Connections between family and child characteristics and referrals to comprehensive services in Early Head Start.

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Title: Connections between family and child characteristics and referrals to comprehensive services in Early Head Start.
Authors: Lombardi, Caitlin1 (AUTHOR) caitlin.lombardi@uconn.edu, Chazan-Cohen, Rachel1 (AUTHOR), Zaslow, Marty1 (AUTHOR), Kim, Loria1 (AUTHOR)
Source: Children & Youth Services Review. Aug2026, Vol. 187, pN.PAG-N.PAG. 1p.
Subject Terms: *Parents, *Mental health services, *Families, *Family relations, *Head Start programs, Home care services, Social services, Medical care, Child health services, Logistic regression analysis, Multivariate analysis, Medical referrals
Abstract: • Families reported high rate of referrals, highest health to lowest mental health. • For some family/child characteristics, there were connections with referrals. • Latine families received more types of referrals, relative to Black and White. • Black families received similar types of referrals relative to White families. • Home vs. center-based may be a first matching of family needs and services. Early Head Start (EHS) provides comprehensive services to support children and their parents, including referring parents to supports to meet family self-sufficiency and well-being goals and their children's developmental needs. Little research has documented families' referral to these services, and how they vary by family and child characteristics. The goals of this study were: (1) to explore whether there is evidence of appropriate targeting in family referrals to comprehensive services by examining the associations between family and child characteristics and reported referrals; and (2) among families enrolled in programs offering both center-based and home-based service delivery models, to examine differences in referrals and characteristics between families participating in center-based versus home-based services. Data came from the EHS Family and Child Experiences Study 2009–2012 (Baby FACES; N = 702). When children were 1 and 2 years old, parents reported on their own and their children's characteristics. Families also reported on their referrals to services in the areas of education/job training, child disability, mental health services, child care, employment, financial help, and health care. Multivariate logistic regression models were used to predict each type of service referral from these characteristics. Many (but not all) findings suggested associations between family and child characteristics and referrals to specific types of comprehensive services. When families were enrolled in programs offering both center- and home-based service delivery models, findings suggested that enrollment in home-based services may be a first form of referral. [ABSTRACT FROM AUTHOR]
Copyright of Children & Youth Services Review is the property of Pergamon Press - An Imprint of Elsevier Science and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Education Research Complete
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  Data: Connections between family and child characteristics and referrals to comprehensive services in Early Head Start.
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  Data: <searchLink fieldCode="AR" term="%22Lombardi%2C+Caitlin%22">Lombardi, Caitlin</searchLink><relatesTo>1</relatesTo> (AUTHOR)<i> caitlin.lombardi@uconn.edu</i><br /><searchLink fieldCode="AR" term="%22Chazan-Cohen%2C+Rachel%22">Chazan-Cohen, Rachel</searchLink><relatesTo>1</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Zaslow%2C+Marty%22">Zaslow, Marty</searchLink><relatesTo>1</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Kim%2C+Loria%22">Kim, Loria</searchLink><relatesTo>1</relatesTo> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22Children+%26+Youth+Services+Review%22">Children & Youth Services Review</searchLink>. Aug2026, Vol. 187, pN.PAG-N.PAG. 1p.
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  Data: *<searchLink fieldCode="DE" term="%22Parents%22">Parents</searchLink><br />*<searchLink fieldCode="DE" term="%22Mental+health+services%22">Mental health services</searchLink><br />*<searchLink fieldCode="DE" term="%22Families%22">Families</searchLink><br />*<searchLink fieldCode="DE" term="%22Family+relations%22">Family relations</searchLink><br />*<searchLink fieldCode="DE" term="%22Head+Start+programs%22">Head Start programs</searchLink><br /><searchLink fieldCode="DE" term="%22Home+care+services%22">Home care services</searchLink><br /><searchLink fieldCode="DE" term="%22Social+services%22">Social services</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+care%22">Medical care</searchLink><br /><searchLink fieldCode="DE" term="%22Child+health+services%22">Child health services</searchLink><br /><searchLink fieldCode="DE" term="%22Logistic+regression+analysis%22">Logistic regression analysis</searchLink><br /><searchLink fieldCode="DE" term="%22Multivariate+analysis%22">Multivariate analysis</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+referrals%22">Medical referrals</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: • Families reported high rate of referrals, highest health to lowest mental health. • For some family/child characteristics, there were connections with referrals. • Latine families received more types of referrals, relative to Black and White. • Black families received similar types of referrals relative to White families. • Home vs. center-based may be a first matching of family needs and services. Early Head Start (EHS) provides comprehensive services to support children and their parents, including referring parents to supports to meet family self-sufficiency and well-being goals and their children's developmental needs. Little research has documented families' referral to these services, and how they vary by family and child characteristics. The goals of this study were: (1) to explore whether there is evidence of appropriate targeting in family referrals to comprehensive services by examining the associations between family and child characteristics and reported referrals; and (2) among families enrolled in programs offering both center-based and home-based service delivery models, to examine differences in referrals and characteristics between families participating in center-based versus home-based services. Data came from the EHS Family and Child Experiences Study 2009–2012 (Baby FACES; N = 702). When children were 1 and 2 years old, parents reported on their own and their children's characteristics. Families also reported on their referrals to services in the areas of education/job training, child disability, mental health services, child care, employment, financial help, and health care. Multivariate logistic regression models were used to predict each type of service referral from these characteristics. Many (but not all) findings suggested associations between family and child characteristics and referrals to specific types of comprehensive services. When families were enrolled in programs offering both center- and home-based service delivery models, findings suggested that enrollment in home-based services may be a first form of referral. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: <i>Copyright of Children & Youth Services Review is the property of Pergamon Press - An Imprint of Elsevier Science and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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RecordInfo BibRecord:
  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.1016/j.childyouth.2026.109051
    Languages:
      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 1
        StartPage: N.PAG
    Subjects:
      – SubjectFull: Parents
        Type: general
      – SubjectFull: Mental health services
        Type: general
      – SubjectFull: Families
        Type: general
      – SubjectFull: Family relations
        Type: general
      – SubjectFull: Head Start programs
        Type: general
      – SubjectFull: Home care services
        Type: general
      – SubjectFull: Social services
        Type: general
      – SubjectFull: Medical care
        Type: general
      – SubjectFull: Child health services
        Type: general
      – SubjectFull: Logistic regression analysis
        Type: general
      – SubjectFull: Multivariate analysis
        Type: general
      – SubjectFull: Medical referrals
        Type: general
    Titles:
      – TitleFull: Connections between family and child characteristics and referrals to comprehensive services in Early Head Start.
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      – PersonEntity:
          Name:
            NameFull: Lombardi, Caitlin
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            NameFull: Chazan-Cohen, Rachel
      – PersonEntity:
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            NameFull: Zaslow, Marty
      – PersonEntity:
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            NameFull: Kim, Loria
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          Dates:
            – D: 01
              M: 08
              Text: Aug2026
              Type: published
              Y: 2026
          Identifiers:
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              Value: 01907409
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              Value: 187
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            – TitleFull: Children & Youth Services Review
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