Are the social workers prepared to assist a changing population of dysfunctional parents in Sweden?

What kind of support can an affluent society as the Swedish offer dysfunctional parents in order to give the infants an optimal start in life? The purpose of the present study was to analyze the social situation in families precipitating the admission of infants to institutional care in 1970. 1975 and 1980. The results show that in 1980 more complex forms of parental dysfunction were common including mental disorders, criminality, abuse of alcohol and drug addiction. The reported incidence of domestic violence had increased significantly from 1970 to 1980 as well as the number of maltreated infants. The social welfare agencies had greater difficulties and to a larger extent lacked adequate methods of providing assistance to the dysfunctional parents in 1980 than in 1970.     

Child maltreatment in the "children of the nineties" a longitudinal study of parental risk factors.

OBJECTIVE: To identify and validate factors within the parental background affecting risk of child maltreatment. METHOD: A nested case-control study based on the Avon Longitudinal Study of Parents and Children ("Children of the Nineties"), a cohort of children born in Avon in 1991 through 1992. Data on the childhood and psychiatric histories of the parents, along with other data on the social and family environments, have been collected through postal questionnaires from early antenatal booking onwards. RESULTS: Out of 14,138 participating children, 162 have been identified as having been maltreated. Using logistic regression analysis, significant risk factors within the mothers' backgrounds were age < 20; lower educational achievement; history of sexual abuse; child guidance or psychiatry; absence of her father during childhood; and a previous history of psychiatric illness. Significant factors in the fathers' backgrounds were age < 20; lower educational achievement; having been in care during childhood; and a history of psychiatric illness. Significant factors on univariate, but not multivariate analysis included a parental history of childhood physical abuse; divorce or separation of the mother's parents; a maternal history of having been in care, or separated from her mother; parental alcohol or drug abuse; and a maternal history of depression. CONCLUSIONS: This study, the first of its kind in the UK, supports the findings of others that parental age, educational achievement, and a history of psychiatric illness are of prime importance in an understanding of child maltreatment. With the exception of maternal sexual abuse, a history of abuse in childhood is not significant once adjusted for other background factors. The study suggests that psychodynamic models are inadequate to explain child maltreatment, and wider models incorporating other ecological domains are needed.     

Effects of maternal absence due to employment on the quality of infant-mother attachment in a low-risk sample

Recent reports have suggested that day-care experience initiated prior to 12 months of age is associated with increased proportions of infants whose attachment to mother is classified as "insecure-avoidant." However, reviewers have questioned the generality of these findings, noting that samples in which associations between early day-care experience and avoidant attachment patterns have been reported come from high-risk populations, and/or that the infants' day-care settings may not have been of high quality. In the present study, effects of maternal absences on infant-mother attachment quality were assessed in a low-risk, middle-class sample (N = 110). In all instances, substitute care had been initiated at least 4 months prior to the infant's first birthday and was provided in the infant's home by a person unrelated to the baby. Infants were assessed using the Ainsworth Strange Situation when they were 12-13 months of age. Analyses indicated that a significantly greater proportion of infants whose mothers worked outside the home (N = 54) were assigned to the category "insecure-avoidant" as compared to infants whose mothers remained in the home (N = 56) throughout the first year of life. Analyses of demographic and psychological data available for the sample indicated that this relation is dependent upon maternal parity (primi- vs. multiparous mother). The association between attachment quality and work status was significant only for firstborn children of full-time working mothers. The results are interpreted as evidence that the repeated daily separations experienced by infants whose mothers are working full-time constitute a "risk" factor for the development of "insecure-avoidant" infant-mother attachments.     

The Effects of Infant Child Care on Infant-Mother Attachment Security: Results of the NICHD Study of Early Child Care NICHD Early Child Care Research Network

The aims of this investigation were to determine whether Strange Situation attachment classifications were equally valid for infants with and without extensive child-care experience in the first year of life and whether early Child Care experience, alone or in combination with mother/child factors, was associated with attachment security, and specifically with insecure-avoidant attachment. Participants were 1,153 infants and their mothers at the 10 sites of the NICHD Study of Early Child Care. Mother were interviewed, given questionnairies, and observed in play and in the home when their infants were from 1 to 15 months of age; infants were observed in child care at 6 and 15 months and in the Strange Situation at 15 months. Infants with extensive Child Care experience did not differ from infants without child-care in the distress they exhibited during separations from mother in the Strange situation or in the confidence with which trained coders assigned them attachment classifications. There were no significant main effects of Child Care experience (quality, amount, age of entry, stability, or type of care) on attachment security or avoidance. There were, however, significant man effects of maternal sensitivity and responsiveness. Significant interaction effects revealed that infants were less likely to be secure when low maternal sensitivity/responsiveness was combined with poor quality child care, more than minimal amounts of child care, or more than one care arrangement. In addition, boys experiencing many hours in care and girls in minimal amounts of care were somewhat less likely to be securely attachment.     

“The ‘Effects’ of infant day care reconsidered” reconsidered: Risks for parents,children, and researchers

In his article “The ‘Effects’ of Infant Day Care Reconsidered”, Belsky (1988) concludes that maternal employment puts infants at risk for developing emotional insecurity and social maladjustment. After a review of Belsky's and other research, this article offers a different conclusion. It is agreed that infants whose mothers work full-time during their first year are consistently and statistically significantly more likely than infants of mothers who work part-time or not at all to be classifed as insecurely attached when such infants are observed with their mothers in the Strange Situation. However, the difference is not large (8% greater probability), and it does not necessarily reflect emotional maladjustment. It is based on a single assessment procedure with a single partner, a procedure in which day-care infants may feel more comfortable than do other infants. Observations of heightened aggression in children who have been in day care as infants offer limited evidence of maladjustment as a consequence of maternal employment. But, there is no clear evidence that day care places infants at risk. Belsky suggests that observed day-care effects on attachment and aggression may be moderated by day-care quality; children's age, sex, and temperament; hours of separation from mother; overstimulation by mother; and congruence between the mother's attitude and work status. However, there is no convincing evidence that these factors are involved. The most promising factors to be used in accounting for individual differences in daycare infants' emotional development are the mother's attitude toward the infant, her emotional accessibility and behavioral sensitivity, and her desire for independence (her own and the infant's). What is needed now is research to assess and investigate such mediating factors, rather than blanket generalizations about day-care effects and implicit or explicit condemnations of maternal employment.     

An ecological analysis of infant neglect by adolescent mothers

To inform efforts to prevent child neglect, we investigated a wide range of risk factors that have been largely unexamined in relation to infant neglect, the most commonly occurring form of child maltreatment. Using an ecological model of child neglect, we assessed the influence of characteristics at the level of the child, the mother, the family, and broader childrearing contexts on adolescent mothers’ likelihood of being a perpetrator in a substantiated case of neglect against their firstborn infants (n = 383, M = 12 months). Several factors were associated with infant neglect by young mothers: median block income, low infant birth weight, maternal smoking, maternal childhood history of neglect and of positive care, intimate partner violence (IPV) perpetrated by either the mother or her partner, and maternal use of mental health services. In multivariate models, income, a maternal childhood history of positive care, IPV by either a mother or her partner, and mental health service usage made significant contributions to the odds that a mother neglected her infant. Our findings suggest that these factors have particular salience to policymakers’ and practitioners’ efforts to identify high risk families and to intervene during the earliest months of life to prevent child neglect.     

Non-organic failure to thrive: Decision for and videotaped evaluations

Infants hospitalized for non-organic failure to thrive in the first six months of life are in a life-threatening situation and are already at risk for poor bonding with mother. In light of this, the meaning and use of foster care and how this separation affects the developing mother-child relationship are the issues addressed through examination of 16 cases in which 8 of the infants were placed in foster care and 8 discharged home after the failure to thrive hospitalization. This paper examines (1) maternal histories of pregnancy, labor and delivery and the neonatal status of placed and non-placed infants; (2) the developmental and weight status of placed children; (3) the nature of the decision criteria for after-hospital care; and (4) the mother-infant relationship at initial intake in terms of mother's report of events and observations of feeding and play interactions during a videotaped assessment process. The study found that the interactions between mother and infant in those situations which required foster care were clearly more dysfunctional when compared to those in which the baby was discharged home to mother. Babies in the two groups were comparable in weight status at the time of hospitalization although babies in foster placement had slightly lower scores on the Bayley Scales. Maternal histories of pregnancy, labor, and delivery were similar for the two groups as were the birth and neonatal histories of the infants.     

Infants entering foster care compared to other infants using birth status indicators

Objective: Infants comprise nearly one fourth of all entries to foster care. Linkage of administrative birth and placement data can provide information about these infants that may otherwise be unavailable or difficult to obtain.Method: Statewide birth records and foster care placement histories were linked via probability matching. Logit regression was used to compare 26,460 maltreated infants who entered foster care between 1989 and 1994 with a random sample of 68,401 other infants born during that time frame.Results: Infants in care were more than twice as likely to have single parents and be born with low birthweight, and twice as likely to have been born with a birth abnormality as other infants, controlling for other factors. The largest difference was in the eightfold increased likelihood for mothers of infants in care to have had no prenatal care. Infants in care were nearly three times as likely to be born into larger families (third or greater live births to the mother). Mothers of infants in care were more than twice as likely to be African American compared to White than mothers of other infants, while Hispanic and Other ethnic groups were underrepresented in the group of infants in care. Foreign born mothers, especially Hispanic women, were much less likely to have infants in care than they were to have children in the other group.Conclusions: Administrative datasets, while often limited in the number of variables they include and scope of their information, can be a valuable tool when used to understand demographics and frame questions for future research. Infants who enter foster care differ in substantial ways from other children. These findings have important implications for future research aimed toward targeting of child welfare services and supports.     

Admissions Policies for Graduate Programs in Counselor Education

A survey was conducted of a random sample of 100 counselor education programs with regard to their policies and procedures for admission of graduate students. The 68 usable responses also provided data on the number of students admitted to each degree program as well as size of faculty in 1965 and 1970. The results indicate a heavy emphasis on predictors of academic success as initial screening criteria, with a wide variety of other criteria considered. Most programs reported the use of different levels of administration in making admissions decisions, with the majority utilizing a departmental committee as one level.     

Disposition and health outcomes among infants born to mothers with no prenatal care

ObjectiveThis study assessed infant disposition and health outcomes among offspring born to mothers without prenatal care, based on maternal characteristics and the reason for lack of prenatal care (i.e., denial of pregnancy, concealment of pregnancy, primary substance use, financial barriers and multiparity).MethodsA retrospective record review was completed at an urban academic medical center. Subjects were women who presented at delivery or immediately postpartum with no history of prenatal care (N = 211), and their infants.ResultsInfants of mothers with substance use problems had the highest rates of referral to child protective services and out-of-home placement at discharge, though mothers with other reasons for no prenatal care also experienced both referral and placement. Infants born to mothers using substances experienced the highest rates of neonatal intensive care unit admission, and the lowest mean birth weight.ConclusionsThough those without prenatal care experienced a variety of adverse outcomes, substance use problems were most frequently correlated with adverse infant outcomes. Mothers who either had lost custody of other children or with substance use problems were at highest risk of losing custody of their infants. Those who denied or concealed their pregnancy still frequently retained custody.Practice implicationsAmong mothers without prenatal care, those with substance use problems were least likely to retain custody of their infant at hospital discharge. Custody status of the mother's other children was also independently associated with infant custody. Mothers who denied or concealed their pregnancy still often retained custody. Referrals of mothers with no prenatal care for psychiatric evaluation were rare, though referrals to social work were frequent. Child protective services occasionally did not investigate referrals in the denial and concealment groups. Healthcare providers should be aware of the medical and psychological needs of this vulnerable population of infants and mothers.     

素质教育背景下“(N+1)+(1+U)”高考模式初探

变革高考录取标准,实现由"高考成绩录取标准"向"多元发展录取标准"的合理过渡;变革高考报考机制,实现由"单向报考"向"双向报考"的合理过渡;变革高考招生权限,实现由"国家统一计划招生"向"高校自主负责招生"的合理过渡;变革高考招录模式,推行"整体综合招录模式";变革高考监督体制,建立健全"中国特色"的高考监督机制。     

Eight-year outcome of implementation of abusive head trauma prevention

Low incidence rates and economic recession have hampered interpretation of educational prevention efforts to reduce abusive head trauma (AHT). Our objective was to determine whether the British Columbia experience implementing a province-wide prevention program reduced AHT hospitalization rates. A 3-dose primary, universal education program (the Period of PURPLE Crying) was implemented through maternal and public health units and assessed by retrospective-prospective surveillance. With parents of all newborn infants born between January 2009 and December 2016 (n = 354,477), nurses discussed crying and shaking while delivering a booklet and DVD during maternity admission (dose 1). Public health nurses reinforced Talking Points by telephone and/or home visits post-discharge (dose 2) and community education was instituted annually (dose 3). During admission, program delivery occurred for 90% of mothers. Fathers were present 74.4% of the time. By 2–4 months, 70.9% of mothers and 50.5% of fathers watched the DVD and/or read the booklet. AHT admissions decreased for <12-month-olds from 10.6 (95% CI: 8.3–13.5) to 7.1 (95% CI: 4.8–10.5) or, for <24-month-olds, from 6.7 (95% CI: 5.4–8.3) to 4.4 (95% CI: 3.1–6.2) cases per 100,000 person-years. Relative risk of admission was 0.67 (95% CI: 0.42–1.07, P = 0.090) and 0.65 (95% CI: 0.43-0.99, P = 0.048) respectively. We conclude that the intervention was associated with a 35% reduction in infant AHT admissions that was significant for <24-month-olds. The results are encouraging that, despite a low initial incidence and economic recession, reductions in AHT may be achievable with a system-wide implementation of a comprehensive parental education prevention program.     

高职院校自主招生考试公平性影响因素及改进策略研究

近年来,我国高职院校自主招生的规模越来越大,高职自主招生的试点院校也越来越多,高职自主招生受到社会各界广泛的关注。高职院校自主招生考试公平性的影响因素主要有：不够科学的录取标准;主观色彩重的考核形式;不完善的自主招生管理制度。通过分析这几大因素,提出保障高职院校自主招生考试公平性的若干对策和建议：建立和完善自主招生考试管理制度;建立和完善更加科学的录取标准;自主招生过程公开化、透明化;完善自主招生监督机制。     

再论大学招生的卓越性与公平性——兼谈中国人民大学自主招生“圆梦计划”的价值与局限

大学招生在高等教育实现“卓越性”与“公平性”的目标中起着至关重要的作用。美国的大学在招生中享有极高的自主性,它们有权制定反映本校办学特征的招生政策,并最终有效地实现大学招生的卓越与公平目标。中国人民大学积极尝试在自主招生中兼顾“卓越”与“公平”理念,今年推出的“圆梦计划”具有表率和实践作用,可以激发其他大学在招生中更加合理地追求“卓越”与“公平”。但是由于受自主招生人数的限制,“圆梦计划”受益学生人数少、候选学校有限,因而有一定的局限性。     

Infant attention scaffolding at home

The purpose of the study was to identify the mechanisms underlying the links between maternal attention directing strategies and infants’ focused attention. In the first year of life temporal organisation of dyadic behaviour was examined in the home. A sample of 50 dyads was videorecorded for one hour during usual activities, twice at 5- and 8-months of age. Onset and offset of maternal behaviours toward objects, and infants’ attention were noted. Sequential analyses demonstrated dependencies between partner’s behaviours: infants and mothers adjusted to each other’s activity. Maternal behaviours were classified as introducing, maintaining and redirecting attention: over both ages, the most frequent maternal behaviour was introducing, which did not systematically attract the infant’s attention; maintaining was the second most frequent maternal behaviour. Infants focused their attention longer when the mother used introducing or maintaining strategies. Older infants initiated a greater proportion of attention focusing episodes. At both ages inter-dyads variability is very large, with a significant inter-ages stability. The present data bring further support to the interpretation of parental activity as a genuine scaffolding of attention.     

Shedding further light on the effects of various types and quality of early child care on infant-mother attachment relationship: the Haifa Study of Early Child Care

The Haifa Study of Early Child Care recruited a large-scale sample (N = 758) that represented the full SES spectrum in Israel, to examine the unique contribution of various child-care-related correlates to infant attachment. After controlling for other potential contributing variables--including mother characteristics, mother-child interaction, mother-father relationship, infant characteristics and development, and the environment--this study found that center-care, in and of itself, adversely increased the likelihood of infants developing insecure attachment to their mothers as compared with infants who were either in maternal care, individual nonparental care with a relative, individual nonparental care with a paid caregiver, or family day-care. The results suggest that it is the poor quality of center-care and the high infant-caregiver ratio that accounted for this increased level of attachment insecurity among center-care infants.     

Admission path,family structure and outcomes in Ghana’s public universities: evidence from KNUST students enrolled in the social sciences

At the Kwame Nkrumah University of Science and Technology (KNUST) in Ghana, first year enrolment increased by 1466.81% from 708 in 1961/1962 to 11,093 in 2011. In the 2013/2014 academic year, the total student population was 45,897. There are now five main admission paths, comprising regular, mature, fee paying, less endowed, and protocol/staff admissions. The number of dropouts and fails has risen steeply, for example, at the end of the 2013/2014 academic year, roughly 22.11% of the 1239 students were either withdrawn or repeated at the Faculty of Social Sciences due to non-performance. This paper examined the impact of the admission path and family structure on university students’ academic outcomes. A logistic model was applied to individual-level data obtained from 1000 students enrolled at the Faculty of Social Sciences in the university. The results indicated that the regular and mature admission paths have a positive impact on performance whilst the fee-paying admission path has a significant negative influence on academic performance. It was also found that the family structure (living with the father and mother and the mother only) has a significant positive influence on performance. The study recommended that lecturers should be motivated to conduct additional classes for academically weak students. Counselling units should also identify students who experienced disruption in home life and raise their aspirations.     

A multi-level modeling approach to investigating students’ critical thinking at higher education institutions

Twenty-first century and higher-learning skills such as critical thinking are highly desired for new college graduates entering the workplace, especially with rapid changing technology and a more globalized economy. As a result, the importance of critical thinking development at higher education institutions has increased. The purpose of this study was to examine the effect of student and institutional variables on the difference in critical thinking scores between first-year and third/fourth-year students at higher education institutions. We examined the extent to which institutional variables moderate the relationship between student variables and the critical thinking score difference. We used a multi-level modeling approach to account for the clustering of students in institutions. Results of this study showed that: (a) institutional variability accounted for 15% of the variance in estimated critical thinking scores, (b) third/fourth-year students had higher critical thinking scores as compared to their first-year peers even when controlling for college admissions score, and (c) in the final model, the main effects of college admission scores, student-faculty ratio, and percent Black/African American were statistically significant; however, retention was the only significant moderator of the relationship between critical thinking scores and class level. Implications and future research are discussed.     

Predictive indicators for adjustment in 4-year-old children whose mothers used amphetamine during pregnancy

Psychosocial factors that could be used as predictive indicators for adjustment of 4-year-old children whose mothers had used amphetamine during pregnancy were studied by means of simple and multivariate correlation analyses. The following statistically significant correlations were found: Length of maternal alcohol and drug abuse during pregnancy was correlated negatively with the child's adjustment as were numbers of paternal criminal convictions, number of stress factors of the mother, and number of earlier children born to the mother. Paternal criminality was associated with the outcome, regardless of amount of contact between father and child.