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Cited by 451Mental Health Treatment and AccessChild and Adolescent HealthChild and Adolescent Psychosocial and Emotional Development

Improving mental health access for low-income children and families in the primary care setting.

Open access
Hodgkinson, Stacy, Godoy, Leandra, Beers, Lee Savio, Lewin, Amy·2017·Pediatrics
DOI 10.1542/peds.2015-1175PMC PMC5192088
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Abstract

Poverty is a common experience for many children and families in the United States. Children <18 years old are disproportionately affected by poverty, making up 33% of all people in poverty. Living in a poor or low-income household has been linked to poor health and increased risk for mental health problems in both children and adults that can persist across the life span. Despite their high need for mental health services, children and families living in poverty are least likely to be connected with high-quality mental health care. Pediatric primary care providers are in a unique position to take a leading role in addressing disparities in access to mental health care, because many low-income families come to them first to address mental health concerns. In this report, we discuss the impact of poverty on mental health, barriers to care, and integrated behavioral health care models that show promise in improving access and outcomes for children and families residing in the contexts of poverty. We also offer practice recommendations, relevant to providers in the primary care setting, that can help improve access to mental health care in this population.

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  • Delivering behavioral health interventions through health coaches is cost-effective compared to repeat visits to licensed mental healthcare providers.

    “Delivering behavioral health interventions through health coaches has the added benefit of being cost-effective compared to repeat visits to licensed mental healthcare providers, i.e., psychiatrists or clinical psychologists, and can be particularly beneficial in low-income settings [28–30].”

    From Personalized machine learning guided intervention for optimizing lifestyle behaviors in depression: a pilot study (2026) · cites this paper as [29]

    The passage labeled Abstract (page not supplied) describes a cost-effective model in which psychiatrists or psychologists consult with pediatricians implementing mental health interventions. It also recommends paraprofessionals to help families access care. It does not say that health coaches deliver the interventions or compare their costs with repeat visits to licensed mental health providers. (LLM, conf=0.84)

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  • ASD is beginning to be identified more in lower-SES groups than previously; however, barriers to services still exist for lower-SES families of children with ASD (e.g., transportation, childcare, and job accommodations).

    “ASD is beginning to be identified more in lower-SES groups than previously (7,11); however, barriers to services still exist for lower-SES families of children with ASD (e.g., transportation, childcare, and job accommodations) (18–26).”

    From Early Identification of Autism Spectrum Disorder Among Children Aged 4 Years — Autism and Developmental Disabilities Monitoring Network, 11 Sites, United States, 2020 (2023) · cites this paper as [23]

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Research works printed but not linked: 3

  1. [36]Sue DW, Sue D. Counseling the Culturally Diverse. 5th ed. Hoboken, NJ: John Wiley and Sons; 2008 [Google Scholar]
  2. [38]Smith S, Stagman S, Blank S, Ong C, McDow K. Building Strong Systems of Support for Young Children’s Mental Health. New York, NY: National Center for Children in Poverty; 2011 [Google Scholar]
  3. [77]Stanek M. Promoting Physical and Behavioral Health Integration: Considerations for Aligning Federal and State Policy. Portland, ME: National Academy for State Health Policy; 2014 [Google Scholar]

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Authors
Hodgkinson, S., Godoy, L., Beers, L. S., & Lewin, A.
Affiliations
  • Children's National (US)
  • University of Maryland, College Park (US)
Corresponding author
Hodgkinson, Stacy
ORCID
Venue
Pediatrics
Publisher
American Academy of Pediatrics (AAP)
Published
2017-01-01
Volume
139
Issue
1
ISSN
  • 0031-4005 (ISSN-L)
  • 1098-4275
DOI
10.1542/peds.2015-1175
PMC
PMC5192088
OpenAlex
W2564892373
Cited by
451
References
83
Citations by year
2026: 36 · 2025: 70 · 2024: 56 · 2023: 57 · 2022: 79 · 2021: 67 · 2020: 47 · 2019: 20 · 2018: 12 · 2017: 6 · 2016: 1
FWCI
2.05
Type
journal article
Language
en
Open access
Locations
  • PEDIATRICS (publishedVersion)
  • Europe PMC (PubMed Central) (publishedVersion)
  • PubMed Central (publishedVersion)
  • PubMed (publishedVersion)
Funders
National Institute on Minority Health and Health Disparities (P20MD000198)
Topics
  • Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
  • Health Sciences › Health Professions › General Health Professions › Child and Adolescent Health
  • Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
Keywords
child mental health, poverty, low-income households, access to mental health care, barriers to care, behavioral health integration, primary care, health disparities, pediatric primary care, practice recommendations
MeSH terms
Adult, Mental Disorders, Child, Cross-Sectional Studies, Follow-Up Studies, Health Services Accessibility, Health Services Needs and Demand, Humans, Mental Health Services, Poverty, Primary Health Care, Risk Factors

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