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1.
Prematurity and low birth weight (LBW) are two major biological factors that put infants and young children at high risk for developmental delays or disabilities. While survival rates for premature and LBW children have improved, incidence figures have changed little over the past 20 years; in fact, the incidence of LBW has increased. Although the vast majority of LBW children have normal outcomes, as a group, they have higher risk for subnormal growth, illnesses, and neurodevelopmental problems. The purpose of this article is to examine the factors that influence the effectiveness of early intervention for premature, LBW children and to describe a strategy for linking assessment and early intervention. Linking assessment and intervention involves comprehensive assessment; a team approach to both assessment and intervention; empowering and enabling families; and the development of functional goals and objectives. 相似文献
2.
Parents seldom seek help directly for infant mental health problems. Parents enter the health care system seeking advice for identified or presumed biological problems in their infants. Many of these biological problems, however, have major psychosocial components of importance to infant mental health. It is important that physicians deal directly with the psychosocial issues and avoid converting them into biological medical problems unintentionally. Three common types of problems and appropriate methods of management are discussed to ensure special recognition and effective handling by the physician of psychosocial problems and the promotion of mental health. The problems discussed are the following: Infants seen with defined medical conditions that generally have associated psychosocial problems including child abuse. Infants seen who have fully recovered from critical illnesses but are considered "at risk" for later developmental disability. Infants seen with normal variations of behavior that are misinterpreted by their parents or physicians as due to a medical problem. In infancy medical and psychosocial issues are so closely interwoven that it is critical that physicians learn to recognize the major psychosocial consequences of primary medical problems and the medical manifestations of primary psychosocial problems and their management. 相似文献
3.
This paper has 2 goals: to review the history of the developmental study of infants and children at biological risk and to appraise the current state of the art. The scope of the review is from 1920 to the present and emphasizes the role of developmentalists. 4 research phases are identified, each reflecting aspects of the social, political, health, and psychological zeitgeist. First, from 1920 to World War II, research was primarily "catalog" and had diverse themes; however, several issues were raised that continue to have relevance. Second, during the postwar years, research often focused on the cognitive and emotional residuals of handicaps, particularly cerebral palsy and poliomyelitis. Third, the 1960s marked the funding of major seminal longitudinal investigations of perinatal risk factors, and studies of very young infants "at risk." And fourth, in the last and current period, technological advances of the 1970s first applied to research with normally developing children were then extended to at-risk groups and revolutionized the methods of studying risk. Finally, we suggest that, although a considerable amount of information has been obtained about developmental phenomena subsequent to biological risk, our research literature is fragmented and difficult to synthesize. We conclude by offering strategies to foster research and the integration of knowledge. 相似文献
4.
A pilot study of early childhood mental health consultation for children with behavioral problems in preschool 总被引：2，自引：0，他引：2
This study reports the findings of a pilot demonstration project called Together for Kids, which used a mental health consultation model to address the needs of young children with challenging behaviors who are identified in preschool classrooms. The study was conducted in four preschool programs and one Head Start program serving children ages 3–5, including both private-pay families and those using public subsidies. Rates of significant behavior problems as assessed by preschool teachers using a standardized scale were high, with 34% of all children enrolled in preschool classrooms in these sites over a 3-year period identified at-risk of externalizing or internalizing problems. Classroom teachers, as well as individual children and families identified as at-risk, were provided services, including, classroom observation and teacher training, individual child assessment and therapy, family assessment and support, and referrals for other family needs. Analysis of outcomes for 47 children and families with externalizing behavior problems who received individualized consultation, compared to 89 control children, and analysis of outcomes of a matched group of 19 intervention and 19 control children, revealed that the intervention was associated with significant improvements in classroom aggressive and maladaptive behavior, and growth in adaptive behavior. Improvements in child behavior were associated with total hours of individual child services provided, and with improvements in child developmental skills. Significant reductions in the rate of children suspended or terminated from child care programs were also found. Implications for further development of models of early childhood mental health consultation are discussed. 相似文献
5.
《Early education and development》2013,24(1):50-63
Recent surveys in early childhood special education and developmental school psychology reveal that criterion-referenced or curriculum-based developmental assessment (CBA) is the primary form of measurement employed by interdisciplinary early intervention teams. Despite their wide use, little technical adequacy data are available on the validity of CBA instruments with specific populations of handicapped preschoolers. This research analyzed the concurrent validity of two norm-based and six curriculum-based scales commonly used within community early intervention programs with a sample of 50 infants and preschool children having diverse neurodevelopmental and neurobehavioral deficits. Results supported the concur- rent validity of CBA measures despite some significant interscale differences. Based on these results, guidelines are offered regarding "best practices" in the use of CBA systems by early intervention teams. 相似文献
6.
Shelley Alonso-Marsden Kenneth A. DodgeKaren J. O’Donnell Robert A. MurphyJeannine M. Sato Christina Christopoulos 《Child abuse & neglect》2013
Objective
As nurse home visiting to prevent child maltreatment grows in popularity with both program administrators and legislators, it is important to understand engagement in such programs in order to improve their community-wide effects. This report examines family demographic and infant health risk factors that predict engagement and follow-through in a universal home-based maltreatment prevention program for new mothers in Durham County, North Carolina.Methods
Trained staff members attempted to schedule home visits for all new mothers during the birthing hospital stay, and then nurses completed scheduled visits three to five weeks later. Medical record data was used to identify family demographic and infant health risk factors for maltreatment. These variables were used to predict program engagement (scheduling a visit) and follow-through (completing a scheduled visit).Results
Program staff members were successful in scheduling 78% of eligible families for a visit and completing 85% of scheduled visits. Overall, 66% of eligible families completed at least one visit. Structural equation modeling (SEM) analyses indicated that high demographic risk and low infant health risk were predictive of scheduling a visit. Both low demographic and infant health risk were predictive of visit completion.Conclusions
Findings suggest that while higher demographic risk increases families’ initial engagement, it might also inhibit their follow-through. Additionally, parents of medically at-risk infants may be particularly difficult to engage in universal home visiting interventions. Implications for recruitment strategies of home visiting programs are discussed. 相似文献7.
Asian Americans are commonly perceived as the diligent and high‐achieving “model minority.” This positive stereotype has negative consequences for this ethnic minority group because it trivializes their social and mental health problems. This image of success has made many overlook the true nature of the struggles many Asian American families have to face in the United States. Scientific literature suggests that Asian American children experience major adjustment problems in school including loneliness, isolation, withdrawal, rejection, anxiety, low self‐esteem, and interpersonal distress. Cultural barriers exist between the Asian and the dominant society and influence Asian Americans' cognitive appraisal and coping choices when personal and emotional problems arise. These barriers also prevent clinicians from identifying and subsequently providing effective mental health services for Asian American children and their families. In this article, the authors examine the Asian cultural conceptions of mental health and various cultural barriers in an attempt to promote cultural understanding and competence among clinicians working with Asian American children and their families. Recommendations for clinical practice and future research directions are provided. © 2009 Wiley Periodicals, Inc. 相似文献
8.
Lynn Singer Ph.D. 《Child abuse & neglect》1986,10(4):479-486
The present study documented later developmental outcome in a group of 29 failure-to-thrive (FTT) infants who received extended hospitalization in infancy as an intervention for their growth failure. All infants were seen at approximately 3 years of age and were given standardized assessments of intellectual and physical development. A standard interview documented demographic variables, health problems, placements subsequent to hospitalization and additional psychological and medical treatment. Infants were divided into three groups dependent on medical and treatment factors. Means and percentages of occurrence of outcome variables were compared through either one-way ANOVAS or single sample chi-square tests with post hoc analyses. Correlational analyses were used to understand the relationships between outcome and relevant demographic, medical, and treatment variables. In general, the infants manifest persistent intellectual delays at follow-up despite maintenance of weight gains achieved during early hospitalization. More than half the group suffered from chronic health problems. A large percentage of infants had been removed from parental custody at the time of follow-up. Several demographic, medical, and treatment factors bore moderate relationships to developmental outcome. Infants who achieved more optimal growth tended to be full-term at birth, later born and without a question of physical abuse in their social histories. Intellectual functioning was related only to parental and caretaker socioeconomic status. Infants placed in foster care were unlikely to return to their families of origin. The findings suggest the need for further investigation into the determinants and outcome of extended hospitalization as a treatment for FTT. 相似文献
9.
Economic Deprivation and Early Childhood Development 总被引：53，自引：0，他引：53
We consider 3 questions regarding the effects of economic deprivation on child development. First, how are developmental outcomes in childhood affected by poverty and such poverty correlates as single parenthood, ethnicity, and maternal education? Second, what are the developmental consequences of the duration and timing of family economic deprivation? And, third, what is the comparative influence of economic deprivation at the family and neighborhood level? We investigate these issues with longitudinal data from the Infant Health and Development Program. We find that family income and poverty status are powerful correlates of the cognitive development and behavior of children, even after accounting for other differences—in particular family structure and maternal schooling—between low- and high-income families. While the duration of poverty matters, its timing in early childhood does not. Age-5 IQs are found to be higher in neighborhoods with greater concentrations of affluent neighbors, while the prevalence of low-income neighbors appears to increase the incidence of externalizing behavior problems. 相似文献
10.
The primary goal of this study was to clarify if and how differences in the functioning of single-mother and two-parent families relate to the occurrence of behavioral problems among inner-city boys (ages 10–15). Data were collected on family relationships, parenting practices, the positive influence of male family members, and the severity of externalizing behavior problems. Results indicated that (1) multiple family risk factors contribute to the occurrence of behavior problems; (2) most family risk factors were generalizable to both single-mother and two-parent families; (3) although boys in single-mother families were at greater risk for developing behavior problems than boys in two-parent families, the risks associated with single motherhood were offset by a structured family environment, an effective disciplinary strategy that allowed for some degree of adolescent autonomy, and the positive involvement of a male family member; and (4) not all differences in the functioning of single-mother and two-parent families were associated with problem behavior, underscoring the importance of distinguishing between adaptive and maladaptive aspects of single-mother family functioning. 相似文献
11.
Dr. Rick Caulfield 《Early Childhood Education Journal》1995,23(1):3-8
Infants interact reciprocally with their caregivers from the moment of birth. The actions of one affect the other in a manner
that resembles an intricate dance. The article proposes a sociocultural model of reciprocity that focuses on the interdependent
relationship between infants and their caregivers. Relevant variables include the age, sex, developmental history, and behavioral
style of the infant and the caregiver's knowledge of infants' development, level of experience and education, disciplinary
style, and temperament. Further, the influence of families and cultural expectations on caregiving practices are discussed
within the framework of the model. After a review of the literature, selected activities are suggested to promote infants'
interaction with their social world. 相似文献
12.
This study examined coping competence in three groups of young children: at- risk, developmentally delayed, and typically developing. The Early Coping Inventory was adapted to rate coping behaviors objectively in 114 infants and toddlers (mean age = 22 months). Typically developing children were rated as significantly more effective than children at-risk and children with developmental delays; Children at-risk received significantly higher coping ratings than did children with developmental delays. A significant main effect due to ethnicity and a developmental group by ethnicity interaction also emerged. Post hoc analyses suggested that ethnicity differences were-limited to the at-risk and developmentally delayed groups, Also, ethnicity differences in children within the at-risk group served as an informative source for understanding the developmental group by ethnicity interaction. These findings' contribution to the literature on socio-emotional competence, early childhood assessment, and prevention/intervention policies for young children are discussed. 相似文献
13.
少数民族中小学生的心理健康关系到民族的素质。近10年的研究表明,国内少数民族中小学生的心理健康水平低于汉族学生。学校、家庭、社会等环境因素以及年龄、性别、人格特质等个体因素是影响其心理健康的主要因素。不过这些研究主要是一些质性的研究,且大多探讨的是一些消极的影响因素,具有民族特色的研究较少,教育干预研究较为缺乏。今后应该尝试从积极心理学的视角,深入探讨民族精神、民族意识、民族性格等因素的影响,发掘少数民族独特的心理健康教育资源,并加强教育干预研究。 相似文献
14.
15.
Child maltreatment can lead to a variety of negative outcomes in childhood including physical and mental health problems that can extend into adulthood. Given the transactional nature of child maltreatment and the difficulties that many maltreating families experience, child protection services typically offer various kinds of programs to maltreated children, their parents, and/or their families. Although the specific difficulties experienced by these families may vary, sub-optimal parenting practices are typically part of the picture and may play a central role in maltreated children’s development. Hence, to deal with child maltreatment, programs that focus on parenting practices are essential, and identifying the common components of effective programs is of critical importance. The objectives of the present study were to: 1) describe the components of evidence-based parenting programs aimed at parents who have maltreated their elementary school-aged children or are at-risk for doing so and 2) identify the components that are common to these programs, using the approach proposed by Barth and Liggett-Creel (2014). Fourteen evidence-based parenting programs aimed at parents who had maltreated their elementary school-aged children (ages 6–12) or were at-risk for doing so were identified using both a review of relevant online databases of evidence-based programs (California Evidence-Based Clearinghouse for Child Welfare, Blueprints for Healthy Youth Development, Youth.gov, and the National Registry of Evidence-based Programs and Practices). Common components were identified (operationalized as components present in two thirds of programs) and discussed. The identification of common components of evidence-based programs may help clinicians choose the best intervention methods. 相似文献
16.
Data from a nationally representative sample of 13,470 children aged 4-11 years were used to study contextual influences on children's mental health and school performance, the moderating effects of family immigrant status and underlying family processes that might explain these relationships. Despite greater socioeconomic disadvantage, children living in recent immigrant families had lower levels of emotional-behavioral problems and higher levels of school performance. Living in a neighborhood characterized with higher concentration of immigrants was associated with lower levels of emotional-behavioral problems among children living in immigrant families; the reverse was true for children living in nonimmigrant families. These differences are partially explained by family process variables. The implications of these findings for future research and policy are discussed. 相似文献
17.
Stability of Intelligence from Preschool to Adolescence: The Influence of Social and Family Risk Factors 总被引：25，自引：1，他引：25
Intelligence scores of children in a longitudinal study were assessed at 4 and 13 years and related to social and family risk factors. A multiple environmental risk score was calculated for each child by counting the number of high-risk conditions from 10 risk factors: mother's behavior, mother's developmental beliefs, mother's anxiety, mother's mental health, mother's educational attainment, family social support, family size, major stressful life events, occupation of head of household, and disadvantaged minority status. Multiple risk scores explained one-third to one-half of IQ variance at 4 and 13 years. The stability between 4- and 13-year environmental risk scores ( r = .77) was not less than the stability between 4- and 13-year IQ scores ( r = .72). Effects remained after SES and race, or maternal IQ, were partialled; multiple risk was important in longitudinal prediction, even after prior measurement of child IQ was accounted for; the pattern of risk was less important than the total amount of risk present in the child's context. 相似文献
18.
This paper describes a qualitative study about pedagogic practices in the family. The pedagogic code underlying family practices is characterized and related to specific social groups. Students' achievement is discussed in relation to family and school pedagogic practices. The analysis of family pedagogic practice was based on a model derived from Bernstein's theory. The model considers two main dimensions, the coding orientation and its specific realizations in both the instructional and regulative contexts. It provided indicators of the family discursive context and the form in which knowledges and values are transmitted. The model developed allowed a deep and delicate analysis of the family socializing context. The study showed that families differ in their coding orientation and pedagogic practices, and suggested that there are factors other than social groups to determine family's pedagogic practice. It also suggested that specific familial practices may explain children's differential achievement at school. 相似文献
19.
Hiram E. Fitzgerald Linda A. Sullivan Hazen P. Ham Robert A. Zucker Stefan Bruckel rew M. Schneider Robert B. Noll 《Child development》1993,64(1):110-123
We investigated risk factors in a population-based sample of alcoholic (father) and comparison families with 3-year-old sons. Alcoholic and comparison parents did not differ in socioeconomic status (SES), education, years married, family size, or cognitive functioning. Anti-social behavior and depression were significantly greater in alcoholic parents. High risk children were more impulsive than comparison children, but there were no differences in developmental age, IQ, or behavior problems. A higher percentage of high-risk children were rated in the extreme clinical range for behavior problems than were comparison children. For alcoholic families, mothers' ratings of their children's total behavior problems, externalizing behavior problems, and internalizing behavior problems were predicted by mothers' lifetime alcohol problems, current depression, and family SES. Father variables failed to predict children's behavior problems. Maternal variables were stronger predictors of their 3-year-old sons' problem behaviors than were paternal variables. 相似文献
20.
Reproductive, perinatal, and environmental factors as predictors of the cognitive and language development of preterm and full-term infants 总被引：2，自引：0，他引：2
L S Siegel 《Child development》1982,53(4):963-973
The accuracy of a risk index based on reproductive and demographic factors to predict subsequent development was tested with 51 full-term and 53 preterm (birth weight less than 1,501 grams) infants. Stanford-Binet IQ and Reynell Language Expression and Comprehension at 3 years were significantly predicted by this risk index. Socioeconomic status, birth order, and, for the preterm group, severity of illness in the perinatal period were the most significant predictors of developmental outcome. The Home Observation for Measurement of the Environment (HOME) scores were significantly correlated, independently of SES and developmental level, with the 3-year Reynell and Stanford-Binet scores for the preterm, but not the full-term, group. Children who were classified as being at risk at 12 months but who had scores in the normal range at 3 years came from families with significantly higher scores on the HOME scale. Children not detected as being at risk in infancy but whose development was delayed at 3 years came from families with lower scores on the HOME scale. The combination system of perinatal, reproductive, and environmental variables allows the detection of infants at risk for subsequent developmental problems. 相似文献