Variation of Behavioral Health Care by Behavioral Health Symptom Profile Among a Diverse Group of Pregnant and Parenting Mothers

This study examines the association between behavioral health symptoms and use of behavioral health care (BHC; i.e., past year counseling and/or regular use of psychiatric medication) among a diverse group of mothers of toddlers. Data were from the Fragile Families and Child Wellbeing study ( N  = 4...

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Bibliographic Details
Published in:The journal of behavioral health services & research 2021, Vol.48 (1), p.36-49
Main Authors: Weiss-Laxer, Nomi S., Johnson, Sara B., Riley, Anne W.
Format: Article
Language:English
Subjects:
Behavior problems
Children
Community and Environmental Psychology
Counseling
Drugs
Ethnicity
Functional impairment
Health behavior
Health care
Health Informatics
Health Promotion and Disease Prevention
Health Psychology
Health services
Medicaid
Medical screening
Medicine
Medicine & Public Health
Mental depression
Mental health services
Moderation
Mothers
Parents & parenting
Pregnancy
Prescription drugs
Psychiatry
Psychotropic drugs
Public Health
Race
Substance abuse
Symptoms
Tests
Toddlers
Well being
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Summary:This study examines the association between behavioral health symptoms and use of behavioral health care (BHC; i.e., past year counseling and/or regular use of psychiatric medication) among a diverse group of mothers of toddlers. Data were from the Fragile Families and Child Wellbeing study ( N  = 4205 mothers). The association between symptom profiles (i.e., depressive, anxiety, and alcohol and drug dependence) and use of BHC was estimated with logistic regression models. Potential moderation by race/ethnicity was examined. Complex symptom profiles, older age, functional limitations, prior behavioral health symptoms, and having Medicaid were associated with increased BHC use. While BHC use varied by symptom profile (but not by race/ethnicity), BHC use was low across profiles. Pregnant women and women of color were most likely to have unmet needs, underscoring the need to improve screening and management systems for these populations.
ISSN:1094-3412
1556-3308
DOI:10.1007/s11414-020-09701-9