Brief Report: Medicaid Expansion and Growth in the Workforce for Autism Spectrum Disorder / Ryan K. MCBAIN in Journal of Autism and Developmental Disorders, 52-4 (April 2022)  

Public ISBD [article]  inJournal of Autism and Developmental Disorders > 52-4 (April 2022) . - p.1881-1889 Titre : Brief Report: Medicaid Expansion and Growth in the Workforce for Autism Spectrum Disorder Type de document : Texte imprimé et/ou numérique Auteurs : Ryan K. MCBAIN, Auteur ; Jonathan H. CANTOR, Auteur ; Aaron KOFNER, Auteur ; Bradley D. STEIN, Auteur ; Hao YU, Auteur Article en page(s) : p.1881-1889 Langues : Anglais (eng) Mots-clés : Autism Spectrum Disorder/therapy  Child  Humans  Insurance Coverage  Medicaid  Pediatricians  United States  Workforce  Autism  Autism spectrum disorder  Child psychiatrists  Medicaid expansion Index. décimale : PER Périodiques Résumé : Over 700,000 children throughout the U.S. have received insurance coverage through welcome mat effects of Medicaid expansion, including children with autism spectrum disorder (ASD). Utilizing health workforce data from the Health Resources and Services Administration, we examined workforce growth (2008-2017) among three types of health providers for children with ASD as a result of Medicaid expansion: child psychiatrists, board-certified behavioral analysts (BCBAs) and pediatricians. We found that state Medicaid expansion was associated with a 9% increase in BCBAs per 100,000 children one year after enactment, a 5% increase in child psychiatrists, and was not associated with growth in pediatricians. Results indicate the importance of new policies that directly address a shortage of providers for children with ASD. En ligne : http://dx.doi.org/10.1007/s10803-021-05044-2 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=476 [article] Brief Report: Medicaid Expansion and Growth in the Workforce for Autism Spectrum Disorder [Texte imprimé et/ou numérique] / Ryan K. MCBAIN, Auteur ; Jonathan H. CANTOR, Auteur ; Aaron KOFNER, Auteur ; Bradley D. STEIN, Auteur ; Hao YU, Auteur . - p.1881-1889. Langues : Anglais (eng) in Journal of Autism and Developmental Disorders > 52-4 (April 2022) . - p.1881-1889 Mots-clés : Autism Spectrum Disorder/therapy  Child  Humans  Insurance Coverage  Medicaid  Pediatricians  United States  Workforce  Autism  Autism spectrum disorder  Child psychiatrists  Medicaid expansion Index. décimale : PER Périodiques Résumé : Over 700,000 children throughout the U.S. have received insurance coverage through welcome mat effects of Medicaid expansion, including children with autism spectrum disorder (ASD). Utilizing health workforce data from the Health Resources and Services Administration, we examined workforce growth (2008-2017) among three types of health providers for children with ASD as a result of Medicaid expansion: child psychiatrists, board-certified behavioral analysts (BCBAs) and pediatricians. We found that state Medicaid expansion was associated with a 9% increase in BCBAs per 100,000 children one year after enactment, a 5% increase in child psychiatrists, and was not associated with growth in pediatricians. Results indicate the importance of new policies that directly address a shortage of providers for children with ASD. En ligne : http://dx.doi.org/10.1007/s10803-021-05044-2 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=476

The intergenerational impact of war: longitudinal relationships between caregiver and child mental health in postconflict Sierra Leone / Theresa S. BETANCOURT in Journal of Child Psychology and Psychiatry, 56-10 (October 2015)  

Public ISBD [article]  inJournal of Child Psychology and Psychiatry > 56-10 (October 2015) . - p.1101-1107 Titre : The intergenerational impact of war: longitudinal relationships between caregiver and child mental health in postconflict Sierra Leone Type de document : Texte imprimé et/ou numérique Auteurs : Theresa S. BETANCOURT, Auteur ; Ryan K. MCBAIN, Auteur ; Elizabeth A. NEWNHAM, Auteur ; Robert T. BRENNAN, Auteur Article en page(s) : p.1101-1107 Langues : Anglais (eng) Mots-clés : War  depression  anxiety  intergenerational  dyadic analysis Index. décimale : PER Périodiques Résumé : Background Trauma from witnessing events such as bombings and killings as well as direct victimization or participation in violence has been associated with psychosocial distress and poor mental health among war-exposed children and adolescents. This study examines the relationship between caregiver mental health and child internalizing (anxiety and depression) symptoms over a 4-year period in postconflict Sierra Leone. Methods The sample included 118 adolescent Sierra Leonean youth (73% male; mean age = 16.5 years at Time 1) and their caregivers (40% male; mean age = 39.0 at Time 1). To measure depression and anxiety symptoms, the Hopkins Symptom Checklist–25 was used with adults and the Oxford Measure of Psychosocial Adjustment – previously validated for use with children and adolescents in the region – was used to assess youth. A multivariate hierarchical linear model (HLM) for studying change within dyads was implemented to study covariation in internalizing symptoms among caregivers and youth over time; these models also included covariates at the individual, family and community levels. The relationship of caregiver mental health to child's internalizing was tested in a latent variable extension of the HLM. Results The latent variable extension estimated that a one standard deviation (SD) change in caregiver anxiety/depression was associated with a .43 SD change in youth internalizing (p < .01) over the 4-year period. Family acceptance was negatively related to youth internalizing (p < .001), while community stigma was positively associated (p < .001). Conclusions The findings highlight an important interplay between caregiver and child mental health within the postconflict setting and the need for psychosocial interventions to extend beyond the individual to account for family dynamics. En ligne : http://dx.doi.org/10.1111/jcpp.12389 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=269 [article] The intergenerational impact of war: longitudinal relationships between caregiver and child mental health in postconflict Sierra Leone [Texte imprimé et/ou numérique] / Theresa S. BETANCOURT, Auteur ; Ryan K. MCBAIN, Auteur ; Elizabeth A. NEWNHAM, Auteur ; Robert T. BRENNAN, Auteur . - p.1101-1107. Langues : Anglais (eng) in Journal of Child Psychology and Psychiatry > 56-10 (October 2015) . - p.1101-1107 Mots-clés : War  depression  anxiety  intergenerational  dyadic analysis Index. décimale : PER Périodiques Résumé : Background Trauma from witnessing events such as bombings and killings as well as direct victimization or participation in violence has been associated with psychosocial distress and poor mental health among war-exposed children and adolescents. This study examines the relationship between caregiver mental health and child internalizing (anxiety and depression) symptoms over a 4-year period in postconflict Sierra Leone. Methods The sample included 118 adolescent Sierra Leonean youth (73% male; mean age = 16.5 years at Time 1) and their caregivers (40% male; mean age = 39.0 at Time 1). To measure depression and anxiety symptoms, the Hopkins Symptom Checklist–25 was used with adults and the Oxford Measure of Psychosocial Adjustment – previously validated for use with children and adolescents in the region – was used to assess youth. A multivariate hierarchical linear model (HLM) for studying change within dyads was implemented to study covariation in internalizing symptoms among caregivers and youth over time; these models also included covariates at the individual, family and community levels. The relationship of caregiver mental health to child's internalizing was tested in a latent variable extension of the HLM. Results The latent variable extension estimated that a one standard deviation (SD) change in caregiver anxiety/depression was associated with a .43 SD change in youth internalizing (p < .01) over the 4-year period. Family acceptance was negatively related to youth internalizing (p < .001), while community stigma was positively associated (p < .001). Conclusions The findings highlight an important interplay between caregiver and child mental health within the postconflict setting and the need for psychosocial interventions to extend beyond the individual to account for family dynamics. En ligne : http://dx.doi.org/10.1111/jcpp.12389 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=269

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