Impact of a statewide home visiting program to prevent child abuse

OBJECTIVES: To assess the impact of a voluntary, paraprofessional home visiting program in preventing child maltreatment and reducing the multiple, malleable psychosocial risks for maltreatment for which families had been targeted. METHODS: This collaborative, experimental study focused on 6 Healthy Families Alaska (HFAK) programs; 325 families were enrolled in 2000-2001, randomized to intervention and control groups, and interviewed to measure baseline attributes. Follow-up data were collected when children were 2 years old (85% follow-up rate). Outcomes included maltreatment reports, measures of potential maltreatment and parental risks, for example, poor mental health, substance use, and partner violence. HFAK records were reviewed to measure home visiting services. Home visitors were surveyed to measure perceived effectiveness and training adequacy. RESULTS: Parental risks were common at baseline, and one-sixth of families had a substantiated child protective services report in the child's first 2 years of life. There was no overall program effect on maltreatment reports, and most measures of potential maltreatment. Home visited mothers reported using mild forms of physical discipline less often than control mothers. The groups were similar in their use of more severe forms of physical discipline. There was no program impact on parental risks. There was no impact on outcomes for families with a 'high dose' of home visiting. Home visitors often failed to address parental risks and seldom linked families with community resources. Contradictions in the model compromised effectiveness. CONCLUSIONS: The program did not prevent child maltreatment, nor reduce the parental risks that had made families eligible for service. Research is needed to develop and test strategies to improve the effectiveness of home visiting.     

Household Socioeconomic Status and Parental Investments: Direct and Indirect Relations With School Readiness in Ghana

This study examines how parent socioeconomic status (SES) directly and indirectly predicts children's school readiness through pathways of parental investment. Data come from direct assessments with preschool children and surveys with their primary caregivers in Ghana at the start of the 2015–2016 school year (N = 2,137; M_age = 5.2 years). Results revealed SES-related gaps in all parental investment characteristics and child school readiness skills. Preschool involvement served as the primary mediating mechanism in the path from SES to most school readiness skills, though it did not predict executive function. The number of books in the household was marginally positively predictive of early literacy, whereas at-home stimulation was negatively related to motor, literacy, and numeracy skills.     

Mothers' Early Mind-Mindedness Predicts Educational Attainment in Socially and Economically Disadvantaged British Children

Relations between mothers' mind-mindedness (appropriate and nonattuned mind-related comments) at 8 months (N = 206), and children's educational attainment at ages 7 (n = 158) and 11 (n = 156) were investigated in a British sample. Appropriate mind-related comments were positively correlated with reading and mathematics performance at both ages but only in the low-socioeconomic status (SES) group. Path analyses showed that in the low-SES group, appropriate mind-related comments directly predicted age-11 reading performance, with age-4 verbal ability mediating the relation between appropriate mind-related comments and age-7 reading. In contrast, maternal sensitivity and infant–mother attachment security did not predict children's educational attainment. These findings are discussed in terms of genetic and environmental contributions to reading and mathematics performance.     

Action groups as a participative strategy for leading whole-school health promotion: Results on implementation from the INCLUSIVE trial in English secondary schools

Education policy increasingly promotes action groups as a key strategy for student and/or staff participation in school improvement and whole-school health promotion. Such groups can coordinate multi-component interventions, increase participation and engagement, and enable local adaptations, but few process evaluations have assessed this. We evaluated fidelity, feasibility and acceptability of action groups as part of a trial of a whole-school intervention to reduce bullying and aggression and promote health in English secondary schools, which reported multiple health and educational impacts. Action groups involved students and staff, supported by external facilitators, and drew on data on student needs. They aimed to: coordinate implementation of restorative practices and a social and emotional competencies curriculum; review policies and rules; and enact local decisions to modify school environments. Our process evaluation used interviews, focus groups, observations and questionnaires to assess action groups’ fidelity, role in coordination, role in local adaptation, support from external facilitators and data on student needs, and acceptability in engaging members. Fidelity was high in the first two years but lower in the third year when external facilitators withdrew. Student needs data were perceived as useful, but views on external facilitators were mixed. Groups successfully reviewed policies and rules, planned activities and coordinated restorative practices, but were less successful in implementing the curriculum. Success was facilitated by the involvement of school leaders. Members reported high satisfaction and empowerment. Action groups are a promising strategy for leading whole-school health promotion. Implementation is supported by external facilitation, local data and involvement of senior managers.     

Effects of involving conduct problem adolescents in goal setting: An exploratory investigation

Effects of involving conduct problem adolescents in goal setting were assessed. Two levels of goal setting were compared: Level 1—pupils were involved with a school counselor in goal setting as a basis for individual behavioral counseling intervention; Level 2—pupils were informed by a counselor that goals were being set, but were not involved in the goal-setting process. Four public school counselors and 16 adolescents were randomly assigned to one of the two conditions, with individual behavioral counseling being provided during a 10-week period. Results indicated greater degree of goal attainment and satisfaction with counseling for pupils who participated in goal setting.     

Evaluating effects of atmospheric CO2 on stability of global climate: a cell-to-cell mapping approach

Atmospheric carbon dioxide concentration [CO2], incoming solar radiation and sea ice coverage are among the most important factors that control the global climate. By applying the simple cell-to-cell mapping technique to a simplified atmosphere-ocean-sea ice feedback climate model, effects of these factors on the stability of the climatic system are studied. The current climatic system is found to be stable but highly nonlinear. The resiliency of stability increases with [CO2] to a summit when [CO2] reaches 290 μL/L which is comparable to the pre-industrial level, suggesting carbon dioxide is essential to the stability of the global climate. With [CO2] rising further, the global climate stability decreases, the mean ocean temperature goes up and the sea ice coverage shrinks in the polar region. When the incoming solar radiation is intensified, the ice coverage gradually diminishes, but the mean ocean temperature remains relatively constant. Overall, our analysis suggests that at the current levels of three external factors the stability of global climate is highly resilient. However, there exists a possibility of extreme states of climate, such as a snow-ball earth and an ice-free earth.