title: 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.
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.
authors.affiliation: a McSilver Institute for Poverty Policy & Research , New York University Medical Center , New York , New York , USA.
authors.forename: Mary C
authors.initials: MC
authors.lastname: Acri
authors.affiliation: a McSilver Institute for Poverty Policy & Research , New York University Medical Center , New York , New York , USA.
authors.forename: Lindsay A
authors.initials: LA
authors.lastname: Bornheimer
authors.affiliation: a McSilver Institute for Poverty Policy & Research , New York University Medical Center , New York , New York , USA.
authors.forename: Kyle
authors.initials: K
authors.lastname: O'Brien
authors.affiliation: b The Institute for Family Health , New York , New York , USA.
authors.forename: Sara
authors.initials: S
authors.lastname: Sezer
authors.affiliation: b The Institute for Family Health , New York , New York , USA.
authors.forename: Virna
authors.initials: V
authors.lastname: Little
authors.affiliation: a McSilver Institute for Poverty Policy & Research , New York University Medical Center , New York , New York , USA.
authors.forename: Andrew F
authors.initials: AF
authors.lastname: Cleek
authors.affiliation: a McSilver Institute for Poverty Policy & Research , New York University Medical Center , New York , New York , USA.
authors.forename: Mary M
authors.initials: MM
authors.lastname: McKay
mesh_terms: D000293:Adolescent; D001741:Black or African American; D019958:Attention Deficit and Disruptive Behavior Disorders / Q000175:diagnosis / Q000191:economics / Q000628:therapy; D002648:Child; D002675:Child, Preschool; D003156:Community Mental Health Services / Q000379:methods*; D019033:Delivery of Health Care, Integrated / Q000379:methods*; D005260:Female; D006297:Health Services Accessibility; D006630:Hispanic or Latino; D006801:Humans; D008297:Male; D009519:New York City; D011203:Poverty; D011368:Professional-Family Relations; D016730:Program Development; D011569:Psychiatric Status Rating Scales
keywords: Child mental health; early detection and treatment; integrated care pathway