Family-Centered Care Outcomes in a Preschool Setting

Family-centered care (FCC) is recognized as an inclusive service delivery model based on the theory that more parental involvement will result in more relevant outcomes for the child and family. It has become the preferred method of service delivery for pediatric providers, including occupational therapists. Although FCC has become the standard, it is unclear how effective it is as a model. We conducted a review of available and best evidence concerning the impact of FCC on children’s outcomes in preschool, in order to provide recommendations for occupational therapists practicing in preschools using FCC. We found that the majority of research currently relies on parental perceptions of the child’s course of treatment rather than specific therapy intervention outcomes for evidence of a working FCC model. Many articles are in agreement that the model is moderately supported. However, higher-level evidence is needed to validate the use of FCC as a practice approach

A Person-Centered Analysis of Help-Seeking Barriers and Facilitators in Emerging Adult Survivors of Sexual Violence

Sexual violence poses a serious threat to emerging adults’ development and mental health, but few seek help for their mental health. Guided by both developmental and socioecological models of service seeking, the purpose of the present study was to identify profiles of mental health help-seeking barriers (attitudinal, instrumental, and stigma-related) and facilitators (self-compassion) among emerging adult sexual violence survivors. A secondary purpose was to determine whether factors at multiple levels of the ecological system, including the university environment, were associated with profile membership. Undergraduate emerging adult survivors of childhood and past-year sexual violence (N = 286, 87.1% female), aged 18-29 (M = 21.83), completed measures of barriers to help-seeking, self-compassion, and socioecological covariates. Results of the latent profile analysis identified four profiles labeled according to how theoretically well-equipped they were to seek help based on observed patterns of barriers and self-compassion: Well-Equipped (36.71%), Under-Equipped (48.60%), Very Well-Equipped (9.44%), and Very Under-Equipped (5.25%). Findings suggest that over half of the sample was under-equipped to seek help, as evidenced by low levels of self-compassion and high levels of barriers. Greater campus cultural congruity was associated with a higher likelihood of membership in the Well-Equipped profile relative to the Under-Equipped profile. Implications for promoting help-seeking in this population are discussed