Abstract
Mental health interventions for infants typically target high-risk groups and can prevent long-term negative outcomes. Despite federal initiatives promoting early intervention, minimal research has examined usual care services for infants, which is important to improve routine care. The current study characterized usual care practices in infant mental health through the adaptation and administration of a provider survey. Providers (n = 126) reported using a wide range of intervention strategies and few intervention programs with varied evidence. Findings can inform future research to identify quality improvement targets of usual mental health care for high-risk infants and their families.
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Notes
Quality of research ratings included in the current discussion were based on child outcomes in studies including children aged 0–5 years and averaged, when more than one study was included.
References
Aarnoudse-Moens, C. S. H., Weisglas-Kuperus, N., van Goudoever, J. B., & Oosterlaan, J. (2009). Meta-analysis of neurobehavioral outcomes in very preterm and/or very low birth weight children. Pediatrics, 124(2), 717–728. https://doi.org/10.1542/peds.2008-2816.
Avellar, S., Paulsell, D., Sama-Miller, E., Del Grosso, P., Akers, L., & Kleinman, R. (2016). Home Visiting Evidence of Effectiveness Review: Executive Summary. Washington DC: Office of Planning, Research and Evaluation, Administration for Children and Families, U.S. Department of Health and Human Services.
Bagner, D. M., & Eyberg, S. M. (2007). Parent-child interaction therapy for disruptive behavior in children with mental retardation: a randomized controlled trial. Journal of Clinical Child and Adolescent Psychology, 53(3), 418–429. https://doi.org/10.1080/15374410701448448. 36 ) .
Bagner, D. M., & Graziano, P. A. (2013). Barriers to success in parent training for young children with developmental delay: The Role of cumulative risk. Behavior Modification, 37(3), 356–377. https://doi.org/10.1177/0145445512465307.
Baker, B. L., Blacher, J., Crnic, K. A., & Edelbrock, C. (2002). Behavior problems and parenting stress in families of three-year-old children with and without developmental delays. American Journal of Mental Retardation: AJMR, 107(6), 433–444. https://doi.org/10.1352/0895-8017(2002)107<0433:BPAPSI>2.0.CO;2
Bearsley-Smith, C., Sellick, K., Chesters, J., & Francis, K. (2008). Treatment content in child and adolescent mental health services: Development of the treatment recording sheet. Administration and Policy in Mental Health and Mental Health Services Research, 35(5), 423–435. https://doi.org/10.1007/s10488-008-0184-9.
Bickman, L. (2000). The most dangerous and difficult question in mental health services research. Mental Health Services Research, 2(2), 71–72.
Blackman, J. A. (2002). Early intervention: A global perspective. Infants and Young Children, 15(2), 11–19.
Borntrager, C. F., Chorpita, B. F., Orimoto, T., Love, A., & Mueller, C. W. (2013). Validity of clinician’s self-reported practice elements on the monthly treatment and progress summary. Journal of Behavioral Health Services & Research, 42(3), 367–382. https://doi.org/10.1007/s11414-013-9363-x.
Bowden, A., Fox-Rushby, J. A., Nyandieka, L., & Wanjau, J. (2002). Methods for pre-testing and piloting survey questions: illustrations from the KENQOL survey of health-related quality of life. Health Policy and Planning, 17(3), 322–330. https://doi.org/10.1093/heapol/17.3.322.
Brookman-Frazee, L., Haine, R. A., Baker-Ericzén, M., Zoffness, R., & Garland, A. F. (2010). Factors associated with use of evidence-based practice strategies in usual care youth psychotherapy. Administration and Policy in Mental Health and Mental Health Services Research, 37(3), 254–269.
Burke, J. D., Loeber, R., & Birmaher, B. (2002). Oppositional defiant disorder and conduct disorder: A review of the past 10 years, part II. Journal of the American Academy of Child & Adolescent Psychiatry, 41(11), 1275–1293. https://doi.org/10.1097/01.CHI.0000024839.60748.E8.
Chirdkiatgumchai, V., Xiao, H., Fredstrom, B. K., Adams, R. E., Epstein, J. N., Shah, S. S., & Froehlich, T. E. (2013). National trends in psychotropic medication use in young children: 1994–2009. Pediatrics, 132(4), 615–623.
Chorpita, B. F., & Daleiden, E. L. (2009). Mapping evidence-based treatments for children and adolescents: application of the distillation and matching model to 615 treatments from 322 randomized trials. Journal of Consulting and Clinical Psychology, 77(3), 566–579. https://doi.org/10.1037/a0014565.
Dillman, D. A., Smyth, J. D., & Christian, L. M. (2014). Internet, Phone, Mail, and Mixed-Mode Surveys: The Tailored Design Method. Wiley. Retrieved from https://books.google.com/books?hl=en&lr=&id=W5I_BAAAQBAJ&pgis=1.
Dishion, T. J., Shaw, D., Connell, A., Gardner, F., Weaver, C., & Wilson, M. (2008). The family check-up with high-risk indigent families: Preventing problem behavior by increasing parents’ positive behavior support in early childhood. Child Development, 79(5), 1395–1414. https://doi.org/10.1111/j.1467-8624.2008.01195.x.
Dubow, E. F., & Luster, T. (1990). Adjustment of children born to teenage mothers: The contribution of risk and protective factors. Journal of Marriage and the Family, 52(2), (393–404).
Easterbrooks, M. A., Biesecker, G., & Lyons-Ruth, K. (2000). Infancy predictors of emotional availability in middle childhood: the roles of attachment security and maternal depressive symptomatology. Attachment & Human Development, 2(2), 170–187. https://doi.org/10.1080/14616730050085545.
Fashimpar, G. A. (2001). Problems of Parenting: Solutions of Science. Journal of Family Social Work, 5(2), 67–80. https://doi.org/10.1300/J039v05n02_06.
Fearon, R. P., Bakermans-Kranenburg, M. J., van IJzendoorn, M. H., Lapsley, A. M., & Roisman, G. I. (2010). The significance of insecure attachment and disorganization in the development of children’s externalizing behavior: A meta-analytic study. Child Development, 81(2), 435–456. https://doi.org/10.1111/j.1467-8624.2009.01405.x.
Frambach, R. T., & Schillewaert, N. (2002). Organizational innovation adoption: A multi-level framework of determinants and opportunities for future research. Journal of Business Research, 55(2), 163–176. https://doi.org/10.1016/S0148-2963(00)00152-1.
Garland, A. F., Bickman, L., & Chorpita, B. F. (2010a). Change what? Identifying quality improvement targets by investigating usual mental health care. Administration and Policy in Mental Health and Mental Health Services Research, 37(1–2), 15–26. https://doi.org/10.1007/s10488-010-0279-y.
Garland, A. F., Brookman-Frazee, L., Hurlburt, M. S., Accurso, E. C., Zoffness, R. J., Haine-Schlagel, R., & Ganger, W. (2010b). Mental health care for children with disruptive behavior problems: a view inside therapists’ offices. Psychiatric Services, 61(8), 788–795. https://doi.org/10.1176/appi.ps.61.8.788.
Garland, A. F., Hurlburt, M. S., Brookman-Frazee, L., Taylor, R. M., & Accurso, E. C. (2010c). Methodological challenges of characterizing usual care psychotherapeutic practice. Administration and Policy in Mental Health and Mental Health Services Research, 37(3), 208–220. https://doi.org/10.1007/s10488-009-0237-8.
Garland, A. F., Landsverk, J. L., Hough, R. L., & Ellis-MacLeod, E. (1996). Type of maltreatment as a predictor of mental health service use for children in foster care. Child Abuse & Neglect, 20(8), 675–688. https://doi.org/10.1016/0145-2134(96)00056-7.
Hawaii. (2008). CAMHD Provider Monthly Summary Instructions and Codebook. Retrieved July 1, 2013, from http://hawaii.gov/health/mental-health/camhd/library/pdf/paf/paf-001.pdf.
Hoagwood, K., & Kolko, D. J. (2009). Introduction to the special section on practice contexts: A glimpse into the nether world of public mental health services for children and families. Administration and Policy in Mental Health and Mental Health Services Research, 36(1), 35–36.
Huey, S. J., & Polo, A. J. (2008). Evidence-based psychosocial treatments for ethnic minority youth. Journal of Clinical Child and Adolescent Psychology, 37(1), 262–301. https://doi.org/10.1080/15374410701820174.
Hurlburt, M. S., Garland, A. F., Nguyen, K., & Brookman-Frazee, L. (2010). Child and Family Therapy Process: Concordance of Therapist and Observational Perspectives. Administration and Policy in Mental Health and Mental Health Services Research, 37(3), 230–244. https://doi.org/10.1007/s10488-009-0251-x.
Jensen-Doss, A., & Hawley, K. M. (2010). Understanding barriers to evidence-based assessment: clinician attitudes toward standardized assessment tools. Journal of Clinical Child and Adolescent Psychology, 39(6), 885–896. https://doi.org/10.1080/15374416.2010.517169.
Kolko, D. J. (2006). Commentary: studying usual care in child and adolescent therapy: it’s anything but routine. Clinical Psychology, 13(1), 47–52. https://doi.org/10.1111/j.1468-2850.2006.00005.x.
Lim, A., Nakamura, B. J., Higa-McMillan, C. K., Shimabukuro, S., & Slavin, L. (2012). Effects of workshop trainings on evidence-based practice knowledge and attitudes among youth community mental health providers. Behaviour Research and Therapy, 50(6), 397–406.
Llewellyn, G., McConnell, D., Honey, A., Mayes, R., & Russo, D. (2003). Promoting health and home safety for children of parents with intellectual disability: A randomized controlled trial. Research in Developmental Disabilities, 24(6), 405–431. https://doi.org/10.1016/j.ridd.2003.06.001.
Loeber, R., Green, S. M., Keenan, K., & Lahey, B. B. (1995). Which boys will fare worse? Early predictors of the onset of conduct disorder in a six-year longitudinal study. Journal of the American Academy of Child & Adolescent Psychiatry, 34(4), 499–509. https://doi.org/10.1097/00004583-199504000-00017.
Lunkenheimer, E. S., Dishion, T. J., Shaw, D. S., Connell, A. M., Gardner, F., Wilson, M. N., & Skuban, E. M. (2008). Collateral benefits of the Family Check-Up on early childhood school readiness: indirect effects of parents’ positive behavior support. Developmental Psychology, 44(6), 1737–1752. https://doi.org/10.1037/a0013858.
Macdonald, E., Mohay, H., Sorensen, D., Alcorn, N., McDermott, B., & Lee, E. (2005). Current delivery of infant mental health services: are infant mental health needs being met? Australasian Psychiatry: Bulletin of Royal Australian and New Zealand College of Psychiatrists, 13(4), 393–398. https://doi.org/10.1111/j.1440-1665.2005.02232.x.
Malik, N. M., Crowson, M. M., Lederman, C. S., & Osofsky, J. D. (2002). Evaluating maltreated infants, toddlers, and preschoolers in dependency court. Infant Mental Health Journal, 23(5), 576–592. https://doi.org/10.1002/imhj.10034.
McCabe, K., & Yeh, M. (2009). Parent-child interaction therapy for Mexican Americans: a randomized clinical trial. Journal of Clinical Child and Adolescent Psychology, 38(5), 753–759. https://doi.org/10.1080/15374410903103544.
McCabe, K., Yeh, M., Lau, A., & Argote, C. B. (2012). Parent-Child Interaction Therapy for Mexican Americans: Results of a Pilot Randomized Clinical Trial at Follow-up. Behavior Therapy, 43(3), 606–618. https://doi.org/10.1016/j.beth.2011.11.001.
McLeod, B. D., & Weisz, J. R. (2010). The therapy process observational coding system for child psychotherapy strategies scale. Journal of Clinical Child & Adolescent Psychology, 39(3), 436–443.
Mercer, J. (2013). Holding therapy: a harmful mental health intervention. Focus on Alternative and Complementary Therapies, 18(2), 70–76. https://doi.org/10.1111/fct.12024.
NREPP, National Registry of Evidence-based Programs and Practices. (2008). Active Parenting. (4th edn.). Retrieved April 10, 2016, from http://legacy.nreppadmin.net/ViewIntervention.aspx?id=110.
Nelson, T. D., & Steele, R. G. (2007). Predictors of practitioner self-reported use of evidence-based practices: Practitioner training, clinical setting, and attitudes toward research. Administration and Policy in Mental Health and Mental Health Services Research, 34(4), 319–330. https://doi.org/10.1007/s10488-006-0111-x.
Nicolaidis, C., Raymaker, D., McDonald, K., Dern, S., Ashkenazy, E., Boisclair, C., Baggs, A. (2011). Collaboration strategies in nontraditional community-based participatory research partnerships: lessons from an academic—community partnership with autistic self-advocates. Progress in Community Health Partnerships: Research, Education, and Action, 5(2), 143–150. https://doi.org/10.1353/cpr.2011.0022.
Olds, D. L. (2006). The nurse-family partnership: An evidence-based preventive intervention. Infant Mental Health Journal, 27(1), 5–25. https://doi.org/10.1002/imhj.20077.
Olds, D. L., Robinson, J., O’Brien, R., Luckey, D. W., Pettitt, L. M., Henderson, C. R., Talmi, A. (2002). Home visiting by paraprofessionals and by nurses: a randomized, controlled trial. Pediatrics, 110(3), 486–496.
Olds, D. L., Sadler, L., & Kitzman, H. (2007). Programs for parents of infants and toddlers: Recent evidence from randomized trials. Journal of Child Psychology and Psychiatry and Allied Disciplines, 48(3–4), 355–391. https://doi.org/10.1111/j.1469-7610.2006.01702.x.
Pitzer, M., Esser, G., Schmidt, M. H., & Laucht, M. (2010). Early predictors of antisocial developmental pathways among boys and girls. Acta Psychiatrica Scandinavica, 121(1), 52–64. https://doi.org/10.1111/j.1600-0447.2009.01411.x.
Rogers, E. M. (2010). Diffusion of Innovations (4th edn.). New York, NY: Simon and Schuster.
Sameroff, A. J. (1998). Environmental risk factors in infancy. Pediatrics, 102(5 Suppl E), 1287–1292. https://doi.org/10.1542/peds.102.5.SE1.1287.
Sanders, M. R., Prinz, R. J., & Shapiro, C. J. (2009). Predicting utilization of evidence-based parenting interventions with organizational, service-provider and client variables. Administration and Policy in Mental Health and Mental Health Services Research, 36(2), 133–143. https://doi.org/10.1007/s10488-009-0205-3.
Shaw, D., & Dishion, T. (2006). Randomized trial of a family-centered approach to the prevention of early conduct problems: 2-year effects of the family check-up in early childhood. Journal of Consulting and Clinical Psychology, 74, 1.
Shaw, D. S. (2015). The Long-Term Effectiveness of the Family Check-Up on School-Age Conduct Problems: Moderation by Neighborhood Deprivation. Development and Psychopathology, 33(2), 81–87. https://doi.org/10.1007/s13398-014-0173-7.2.
Shaw, D. S., Dishion, T. J., Supplee, L., Gardner, F., & Arnds, K. (2006). Randomized trial of a family-centered approach to the prevention of early conduct problems: 2-year effects of the family check-up in early childhood. Journal of Consulting and Clinical Psychology, 74(1), 1–9. https://doi.org/10.1037/0022-006X.74.1.1.
Shaw, D. S., Gilliom, M., Ingoldsby, E. M., & Nagin, D. S. (2003). Trajectories leading to school-age conduct problems. Developmental Psychology, 39(2), 189–200. https://doi.org/10.1037/0012-1649.39.2.189.
Shaw, D. S., Owens, E. B., Giovannelli, J., & Winslow, E. B. (2001). Infant and toddler pathways leading to early externalizing disorders. Journal of the American Academy of Child & Adolescent Psychiatry, 40(1), 36–43.
Sroufe, L. A., Carlson, E. A., Levy, A. K., & Egeland, B. (1999). Implications of attachment theory for developmental psychopathology. Development and Psychopathology, 11(1), 1–13. https://doi.org/10.1017/S0954579499001923.
Tymchuk, A. J., & Andron, L. (1992). Project parenting: Child interactional training with mothers who are mentally handicapped. Mental Handicap Research, 5(1), 4–32. https://doi.org/10.1111/j.1468-3148.1992.tb00168.x.
U.S. Department of Health and Human Services. (2015). Implementing Family Check-Up® For Children. Retrieved from https://homvee.acf.hhs.gov/Implementation/3/Family-Check-Up-For-Children-Implementation/9.
Waters, E., Hamilton, C. E., & Weinfield, N. S. (2000). The stability of attachment security from infancy to adolescence and early adulthood: General introduction. Child Development, 71(3), 678–683.
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Rodríguez, G.M., Garcia, D., Blizzard, A. et al. Characterizing Intervention Strategies Used in Community-Based Mental Health Care for Infants and Their Families. Adm Policy Ment Health 45, 716–730 (2018). https://doi.org/10.1007/s10488-018-0855-0
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DOI: https://doi.org/10.1007/s10488-018-0855-0