Skip to main content
SpringerLink
Log in

Cultural Considerations in Integrated Early Childhood Behavioral Health

  • Chapter
  • First Online:
Integrated Early Childhood Behavioral Health in Primary Care

Abstract

Parenting practices of young children are influenced, in part, by a family’s cultural and ethnic heritage. The rapidly changing and diverse population of families in the United States calls for integrated early childhood specialists to be sensitive and aware of the needs of these families. This chapter explores cultural differences in the context of three common referrals in early childhood, which include helping parents navigate behavior problems, feeding/nutrition issues, and sleeping difficulties. Using examples from research and real-life clinical scenarios, this chapter highlights how integrated early childhood specialists can be mindful of cultural influences on parenting practices in their work with families of diverse backgrounds, and describes clinical strategies to help establish strong bonds with culturally diverse families. Lastly, this chapter highlights the importance of being aware of one’s own personal biases and opinions when helping parents incorporate evidence-based parenting techniques in a culturally informed and respectful way.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 149.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 199.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 199.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Notes

  1. 1.

    The AAP has developed a tool kit to help pediatric practitioners with providing culturally effective care: www.aap.org/en-us/professional-resources/practice-support/Patient-Management/pages/Culturally-Effective-Care-Toolkit-What-Is-Culturally-Effective-Pediatric-Care-.aspx.

References

  • Adair, R., Bauchner, H., Philipp, B., Levenson, S., & Zuckerman, B. (1991). Night waking during infancy: Role of parental presence at bedtime. Pediatrics, 87(4), 500–504.

    PubMed  Google Scholar 

  • Alber, S. R., & Heward, W. L. (2000). Teaching students to recruit positive attention: A review and recommendations. Journal of Behavioral Education, 10(4), 177–204.

    Article  Google Scholar 

  • American Academy of Child & Adolescent Psychiatry. (2012). Policy statement on corporal punishment. Retrieved from https://www.aacap.org/aacap/policy_statements/2012/Policy_Statement_on_Corporal_Punishment.aspx.

  • American Academy of Pediatrics. (2004). Ensuring culturally effective pediatric care: Implications for education and health policy. Pediatrics, 114(6), 1667–1685.

    Google Scholar 

  • American Academy of Pediatrics. (2012). Policy statement breastfeeding and the use of human milk. Pediatrics, 129(3), e827–e841.

    Article  Google Scholar 

  • American Psychological Association. (2002). Guidelines on multicultural education, training, research, practice, and organizational change for psychologists. Washington, DC.

    Google Scholar 

  • Anders, T. F., Halpern, L., & Hua, J. (1992). Sleeping through the night: A developmental perspective. Pediatrics, 90, 554–560.

    PubMed  Google Scholar 

  • Barkin, S., Scheindlin, B., Ip, E., Richardson, I., & Finch, S. (2007). Determinants of parental discipline practices: A national sample from primary care practices. Clinical Pediatrics, 46(1), 64–69.

    Article  PubMed  Google Scholar 

  • Bentley, M., Gavin, L., Black, M., & Teti, L. (1999). Infant feeding practices of low-income, African-American, adolescent mothers: An ecological, multigenerational perspective. Social Science & Medicine, 49(8), 1085–1100.

    Article  Google Scholar 

  • Bernstein, V. (2002). Strengthening families through strengthening relationships: Supporting the parent-child relationship through home visiting. Newsletter of Infant Mental Health Promotion Project (IMP), 35, 1–5.

    Google Scholar 

  • Cachelin, F. M., Thompson, D., & Phimphasone, P. (2014). Impact of Asian American mothers’ feeding beliefs and practices on child obesity in a diverse community sample. Asian American Journal of Psychology, 5(3), 223.

    Article  Google Scholar 

  • Calzada, E. J. (2010). Bringing culture into parent training with Latinos. Cognitive and Behavioral Practice, 17(2), 167–175.

    Article  PubMed  PubMed Central  Google Scholar 

  • Centers for Disease Control and Prevention. (2013). Progress in increasing breastfeeding and reducing racial/ethnic differences—United States, 2000–2008 births. MMWR. Morbidity and Mortality Weekly Report, 62(5), 277–280.

    Google Scholar 

  • Chaparro, M. P., Langellier, B. A., Wang, M. C., Koleilat, M., & Whaley, S. E. (2014). Effects of parental nativity and length of stay in the US on fruit and vegetable intake among WIC-enrolled preschool-aged children. Journal of Immigrant and Minority Health, 1–6.

    Google Scholar 

  • Choi, Y., Kim, Y., Kim, S., & Park, I. (2013). Is Asian American parenting controlling and harsh? Empirical testing of relationships between Korean American and Western parenting measures. Asian American Journal of Psychology, 4(1), 19.

    Article  PubMed  PubMed Central  Google Scholar 

  • Committee on Psychosocial Aspects of Child and Family Health. (1998). Guidance for effective discipline. Pediatrics, 101(4), 723–728.

    Google Scholar 

  • County of Los Angeles Department of Health. (2004). Breastfeeding practices. Los Angeles, CA: Los Angeles Department of Health.

    Google Scholar 

  • Crabtree, V., Korhonen, J., Montgomery-Downs, H., Jones, V. F., O’Brien, L. M., & Gozal, D. (2005). Cultural influences on the bedtime behaviors of young children. Sleep Medicine, 6(4), 319–324.

    Article  Google Scholar 

  • Deater-Deckard, K., Dodge, K. A., Bates, J. E., & Pettit, G. S. (1996). Physical discipline among African American and European American mothers: Links to children’s externalizing behaviors. Developmental Psychology, 32(6), 1065.

    Article  Google Scholar 

  • Deater-Deckard, K., Ivy, L., & Petrill, S. A. (2006). Maternal warmth moderates the link between physical punishment and child externalizing problems: A parent-offspring behavior genetic analysis. Parenting: Science and Practice, 6(1), 59–78.

    Article  Google Scholar 

  • Dishion, T. J., & Patterson, S. G. (1996). Preventive parenting with love, encouragement, and limits: The preschool years. Eugene, OR: Castalia.

    Google Scholar 

  • Eckhardt, C. L., Lutz, T., Karanja, N., Jobe, J. B., Maupomé, G., & Ritenbaugh, C. (2014). Knowledge, attitudes, and beliefs that can influence infant feeding practices in American Indian Mothers. Journal of the Academy of Nutrition and Dietetics, 114(10), 1587–1593.

    Article  PubMed  PubMed Central  Google Scholar 

  • Evans, A., Seth, J. G., Smith, S., Harris, K. K., Loyo, J., Spaulding, C., … Gottlieb, N. (2011). Parental feeding practices and concerns related to child underweight, picky eating, and using food to calm differ according to ethnicity/race, acculturation, and income. Maternal & Child Health Journal, 15(7), 899–909. doi:10.1007/s10995-009-0526-6.

    Google Scholar 

  • Eyberg, S. M., Funderburk, B. W., Hembree-Kigin, T. L., McNeil, C. B., Querido, J. G., & Hood, K. K. (2001). Parent-child interaction therapy with behavior problem children: One and two year maintenance of treatment effects in the family. Child & Family Behavior Therapy, 23(4), 1–20.

    Article  Google Scholar 

  • Fabiano, G. A., Pelham, W. E., Manos, M. J., Gnagy, E. M., Chronis, A. M., Onyango, AN., … Meichenbaum, D. L. (2004). An evaluation of three time-out procedures for children with attention-deficit/hyperactivity disorder. Behavior Therapy, 35(3), 449–469.

    Google Scholar 

  • Flynn, S. J., Cooper, L. A., & Gary-Webb, T. L. (2013). The role of culture in promoting effective clinical communication, behavior change, and treatment adherence. The oxford handbook of health communication, behavior change, and treatment adherence (p. 267).

    Google Scholar 

  • Gable, R. A., Hester, P. H., Rock, M. L., & Hughes, K. G. (2009). Back to basics rules, praise, ignoring, and reprimands revisited. Intervention in School and Clinic, 44(4), 195–205.

    Article  Google Scholar 

  • Galland, B. C., Taylor, B. J., Elder, D. E., & Herbison, P. (2012). Normal sleep patterns in infants and children: A systematic review of observational studies. Sleep Medicine Reviews, 16(3), 213–222.

    Article  PubMed  Google Scholar 

  • García Coll, C., Lamberty, G., Jenkins, R., McAdoo, H. P., Crnic, K., Wasik, B. H., & Vazquez García, H. (1996). An integrative model for the study of developmental competencies in minority children. Child Dev, 67(5), 1891–1914.

    Google Scholar 

  • Gershoff, E. T. (2002). Corporal punishment by parents and associated child behaviors and experiences: A meta-analytic and theoretical review. Psychological Bulletin, 128(4), 539.

    Article  PubMed  Google Scholar 

  • Gibson, M. V., Diaz, V. A., Mainous, A. G., 3rd, & Geesey, M. E. (2005). Prevalence of breastfeeding and acculturation in Hispanics: Results from NHANES 1999-2000 study. Birth, 32(2), 93–98. doi:10.1111/j.0730-7659.2005.00351.x.

    Article  PubMed  Google Scholar 

  • Ginsburg, K. R. (2007). The importance of play in promoting healthy child development and maintaining strong parent-child bonds. Pediatrics, 119(1), 182–191.

    Article  PubMed  Google Scholar 

  • Hall, E. (1976). Beyond culture (Vol. 222, p. 13). New York: Anchor Books.

    Google Scholar 

  • Hendy, H. M., & Williams, K. E. (2012). Mother’s feeding practices for children 3–10 years of age and their associations with child demographics. Appetite, 58(2), 710–716.

    Article  PubMed  Google Scholar 

  • Huh, S. Y., Rifas-Shiman, S. L., Taveras, E. M., Oken, E., & Gillman, M. W. (2011). Timing of solid food introduction and risk of obesity in preschool-aged children. Pediatrics, 127(3), e544–e551. doi:10.1542/peds.2010-0740.

    Article  PubMed  PubMed Central  Google Scholar 

  • Horn, I. B., Cheng, T. L., & Joseph, J. (2004). Discipline in the African American Community: The impact of socioeconomic status on beliefs and practices. Pediatrics, 113(5), 1–5.

    Article  Google Scholar 

  • Jenni, O. G., & O’Connor, B. B. (2005). Children’s sleep: An interplay between culture and biology. Pediatrics, 115(Supp. 1), 204–216.

    Article  PubMed  Google Scholar 

  • Johnson, L., Radesky, J., & Zuckerman, B. (2013). Cross-cultural parenting: Reflections on autonomy and interdependence. Pediatrics, 131(4), 631–633.

    Article  PubMed  Google Scholar 

  • Kazdin, A. E., & Benjet, C. (2003). Spanking children evidence and issues. Current Directions in Psychological Science, 12(3), 99–103.

    Article  Google Scholar 

  • Khandpur, N., Blaine, R. E., Fisher, J. O., & Davison, K. K. (2014). Fathers’ child feeding practices: A review of the evidence. Appetite, 78, 110–121.

    Article  PubMed  Google Scholar 

  • Kim, E., & Hong, S. (2007). First-generation Korean-American parents’ perceptions of discipline. Journal of Professional Nursing, 23(1), 60–68.

    Article  PubMed  PubMed Central  Google Scholar 

  • Kuo, A. A., Inkelas, M., Slusser, W. M., Maidenberg, M., & Halfon, N. (2011). Introduction of solid food to young infants. Maternal and Child Health Journal, 15(8), 1185–1194. doi:10.1007/s10995-010-0669-5.

    Article  PubMed  Google Scholar 

  • Latz, S., Wolf, A. W., & Lozoff, B. (1999). Cosleeping in context: Sleep practices and problems in young children in Japan and the United States. Archives of Pediatrics & Adolescent Medicine, 153(4), 339–346.

    Article  Google Scholar 

  • Lee, A. (2013). Understanding infant feeding practices among Chinese Mothers in New York city (Theses paper 2). Syracuse University, Syracuse, NY.

    Google Scholar 

  • Lee, A., & Brann, L. (2014). Influence of cultural beliefs on infant feeding, postpartum and childcare practices among Chinese-American Mothers in New York city. Journal of Community Health, 1–8.

    Google Scholar 

  • Li, R., Darling, N., Maurice, E., Barker, L., & Grummer-Strawn, L. M. (2005). Breastfeeding rates in the United States by characteristics of the child, mother, or family: The 2002 National Immunization Survey. Pediatrics, 115(1), e31–e37.

    PubMed  Google Scholar 

  • Lind, J. P., Perrine, C. G., Li, R., Scanlon, K. S., & Grummer-Strawn, L. M. (2014). Racial disparities in access to maternity care practices that support breastfeeding—United States, 2011. MMWR. Morbidity and Mortality Weekly Report, 63(33), 725–728.

    PubMed  Google Scholar 

  • Liu, X., Liu, L., Owens, J. A., & Kaplan, D. L. (2005). Sleep patterns and sleep problems among schoolchildren in the United States and China. Pediatrics, 115(Supp. 1), 241–249.

    Article  PubMed  Google Scholar 

  • MacKenzie, M. J., Nicklas, E., Brooks-Gunn, J., & Waldfogel, J. (2015). Spanking and children’s externalizing behavior across the first decade of life: Evidence for transactional processes. Journal of Youth and Adolescence, 44(3), 658–669.

    Article  PubMed  Google Scholar 

  • Mao, A., Burnham, M. M., Goodlin-Jones, B. L., Gaylor, E. E., & Anders, T. F. (2004). A comparison of the sleep–wake patterns of cosleeping and solitary-sleeping infants. Child Psychiatry and Human Development, 35(2), 95–105.

    Article  PubMed  PubMed Central  Google Scholar 

  • Marti, M., Snow, R., Wu, W., & Duch, H. (2015). The impact of play-based, parent-child intervention on the parent-child interaction of Latino families. Philadelphia, PA: Society for Research in Child Development.

    Google Scholar 

  • Matos, M., Torres, R., Santiago, R., Jurado, M., & Rodriguez, I. (2006). Adaptation of parent–child interaction therapy for Puerto Rican families: A preliminary study. Family Process, 45(2), 205–222.

    Article  PubMed  Google Scholar 

  • McCabe, K., Yeh, M., Garland, A. F., Lau, A. S., & Chavez, G. (2005). The GANA program: A tailoring approach to adapting parent child interaction therapy for Mexican Americans. Education and Treatment of Children, 28(2), 111–129.

    Google Scholar 

  • McCabe, K., Yeh, M., Lau, A. S., & Argote, C. B. (2012). Parent-child interaction therapy for Mexican Americans: Results of a pilot randomized clinical trial at follow-up. Behavior Therapy, 43(3), 606–618.

    Article  PubMed  Google Scholar 

  • McLoyd, V. C., & Smith, J. (2002). Physical discipline and behavior problems in African American, European American, and Hispanic children: Emotional support as a moderator. Journal of Marriage and Family, 64(1), 40–53.

    Article  Google Scholar 

  • Medoff, D., & Schaefer, C. E. (1993). Children sharing the parental bed: A review of the advantages and disadvantages of cosleeping. Psychology: A Journal of Human Behavior, 30(1), 1–9.

    Google Scholar 

  • Milan, S., Snow, S., & Belay, S. (2007). The context of preschool children’s sleep: Racial/ethnic differences in sleep locations, routines, and concerns. Journal of Family Psychology, 21(1), 20.

    Article  PubMed  Google Scholar 

  • Miller, S. A. (1988). Parents’ beliefs about children’s cognitive development. Child Development, 59(2), 259–285.

    Article  Google Scholar 

  • Mindell, J. A., Sadeh, A., Kohyama, J., & How, T. H. (2010). Parental behaviors and sleep outcomes in infants and toddlers: A cross-cultural comparison. Sleep Medicine, 11(4), 393–399.

    Article  PubMed  Google Scholar 

  • Mindell, J. A., Sadeh, A., Kwon, R., & Goh, D. Y. T. (2013). Cross-cultural differences in the sleep of preschool children. Sleep Medicine, 14(12), 1283–1289.

    Article  PubMed  Google Scholar 

  • Mindell, J. A., Sadeh, A., Wiegand, B., How, T. H., & Goh, D. Y. T. (2010). Cross-cultural differences in infant and toddler sleep. Sleep Medicine, 11(3), 274–280.

    Article  PubMed  Google Scholar 

  • Morelli, G. A., Rogoff, B., Oppenheim, D., & Goldsmith, D. (1992). Cultural variation in infants’ sleeping arrangements: Questions of independence. Developmental Psychology, 28(4), 604.

    Article  Google Scholar 

  • Nielsen, S. J., Rossen, L. M., Harris, D. M., & Ogden, C. L. (2014). Fruit and vegetable consumption of U.S. Youth, 2009–2010. NCHS Data Brief, 156, 1–8.

    PubMed  Google Scholar 

  • O’Brien, L. M., & Gozal, D. (2004). Neurocognitive dysfunction and sleep in children: From human to rodent. Pediatric Clinics of North America, 51(1), 187–202.

    Article  PubMed  Google Scholar 

  • Ogden, C. L., Carroll, M. D., Kit, B. K., & Flegal, K. M. (2014). Prevalence of childhood and adult obesity in the United States, 2011–2012. JAMA, 311(8), 806–814.

    Article  PubMed  PubMed Central  Google Scholar 

  • Pai, H., & Contento, I. (2014). Parental perceptions, feeding practices, feeding styles, and level of acculturation of Chinese Americans in relation to their school-age child’s weight status. Appetite, 80, 174–182.

    Article  PubMed  Google Scholar 

  • Palmstierna, P., Sepa, A., & Ludvigsson, J. (2008). Parent perceptions of child sleep: A study of 10 000 Swedish children. Acta Paediatrica, 97(12), 1631–1639.

    Article  PubMed  Google Scholar 

  • Patterson, G. R. (1979). A performance theory for coercive family interaction. In R. B. Cairns (Ed.), The analysis of social interactions: Methods, issues, and illustrations (pp. 119–162). Hillsdale, NJ: Erlbaum.

    Google Scholar 

  • Perrin, E. M., Rothman, R. L., Sanders, L. M., Skinner, A. C., Eden, S. K., Shintani, A., … Yin, H. S. (2014). Racial and ethnic differences associated with feeding- and activity-related behaviors in infants. Pediatrics, 133(4), e857–e867. doi:10.1542/peds.2013-1326.

    Google Scholar 

  • Powers, S. W., Chamberlin, L. A., Schaick, K. B., Sherman, S. N., & Whitaker, R. C. (2006). Maternal feeding strategies, child eating behaviors, and child BMI in low‐income African‐American preschoolers. Obesity, 14(11), 2026–2033.

    Article  PubMed  Google Scholar 

  • Reeves, E. A., & Woods-Giscombé, C. L. (2014). Infant-feeding practices among African American women: Socio-ecological analysis and implications for practice. Journal of Transcultural Nursing, 26(3), 219–226. doi:10.1177/1043659614526244.

    Article  PubMed  Google Scholar 

  • Reid, M. J., Webster-Stratton, C., & Beauchaine, T. P. (2001). Parent training in Head Start: A comparison of program response among African American, Asian American, Caucasian, and Hispanic mothers. Prevention Science, 2(4), 209–227.

    Article  PubMed  Google Scholar 

  • Ren, L., & Pope Edwards, C. (2015). Pathways of influence: Chinese parents’ expectations, parenting styles, and child social competence. Early Child Development and Care, 185(4), 614–630.

    Article  Google Scholar 

  • Sadeh, A., Flint-Ofir, E., Tirosh, T., & Tikotzky, L. (2007). Infant sleep and parental sleep-related cognitions. Journal of Family Psychology, 21(1), 74.

    Article  PubMed  Google Scholar 

  • Sadeh, A., Mindell, J. A., Luedtke, K., & Wiegand, B. (2009). Sleep and sleep ecology in the first 3 years: A web‐based study. Journal of Sleep Research, 18(1), 60–73.

    Article  PubMed  Google Scholar 

  • Sadeh, A., Tikotzky, L., & Scher, A. (2010). Parenting and infant sleep. Sleep Medicine Reviews, 14(2), 89–96.

    Article  PubMed  Google Scholar 

  • Scheuermann, B. K., & Hall, J. A. (2008). Positive behavioral supports for the classroom. Upper Saddle River, NJ: Pearson Higher Ed.

    Google Scholar 

  • Schuhmann, E. M., Foote, R. C., Eyberg, S. M., Boggs, S. R., & Algina, J. (1998). Efficacy of parent-child interaction therapy: Interim report of a randomized trial with short-term maintenance. Journal of Clinical Child Psychology, 27(1), 34–45.

    Article  PubMed  Google Scholar 

  • Seid, M., Stevens, G. D., & Varni, J. W. (2003). Parents’ perceptions of pediatric primary care quality: Effects of race/ethnicity, language, and access. Health Services Research, 38(4), 1009–1032.

    Article  PubMed  PubMed Central  Google Scholar 

  • Sherry, B., McDivitt, J., Birch, L., Cook, F., Sanders, S., Prish, J. L., … Scanlon, K. S. (2004). Attitudes, practices, and concerns about child feeding and child weight status among socioeconomically diverse white, Hispanic, and African-American mothers. Journal of the American Dietetic Association, 104(2), 215–221.

    Google Scholar 

  • Suizzo, M. (2007). Parents’ goals and values for children dimensions of independence and interdependence across four US ethnic groups. Journal of Cross-Cultural Psychology, 38(4), 506–530.

    Article  Google Scholar 

  • Taveras, E. M., Gillman, M. W., Kleinman, K., Rich-Edwards, J. W., & Rifas-Shiman, S. L. (2010). Racial/ethnic differences in early-life risk factors for childhood obesity. Pediatrics, 125(4), 686–695. doi:10.1542/peds.2009-2100.

    Article  PubMed  Google Scholar 

  • The Annie E. Casey Foundation. (2014). The 2014 KIDS COUNT data book. Baltimore, MA: The Annie E. Casey Foundation.

    Google Scholar 

  • Tikotzky, L., & Sadeh, A. (2009). Maternal sleep‐related cognitions and infant sleep: A longitudinal study from pregnancy through the 1st Year. Child Development, 80(3), 860–874.

    Article  PubMed  Google Scholar 

  • Tsai, K. M., Telzer, E. H., Gonzales, N. A., & Fuligni, A. J. (2015). Parental cultural socialization of Mexican‐American adolescents’ family obligation values and behaviors. Child Development.

    Google Scholar 

  • Webster‐Stratton, C., Rinaldi, J., & Reid, J. (2011). Long‐term outcomes of Incredible Years Parenting Program: Predictors of adolescent adjustment. Child and Adolescent Mental Health, 16(1), 38–46.

    Article  PubMed  PubMed Central  Google Scholar 

  • Wolf, A. W., & Lozoff, B. (1989). Object attachment, thumbsucking, and the passage to sleep. Journal of the American Academy of Child and Adolescent Psychiatry, 28(2), 287–292.

    Article  PubMed  Google Scholar 

  • Wolf, T. L., McLaughlin, T. F., & Williams, R. L. (2006). Time-out interventions and strategies: A brief review and recommendations. International Journal of Special Education, 21(3), 22–29.

    Google Scholar 

  • Wu, P., Robinson, C. C., Yang, C., Hart, C. H., Olsen, S. F., Porter, CL., … Wu, X. (2002). Similarities and differences in mothers’ parenting of preschoolers in China and the United States. International Journal of Behavioral Development, 26(6), 481–491.

    Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Columbia University, Mailman School of Public Health, New York, NY, USA

    Helena Duch Psy.D.

  2. Montefiore Health System, Bronx, NY, USA

    Kate Cuno Psy.D. & Miguelina Germán Ph.D.

Authors
  1. Helena Duch Psy.D.
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Kate Cuno Psy.D.
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Miguelina Germán Ph.D.
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Helena Duch Psy.D. .

Editor information

Editors and Affiliations

  1. Montefiore Health System, Bronx, New York, USA

    Rahil D. Briggs

Rights and permissions

Reprints and permissions

Copyright information

© 2016 Springer International Publishing Switzerland

About this chapter

Cite this chapter

Duch, H., Cuno, K., Germán, M. (2016). Cultural Considerations in Integrated Early Childhood Behavioral Health. In: Briggs, R. (eds) Integrated Early Childhood Behavioral Health in Primary Care. Springer, Cham. https://doi.org/10.1007/978-3-319-31815-8_8

Download citation

Publish with us

Policies and ethics

Search

Navigation