Diversity, equity, and inclusion considerations for anti-racist, equity-focused NICU family mental health
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Updated: Mar 18, 2026

Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale
Published on: August 25, 2014
Emily Echevarria1, Tonia Branche2, Emily R Miller3
1Department of Pediatrics, Division of Neonatology, Weill Cornell Medicine, New York, NY, USA.
Abstract:
Families with infants hospitalized in the neonatal intensive care unit (NICU) experience high rates of perinatal mental health conditions, which are disproportionately experienced by families i) of minoritized racial identities; ii) with a primary language other than English (PLOE); and iii) of low socioeconomic status. Disparities in screening, diagnosis, and treatment for mental health conditions are complex. Multiple individual, interpersonal, institutional, and structural factors may negatively impact marginalized individuals. Multifaceted recommendations to address these challenges are included in this article. This also serves as a call to action for the creation, standardization, and adoption of individual, institutional, and national interventions that can provide equitable mental health support for NICU families to mitigate disparities in mental health outcomes.
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