A model of integrated health care in a poverty-impacted community in New York City: Importance of early detection and addressing potential barriers to intervention implementation

Soc Work Health Care. 2016 Apr;55(4):314-27. doi: 10.1080/00981389.2015.1137256. Epub 2016 Apr 12.

Abstract

Disruptive behavior disorders (DBDs) are chronic, impairing, and costly behavioral health conditions that are four times more prevalent among children of color living in impoverished communities as compared to the general population. This disparity is largely due to the increased exposure to stressors related to low socioeconomic status including community violence, unstable housing, under supported schools, substance abuse, and limited support systems. However, despite high rates and greater need, there is a considerably lower rate of mental health service utilization among these youth. Accordingly, the current study aims to describe a unique model of integrated health care for ethnically diverse youth living in a New York City borough. With an emphasis on addressing possible barriers to implementation, integrated models for children have the potential to prevent ongoing mental health problems through early detection and intervention.

Keywords: Child mental health; early detection and treatment; integrated care pathway.

MeSH terms

  • Adolescent
  • Attention Deficit and Disruptive Behavior Disorders* / diagnosis
  • Attention Deficit and Disruptive Behavior Disorders* / economics
  • Attention Deficit and Disruptive Behavior Disorders* / therapy
  • Black or African American
  • Child
  • Child, Preschool
  • Community Mental Health Services / methods*
  • Delivery of Health Care, Integrated / methods*
  • Female
  • Health Services Accessibility*
  • Hispanic or Latino
  • Humans
  • Male
  • New York City
  • Poverty
  • Professional-Family Relations
  • Program Development
  • Psychiatric Status Rating Scales