Christine L Karver1, Brad Kurowski2, Erin A Semple3, Terry Stancin4, H Gerry Taylor5, Keith O Yeates6, Nicolay C Walz7, Shari L Wade8. 1. Department of Psychology, University of Cincinnati, Cincinnati, OH; Department of Physical Medicine and Rehabilitation, Cincinnati Children's Hospital, Cincinnati, OH. Electronic address: karvercl@mail.uc.edu. 2. Department of Physical Medicine and Rehabilitation, Cincinnati Children's Hospital, Cincinnati, OH. 3. College of Medicine, University of Toledo, Toledo, OH. 4. Department of Psychiatry, Case Western Reserve University and MetroHealth Medical Center, Cleveland, OH. 5. Case Western Reserve University/University Hospitals, Cleveland, OH. 6. Ohio State University/Nationwide Children's Hospital, Columbus, OH. 7. Cincinnati Children's Hospital Medical Center, Cincinnati, OH. 8. Department of Physical Medicine and Rehabilitation, Cincinnati Children's Hospital, Cincinnati, OH; College of Medicine, University of Cincinnati, Cincinnati, OH.
Abstract
OBJECTIVE: To examine associations of clinical need, defined by elevated parent ratings of child behavior problems and utilization of behavioral health services in young children with traumatic brain injury (TBI) and an orthopedic injury (OI) comparison group. DESIGN: Parents completed outcome measures 18 months after injury and at an extended follow-up conducted an average of 38 months postinjury. SETTING: Children's hospitals and a general hospital. PARTICIPANTS: Participants included parents of 3 groups of children injured between 3 and 7 years of age (N=139): 47 children with complicated mild to moderate TBI, 18 with severe TBI, and 74 with OI. INTERVENTIONS: Not applicable. MAIN OUTCOME MEASURES: Parents completed ratings of child behavior, mental health symptomology, and family functioning at both visits; at the extended follow-up, they reported utilization of behavior therapy or counseling services since the 18-month follow-up visit. RESULTS: Children with TBI had more behavior problems than those with OI. Although clinical need at both follow-ups was associated with greater service utilization at the extended follow-up, all groups had unmet needs as defined by a clinical need in the absence of services. Lower socioeconomic status was associated with higher rates of unmet need across groups. CONCLUSIONS: The results document unmet long-term behavioral health needs after both TBI and OI in children and underscore the importance of monitoring and treatment of postinjury behavior problems.
OBJECTIVE: To examine associations of clinical need, defined by elevated parent ratings of child behavior problems and utilization of behavioral health services in young children with traumatic brain injury (TBI) and an orthopedic injury (OI) comparison group. DESIGN: Parents completed outcome measures 18 months after injury and at an extended follow-up conducted an average of 38 months postinjury. SETTING:Children's hospitals and a general hospital. PARTICIPANTS: Participants included parents of 3 groups of children injured between 3 and 7 years of age (N=139): 47 children with complicated mild to moderate TBI, 18 with severe TBI, and 74 with OI. INTERVENTIONS: Not applicable. MAIN OUTCOME MEASURES: Parents completed ratings of child behavior, mental health symptomology, and family functioning at both visits; at the extended follow-up, they reported utilization of behavior therapy or counseling services since the 18-month follow-up visit. RESULTS:Children with TBI had more behavior problems than those with OI. Although clinical need at both follow-ups was associated with greater service utilization at the extended follow-up, all groups had unmet needs as defined by a clinical need in the absence of services. Lower socioeconomic status was associated with higher rates of unmet need across groups. CONCLUSIONS: The results document unmet long-term behavioral health needs after both TBI and OI in children and underscore the importance of monitoring and treatment of postinjury behavior problems.
Authors: D R Bloom; H S Levin; L Ewing-Cobbs; A E Saunders; J Song; J M Fletcher; R A Kowatch Journal: J Am Acad Child Adolesc Psychiatry Date: 2001-05 Impact factor: 8.829
Authors: Beth S Slomine; Melissa L McCarthy; Ru Ding; Ellen J MacKenzie; Kenneth M Jaffe; Mary E Aitken; Dennis R Durbin; James R Christensen; Andrea M Dorsch; Charles N Paidas Journal: Pediatrics Date: 2006-03-13 Impact factor: 7.124
Authors: Janessa M Graves; Jessica L Mackelprang; Megan Moore; Demetrius A Abshire; Frederick P Rivara; Nathalia Jimenez; Molly Fuentes; Monica S Vavilala Journal: Health Serv Res Date: 2018-12-03 Impact factor: 3.402
Authors: Megan E Narad; Emily Moscato; Keith Owen Yeates; H Gerry Taylor; Terry Stancin; Shari L Wade Journal: J Dev Behav Pediatr Date: 2019 Jul/Aug Impact factor: 2.225
Authors: Kathleen M Kingery; Megan E Narad; H Gerry Taylor; Keith Owen Yeates; Terry Stancin; Shari L Wade Journal: J Dev Behav Pediatr Date: 2017 Nov/Dec Impact factor: 2.225
Authors: Stacey P Raj; Nanhua Zhang; Michael W Kirkwood; H Gerry Taylor; Terry Stancin; Tanya M Brown; Shari L Wade Journal: J Head Trauma Rehabil Date: 2018 May/Jun Impact factor: 2.710
Authors: Andrea R S Huebner; Amy Cassedy; Tanya M Brown; H Gerry Taylor; Terry Stancin; Michael W Kirkwood; Shari L Wade Journal: PM R Date: 2017-10-31 Impact factor: 2.298
Authors: Allison P Fisher; Jessica M Aguilar; Nanhua Zhang; Keith Owen Yeates; H Gerry Taylor; Brad G Kurowski; Megan E Narad; Shari L Wade Journal: Res Child Adolesc Psychopathol Date: 2021-01-06
Authors: Christine L Petranovich; Julia Smith-Paine; Shari L Wade; Keith Owen Yeates; H Gerry Taylor; Terry Stancin; Brad G Kurowski Journal: J Head Trauma Rehabil Date: 2020 May/Jun Impact factor: 3.117
Authors: Shari L Wade; Eloise E Kaizar; Megan E Narad; Huaiyu Zang; Brad G Kurowski; Aimee E Miley; Emily L Moscato; Jessica M Aguilar; Keith Owen Yeates; H Gerry Taylor; Nanhua Zhang Journal: J Head Trauma Rehabil Date: 2020 Sep/Oct Impact factor: 3.117
Authors: Naomi S Sta Maria; Saman Sargolzaei; Mayumi L Prins; Emily L Dennis; Robert F Asarnow; David A Hovda; Neil G Harris; Christopher C Giza Journal: Exp Neurol Date: 2019-05-02 Impact factor: 5.620