@article{ref1,
title="Caregiver and child behavioral health service utilization following pediatric traumatic brain injury",
journal="Research on child and adolescent psychopathology",
year="2021",
author="Zhang, Nanhua and Aguilar, Jessica M. and Fisher, Allison P. and Wade, Shari L. and Narad, Megan E. and Kurowski, Brad G. and Taylor, H. Gerry and Yeates, Keith Owen",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="Given sparse literature examining receipt of behavioral health service in children and caregivers following traumatic brain injury (TBI), we sought to identify  predictors of unmet need. We performed an individual participant data meta-analysis  using generalized linear mixed-effect models to examine predictors of behavioral  health service use and unmet need. We included 572 children, ages 3 to 18, who were  hospitalized overnight following complicated mild to severe TBI between 2002 and  2015. Caregivers completed ratings of depression and distress, child behavior  problems, family functioning, and behavioral health service utilization. For  children, unmet behavioral health service need was defined as an elevation on one or  more child behavior problem scales without receipt of behavioral health services. For caregivers, unmet need was defined as an elevation on either a depression or  distress scale without behavioral health service utilization. Among those with  behavioral health needs, rates of unmet need were high for both children (77.8%) and  caregivers (71.4%). Poorer family functioning was related to more unmet need in  children (F(1, 497) = 6.57, p = 0.01; OR = 1.8) and caregivers (F(1, 492) = 17.54,  p < 0.001; OR = 2.7). Children with unmarried caregivers also had more unmet  behavioral health service need than those with married caregivers (F(1,  497) = 12.14, p < 0.001; OR = 2.2). In conclusion, unmet needs are common after  pediatric TBI and relate to family factors. The findings underscore the importance  of monitoring service needs following pediatric TBI and point to disparities in  service use.<p /> <p>Language: en</p>",
language="en",
issn="2730-7166",
doi="10.1007/s10802-020-00737-1",
url="http://dx.doi.org/10.1007/s10802-020-00737-1"
}