Megan E Narad1,2, Emily Moscato3,4, Keith Owen Yeates5, H Gerry Taylor6,7, Terry Stancin2,2, Shari L Wade2,3. 1. Division of Behavioral Medicine and Clinical Psychology, Cincinnati Children's Hospital Medical Center, Cincinnati, OH. 2. Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, OH. 3. Division of Physical Medicine and Rehabilitation, Cincinnati Children's Hospital Medical Center, Cincinnati, OH. 4. Department of Psychology, University of Cincinnati, Cincinnati, OH. 5. Department of Psychology, Alberta Children's Hospital Research Institute and Hotchkiss Brain Institute, University of Calgary, Alberta, Canada. 6. Biobehavioral Health Center, Nationwide Children's Hospital Research Institute, Nationwide Children's Hospital, Columbus, OH. 7. Department of Pediatrics, The Ohio State University, Columbus, OH.
Abstract
OBJECTIVE: The need for behavioral health services, service utilization, and predictors of utilization was examined in children with moderate-to-severe traumatic brain injury (TBI) relative to a comparison group of children with orthopedic injury (OI) 6.8 years after injury. METHODS: A total of 130 children hospitalized for moderate-to-severe TBI (16 severe and 42 moderate) or OI (72) between the ages of 3 and 7 years, who were enrolled at the time of injury at 3 tertiary care children's hospital and one general hospital in Ohio, and completed a long-term follow-up 6.8 years after injury were included in analyses. RESULTS: Adolescents with TBI (moderate [38%] and severe [69%]) had significantly greater rates of need than those with OI (17%). Behavioral health services were utilized by 10% of the sample with no injury group differences (OI: 6%; moderate: 17%; severe: 13%). Early treatment and white race were associated with less service utilization; 77% had an unmet need, with no injury group differences (OI: 75%; moderate: 75%; severe: 82%). Rate of unmet need was greater among white than non-white children. CONCLUSION: Children who sustain a TBI in early childhood experience persistent and clinically significant impairments even years after injury. Rates of unmet need were high for all injury groups. Findings underscore the importance of long-term monitoring to identify developing needs and prevent significant complications/deficits.
OBJECTIVE: The need for behavioral health services, service utilization, and predictors of utilization was examined in children with moderate-to-severe traumatic brain injury (TBI) relative to a comparison group of children with orthopedic injury (OI) 6.8 years after injury. METHODS: A total of 130 children hospitalized for moderate-to-severe TBI (16 severe and 42 moderate) or OI (72) between the ages of 3 and 7 years, who were enrolled at the time of injury at 3 tertiary care children's hospital and one general hospital in Ohio, and completed a long-term follow-up 6.8 years after injury were included in analyses. RESULTS: Adolescents with TBI (moderate [38%] and severe [69%]) had significantly greater rates of need than those with OI (17%). Behavioral health services were utilized by 10% of the sample with no injury group differences (OI: 6%; moderate: 17%; severe: 13%). Early treatment and white race were associated with less service utilization; 77% had an unmet need, with no injury group differences (OI: 75%; moderate: 75%; severe: 82%). Rate of unmet need was greater among white than non-white children. CONCLUSION:Children who sustain a TBI in early childhood experience persistent and clinically significant impairments even years after injury. Rates of unmet need were high for all injury groups. Findings underscore the importance of long-term monitoring to identify developing needs and prevent significant complications/deficits.
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: 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: Shari L Wade; Kelly M Jones; Claudia Corti; Anna R Adlam; Jennifer Limond; Alessandra Bardoni; Lisa M Gies Journal: Rehabil Psychol Date: 2021-11
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