Online Program

Prevalence and Determinants of Behavioral Problems in Children With Special Health care Needs

Tuesday, November 3, 2015 : 10:50 a.m. - 11:10 a.m.

Dione King, PhD, MSW, Department of Social Work, University of West Florida, Pensacola, FL
Allison Grier, University of West Florida, Pensacola, FL
Erica Jordan, PhD, Developmental Psychology, University of West Florida, Pensacola, FL
Anthony Okafor, PhD, Mathematics and Statistics, University of West Florida, Pensacola, FL
Justice Mbizo, MS. Dr.PH, Department of Public Health, The University of West Florida, Pensacola, FL
Background:  Parents of children with special health care needs face tremendous stress in caring for challenged children. The purpose of the study is twofold: 1) to examine the prevalence and correlates of behavioral health problems among children with special healthcare needs. 2) the impact of parental social support as a potential protective factors again childhood behavioral problems.  Methods:  The National Survey of Children’s Health (NSCH) is a national probability survey of children that includes the physical and mental health status, access to quality health care, as well as information on the child’s family, neighborhood and social context.  Data from 5, 503 children with a diagnosis of depression, developmental disability or autism /autism spectrum disorders were weighted and analyzed using STATA 12.0 for Windows.  Alpha of 0.05 was used for all significance levels.  Results:  The sample mean age was 10.98 years of age (SD =4.39); 36.8% were female, of whom 28.5% had behavioral problems vs 41.2% males; 73% White, 10.2% African American and 16.1% Other racial groups. Two thirds (66.5%) of the children had behavioral problem. Overall, 81.% of the caregivers had social support. At the multivariate level, higher odds of behavioral problems were observed among children with depression (OR=5.2; p<0.01); developmental delays (OR=2.7; p <0.02), and caregiver frustration with the health care system (OR=3.0; p<0.001).. Conclusions:  Implications for public health social work practice will be discussed along with further results of stratified analysis.

Learning Areas:

Advocacy for health and health education
Other professions or practice related to public health
Social and behavioral sciences

Learning Objectives:
Explain the prevalence of behavioral problems for children with special healthcare needs Identify behavioral health correlates among this population. Discuss strategies to provide parent social support from a public health social work perspective.

Keyword(s): Children With Special Needs

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have practiced in the social work field incorporating aspects of public health social work into my practice. Additionally, I have worked directly with families experiencing the stressors and behaviors challenges of special needs children. My practice experiences have provided opportunities to examine and strengthen social supports for families. The current study also aligns with my research interests.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.