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Fostering Healthy Mental, Emotional, and Behavioral Development in Children and Youth A National Agenda (2019) / Chapter Skim
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Appendix B: Strengthening Monitoring for MEB Health
Pages 353-364

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From page 353...
... This Appendix supplements the recommendations offered in Chapter 11 with exploration of three areas in which monitoring can be strengthened: effective measurement of key indicators, surveillance and screening, and use of big data. EFFECTIVE MEASUREMENT OF KEY INDICATORS The measurement of indicators useful for effectively monitoring MEB health and development among children and youth poses several challenges.
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From page 354...
... Prominent screening programs to date have targeted early identification of MEB health conditions, such as autism spectrum disorder in preschool-age children (Zwaigenbaum et al., 2015) and depression in adolescents (Siu and U.S.
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From page 355...
... surveillance questions during wellchild visits for such family risk factors as food insecurity, living situation, child care, excessive screen time, interpersonal violence, and household tobacco/alcohol/substance use, as well as such protective factors as reading to the infant or child, school success, providing opportunity for physical activity, and healthy nutrition. This level of surveillance is recommended as a universal component of practice, as impediments to healthy MEB development occur at all family socioeconomic levels.
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From page 356...
... Brief, rather than lengthy, surveys are usually preferable, particularly for screens that are administered repetitively over time. Paper surveys have been popular in the past, but online screening at kiosks has proven to be efficient and accepted by most families, and has the advantage of collecting data and providing feedback to the family within the context of a single visit.
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From page 357...
... . For example, the Cystic Fibrosis Foundation recommends that CF Care Center personnel annually offer the Generalized Anxiety Disorder 7-Item scale and Patient Health Questionnaire-9 screening tools to parents and encourages the use of the Psychosocial Assessment Tool (Kazak et al., 2015)
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From page 358...
... The Youth Risk Behavior Surveillance monitors some MEB-related adolescent behaviors. One example of county-level surveillance of social determinants of health is the Los Angeles Department of Public Health's Community Health Assessment survey, a population-based random telephone survey of children and adults in the county's households, including institutionalized and homeless individuals with cell phone access, which is provided in multiple languages.
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From page 359...
... BIG DATA Most research in social and behavioral sciences has involved the generation of data to answer particular questions, but data that have been generated for other purposes may contain elements that are applicable and can be repurposed to answer questions in the social and behavioral realms. Increasingly, large volumes of data collected by electronic systems, often referred to as "big data," are available for research purposes and such data may play a crucial role in the development of a national monitoring system for children's MEB health.
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From page 360...
... . Mental health screening quality improvement learning collaborative in pediatric primary care.
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From page 361...
... . A controlled trial using natural language processing to examine the language of suicidal adolescents in the emergency department.
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From page 362...
... . Maternal depression screening as an opening to address social determinants of children's health.
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From page 363...
... . Early screening of autism spectrum disorder: Recommendations for practice and research.
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Key Terms

  • healthy meb
  • social determinants
  • screening programs
  • meb health
  • child care

  • care settings
  • services task
  • preventive services
  • maternal depression
  • child health

  • healthy development
  • school climate
  • child development
  • adverse childhood
  • cystic fibrosis

  • foster healthy
  • online screening
  • school settings
  • emotional health
  • depression screening

  • health screening
  • health survey
  • care practice
  • county department
  • risk behavior

  • school success
  • effective measurement
  • futures guidelines
  • youth risk
  • psychosocial assessment


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