Evidence map›Paper›PMID 28584498›Full record

ArticleJournal of child and family studies2017

Understanding Barriers to Initial Treatment Engagement among Underserved Families Seeking Mental Health Services.

Mirian E Ofonedu, Harolyn M E Belcher, Chakra Budhathoki, Deborah A Gross

Open access · greenAbstract read
In one paragraph

Article in Journal of child and family studies, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed, 2 pooled it
4.1field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

38 citing papers in PubMed, 2 syntheses or guidelines pooled it, 73 citations in OpenAlex.

  1. Pooled it
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  4. Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2022
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  6. Reducing Preschool Behavior Problems in an Urban Mental Health Clinic: A Pragmatic, Non-Inferiority Trial.Journal of the American Academy of Child and Adolescent Psychiatry · 2019
    Trial
  7. Supporting parenting during early childhood with the family check-up online: A randomized clinical trial.Journal of family psychology : JFP : journal of the Division of Family Psychology of the American Psychological Association (Division 43) · 2026
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 2 institutions in 1 country.

Mirian E OfoneduCenter for Child and Family Traumatic Stress, Kennedy Krieger Institute, 1750 East Fairmount Avenue, Baltimore, MD 21231, USA.
Harolyn M E BelcherCenter for Child and Family Traumatic Stress, Kennedy Krieger Institute, Department of Pediatrics, Johns Hopkins University School of Medicine, Baltimore, MD 21287.
Chakra BudhathokiJohns Hopkins University School of Nursing, Baltimore, MD 21205.
Deborah A GrossJohns Hopkins University School of Nursing, Baltimore, MD 21205.
Johns Hopkins University · USKennedy Krieger Institute · US

Funding

Comparing Two Parenting Programs for At-Risk FamiliesR01NR012444 · NINR · JOHNS HOPKINS UNIVERSITY · PI BELCHER, HAROLYN MILLICENT EDITH, GROSS, DEBORAH A. · 2011 to 2015
$3.0M
NINR NIH HHS R01 NR012444
6 · The paper itself

Abstract

This mixed method study examined factors associated with parents not attending their child's mental health treatment after initially seeking help for their 2-5 year old child. It was part of a larger study comparing two evidence-based treatments among low-income racial/ethnic minority families seeking child mental health services. Of 123 parents who initiated mental health treatment (71% African American or multi-racial; 97.6% low-income), 36 (29.3%) never attended their child's first treatment session. Socio-demographic characteristics, parenting stress, depression, severity of child behavior problems, and length of treatment delay from intake to first scheduled treatment session were compared for families who did and did not attend their first treatment session. Parents who never attended their child's first treatment session were more likely to live with more than 4 adults and children (p=.007) and have more depressive symptoms (p=.003). Median length of treatment delay was 80 days (IQR =55) for those who attended and 85 days (IQR =67.5) for those who did not attend their child's first treatment session (p=.142). Three themes emerged from caregiver interviews: (a) expectations about the treatment, (b) delays in getting help, and (c) ambivalence about research participation. Findings suggest the need to develop better strategies for addressing risk factors early in the treatment process and reducing the length of time families with adverse psychosocial circumstances must wait for child mental health treatment.

Indexed as

At-Risk familiesAttendanceChild mental healthEngagement barriersParentingTreatment delay

Identifiers

PMID28584498
PMCPMC5456294
OpenAlexW2547511556

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.