2011 The Palm Beach County Family Study (Full Report)

Receipt of More Intensive Treatment ServicesOverall, 45 percent of the mothers in the 2004–2009 birth cohorts who received treatment servicesreceived basic care coordination, while the remainder received intensive care coordination. Thesepercentages are fairly consistent across the five birth cohorts, except that larger percentages of mothers inthe 2008 and 2009 birth cohorts received intensive care coordination (see Table B- 7 of the Appendix).However, as reported in chapter 2, the demographic characteristics of the birth cohorts did not changesubstantially over time (aside from a decline in the percentage of mothers with late or no prenatal care);thus, it is not clear what accounts for the increase in the percentage of mothers who received intensivecare coordination.A logistic regression analysis using the county sample data reveals that the following variables increasethe odds of a mother receiving intensive care coordination: use of WIC during pregnancy, use of tobaccoduring pregnancy, late or no prenatal care, mother had less than a high school education, mother was notmarried at time of birth, mother was a teen at time of birth, mother resided in the TGAs, mother hadhealth complications during pregnancy, baby was underweight and baby was premature (see Table B- 8 inthe Appendix). Furthermore, the odds increase most for mothers with less than a high school education,mothers who smoked, mothers who were not married, mothers who were teens, and mothers with late orno prenatal care. We also found that U.S.-born blacks were significantly more likely than foreign-bornHispanics to receive intensive care coordination; however, the remaining race/nativity groups hadsignificantly lower odds of receiving intensive care coordination, when compared to foreign-bornHispanics. Finally, we found that mothers in the 2008 and 2009 birth cohorts were significantly morelikely to receive intensive care coordination, as compared to mothers in the 2004 cohort.Of the mothers in the baseline study sample who received MCHP treatment services, approximately 39percent received care coordination, while 61 percent received intensive care coordination. Comparing thetwo groups of mothers reveals that those who received intensive care coordination were significantlymore likely to show depressive symptoms, to be poor, to have a child with special needs, to have aphysical or mental health problem, or to live with someone with a health problem than were mothers whoreceived care coordination (Spielberger et al., 2010). They were also more likely to have both indicatedand investigated DCF reports. We did not, however, find any significant differences with respect torace/nativity, other demographic characteristics, or other variables available from Vital Statistics (e.g. lateor no prenatal care).Chapin Hall at the University of Chicago 90