Ellen J Silver
Biographic Data
| ID | 5861039 |
|---|---|
| NAME | Ellen J Silver |
| GIVEN NAMES | Ellen J |
| FAMILY NAME | Silver |
| SIGNATURE | SILVER E J |
| AFFILIATIONS | Albert Einstein College of Medicine |
| ORCID | 0000-0002-8970-9838 |
| VERIFIED | Yes |
| TOTAL WORKS | 15 |
| TOTAL CITATIONS | 22 |
| WORKS AS AUTHOR | 15 |
| WORKS AS EDITOR | 0 |
| FIRST PUBLICATION YEAR | 1990 |
| LATEST PUBLICATION YEAR | 2024 |
| H-INDEX | 2 |
A Provider-Focused Intervention to Increase Universal HIV Testing among Adolescents in School-Based Health Centers
We describe a provider-focused intervention to increase universal HIV testing among adolescent users in a network of School-Based Health Centers (SBHC) and compare the rate of HIV test offer and acceptance for SBHCs with and without the HIV testing intervention. The intervention was implemented at the six largest SBHCs in the 12-site network and included system- and staff-level initiatives, including an implementation coach to support SBHC associ…
Referral Patterns for Emergency Psychiatric Evaluations and Effect of School Mental Health Services in New York City, 2018
BACKGROUND: Pediatric mental health issues are increasing while access to care is decreasing. This is reflected in a growing number of patients seeking emergency psychiatric evaluations (EPEs) in the emergency department (ED). METHODS: This was a retrospective review of patients seeking EPE in the ED of a children's hospital between September and December 2018, which compares patients referred from the community versus those from schools as well …
Screening, Monitoring, and Referral to Treatment for Young Adolescents at an Urban School‐Based Health Center
BACKGROUND: This study describes the experience of implementing a screening, monitoring, and referral to treatment (SMARTT) initiative at an urban middle school school-based health center. METHODS: Retrospective data were collected for adolescents screened with the Pediatric Symptom Checklist-17-Y. At-risk adolescents having unmet health needs were offered a mental health referral, and those that declined a mental health referral were offered a p…
Expanded Medicaid dental coverage under the Affordable Care Act
The Minnesota experience suggests that the increase in Medicaid dental benefits through the ACA has significantly decreased NTDC visits, especially among young adults who were eligible for a dependent coverage policy that extends parents' health insurance to age 26. To our knowledge, no previous study has reported on the impact of early Medicaid expansion on the rate of ED use for NTDCs
Engaging and Sustaining Adolescents in Community-Based Participatory Research
Community-Based Participatory Research partnerships typically do not include adolescents as full community partners. However, partnering with adolescents can enhance the success and sustainability of adolescent health interventions. We partnered with adolescents to address health disparities in a low-income urban community. In partnering with youth, it is important to consider their developmental stage and needs to better engage and sustain their…
Cumulative Social Disadvantage and Child Health
CONTEXT. Disparities in child health are a major public health concern. However, it is unclear whether these are predominantly the result of low income, race, or other social risk factors that may contribute to their health disadvantage. Although others have examined the effects of the accumulation of risk factors, this methodology has not been applied to child health. OBJECTIVE. We tested 4 social risk factors (poverty, minority race/ethnicity, …
Children caring for their ill parents with HIV/Aids
Children orphaned by HIV/AIDS experience not only the trauma of a parent's death, but the stress of living with and often caring for an ill and dying parent. We interviewed 50 mothers ill from HIV/AIDS in both Mutare, Zimbabwe and New York, USA, and one child of each aged 8–16 about personal assistive care the child provided; other household responsibilities; hours/day children spent on chores; and parental/child mental health. Children provided …
The Association of Sexual Experience with Attitudes, Beliefs, and Risk Behaviors of Inner‐City Adolescents
We compared knowledge, attitudes, and demographic characteristics of 630 sexually experienced and 422 inexperienced inner‐city adolescents aged 14–17 years. Sexual experience was associated with indicators of risk previously reported in the literature: male gender, older age, single‐family home, smoking, drinking, and poorer academic performance. We found lower HIV knowledge in sexually inexperienced youth, which suggested an area of vulnerabilit…
The Relationship of Depressive Symptoms to Parenting Competence and Social Support in Inner-City Mothers of Young Children
Are Rates of Functional Limitations Associated with Access to Care? A State-Level Analysis of the National Survey of Children with Special Health Care Needs
Factors Associated with Psychological Distress in Urban Mothers with Late-Stage HIV/Aids
Psychological outcomes of a support intervention in mothers of children with ongoing health conditions
We compared depression, anxiety, anger, cognitive disturbance, and total scores on the Psychiatric Symptom Index (Ilfeld, 1976) for 365 mothers of 5-to-8 year-olds with diverse health conditions who were randomized either to an experimental (EG) or control (CG) group. EG mothers were offered a 12-month community-based support intervention; CG mothers received standard care. Posttest scores of EG and CG mothers did not differ significantly. Althou…
Content Validity of the Psychiatric Symptom Index, CES-Depression Scale, and State-Trait Anxiety Inventory from the Perspective of DSM-IV
We compared the item content of three commonly used scales of psychiatric symptoms [the broad-band Psychiatric Symptom Index (Ilfeld) and two narrow-band scales, the Center for Epidemiologic Studies-Depression Scale (Radloff) and the State-Trait Anxiety Inventory (Spielberger)], with diagnostic criteria and criterion-based symptoms for Major Depressive Episode and Generalized Anxiety Disorder as they appeared in DSM-IV. The Psychiatric Symptom In…
Effects of a Peer Counseling Training Intervention on Psychological Functioning of Adolescents
A 3-month peer counselor training program was provided to 32 inner-city adolescents, 14 to 17 years of age, 18 of whom were chronically ill. Participants completed pretests and posttests of ego development and pqychiatric symptoms and were evaluated for counseling skills by their trainer. A comparison sample (n = 28) was tested after an equivalent time periodi Mean scores on the two psychological measures did not change significantly for the comp…
Ego development and chronic illness in adolescents
To examine the effects of chronic illness on the psychological growth process known as ego development, scores were compared on the Loevinger Sentence Completion Test for 36 teens (16 boys, 20 girls) with chronic illness and 50 teens (16 boys, 34 girls) without chronic illness. Their ages ranged from 13 to 21 years, with a mean of 17.4 years. Most were Black (37%) or Hispanic (41%) and lived in poor or working-class neighborhoods. When age, sex, …
Children caring for their ill parents with HIV/Aids
Children orphaned by HIV/AIDS experience not only the trauma of a parent's death, but the stress of living with and often caring for an ill and dying parent. We interviewed 50 mothers ill from HIV/AIDS in both Mutare, Zimbabwe and New York, USA, and one child of each aged 8–16 about personal assistive care the child provided; other household responsibilities; hours/day children spent on chores; and parental/child mental health. Children provided …
The Association of Sexual Experience with Attitudes, Beliefs, and Risk Behaviors of Inner‐City Adolescents
We compared knowledge, attitudes, and demographic characteristics of 630 sexually experienced and 422 inexperienced inner‐city adolescents aged 14–17 years. Sexual experience was associated with indicators of risk previously reported in the literature: male gender, older age, single‐family home, smoking, drinking, and poorer academic performance. We found lower HIV knowledge in sexually inexperienced youth, which suggested an area of vulnerabilit…
Ego development and chronic illness in adolescents
To examine the effects of chronic illness on the psychological growth process known as ego development, scores were compared on the Loevinger Sentence Completion Test for 36 teens (16 boys, 20 girls) with chronic illness and 50 teens (16 boys, 34 girls) without chronic illness. Their ages ranged from 13 to 21 years, with a mean of 17.4 years. Most were Black (37%) or Hispanic (41%) and lived in poor or working-class neighborhoods. When age, sex, …
Ego development and chronic illness in adolescents
To examine the effects of chronic illness on the psychological growth process known as ego development, scores were compared on the Loevinger Sentence Completion Test for 36 teens (16 boys, 20 girls) with chronic illness and 50 teens (16 boys, 34 girls) without chronic illness. Their ages ranged from 13 to 21 years, with a mean of 17.4 years. Most were Black (37%) or Hispanic (41%) and lived in poor or working-class neighborhoods. When age, sex, …
Effects of a Peer Counseling Training Intervention on Psychological Functioning of Adolescents
A 3-month peer counselor training program was provided to 32 inner-city adolescents, 14 to 17 years of age, 18 of whom were chronically ill. Participants completed pretests and posttests of ego development and pqychiatric symptoms and were evaluated for counseling skills by their trainer. A comparison sample (n = 28) was tested after an equivalent time periodi Mean scores on the two psychological measures did not change significantly for the comp…
Content Validity of the Psychiatric Symptom Index, CES-Depression Scale, and State-Trait Anxiety Inventory from the Perspective of DSM-IV
We compared the item content of three commonly used scales of psychiatric symptoms [the broad-band Psychiatric Symptom Index (Ilfeld) and two narrow-band scales, the Center for Epidemiologic Studies-Depression Scale (Radloff) and the State-Trait Anxiety Inventory (Spielberger)], with diagnostic criteria and criterion-based symptoms for Major Depressive Episode and Generalized Anxiety Disorder as they appeared in DSM-IV. The Psychiatric Symptom In…
Psychological outcomes of a support intervention in mothers of children with ongoing health conditions
We compared depression, anxiety, anger, cognitive disturbance, and total scores on the Psychiatric Symptom Index (Ilfeld, 1976) for 365 mothers of 5-to-8 year-olds with diverse health conditions who were randomized either to an experimental (EG) or control (CG) group. EG mothers were offered a 12-month community-based support intervention; CG mothers received standard care. Posttest scores of EG and CG mothers did not differ significantly. Althou…
Factors Associated with Psychological Distress in Urban Mothers with Late-Stage HIV/Aids
The Relationship of Depressive Symptoms to Parenting Competence and Social Support in Inner-City Mothers of Young Children
Are Rates of Functional Limitations Associated with Access to Care? A State-Level Analysis of the National Survey of Children with Special Health Care Needs
Cumulative Social Disadvantage and Child Health
CONTEXT. Disparities in child health are a major public health concern. However, it is unclear whether these are predominantly the result of low income, race, or other social risk factors that may contribute to their health disadvantage. Although others have examined the effects of the accumulation of risk factors, this methodology has not been applied to child health. OBJECTIVE. We tested 4 social risk factors (poverty, minority race/ethnicity, …
Children caring for their ill parents with HIV/Aids
Children orphaned by HIV/AIDS experience not only the trauma of a parent's death, but the stress of living with and often caring for an ill and dying parent. We interviewed 50 mothers ill from HIV/AIDS in both Mutare, Zimbabwe and New York, USA, and one child of each aged 8–16 about personal assistive care the child provided; other household responsibilities; hours/day children spent on chores; and parental/child mental health. Children provided …
The Association of Sexual Experience with Attitudes, Beliefs, and Risk Behaviors of Inner‐City Adolescents
We compared knowledge, attitudes, and demographic characteristics of 630 sexually experienced and 422 inexperienced inner‐city adolescents aged 14–17 years. Sexual experience was associated with indicators of risk previously reported in the literature: male gender, older age, single‐family home, smoking, drinking, and poorer academic performance. We found lower HIV knowledge in sexually inexperienced youth, which suggested an area of vulnerabilit…
Engaging and Sustaining Adolescents in Community-Based Participatory Research
Community-Based Participatory Research partnerships typically do not include adolescents as full community partners. However, partnering with adolescents can enhance the success and sustainability of adolescent health interventions. We partnered with adolescents to address health disparities in a low-income urban community. In partnering with youth, it is important to consider their developmental stage and needs to better engage and sustain their…
Expanded Medicaid dental coverage under the Affordable Care Act
The Minnesota experience suggests that the increase in Medicaid dental benefits through the ACA has significantly decreased NTDC visits, especially among young adults who were eligible for a dependent coverage policy that extends parents' health insurance to age 26. To our knowledge, no previous study has reported on the impact of early Medicaid expansion on the rate of ED use for NTDCs
Screening, Monitoring, and Referral to Treatment for Young Adolescents at an Urban School‐Based Health Center
BACKGROUND: This study describes the experience of implementing a screening, monitoring, and referral to treatment (SMARTT) initiative at an urban middle school school-based health center. METHODS: Retrospective data were collected for adolescents screened with the Pediatric Symptom Checklist-17-Y. At-risk adolescents having unmet health needs were offered a mental health referral, and those that declined a mental health referral were offered a p…
Referral Patterns for Emergency Psychiatric Evaluations and Effect of School Mental Health Services in New York City, 2018
BACKGROUND: Pediatric mental health issues are increasing while access to care is decreasing. This is reflected in a growing number of patients seeking emergency psychiatric evaluations (EPEs) in the emergency department (ED). METHODS: This was a retrospective review of patients seeking EPE in the ED of a children's hospital between September and December 2018, which compares patients referred from the community versus those from schools as well …
A Provider-Focused Intervention to Increase Universal HIV Testing among Adolescents in School-Based Health Centers
We describe a provider-focused intervention to increase universal HIV testing among adolescent users in a network of School-Based Health Centers (SBHC) and compare the rate of HIV test offer and acceptance for SBHCs with and without the HIV testing intervention. The intervention was implemented at the six largest SBHCs in the 12-site network and included system- and staff-level initiatives, including an implementation coach to support SBHC associ…
Medicine (12 works) · Psychiatry (11 works) · Psychology (10 works) · Clinical Psychology (6 works) · Clinical Psychology (6 works) · Family medicine (6 works) · Mental health (5 works) · Nursing (5 works) · Public health (5 works) · Intervention (counseling (4 works)