Increasing Mental Health Engagement From Primary Care: The Potential Role of Family Navigation

Godoy, Leandra; Hodgkinson, Stacy; Robertson, Hillary A.; Sham, Elyssa; Druskin, Lindsay; Wambach, Caroline G.; Beers, Lee Savio; Long, Melissa

doi:10.1542/peds.2018-2418

Cited by 47 publications

(35 citation statements)

References 82 publications

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“…Some of the strategies found to be helpful include the incorporation of motivational interviewing principles and attention to family stress, family coping, and broader family system issues. 46 Care navigators 47 and matching the race and ethnicity of clinical providers and families may also be helpful. 48 Finally, a recent review of 50 randomized controlled trials examining the effectiveness of treatment engagement interventions for child mental health services (conducted from 1974 to 2016) concluded that specific interventions can improve engagement and work across youths with varying racial and ethnic identifications, and mental health problems.…”

Section: Discussionmentioning

confidence: 99%

Five Profiles of Adolescents at Elevated Risk for Suicide Attempts: Differences in Mental Health Service Use

King

Brent

Grupp‐Phelan

et al. 2020

Journal of the American Academy of Child & Adolescent Psych

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Objective: Adolescents at risk for suicide are highly heterogeneous in terms of psychiatric and social risk factors, yet there has been little systematic research on risk profiles, which would facilitate recognition and the matching of patients to services. Our primary study aims were to identify latent class profiles of adolescents with elevated suicide risk, and to examine the association of these profiles with mental health service use (MHSU). Method: Participants were 1,609 adolescents from the Emergency Department Screen for Teens at Risk for Suicide (ED-STARS) cohort. Participants completed baseline surveys assessing demographics, MHSU, and suicide risk. Telephone follow-up interviews were conducted at 3 months to assess suicide attempts. Participants met pre-established baseline criteria for suicide risk. Results: Using latent class analysis, we derived 5 profiles of elevated suicide risk with differing patterns of eight risk factors: history of multiple suicide attempts, past-month suicidal ideation, depression, alcohol and drug misuse, impulsive-aggression, and sexual and physical abuse. In comparison to adolescents who did not meet baseline criteria for suicide risk, each profile was associated with increased risk of a suicide attempt within 3 months. The MHSU was lowest for adolescents fitting profiles with previous (but no recent) suicidal thoughts and behavior, and for adolescents from racial and ethnic minority groups. Conclusion: Adolescents at elevated risk for suicide present to emergency departments with differing profiles of suicide risk. MHSU varies across these profiles and by race/ethnicity, indicating that targeted risk recognition and treatment linkage efforts may be necessary to reach some adolescents at risk.

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Section: Discussionmentioning

confidence: 99%

Five Profiles of Adolescents at Elevated Risk for Suicide Attempts: Differences in Mental Health Service Use

King

Brent

Grupp‐Phelan

et al. 2020

Journal of the American Academy of Child & Adolescent Psych

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“…In the same postal survey, (56) it was found that the perception of stigma associated with visiting a psychiatrist was one of the leading reasons that patients preferred seeing the GP for issues related to their mental illness. Other reports in the literature (69)(70)(71)(72)(73) have also cited stigma as a major factor preventing patients with mental illness from seeking help. Despite efforts to destigmatise mental illness, mental illness is still associated with significant stigma in Singapore.…”

Section: Less Stigmamentioning

confidence: 99%

Family engagement as part of managing patients with mental illness in primary care

Ong¹,

Fernandez²,

Lim³

2021

smedj

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The family unit plays a crucial role in patients with mental illness. Mental health problems have been associated with an assortment of dysfunctional social and psychological processes in one’s family of origin, yet families are now expected to be responsible for the care of the patient with mental illness. There are many short- and long-term benefits of engaging the families in the care of patients with mental illness. However, the implementation of family engagement in patients with mental illness is fraught with challenges. The primary care provider possesses several distinctive characteristics that lend an advantage to successfully engaging the families of patients with mental illness, such as better accessibility, better rapport, and being associated with less stigma. Primary care providers could engage the family in various ways, ranging from basic functions such as psychoeducation and supporting the family’s needs, to more specialised interventions such as family assessment and family therapy.

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“…Further investigation into barriers and facilitators of implementing widespread parent training in specific subpopulations of families is needed as well as the adaptation of existing parent training interventions to methods that may be more acceptable to families (e.g., web-based delivery, delivery over social media ;Baumann et al, 2015;Love et al, 2016). (Corrigan, Torres, Lara, Sheehan, & Larson, 2017;Godoy et al, 2019), including children (Lenaghan, O'Callaghan, Moss, Blackman, & Newcomb, 2018;Markoulakis et al, 2018). Family navigation interventions assist families in finding their way through the mental health care system by connecting families with the appropriate support and resources throughout their journey (Anderson & Larke, 2009).…”

Section: Implementing Parent Training May Promote Child Flourishmentmentioning

confidence: 99%

“…Family navigation interventions assist families in finding their way through the mental health care system by connecting families with the appropriate support and resources throughout their journey (Anderson & Larke, 2009). The family navigation model serves several needs, including collaboration amongst service providers and the family providing knowledge of services and evidencebased practices (Godoy et al, 2019). Furthermore, many family navigation models utilize peer mentors in which parents who have lived the experience of navigating the mental health system provide support and services to another parent (Godoy et al, 2019).…”

Section: Implementing Parent Training May Promote Child Flourishmentmentioning

confidence: 99%

Family resilience and flourishment: Well‐being among children with mental, emotional, and behavioral disorders

Herbell

Breitenstein

Melnyk

et al. 2020

Research in Nursing & Health

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Approximately 20% of children and adolescents in the United States are affected by mental, emotional, and behavioral (MEB) disorders. Child flourishment and family resilience contribute to healthy family development, including the promotion of child MEB wellbeing. Identifying factors that promote child flourishment and family resilience are critical. This study aimed to determine the prevalence and parenting factors associated with family resilience and child flourishment among children aged 6–17 years with MEB disorders. This was a secondary analysis of the 2016–2017 National Survey of Children's Health. The sample consisted of parents and their children (n = 1,900, weighted n = 5,375,670). Data were weighted to be representative of the US population and analyzed using descriptive statistics and linear regression. We found that only 6.3% of children aged 6–17 with an MEB were optimally flourishing. Parental aggravation was negatively associated with child flourishment, and parental coping was positively associated with child flourishment. In total, 66.5% of families with children exhibited resilience. Parental coping and availability of parental emotional support were positively associated with family resilience. Potential interventions that leverage study findings include parent training to increase parental emotional regulation (e.g., increase frustration tolerance, coping skills) and family navigation services to increase parental support (e.g., emotional support, coping skills) through the child's treatment trajectory. Overall, this study provides evidence of a disparity in flourishment in America's youth with MEB disorders, and despite this adversity, families are resilient.

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Increasing Mental Health Engagement From Primary Care: The Potential Role of Family Navigation

Cited by 47 publications

References 82 publications

Five Profiles of Adolescents at Elevated Risk for Suicide Attempts: Differences in Mental Health Service Use

Five Profiles of Adolescents at Elevated Risk for Suicide Attempts: Differences in Mental Health Service Use

Family engagement as part of managing patients with mental illness in primary care

Family resilience and flourishment: Well‐being among children with mental, emotional, and behavioral disorders

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