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Building a culturally-responsive, family-driven early childhood system of care: Understanding the needs and strengths of ethnically diverse families of children with social-emotional and behavioral concerns

Author

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  • Jain, Sonia
  • Reno, Rebecca
  • Cohen, Alison K.
  • Bassey, Henrissa
  • Master, Mansi

Abstract

Families with young children who have mental health needs have unique challenges in caring for their children; these challenges are compounded for low-income, culturally- and linguistically-diverse families (some of whom may be immigrants). This study reports on findings from five multi-lingual focus groups that engaged caregivers of children (N = 65) receiving mental health services from California's Alameda County. Parents identified several challenges associated with caring for their young children including unmet basic needs, chronic stress, inadequate parent-provider communication, and organizational, community-level, and society-level factors (e.g., service fragmentation, neighborhood safety, and social injustice). These caregivers also reported numerous strengths, such as a commitment to their children's positive development, and a broader sense of community connectedness. Participants had several recommendations for how to improve the county's early childhood system of care, and emphasized a need to focus more broadly on school and neighborhood improvement to support health and wellness among young children. This study demonstrates the value of a system of care model, as its emphasis on system-wide impact is aligned with addressing challenges at the individual, family, community, organizational, and societal levels, as called for by parents.

Suggested Citation

  • Jain, Sonia & Reno, Rebecca & Cohen, Alison K. & Bassey, Henrissa & Master, Mansi, 2019. "Building a culturally-responsive, family-driven early childhood system of care: Understanding the needs and strengths of ethnically diverse families of children with social-emotional and behavioral co," Children and Youth Services Review, Elsevier, vol. 100(C), pages 31-38.
    • Handle: RePEc:eee:cysrev:v:100:y:2019:i:c:p:31-38
    DOI: 10.1016/j.childyouth.2019.02.034
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    References listed on IDEAS

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    1. Bringewatt, Elizabeth H. & Gershoff, Elizabeth T., 2010. "Falling through the cracks: Gaps and barriers in the mental health system for America's disadvantaged children," Children and Youth Services Review, Elsevier, vol. 32(10), pages 1291-1299, October.
    2. Alex Schafran, 2013. "Origins of an Urban Crisis: The Restructuring of the San Francisco Bay Area and the Geography of Foreclosure," International Journal of Urban and Regional Research, Wiley Blackwell, vol. 37(2), pages 663-688, March.
    3. Park, J.M. & Fertig, A.R. & Allison, P.D., 2011. "Physical and mental health, cognitive development, and health care use by housing status of low-income young children in 20 American cities: A prospective cohort study," American Journal of Public Health, American Public Health Association, vol. 101(SUPPL. 1), pages 255-261.
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    1. Jain, Sonia & Reno, Rebecca & Cohen, Alison K. & Bassey, Henrissa & Master, Mansi & Nichols, Chloe R., 2020. "A family-centered mixed-methods needs assessment for the system of care for young children with social-emotional and behavioral concerns," Children and Youth Services Review, Elsevier, vol. 117(C).

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