Abstract

This research uses available data from a unique longitudinal study of primary care to operationalize the Network-Episode Model of access to child mental health services (Costello et al., 1998). The research 1) describes through latent class analysis how structural family characteristics, family functioning, and help seeking create the construct of family networks, which may influence the parent and provider recognition of youth mental health need, 2) explain what primary care provider characteristics are related to the recognition of youth mental health needs, and 3) relate family networks and provider characteristics to the delivery and outcomes of mental health services within primary care. The family and provider participants are socioeconomically and geographically diverse. The instrumentation used to measure recognition of mental health needs accounts for symptoms, functional impairment, and burden. Prospective longitudinal methods are used to assess service delivery and outcomes. Methods include latent class analysis, generalized estimating equations, and survival analysis. This research will potentially impact clinical practice, guide future research, and be useful for the design of interventions to increase access to youth mental health services.

  Funding Agency

Agency
National Institute of Health (NIH)
Institute
National Institute of Mental Health (NIMH)
Type
Predoctoral Individual National Research Service Award (F31)
Project #
1F31MH075531-01
Application #
6998683
Study Section
Special Emphasis Panel (ZMH1-ERB-I (06))
Program Officer
Light, Enid
Project Start
2005-07-25
Project End
2007-07-24
Budget Start
2005-07-25
Budget End
2006-07-24
Support Year
1
Fiscal Year
2005
Total Cost
$43,536
Indirect Cost

  Institution

Name
Johns Hopkins University
Department
Other Health Professions
Type
Schools of Public Health
DUNS #
001910777
City
Baltimore
State
MD
Country
United States
Zip Code
21218

  Publications

Wissow, Lawrence; Gadomski, Anne; Roter, Debra et al. (2011) Aspects of mental health communication skills training that predict parent and child outcomes in pediatric primary care. Patient Educ Couns 82:226-32
Brown, Jonathan D; Wissow, Lawrence S (2009) Discussion of sensitive health topics with youth during primary care visits: relationship to youth perceptions of care. J Adolesc Health 44:48-54
Wissow, Lawrence Sagin; Gadomski, Anne; Roter, Debra et al. (2008) Improving child and parent mental health in primary care: a cluster-randomized trial of communication skills training. Pediatrics 121:266-75
Brown, Jonathan D; Wissow, Lawrence S (2008) Discussion of maternal stress during pediatric primary care visits. Ambul Pediatr 8:368-74
Brown, Jonathan D; Wissow, Lawrence S (2008) Disagreement in parent and primary care provider reports of mental health counseling. Pediatrics 122:1204-11
Brown, Jonathan D; Wissow, Lawrence S; Riley, Anne W (2007) Physician and patient characteristics associated with discussion of psychosocial health during pediatric primary care visits. Clin Pediatr (Phila) 46:812-20
Brown, Jonathan D; Riley, Anne W; Wissow, Lawrence S (2007) Identification of youth psychosocial problems during pediatric primary care visits. Adm Policy Ment Health 34:269-81
Brown, Jonathan D; Wissow, Lawrence S; Zachary, Ciara et al. (2007) Receiving advice about child mental health from a primary care provider: African American and Hispanic parent attitudes. Med Care 45:1076-82
Brown, Jonathan D; Wissow, Lawrence S; Gadomski, Anne et al. (2006) Parent and teacher mental health ratings of children using primary-care services: interrater agreement and implications for mental health screening. Ambul Pediatr 6:347-51