Document Type



Doctor of Philosophy (PhD)



First Advisor's Name

Daniel Bagner

First Advisor's Committee Title

Committee Chair

Second Advisor's Name

Stacy Frazier

Second Advisor's Committee Title

Committee Member

Third Advisor's Name

Paulo Graziano

Third Advisor's Committee Title

Committee Member

Fourth Advisor's Name

Laura Dinehart

Fourth Advisor's Committee Title

Committee Member


usual care, infant mental health

Date of Defense



Infants who experience multiple risk factors, such as preterm birth, developmental delay, and low socioeconomic status, are at greater risk for mental health problems. Mental health interventions for infants typically target infants from high-risk groups, and there is strong evidence that some intervention programs for infants can prevent long-term negative outcomes and promote long-term positive outcomes. Despite emerging research and federal initiatives promoting early intervention, minimal research has examined community-based mental health services during infancy. Improving the effectiveness and efficiency of routine care requires close examination of current practices. The current study characterized current usual care practices in infant mental health through a survey of mental health providers. Provider, practice, and client characteristics, provider use of intervention strategies and intervention programs, and provider attitudes toward and knowledge of evidence-based practices are described. Study findings are discussed in the context of previous usual care research. Implications and directions for future research are discussed.





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