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The CUIDAR Early Intervention Parent Training Program for Preschoolers at Risk for Behavioral Disorders: An
Kimberley D Lakes1, Ryan J Kettler, Janeth Schmidt
1University of California, Irvine.
Insights
The CUIDAR model improves access to mental health services for low-income, minority families, showing higher usage and satisfaction. Services in Spanish further increased attendance among Latino families.
Area of Science:
- Child and Adolescent Psychiatry
- Health Services Research
- Health Disparities
Background:
- Significant mental health disparities exist, with high-need children and families underutilizing available services.
- Limited research has focused on effective service delivery models to address this underuse.
- Community-based interventions are crucial for equitable access to mental health care.
Purpose of the Study:
- To evaluate the Children's Hospital of Orange County (CHOC)/University of California, Irvine (UC Irvine) Initiative for the Development of Attention and Readiness (CUIDAR) model.
- To assess the CUIDAR model's effectiveness in reducing disparities in service access and use among underserved populations.
- To determine the impact of the CUIDAR model on child behavior problems.
Main Methods:
- A community-based study involving 169 self-referred, low-income, and predominantly minority families.
- Comparison of the CUIDAR model's accessibility and usage against local, publicly funded mental health services.
- Analysis of attendance rates, particularly for services provided in Spanish to Latino families.
- Parental self-report measures for child behavior problems and program satisfaction.
Main Results:
- The CUIDAR model demonstrated greater accessibility and equitable use among minority families compared to traditional public mental health services.
- Spanish-language service delivery significantly increased attendance rates among Latino families.
- Parents reported substantial improvements in overall child difficulties and conduct problems.
- High levels of parent satisfaction with the CUIDAR program were reported.
Conclusions:
- The CUIDAR service delivery model is effective in reducing mental health service disparities for low-income, minority children and families.
- Culturally and linguistically tailored services enhance engagement and utilization.
- The CUIDAR model shows promise for improving child behavior outcomes and family satisfaction in community settings.
Abstract:
Researchers report mental health disparities that indicate that children and families with the highest need for services often are less likely to use them. Only a few investigators have focused on service delivery models to address underuse of services. This study examines the Children's Hospital of Orange County (CHOC)/University of California, Irvine (UC Irvine) Initiative for the Development of Attention and Readiness (CUIDAR) model of service delivery in reducing disparities in access to and use of services and in decreasing child behavior problems in a community-based study with 169 self-referred, low-income, and predominantly minority families. The findings indicate that among minority families, CUIDAR is both more accessible and more equitably used than local, publicly funded mental health services. Among Latinos, attendance rates are higher when services are provided in Spanish. Parents report significant improvements in overall child difficulty and conduct problems. In addition, parents report high levels of satisfaction with the program.
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