Achieving Behavioral Health Equity for Children, Families, and Communities Proceedings of a Workshop (2019) / Chapter Skim
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8 Implementing Family-Focused Preventive Interventions
8 Implementing Family-Focused Preventive Interventions
Pages 61-70
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From page 61... ...
Attendees were asked to consider how to provide the tools and resources parents need to succeed in their childrearing roles in a way that increases health equity. Hawkins referenced a recent Child Trends article that found parents often receive insufficient information from pediatricians and seek information on parenting skills from the Internet (Bartlett et al., 2017)
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From page 62... ...
One provider suggested that Javier use The Incredible Years program and implement the program in churches in an effort to avoid issues of stigma.1 Javier and her team received a grant to test The Incredible Years program in local church settings and found that the intervention was culturally acceptable in the Filipino community. The results of the study found decreases in parenting stress; increases in the use of positive discipline, such as praise; decreases in physical punishment; and improvements in both internalizing and externalizing symptoms.
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From page 63... ...
Javier is continuing to participate in community dialogues to develop a shared definition of childhood mental health in the Filipino community. Javier observed that pediatricians are only briefly exposed to training about parenting during their residency, which may be why it is not a focus in primary care.
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From page 64... ...
Javier noted that the LA County Department of Mental Health funds early intervention and prevention programs. To integrate the program into primary care, Javier saw the patients before and after the first and last parenting group so she could be the bridge between the mental health group and the pediatrician.
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From page 65... ...
SUPPORTING PARENTS IN PRIMARY CARE Lourdes Molleda Rojas reiterated that parenting programs are known to prevent mental, emotional, and behavioral health problems in youth. She summarized a review by Sandler and colleagues (2014)
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From page 66... ...
The program was developed 15 years ago based on evidence showing significant health disparities between Hispanic youth when compared to other races: Hispanic youth were initiating substance use earlier and there were higher rates of HIV infection in Hispanic youth compared to white youth, disparities that still persist. A recent survey found that Hispanic students in grades 9–12 reported feeling sad or hopeless, using electronic vapor products, and having five other drug or alcohol use behaviors at a higher rate than white or black students.
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From page 67... ...
To address these barriers, the developers of the program created an Internet adaptation called eHealth Familias Unidas. The adaptation still f ollows the core values of the ecodevelopmental theory, but the parent group sessions are replaced with online videos.
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From page 68... ...
The next focus is to move to primary care settings. The team conducted a pilot study in a primary care clinic that enrolled 48 Hispanic adolescents between the ages of 12 and 16, along with their parents.
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From page 69... ...
He also noted that the success of these two programs demonstrates the willingness of primary care providers to support family-focused interventions. In response to a question about the high participation rates in the Familias Unidas pilot study, Rojas said she believes families want to partici pate because of the context in which the services are provided.
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