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Community factors supporting child mental Health.

F Earls1

  • 1Harvard Medical School, Cambridge, Massachusetts, USA. felton_earls@hms.harvard.edu

Child and Adolescent Psychiatric Clinics of North America
|October 9, 2001
PubMed
Summary

Bridging the gap between child mental health research and practice requires integrating community context. Effective interventions demand interdisciplinary approaches and sustained efforts to combat poverty and enhance civic engagement for child well-being.

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Area of Science:

  • Child and adolescent mental health research.
  • Community psychology and sociology.
  • Interdisciplinary approaches to child well-being.

Background:

  • The gap between child mental health research and practice is examined, focusing on community factors.
  • Definitions of community are expanded to include social aggregates beyond race, ethnicity, or social class.
  • Disciplinary boundaries in child health are blurring, with psychology and sociology forming comprehensive designs sensitive to community context.

Purpose of the Study:

  • To examine the gap between research and practice in child mental health concerning community factors.
  • To highlight the importance of interdisciplinary collaboration and community-based research.
  • To advocate for a re-examination of historical approaches in child psychiatry.

Main Methods:

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  • Review of community-based research projects with implications for child mental health assessment and interventions.
  • Examples include Healthy Start, CATCH, North Carolina's Smart Start, and the Search Institute's developmental assets program.
  • Utilized research from the Prevention and Treatment of Childhood Disorders through Community Networks (PHDCN) as an example.

Main Results:

  • Community-based programs like Healthy Start and CATCH demonstrate the effectiveness of grassroots involvement.
  • Initiatives such as Smart Start and developmental assets provide a foundation for capacity building in assessment and intervention.
  • Research must incorporate the social ecology of the child for accurate assessment and effective interventions.

Conclusions:

  • Child mental health research is flawed by not adequately incorporating the child's social ecology.
  • Civic engagement is critical for community efforts to improve child health and well-being, irrespective of socioeconomic status.
  • Intensive, sustained efforts are needed to eradicate poverty and reduce economic disparity to support child well-being.