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Unique system of care issues and challenges in serving children under age 3 and their families

Karen Moran Finello1, Marie Kanne Poulsen

  • 1Keck School of Medicine, University Center for Excellence in Developmental Disabilities, University of Southern California, Children's Hospital, Los Angeles, CA 90027, USA. kfinello@chla.usc.edu

American Journal of Community Psychology
|July 29, 2011
PubMed

Insights

Improving early childhood mental health requires system changes focusing on the whole family. Addressing barriers like stigma and funding is crucial for comprehensive infant-family services.

Area of Science:

  • Child and Adolescent Psychiatry
  • Public Health Policy
  • Early Childhood Education

Background:

  • Young children (under three) have unique mental health needs.
  • Risk and resiliency factors influence infant-family mental health.
  • Existing systems often fail to meet these comprehensive needs.

Purpose of the Study:

  • To identify necessary system modifications for infant-family mental health.
  • To examine barriers within early childhood systems of care.
  • To propose recommendations for community and federal implementation.

Main Methods:

  • Analysis of system barriers in early childhood care.
  • Review of risk and resiliency factors.
  • Development of recommendations for system enhancement.

Main Results:

  • Identified key barriers: stigma, referral issues, diagnostic challenges, family engagement, funding, workforce, and evaluation.
  • Highlighted the necessity of a whole-family, community-based approach.
  • Emphasized the importance of addressing risk and resiliency.

Conclusions:

  • Systemic changes are essential to improve mental health services for children under three.
  • A comprehensive, coordinated infant-family mental health system is required.
  • Recommendations target community and federal levels for effective implementation.

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