Diagnosed intellectual and emotional impairment among parents who seriously mistreat their children: prevalence, type, and outcome in a court sample

A substantial body of research evidence over the past three decades has indicated that intellectual and emotional impairment among parents is a factor contributing to child abuse and neglect. This study examined the court records of 206 seriously abused or neglected children and their families in a large urban area and found that in over half the records a parent had been diagnosed as having an emotional disorder and/or low IQ, with a majority of these diagnoses indicating significant impairment. Although type of impairment (emotional, low IQ, and a subsample of substance abusers) did not predict type of mistreatment, higher predicted risk for continued mistreatment, or greater likelihood of permanent removal of the child by the court, low IQ parents revealed significantly less prior court involvement and greater acceptance of court-ordered services. Parents diagnosed with serious emotional disorders were significantly more likely than less disturbed parents to have their children permanently removed despite findings of no significant differences in risk or compliance factors.     

Neurocognitive predictors of reading outcomes for children with reading disabilities

This study reports on several specific neurocognitive process predictors of reading outcomes for a sample of 278 children with reading disabilities. Three categories of response (i.e., poor, average, and good) were formed via growth curve models of six reading outcomes. Two nested discriminant function analyses were conducted to evaluate the predictive capability of the following models: (a) an intervention and phonological processing model that included intervention group, phonological awareness, and rapid naming and (b) an additive cognitive neuropsychological model that included measures of memory, visual processes, and cognitive or intellectual functioning. Over and above the substantial explanatory power of the base model, the additive model improved classification of poor and good responders. Several of the cognitive and neuropsychological variables predicted degree of reading outcomes, even after controlling for type of intervention, phonological awareness, and rapid naming.     

The adult outcomes of children with learning disabilities

The results of four follow-up studies of learning-disabled children are reviewed. A comparison of results among the studies and of analyses of individual variation within the studies suggest some factors associated with long-term outcomes. It is argued that in many cases learning disabilities are not a lifelong handicapping condition, especially if adequate treatment is provided during childhood.     

Group coping skills program for parents of children with dyslexia and other learning disabilities

Abstract

Fifty seven mothers of children aged 6 to 12 with dyslexia or other learning disabilities were randomly allocated to a group coping skills program (n = 32) or a wait‐list control group (n = 25). Parents completed pre‐ and post‐intervention measures of parenting competence, stress, coping skills, and child behaviour/emotional problems. Prior to the program mothers reported high stress levels associated with child and school factors. After the program significant reductions were found for stress, isolation, self‐blame, and greater emotional closeness (attachment) to the child was reported. Significant reductions in child behaviour problems (externalizing behaviours) and moodiness were also found. Child internalizing behaviours remained high with nearly half the parents reporting child emotional problems (withdrawn, somatic complaints, anxiety/depression). Future interventions with families and schools are recommended to prevent children with learning disabilities and their parents experiencing high levels of emotional distress.     

Mothers of children with mild neurological disabilities: Adaptational outcomes

The relations of stress and coping over time were investigated among mothers of children (N=36) with mild neurological disabilities and mothers of matched non-disabled (ND) children (N=36). Separate stress groups were formed with respect to changes in adaptational outcomes for the mothers of disabled and ND children. Mothers of disabled children with better adaptational outcomes had considered their self-esteem higher and used problem-focused coping and social support more often than mothers of disabled children with worse adaptational outcomes. Decrease of negative affects seemed to presuppose use of problem-focused coping more often mothers of disabled children than for those of ND children.     

Outreach and support for Australian university students with learning disabilities

Abstract

Although students with learning disabilities (LD) are increasing in Australian universities (Smith, Carroll, & Elkins, 1999), limited data is available about this group and the services available to them. This paper reports the results of a 1996 survey of university outreach, transition and orientation programs to attract potential students with LD and assist them in adjusting to higher education study. The availability of generic and specialist support services and accommodations was also investigated.

Universities promote awareness of disability support services widely in outreach to prospective students and at application and/or enrolment, although students with LD are seldom specifically targeted. Formal programs to assist students from equity groups or students with disabilities to consider tertiary study are most frequently directed at high school students; only one quarter of the universities had outreach programs which might include adults with LD. Most universities offer a comprehensive range of support to students with LD through both generic and disability services. Approaches to the documentation of diagnostic assessment and the establishment of need for accommodation are however variable, and raise issues of equity which are of concern to disability support staff.     

Associations between academic and motor performance in a heterogeneous sample of children with learning disabilities

A heterogeneous sample of 137 school-aged children with learning disabilities (IQ > 80) attending special needs schools was examined on the Movement Assessment Battery for Children (MABC). The results show that compared to the available norm scores, 52.6% of the children tested performed below the 15th percentile on manual dexterity, 40.9% on ball skills, and 33.7% on balance skills. Furthermore, after controlling for IQ, significant small to moderate partial correlations were found between spelling and mathematics and the MABC total score, as well as small to moderate correlations between mathematics and balance, between reading and ball skills, and between spelling and manual dexterity. The present findings are compared with previously reported results obtained in more homogenous groups, and based on the resultant relationships between academic performance and motor development, recommendations for future motor intervention studies are made.     

Helping parents to read with their children: evaluation of an individual and group reading motivation programme

Twenty‐two primary school children, aged 6–12 years, who were experiencing significant reading difficulties, were allocated to one of two parent‐instruction treatment conditions according to the parent’s preference. The treatments were based upon learning‐theory principles, and were aimed at teaching the parents optimal ways of helping their child learn to read. One condition involved the parent and child being seen individually by the therapist twice a week over five weeks. The other condition involved the parents meeting as a group for three weekly sessions, and then as a group with their children for the final two sessions. The same learning‐theory principles were taught in both treatment conditions. Seven children who were awaiting treatment provided waiting‐list control data over a five‐week period. Outcome measures of the children’s reading level and reading self‐concept, and the parents’ stress levels during reading‐time showed significant improvements for those in the individual treatment condition, and this improvement was maintained at a follow‐up after two months. While there were some gains for those in the group treatment condition, these were not maintained by the two‐month follow‐up.     

Drug-exposed infant cases in juvenile court: risk factors and court outcomes

OBJECTIVE: The purpose of this study was to determine which factors were significantly associated with court outcomes for drug exposed infants in dependency court. METHOD: A longitudinal study of 118 drug exposed infant social services and juvenile court files of petitioned cases through all court hearings, using chi-squares and logistic regressions data analysis. RESULTS: There was an overrepresentation of minority mothers who were poor, unemployed, undereducated, and single, with prior referrals to the dependency system and criminal records. The chi-square analysis suggested that variables such as ethnicity, past referrals, and criminal record were significantly associated with court outcomes for all hearings, with minority cases less likely to receive family maintenance orders, and more likely to have their children placed out of home. The regression analysis however showed a different pattern. Ethnicity and prior referrals disappeared as significant risk factors altogether. Only at the initial dispositional hearing did a criminal record significantly influence court decisions. In subsequent hearings, mothers' compliance with court orders and attending court hearings became the significant factors associated with court outcomes. CONCLUSIONS: Mothers' behavior was more important for court outcomes than ethnicity, past referrals, and criminal record. It is therefore imperative that mothers are motivated to successfully comply with court orders by offering culturally appropriate services and facilitating attendance at court hearings.     

Academic outcomes for students with learning disabilities in consultation and resource programs

In this study, pretest and posttest achievement test data were collected for 67 children with learning disabilities assigned to one of four conditions: one period of resource room instruction per day; two periods of resource room instruction per day; consultative services combined with in-class instruction; and consultative services to classroom teachers. Analysis of pretest achievement measures indicated that students assigned to two periods of resource room per day differed significantly from the other groups and results from this group were analyzed separately. Students in the remaining three conditions made gains in standing relative to same-age peers from pretest to posttest. Students receiving a combination of consultation and direct services showed small, but significantly greater overall gains in achievement than did students placed in the resource room.     

Perspectives on the transition from preschool to kindergarten for children with disabilities and their families.

This article addresses the transition of young children from preschool programs that provide special education services to kindergarten or alternative elementary school placements. The roles of the child, family, and service providers in transition preparation, planning, implementation, and evaluation are described. Successful transitions include assessments of children's skills in meeting the demands of kindergarten programs, teaching these skills to children, and actively encouraging parent participation in plans and programs. Barriers to successful transitions include lack of time and funding to coordinate both parent activities and between-school arrangements. A critical area for future research is the long-term evaluation of the procedures described as "best practice," as well as the definition of what constitutes a successful transition.     

Intensive remedial instruction for children with severe reading disabilities: immediate and long-term outcomes from two instructional approaches

Sixty children with severe reading disabilities were randomly assigned to two instructional programs that incorporated principles of effective instruction but differed in depth and extent of instruction in phonemic awareness and phonemic decoding skills. All children received 67.5 hours of one-to-one instruction in two 50-minute sessions per day for 8 weeks. Both instructional programs produced very large improvements in generalized reading skills that were stable over a 2-year follow-up period. When compared to the growth in broad reading ability that the participants made during their previous 16 months in learning disabilities resource rooms, their growth during the intervention produced effect sizes of 4.4 for one of the interventions and 3.9 for the other. Although the children's average scores on reading accuracy and comprehension were in the average range at the end of the follow-up period, measures of reading rate showed continued severe impairment for most of the children. Within 1 year following the intervention, 40% of the children were found to be no longer in need of special education services. The two methods of instruction were not differentially effective for children who entered the study with different levels of phonological ability, and the best overall predictors of long-term growth were resource room teacher ratings of attention/behavior, general verbal ability, and prior levels of component reading skills.     

WISC-III profiles for children with and without learning disabilities

The degree of WISC-III intersubtest scatter was normal and similar for 66 children with LD and 51 children without LD, but the pattern of scores differed. In the 8- to 16-year-old sample, children with LD scored lower on the Freedom from Distractibility Index relative to FSIQ than children without LD. This difference was found in both the ADHD and nonADHD subgroups, suggesting that children with LD may have an attention deficit even if they do not meet the diagnostic criteria for ADHD. The CAD profile was evident in the mean scores for both the LD/ADHD and LD/nonADHD subgroups, but it was not found among the lowest subtest scores for any of the nonLD subgroups. Though WISC-III profile types were apparent in LD group data, only a minority of individual children with LD actually had these profiles. In the 6- and 7-year-old group, children with and without LD were indistinguishable on the WISC-III, which may reflect the difficulty of ruling out LD at this young age. © 1998 John Wiley & Sons, Inc.     

Prevalence of communication disorders in students with learning disabilities

The prevalence of communication disorders in a population of 242 children with learning disabilities between 8 and 12 years of age enrolled in a school system in Alabama was studied. The prevalence of articulation, language, voice, fluency, and hearing disorders was determined through an individual assessment program. A speech, language, or hearing problem was exhibited by 96.2% (233) of the 242 children studied. Language deficits were found in 90.5%, articulation deficits in 23.5%, voice disorders in 12%, and fluency disorders in 1.2% of the students with learning disabilities. Puretone hearing deficits were observed in 7.4% and middle ear function deficits were observed in 15.7% of the students. Only 6% of the children were receiving the services of a speech-language pathologist.     

Comprehension of humor in children with nonverbal learning disabilities,reading disabilities,and without learning disabilities

The normal development of humor in children has been well documented with a predictable course that is tied to social, cognitive, and linguistic development in children. This study explored humor comprehension in children with nonverbal learning disabilities (NVLD). Children with NVLD were compared with children with reading disabilities and a comparison group of children with no learning disabilities to assess their comprehension of humor. The humor test was composed of a joke and cartoon section. No group differences in humor comprehension were found when the NVLD group was defined as having visual–spatial and visual reasoning deficits. However, when the NVLD group was divided into children with and without social perceptual difficulties as defined by a direct measure of social comprehension, significant group differences were found in the levels of humor comprehension. These results support the association of humor comprehension with social perception and lend tentative support to the hypothesis that children with NVLD may not be a homogenous group. Future study directions include further exploration into the nature of the association between humor comprehension and social perception as well as closer examination of the heterogeneity of NVLD.     

Metaphoric competence in children with learning disabilities

Metaphoric competence was examined in two groups of children with learning disabilities and one group of nondisabled peers ranging in age from 9-0 to 11-0 years. There were five girls and seven boys in each group. One group of students with learning disabilities had a history of spoken language impairment and the other group did not. Subjects were administered three verbal metaphor tasks (comprehension, preference, and completion) and a visual metaphor task, the Metaphor Triads Task (MTT). The three verbal metaphor tasks were administered in three contexts: (a) sentence, (b) story, and (c) story plus visual (pictorial) support. The group with a history of language impairment consistently performed more poorly on the metaphor tasks than the group without a history of language impairment, who, in turn, performed more poorly than the nondisabled children on all but the MTT. Context variations had no effect on children's performance. Theoretical and clinical implications will be discussed.