Christine Polihronis, Paula Cloutier, Lori Kempe, Joel Schryer, Mario Cappelli
{"title":"6 岁以下 HEADS-ED:试行一种新的社区心理健康和发育筛查及幼儿分流工具。","authors":"Christine Polihronis, Paula Cloutier, Lori Kempe, Joel Schryer, Mario Cappelli","doi":"10.1002/imhj.22131","DOIUrl":null,"url":null,"abstract":"<p>Communimetric screening tools help clinicians identify and communicate their patient's areas of need and the corresponding level of action. However, few tools exist to identify mental health (MH) and developmental needs in young children. We aimed to implement and evaluate a new communimetric MH and developmental screening tool for children under 6 (HEADS-ED Under 6) in a community MH agency in Ontario, Canada. Using a prospective cohort design, we explored how intake workers used the HEADS-ED Under 6 screening tool from November 2019 to March 2021. 94.5% of children (<i>n</i> = 535/566) were screened with the HEADS-ED at intake. Total HEADS-ED scores and domains were used to inform the intensity of recommended services. Three clinical domains (Eating & sleeping, Development, speech/language/motor, and Emotions & behaviors) also independently predicted a priority recommendation. The tool showed good concordance with the InterRAI Early Years for children under 4 years old. The HEADS-ED Under 6 was a brief, easy, and valid screening tool, and can be used to identify important MH and developmental domains early, rate level of action/impairment, communicate severity of needs, and help determine intensity of service required.</p>","PeriodicalId":48026,"journal":{"name":"Infant Mental Health Journal","volume":"45 5","pages":"557-568"},"PeriodicalIF":2.1000,"publicationDate":"2024-08-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/imhj.22131","citationCount":"0","resultStr":"{\"title\":\"The HEADS-ED under 6: Piloting a new communimetric mental health and developmental screening and triage tool for young children\",\"authors\":\"Christine Polihronis, Paula Cloutier, Lori Kempe, Joel Schryer, Mario Cappelli\",\"doi\":\"10.1002/imhj.22131\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p>Communimetric screening tools help clinicians identify and communicate their patient's areas of need and the corresponding level of action. However, few tools exist to identify mental health (MH) and developmental needs in young children. We aimed to implement and evaluate a new communimetric MH and developmental screening tool for children under 6 (HEADS-ED Under 6) in a community MH agency in Ontario, Canada. Using a prospective cohort design, we explored how intake workers used the HEADS-ED Under 6 screening tool from November 2019 to March 2021. 94.5% of children (<i>n</i> = 535/566) were screened with the HEADS-ED at intake. Total HEADS-ED scores and domains were used to inform the intensity of recommended services. Three clinical domains (Eating & sleeping, Development, speech/language/motor, and Emotions & behaviors) also independently predicted a priority recommendation. The tool showed good concordance with the InterRAI Early Years for children under 4 years old. The HEADS-ED Under 6 was a brief, easy, and valid screening tool, and can be used to identify important MH and developmental domains early, rate level of action/impairment, communicate severity of needs, and help determine intensity of service required.</p>\",\"PeriodicalId\":48026,\"journal\":{\"name\":\"Infant Mental Health Journal\",\"volume\":\"45 5\",\"pages\":\"557-568\"},\"PeriodicalIF\":2.1000,\"publicationDate\":\"2024-08-10\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://onlinelibrary.wiley.com/doi/epdf/10.1002/imhj.22131\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Infant Mental Health Journal\",\"FirstCategoryId\":\"102\",\"ListUrlMain\":\"https://onlinelibrary.wiley.com/doi/10.1002/imhj.22131\",\"RegionNum\":3,\"RegionCategory\":\"心理学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"PSYCHOLOGY, DEVELOPMENTAL\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Infant Mental Health Journal","FirstCategoryId":"102","ListUrlMain":"https://onlinelibrary.wiley.com/doi/10.1002/imhj.22131","RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"PSYCHOLOGY, DEVELOPMENTAL","Score":null,"Total":0}
The HEADS-ED under 6: Piloting a new communimetric mental health and developmental screening and triage tool for young children
Communimetric screening tools help clinicians identify and communicate their patient's areas of need and the corresponding level of action. However, few tools exist to identify mental health (MH) and developmental needs in young children. We aimed to implement and evaluate a new communimetric MH and developmental screening tool for children under 6 (HEADS-ED Under 6) in a community MH agency in Ontario, Canada. Using a prospective cohort design, we explored how intake workers used the HEADS-ED Under 6 screening tool from November 2019 to March 2021. 94.5% of children (n = 535/566) were screened with the HEADS-ED at intake. Total HEADS-ED scores and domains were used to inform the intensity of recommended services. Three clinical domains (Eating & sleeping, Development, speech/language/motor, and Emotions & behaviors) also independently predicted a priority recommendation. The tool showed good concordance with the InterRAI Early Years for children under 4 years old. The HEADS-ED Under 6 was a brief, easy, and valid screening tool, and can be used to identify important MH and developmental domains early, rate level of action/impairment, communicate severity of needs, and help determine intensity of service required.
期刊介绍:
The Infant Mental Health Journal (IMHJ) is the official publication of the World Association for Infant Mental Health (WAIMH) and the Michigan Association for Infant Mental Health (MI-AIMH) and is copyrighted by MI-AIMH. The Infant Mental Health Journal publishes peer-reviewed research articles, literature reviews, program descriptions/evaluations, theoretical/conceptual papers and brief reports (clinical case studies and novel pilot studies) that focus on early social and emotional development and characteristics that influence social-emotional development from relationship-based perspectives. Examples of such influences include attachment relationships, early relationship development, caregiver-infant interactions, infant and early childhood mental health services, contextual and cultural influences on infant/toddler/child and family development, including parental/caregiver psychosocial characteristics and attachment history, prenatal experiences, and biological characteristics in interaction with relational environments that promote optimal social-emotional development or place it at higher risk. Research published in IMHJ focuses on the prenatal-age 5 period and employs relationship-based perspectives in key research questions and interpretation and implications of findings.