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Journal of Pediatric Psychology Advance Access originally published online on December 8, 2008
Journal of Pediatric Psychology 2009 34(7):760-768; doi:10.1093/jpepsy/jsn128
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© The Author 2008. Published by Oxford University Press on behalf of the Society of Pediatric Psychology. All rights reserved. For permissions, please e-mail: journals.permissions@oxfordjournals.org

Mental Health Services for Preschool Children in Primary Care: A Survey of Maternal Attitudes and Beliefs*

Michelle D. Harwood1, Kelly A. O’Brien1, Carolyn G. Carter2 and Sheila M. Eyberg1

1Department of Clinical and Health Psychology and 2Department of Pediatrics University of Florida

All correspondence concerning this article should be addressed to Michelle D. Harwood, University of Miami, Department of Pediatrics; Clinical Research Building, 12th floor—no. 1212; 1120 NW 14th St., Miami, FL 33136, USA. E-mail: mharwood{at}med.miami.edu


  Abstract

Objective This study examined maternal attitudes and practices that may prevent preschoolers from receiving needed mental health services. Methods Mothers of 110 children ages 3–6 completed a survey of maternal attitudes and practices and the Eyberg Child Behavior Inventory (ECBI). Results Mothers wanted pediatrician assistance with child behavior concerns. Mothers of children with elevated ECBI scores reported most often discussing disruptive behaviors with their pediatrician, and preferred clinician-provided services, whereas mothers of children with normal range ECBI scores most often discussed developmental issues with the pediatrician and preferred parenting help from handouts and books. Mothers reported receiving clinician-provided services almost never. Conclusions Mothers were open to psychosocial services for child behavior problems, particularly via primary care, and ratings of barriers were relatively low despite reporting infrequent service use. Mothers’ responses highlight the need for mental health providers in primary care to ensure accessibility of desired services.

*Data from this article were previously presented at the National Conference on Child Health Psychology in Gainesville, Florida in April 2006

Received September 30, 2007; revision received October 13, 2008; accepted November 6, 2008


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