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Predictors of service integration by community based providers in New York State offering maternal and infant services

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  • Rahman, Rahbel
  • Ross, Abigail M.
  • Spector, Anya Y.
  • Huang, Debbie
  • Chesna, Sharon
  • Patel, Rupal

Abstract

Perinatal maternal depression, interpersonal violence, (IPV) substance use and poor sexual health are critical public health concerns with significant negative impacts on child development. Despite widespread calls for service integration at the systems/organizational level and well-documented benefits to children and families, predictors to service integration are not well understood. Using cross-sectional data from 159 community-based providers (CBPs) who identify as community health workers (CHWs) or home visitors (HVs) in New York State, United States, our study aims to examine organizational and individual level predictors to service integration. Service integration in this study is defined as the screening, delivery and referral-making of two or more services over the course of six months. Services of interest in this study include mental health, IPV, sexual health, mental health, and substance abuse services. Descriptive statistics were performed to characterize our sample and show the distribution of service types. Multivariable logistic regression was used to identify salient organizational (job satisfaction: communication, contingent rewards, fringe benefits, operating conditions, and coworker; and training helpfulness) and individual characteristics (self-efficacy) that are associated with service integration, while controlling for demographic characteristics. Forty-four percent of participants (n = 70) integrated all four of the services: mental health, IPV, sexual health and mental health services. Training helpfulness (b = −2.48, p = 0.01), self-efficacy (b = 0.07, p < 0.01), and job satisfaction (b = −0.04, p = 0.01) were significantly associated with provision of integrated services. Specifically, elements of job satisfaction that were associated with integrated service provision included satisfaction with communication (b = −0.28, p < 0.01), coworkers (b = −0.29, p < 0.01), and pay (b = −015, p = 0.02). Findings elucidate areas for future investment for human services agency administrators and point to future areas of intervention that can bolster integrated service provision, thereby improve efficiency, cost effectiveness, and optimal maternal and child health care outcomes for at-risk populations.

Suggested Citation

  • Rahman, Rahbel & Ross, Abigail M. & Spector, Anya Y. & Huang, Debbie & Chesna, Sharon & Patel, Rupal, 2023. "Predictors of service integration by community based providers in New York State offering maternal and infant services," Children and Youth Services Review, Elsevier, vol. 153(C).
  • Handle: RePEc:eee:cysrev:v:153:y:2023:i:c:s0190740923003195
    DOI: 10.1016/j.childyouth.2023.107124
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    References listed on IDEAS

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    1. Lea Simms & Katherine E. Ottman & James L. Griffith & Michael G. Knight & Lorenzo Norris & Viktoriya Karakcheyeva & Brandon A. Kohrt, 2023. "Psychosocial Peer Support to Address Mental Health and Burnout of Health Care Workers Affected by COVID-19: A Qualitative Evaluation," IJERPH, MDPI, vol. 20(5), pages 1-18, March.
    2. Dauber, Sarah & John, Tiffany & Hogue, Aaron & Nugent, Jessica & Hernandez, Gina, 2017. "Development and implementation of a screen-and-refer approach to addressing maternal depression, substance use, and intimate partner violence in home visiting clients," Children and Youth Services Review, Elsevier, vol. 81(C), pages 157-167.
    3. Juan J. DelaCruz & Mark Brennan-Ing & Andreas Kakolyris & Omar Martinez, 2021. "The Cost Effectiveness of Mental Health Treatment in the Lifetime of Older Adults with HIV in New York City: A Markov Approach," PharmacoEconomics - Open, Springer, vol. 5(2), pages 221-236, June.
    4. Rahbel Rahman & Rogério M. Pinto & Melanie M. Wall, 2017. "HIV Education and Welfare Services in Primary Care: An Empirical Model of Integration in Brazil’s Unified Health System," IJERPH, MDPI, vol. 14(3), pages 1-15, March.
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