Evidence‐Based Interventions for Depressed Mothers and Their Young Children

Depression in mothers is a significant risk factor for the development of maladjustment in children. This article focuses on modifiable risk processes linking depression in mothers and adaptation in their young children (i.e., infancy through preschool age). First, the authors present evidence of the efficacy of interventions for reducing the primary source of risk: maternal depression. Second, they describe a central mechanism—parenting behaviors—underlying the relation between maternal depression and children's adjustment. Third, the authors recommend two different integrated interventions that successfully treat mothers’ depression and enhance parenting skills with infants and young children. Finally, the authors note the possible need for supplementary interventions to address severity and comorbidity of mothers’ depression, barriers to engaging in treatment, and the sustainability of program benefits.     

Preventive Intervention in Families at Risk: the Limits of Liberalism

There is an increasing call for preventive state interventions in so‐called families at risk—that is, interventions before any overt harm has been done by parents to their children or by the children to a third party, in families that are statistically known to be liable to harm children. One of the basic principles of liberal morality, however, is the citizen's right to be free from state intervention so long as no demonstrable harm has been done. On the other hand, Joel Feinberg interprets the harm principle as a harm prevention principle, so that the risk of harm also might be a reason for interference. The question that needs to be asked, therefore, is whether enforced preventive intervention in the cases where families are judged to be at risk can be justified within the limits of liberalism.     

Children's Thinking about Air Pollution: a systems theory analysis

A methodology for probing systems thinking was developed and used to investigate the way children think about the natural environment. Thirty five primary school children (aged 8 and 11 years) participated in semi‐structured interviews about air pollution. The analytical framework consisted of cycles (of inputs, processes and outputs), interventions, outcomes and links. Differences between the groups were found for the numbers of complete cycles, inputs, outputs and longest chain of linked cycles about which the children could talk. Although more of the older children showed evidence of a high level of systemic thinking — cycles with interventions and their likely outcomes — than the younger children, a large proportion of the 8‐year‐olds demonstrated that they were capable of this kind of thinking. The results suggest that children can engage in systemic thinking earlier than predicted by traditional developmental research.     

Intellectual Disability and Developmental Risk: Promoting Intervention to Improve Child and Family Well‐Being

Initial intervention processes for children with intellectual disabilities (IDs) largely focused on direct efforts to impact core cognitive and academic deficits associated with the diagnosis. Recent research on risk processes in families of children with ID, however, has influenced new developmental system approaches to early intervention. Recent risk and resilience processes are reviewed that connect stress, family process, and the high rates of behavioral problems in children with ID that have substantial influence on child and family outcomes. These models are linked to emerging evidence‐based intervention processes that focus on strategic parent skill training and mindfulness interventions that reduce parental stress and create indirect benefits for children's behavioral competencies. A family‐focused developmental systems approach (M. J. Guralnick, 2011) is emphasized.     

Associations Between Child Disabilities and Caregiver Discipline and Violence in Low‐ and Middle‐Income Countries

Using nationally representative samples of 45,964 two‐ to nine‐year‐old children and their primary caregivers in 17 developing countries, this study examined the relations between children's cognitive, language, sensory, and motor disabilities and caregivers' use of discipline and violence. Primary caregivers reported on their child's disabilities and whether they or anyone in their household had used nonviolent discipline, psychological aggression, and physical violence toward the target child and believed that using corporal punishment is necessary. Logistic regression analyses supported the hypothesis that children with disabilities are treated more harshly than children without disabilities. The findings suggest that policies and interventions are needed to work toward the United Nations' goals of ensuring that children with disabilities are protected from abuse and violence.     

Responsiveness to General Education Instruction as the First Gate to Learning Disabilities Identification

Most definitions of learning disabilities (LD) include a qualification that adequate general education instruction was received and the child with LD did not benefit. Rarely is this tenet assessed in either practice or research before a diagnosis is made. We review three studies that investigated children's responsiveness to general education reading instruction as an indicator of need for more intensive interventions. Adequacy of instruction was quantified by children's level and rate of progress, compared to classmates, as measured by curriculum‐based measures of oral reading fluency. We found that the response‐to‐instruction model tested was valid in that (1) children who differ from their peers on level and slope of performance (dual discrepancy) have more severe academic and behavioral problems than children who have IQ‐achievement discrepancies or low achievement; (2) children who demonstrate persistent nonresponsiveness over three years differ from other at‐risk children on reading, reading‐related, and behavioral measures; and (3) at‐risk children who participated in specially designed general education interventions had better outcomes than at‐risk children who did not participate. We conducted additional analyses to assess low achievement definitional variations and found that they lack sensitivity and coverage compared to a dual discrepancy definition.     

Resilience and well-being among children of migrant parents in South-East Asia

There has been little systematic empirical research on the well‐being of children in transnational households in South‐East Asia—a major sending region for contract migrants. This study uses survey data collected in 2008 from children aged 9, 10, and 11 and their caregivers in Indonesia, the Philippines, and Vietnam (N = 1,498). Results indicate that while children of migrant parents, especially migrant mothers, are less likely to be happy compared to children in nonmigrant households, greater resilience in child well‐being is associated to longer durations of maternal absence. There is no evidence for a direct parental migration effect on school enjoyment and performance. The analyses highlight the sensitivity of results to the dimension of child well‐being measured and who makes the assessment.     

How Can Genetically Informed Research Help Inform the Next Generation of Interparental and Parenting Interventions?

There is robust evidence that the interparental relationship and parenting behaviors each have a significant influence on children's risk for emotional (internalizing) and behavioral (externalizing) problems. Indeed, interventions targeting the interparental relationship and parenting processes show significant intervention‐related reductions in child internalizing and externalizing problems. However, most evidence‐based parenting‐ and couple‐focused interventions result in small to medium effects on children's emotional and behavior problems. It is proposed that there is opportunity to improve upon these interventions through incorporation of knowledge from quantitative genetic research. Three core recommendations are provided for practitioners engaging in intervention work with children and families. These recommendations are contextualized relative to what quantitative genetic studies can tell us about the role of the interparental relationship and parenting behaviors on child outcomes.     

A critical review of self‐regulated learning interventions for children with attention‐deficit hyperactivity disorder

School practitioners and educators are frequently challenged by the diverse and pervasive academic and behavioral needs of children at risk for and with attention‐deficit hyperactivity disorder (ADHD). This paper examines the outcome literature on self‐regulated learning (SRL) interventions for youth with ADHD by systematically reviewing the key intervention components and methodologies used. A total of 34 investigations, including 297 children and adolescents, were reviewed and coded on 34 variables across two dimensions (i.e., intervention components and methodology). In general, SRL interventions can be represented in terms of a three‐phase model of SRL that includes forethought, performance control, and self‐reflection processes. In this review, the vast majority of the published literature used single‐case design studies with a singular focus on the phase of performance control. Weaknesses of the existing literature include a lack of follow‐up data, attrition data, demographic information about teachers or other adult participants, and diversity in the sample. Strengths of the outcome literature are that a majority of the studies reported inclusion/exclusion criteria for samples, the criteria used to diagnose children as ADHD, and clinical significance for assessing treatment outcomes. Findings are discussed in relation to previous research, as well as directions for research and practice.     

Alternative Assessment Portfolios for Students with Intellectual Disabilities: A Case Study

Abstract

Twenty‐eight classroom teachers identified students in their rooms who were low achievers, at‐risk learners; low achievers, not at risk; average achievers; and special education students. We videotaped these students during reading lessons conducted by their teachers. Using a stimulated recall procedure, we interviewed teachers and asked them to report their thought processes during instruction, especially those that pertained to the target children. We found that teachers reported significantly more negative thoughts about at‐risk learners' than about average achievers' attending behavior and ability‐performance. Furthermore, at‐risk learners received a greater number of comments focused on the need to monitor their performance. Special education students received significantly more positive and negative comments about attending than did average achievers. In addition, they received more miscellaneous positive comments than did low, not at‐risk, and average achievers. Finally, teachers reported making more classroom modifications for this group than for average students. Implications for prereferral classroom interventions are discussed.     

Implementing Conjoint Behavioral Consultation for African American Children from a Low-SES,Urban Setting

This study investigated the effectiveness of conjoint behavioral consultation (CBC) for addressing externalizing behavior concerns in African American children at home and school in a low-socioeconomic status (SES), urban setting. A small-n, multiple-baseline design was employed across participants. Three of the six caregivers were unable to follow through with the consultation process, constituting a 50% completion rate. The three remaining caregivers implemented the empirically supported interventions with moderate integrity. Caregiver and teacher ratings showed that the procedural acceptability of CBC was high throughout the consultation process. The classroom teachers consistently found the behavioral interventions highly acceptable; however, the caregivers' perceptions of the interventions initially were less favorable and improved as the interventions progressed. Clinically significant gains were observed across settings for all children. Consultants should be prepared to modify consultation and intervention procedures to enhance social validity, integrity, and effectiveness with caregivers of low-SES.     

When Cultural Norms Discourage Talking to Babies: Effectiveness of a Parenting Program in Rural Senegal

In some areas of rural Africa, long‐standing cultural traditions and beliefs may discourage parents from verbally engaging with their young children. This study assessed the effectiveness of a parenting program designed to encourage verbal engagement between caregivers and infants in Wolof‐speaking villages in rural Senegal. Caregivers (n = 443) and their 4‐ to 31‐month‐old children were observed at baseline in 2013 and 1 year later at follow‐up. Results showed that caregivers in program villages nearly doubled the amount of child‐directed speech during a play session compared to baseline, whereas caregivers in matched comparison villages showed no change. After 1 year, children in program villages produced more utterances, and showed greater improvement in vocabulary and other language outcomes compared to children in comparison villages.     

Action cycles: rhythmic actions for engagement with children and young adults with profound mental handicap

ABSTRACT

Rhythmic groups of cyclical movements—action cycles—were identified during interactions between adults and children and young adults with profound mental handicap. The cycles were allocated to five categories according to rate, each action cycle clearly having its own communicative purpose. There was a striking regularity of rate within each performed set of action cycles, this being observed in the people with profound mental handicap as well as the adults, with the regularity more marked in the faster cycles. The people with profound mental handicap performed similar actions for apparently similar reasons at similar rates to their caregivers, giving strong indication of a biologically robust system of basic emotional communication which can quite literally be tapped into by caregivers. Comparisons of video records of interactions between mothers and their non‐handicapped babies (4‐8 weeks old) in Scotland and Nigeria yielding similar action cycles and rates to those seen in the interactions with people with profound mental handicap support this hypothesis.     

Crawling and Walking Infants See the World Differently

How does visual experience change over development? To investigate changes in visual input over the developmental transition from crawling to walking, thirty 13‐month‐olds crawled or walked down a straight path wearing a head‐mounted eye tracker that recorded gaze direction and head‐centered field of view. Thirteen additional infants wore a motion tracker that recorded head orientation. Compared to walkers, crawlers' field of view contained less walls and more floor. Walkers directed gaze straight ahead at caregivers, whereas crawlers looked down at the floor. Crawlers obtained visual information about targets at higher elevations—caregivers and toys—by craning their heads upward and sitting up to bring the room into view. Findings indicate that visual experiences are intimately tied to infants' posture.     

Outcomes of psychotherapeutic and psychoeducative group interventions for children exposed to intimate partner violence

Witnessing violence toward a caregiver during childhood is associated with negative impact on children’s health and development, and there is a need for effective interventions for children exposed to intimate partner violence in clinical as well as in community settings. The current effectiveness study investigated symptom reduction after participation in two established group interventions (one community-based psychoeducative intervention; one psychotherapeutic treatment intervention) for children exposed to intimate partner violence and for their non-offending parent. The study included 50 children—24 girls and 26 boys—aged 4–13 years and their mothers. Child and maternal mental health problems and trauma symptoms were assessed pre- and post-treatment. The results indicate that although children showed benefits from both interventions, symptom reduction was larger in the psychotherapeutic intervention, and children with initially high levels of trauma symptoms benefited the most. Despite these improvements, a majority of the children’s mothers still reported child trauma symptoms at clinical levels post-treatment. Both interventions substantially reduced maternal post-traumatic stress. The results indicate a need for routine follow-up of children’s symptoms after interventions.     

An inner‐city school mentor: a narrative inquiry of the life experiences of ‘Daddy’

A two‐year ethnographic observation of an inner‐city high school in Los Angeles, USA, indicated that the principal, who was extremely dedicated to at‐risk students and possessed a unique style of mentoring, played a major role in students academic achievement. We — the principal and the researcher who observed the school – inquired about the principal’s life experiences through interviews of the principal, his family members, school staff and students. We realized that the principal’s mentoring style coincided with the notion of a contemporary father model — a deeply involved and nurturing parent who establishes reciprocal caring relationships with his children. We also discovered that the principal gained knowledge about mentoring from his own mentors, and his commitment to at‐risk inner‐city students resulted from his personal experience as an at‐risk immigrant student.     

Playing With Ideas: Evaluating the Impact of the Ultimate Block Party,a Collective Experiential Intervention to Enrich Perceptions of Play

Parental attitudes shape play opportunities afforded to children in home, community, and school settings. This study presents evaluation of an intervention designed to enrich parent's conception of play and its relationship with socially valued skills and capacities. On the basis of data from 291 racially and ethnically diverse parents/caregivers of young children (median age between 3 and 6) attending an event in NYC, we find the intervention helped parents conceptualize play in complex ways and altered perceptions of its impact on children's current—but not future—lives. Multivariate analyses reveal the causal pathway for these changes as exposure to multiple play sites, rather than time at the event—a finding with direct implications for exposing parents to developmental science in community settings.     

Eating Attitudes and Behaviors Among Female College Students

The authors assessed the influences of several risk factors—self‐esteem, history of unwanted sexual contact (USC), depression, and sorority membership—on eating‐related and weight‐related attitudes and behaviors. Findings provide support for the roles of self‐esteem, depression, and USC on restricting attitudes. According to the authors' model, these independent variables predicted restricting attitudes that then predicted restricting behaviors. Implications for preventive interventions and the study's limitations are discussed.     

Evaluating a screening and support system for early intervention in Wales

The concept of early screening and response to intervention has been recognised as key to success in literacy. In this article, an implementation model, which combined a published screening test with a free open access short‐term intervention, was piloted and evaluated over several years. Significant improvements in risk levels for literacy difficulties were identified following a series of 12‐week interventions for 1 hour weekly, split into three small group sessions. In phase 1a, 54% of 224 children were no longer ‘at risk’, and in Phase 1b, 51% of 151 children were no longer ‘at risk’, with evidence for transfer to reading over time. In phase 2a, the approach included whole class screening, (670 children, 25% risk at pre‐test reduced to ‘no‐risk’ in 17.4%). In Phase 2b, targeted support was provided for 306 children in reception, year 1 and year 2. After the intervention, 57% of these children were no longer ‘at‐risk’, with reception children making greatest progress. The model has successfully impacted on greater awareness of ALN and approaches to intervention in the teachers involved. Interviews with users indicated a high level of satisfaction and the approach has been recommended for wider application, following further research.     

Positive Youth Development and Resilience: Growth Patterns of Social Skills Among Youth Investigated for Maltreatment

Maltreated children are a vulnerable population, yet many of these youth follow positive developmental pathways. The primary aim was to identify social skills growth trajectories among at‐risk youth to understand processes underlying resilience. Nationally representative, longitudinal data from 1,179 families investigated for child maltreatment (M_age = 12.75) were obtained from the National Survey of Child and Adolescent Well‐Being. Four trajectories were identified—stress‐resistant, emergent resilience, breakdown, and unresponsive‐maladaptive. Protective resources from multiple levels of the youth ecology (individual, family, school, and social service) predicted positive growth social skills trajectories. Resilience process and attendant positive outcomes in multiple domains of functioning were evident among the stress‐resistant and emergent resilience trajectories. Results underscore the saliency of social skills development for resilient outcomes in youth.