Not exact matches
«Now, whether companies have
used money that funded other benefits such as maternity and
parental leave, and the likes, and put it into
health care programs instead, we can't be sure.»
• Provide
parental support and guidance regarding dealing with child behavioral issues • Locate and direct families to community services as needed • Arrange foster
care for children of displaced or disturbed families as and when needed • Conduct initial home visits and monitor family
health using COPA system
Learn strategies
used for engaging the
health care system to recognize the impact of
parental mental illness on their system
These programs include the Nurse Family Partnership, 16,17 Healthy Families America, 18,19 Healthy Start, 20,21 Early Head Start, 22,23 the Comprehensive Child Development Program, 24 — 26 and Early Start.27, 28 All of these programs have been evaluated by
using randomized control designs but findings from these trials have been mixed, with some programs showing benefits and others failing to show benefits.29, 30 In a recent review, Howard and Brooks - Gunn30 found that home - visiting programs had reported benefits for a number of outcomes, including child abuse, child
health care, quality of home environment, parenting,
parental depression, and childhood cognitive skills.
The Healthy Steps for Young Children program (HS) was designed to support families of young children
using a new type of
health care provider, the HS specialist (HSS), in a practice - based intervention.1 The HS consists of risk reduction activities and universal components, including developmental screening, anticipatory guidance, and follow - up services, offered to all families receiving
care.2 - 5 Expected benefits of HS include improved
parental promotion of child development, 6 parenting practices, child development, and
health care utilization.
Perinatal depression may be comorbid with marital discord, divorce, family violence (verbal and / or physical), substance
use and abuse, child abuse and neglect, failure to implement the injury - prevention components from anticipatory guidance (eg, car safety seats and electrical plug covers), 10 failure to implement preventive
health practices for the child (eg, Back to Sleep), 10, — , 13 and difficulty managing chronic
health conditions such as asthma or disabilities in the young child.11, 14 Families with a depressed parent (ie, any
parental depression) overutilize
health care and emergency facilities.14 Studies of families of a person with major depression that began before 30 years of age demonstrate that the parent, siblings, and children are 3 to 5 times more likely to have major depression themselves.
The feasibility of gathering
health and social
care use and
parental health - related quality of life will be explored
using a bespoke Client Service Receipt Inventory (CSRI) 35 and the EuroQol 5 Dimensions 5 Level Survey (EQ - 5D - 5L).36 These measures have been previously
used in cost - effectiveness studies of the IY parent programmes.37, 38
The trial will also allow exploratory analyses of the effectiveness of the IY - ASLD programme compared with the control condition as well as the economic costs, including intervention set - up, delivery costs, participant
health and social
care service
use, and
parental health - related quality of life.
Using longitudinal, multi-informant data from the National Institute of Child
Health and Human Development Study of Early Child
Care and Youth Development, the present study tested associations between trajectories of
parental and child depressive symptoms from ages 11 to 15 years.
My expertise in the attachment system comes from both my background in early childhood mental
health, which is the period of active formative processes in the attachment system (although we
use the patterns of the attachment system throughout our lives), and from also applying this attachment - related information directly with children in the foster
care system who were the victims of
parental abuse and neglect that created a variety of severe distortions with their attachment system.
The second most common cause for entry into foster
care system nationwide,
parental substance
use disorder consistently jeopardizes child
health and safety.
Greater
parental support was associated with increased rates of nonemergency
care and a higher ratio of outpatient to ER services, a pattern typically reflecting better
health and effective
use of
health services (Starfield et al., 2005).
Given that parents play a critical role in children's
health and pediatric
care, a large body of research dating back at least to the 1970's (e.g., Mechanic, 1980) has focused on
parental characteristics and behavior to help explain variations in children's
health care use.
Some important and unique features of the present study include the inclusion of early
health care usage within a developmental conceptual framework,
use of comprehensive government
health care records to ensure systematic reporting, and inclusion of both parent and child
health care records to control for
parental patterns of
health care use and common factors, which affect both parent's and child's
health.
However, it is possible that little
parental consistency and organization are actually required to provide appropriate
health care when children's
health problems warrant medical attention, such that
parental structuring would not neatly translate to rates of service
use.
Results Greater
parental support was associated with increased rates of nonemergency
care and a higher ratio of outpatient to emergency room (ER) services, a pattern reflecting better
health and service
use.