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

Mary C. Acri, Lindsay A. Bornheimer, Kyle O’Brien, Sara Sezer, Virna Little, Andrew F. Cleek, Mary M. McKay

Research output: Contribution to journalArticle

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.

Original languageEnglish (US)
Pages (from-to)314-327
Number of pages14
JournalSocial Work in Health Care
Volume55
Issue number4
DOIs
StatePublished - Apr 20 2016

Keywords

  • Child mental health
  • early detection and treatment
  • integrated care pathway

ASJC Scopus subject areas

  • Community and Home Care
  • Psychiatry and Mental health

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