSA), (Grant Number 1H79SM059334).
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SSN, LZ, and BEM conceptualized this paper. Preliminary data cleaning was performed by SSN and LZ. Data analysis was carried out by TC. LZ, SSN and TC wrote the original draft of the manuscript. KR, LMP, CM, MA, DM, and BEM revised the manuscript. BEM provided supervision for the research team. All authors read and approved the final manuscript.
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Nayak, S.S., Carpenito, T., Zamechek, L. et al. Predictors of Service Utilization of Young Children and Families Enrolled in a Pediatric Primary Care Mental Health Promotion and Prevention Program. Community Ment Health J 58, 1191–1206 (2022). https://doi.org/10.1007/s10597-021-00929-z
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DOI: https://doi.org/10.1007/s10597-021-00929-z