Participation of SED Children in Community-based Recreation Programs: Familial, Social, and Behavioral Factors

Noel Bost
University of Chicago
1401 E. Hyde Park Blvd. Apt. 601
Chicago IL 60615
773-947-8663
Bostworks@cs.com
 
Thomas Keller
University of Chicago
969 East 60th Street
Chicago IL 60637
(773)702-1131
FAX: (773)702-0874
tkeller@uchicago.edu
 
Maureen Marcenko
University of Washington
4101 15th Ave. NE
Seattle WA 98105
mmarcenk@uchicago.edu
Purpose: Mental health practitioners emphasize community-based services and activities for children with serious emotional disturbance.  However, research has not investigated influences on children’s involvement in structured, community-based recreational activities. This study describes levels of participation in such activities and examines familial, behavioral, and social factors associated with participation.
 
Methods: The study is based on a random sample of children, aged 9-11 years, receiving frequent services through an urban public mental health system (N=123).  Structured interviews with the children and primary caregivers contained multiple standardized measures to assess child behavior and mental health, family functioning, and social and demographic dimensions.  At a six month follow-up, caregivers indicated whether the child had participated in a variety of structured recreational/educational activities (e.g., scouting, camp, sports, YMCA/YWCA, church activities, volunteer activities, etc.).
 
Results:  Ninety-three percent of caregivers in the sample indicated a desire for recreational and after-school programs for their children.  Regression analysis revealed that higher externalizing scores on the Child Behavior Checklist were associated with lower levels of participation in structured recreational activities.  A positive association was found between parent education level and involvement in activities.
 
Implications for practice:  Findings suggest a high level of interest in community-based recreational opportunities for children served in the public mental health system.  The negative association between participation and child externalizing problems could indicate beneficial effects of these activities on child behavior.  Alternatively, challenging behaviors may be an obstacle to integration into mainstream enrichment activities.  Parent education is also associated with participation, possibly due to the value placed on participation or issues of access and advocacy.  Strategies will be offered for integrating children with serious emotional disturbance into mainstream recreational activities.