Comparing Early-Childhood and School-Aged Systems of Care for Children with Emotional and Behavioral Difficulties : Risk, Symptom Presentation, and Outcomes
OBJECTIVES: Most large-scale evaluations of systems of care (SOCs) have focused on school-aged populations, with limited research examining early childhood SOCs. As a result, little is known about how risk profiles, symptom presentation, and outcomes may vary between early childhood and school-aged SOC participants. This descriptive study uses data from two SOCs-an early childhood SOC (EC-SOC) and a school-aged SOC (SA-SOC)-to examine the differences across age groups in how children and families present to SOCs and the extent to which risk factors and symptoms change over six months of enrollment.
METHOD: Participants were 184 children in the EC-SOC (m age = 3.91) and 142 children in the SA-SOC (m age = 9.36). Families completed measures assessing risk factors and functioning at enrollment and at six-month follow up. Descriptive analyses measured the presence of risk factors and symptoms at enrollment and follow-up. Correlations were computed to determine the associations between symptom measures.
RESULTS: Results identified areas of similarity and difference between families presenting for SOCs at different developmental stages. Younger children experienced greater behavioral problems (Hedge's g = 0.52, p < 0.001) with more associated caregiver stress (Hedge's g range = 0.34-0.62, p < 0.01) and strain (Hedge's g = 0.34, p = 0.005). Trauma was more strongly associated with child and caregiver symptoms among younger children. Greater change in symptom measures was observed for the EC-SOC.
CONCLUSIONS: Findings highlight the importance of providing services in early childhood and provide guidance for SOC service provision at different ages.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2019 |
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| Erschienen: |
2019 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:28 |
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| Enthalten in: |
Journal of child and family studies - 28(2019), 8 vom: 05. Aug., Seite 2312-2325 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Schreier, Alayna [VerfasserIn] |
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| Links: |
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| Themen: |
Early childhood |
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| Anmerkungen: |
Date Revised 25.04.2022 published: Print-Electronic Citation Status PubMed-not-MEDLINE |
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| doi: |
10.1007/s10826-019-01447-z |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM328795399 |
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| 500 | |a Date Revised 25.04.2022 | ||
| 500 | |a published: Print-Electronic | ||
| 500 | |a Citation Status PubMed-not-MEDLINE | ||
| 520 | |a OBJECTIVES: Most large-scale evaluations of systems of care (SOCs) have focused on school-aged populations, with limited research examining early childhood SOCs. As a result, little is known about how risk profiles, symptom presentation, and outcomes may vary between early childhood and school-aged SOC participants. This descriptive study uses data from two SOCs-an early childhood SOC (EC-SOC) and a school-aged SOC (SA-SOC)-to examine the differences across age groups in how children and families present to SOCs and the extent to which risk factors and symptoms change over six months of enrollment | ||
| 520 | |a METHOD: Participants were 184 children in the EC-SOC (m age = 3.91) and 142 children in the SA-SOC (m age = 9.36). Families completed measures assessing risk factors and functioning at enrollment and at six-month follow up. Descriptive analyses measured the presence of risk factors and symptoms at enrollment and follow-up. Correlations were computed to determine the associations between symptom measures | ||
| 520 | |a RESULTS: Results identified areas of similarity and difference between families presenting for SOCs at different developmental stages. Younger children experienced greater behavioral problems (Hedge's g = 0.52, p < 0.001) with more associated caregiver stress (Hedge's g range = 0.34-0.62, p < 0.01) and strain (Hedge's g = 0.34, p = 0.005). Trauma was more strongly associated with child and caregiver symptoms among younger children. Greater change in symptom measures was observed for the EC-SOC | ||
| 520 | |a CONCLUSIONS: Findings highlight the importance of providing services in early childhood and provide guidance for SOC service provision at different ages | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Early childhood | |
| 650 | 4 | |a Family risk factors | |
| 650 | 4 | |a School-aged | |
| 650 | 4 | |a Systems of care | |
| 650 | 4 | |a Youth outcomes | |
| 700 | 1 | |a Kaufman, Joy S |e verfasserin |4 aut | |
| 700 | 1 | |a Crusto, Cindy A |e verfasserin |4 aut | |
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