Children in foster care: factors influencing outpatient mental health service use

OBJECTIVE: To determine factors influencing outpatient mental health service use by children in foster care. METHOD: Detailed survey and administrative data were collected on 480 children who entered long-term foster care in San Diego County from May 1990 through October 1991. These data were linked with claims data from Medicaid and San Diego County Mental Health Services information systems. A Poisson regression model was used to determine whether the following factors influenced outpatient mental health service use: age, race/ethnicity, gender, maltreatment history, placement pattern, and behavioral problems as measured by the Achenbach Child Behavior Checklist (CBCL). RESULTS: Except for maltreatment history, all independent variables included in the multivariate regression model were statistically significant. The total number of outpatient mental health visits increased with age, male gender, and non-relative foster placements. Relative to Caucasians, visits were lower for Latinos, and Asian/Others, but comparable for African-Americans. Concerning maltreatment history, differences were only found in one category; children experiencing caretaker absence received fewer visits compared to children who did not experience caretaker absence. Children with CBCL Total Problem Scale T-scores of 60 or greater had significantly more visits than those with a score less than 60. CONCLUSIONS: Both clinical and non-clinical factors influence outpatient mental health service use by foster children. Limitations imposed by gender, race/ethnicity, and placement setting need to be addressed by child welfare policies. These finding suggest that guidelines are needed to systematically link children in foster care with behavioral problems to appropriate services.     

The Relationship Between Church Schools and Local Church Life: Distinguishing between aided and controlled status

This study compares the impact of Anglican voluntary aided and voluntary controlled schools on a range of indices of local church life throughout the diocese of Chelmsford. After controlling for the influence of population size, the church electoral roll, the age of the priest in charge of the benefice, the number of churches in the benefice, and the number of stipendiary clergy employed in the benefice, the data lead to two conclusions. Voluntary controlled primary schools have no significant impact on any of the indices of local church life included in the study. Voluntary aided primary schools are associated with a significantly higher level of pre-teenage confirmands, but they have no influence on the number of older confirmands, the number of baptisms, the usual Sunday church attendance, or the number of festival communicants.     

Environmental and Genetic Variance in Children's Observed and Reported Maladaptive Behavior

The genetic and environmental contributions to children's maladaptive behavior are assessed in a sample of 154 twin pairs (77 MZ twin pairs and 77 DZ twin pairs), who range in age from 6 to 11 years. To bridge the strengths of behavioral genetic methods and environmental assessment techniques, we use a multimethod, multimeasure approach to data collection, and analyze the data using behavioral genetic modeling techniques. Results indicate that genetic variation accounts for a majority of the variance in parent-reported child maladaptive behavior (average = 62%). One parent-report measure also suggests a smaller, significant contribution of shared environmental variance. In contrast to the parental ratings, the observational coding and global impressions of parent-twin interactive behavior suggest that shared environment is the primary source of variance accounting for parent and child maladaptive behavior. This is due, in part, to the direct influence one's interactive partner has on the expression of maladaptive behavior in an interactive setting. When controlling for the co-participant's behavior, genetic variation increases and shared environmental variation decreases.     

Embracing the complexity of inclusive science classrooms: Professional development through collaboration

There are no panaceas and no shortcuts. Man is an amphibious being who lives simultaneously or successively in several universes: in the world of matter, the world of mind, the world of spirit; in the individual world and in the social world; in the homemade universe of his own artifacts, institutions, and imaginings, and in the given, the God-made universe of nature and grace. In the very nature of things none of the major problems confronting such a being can possibly be a simple problem. Those who seek simple solutions for complex problems may have the best of intentions; but unfortunately there is an original sin of the intellect in our habit of arbitrary oversimplification. Those who act without taking precautions against this vice of their intellectual nature doom themselves and their fellows to perpetual disappointment. (Aldous Huxley, 1953, p. 1.)     

Child Effects on Parental Negativity: The Role of Heritable and Prenatal Factors

This study examined two possible mechanisms, evocative gene–environment correlation and prenatal factors, in accounting for child effects on parental negativity. Participants included 561 children adopted at birth, and their adoptive parents and birth parents within a prospective longitudinal adoption study. Findings indicated child effects on parental negativity, such that toddlers’ negative reactivity at 18 months was positively associated with adoptive parents’ over-reactive and hostile parenting at 27 months. Furthermore, we found that child effects on parental negativity were partially due to heritable (e.g., birth mother [BM] internalizing problems and substance use) and prenatal factors (e.g., BM illicit drug use during pregnancy) that influence children’s negative reactivity at 18 months. This study provides critical evidence for “child on parent” effects.     

Storytelling: The Real Work of Museums

Abstract This article examines the ways in which the narrative or story form generates personal connections between visitors and content and thus is ideally suited to the work of museums. Starting with a review of the qualities of narrative, the article provides specific examples of how stories and storytelling have worked in exhibitions, public programs and outreach to schools.     

Creating information resources and trainings for farmworker-serving community health workers

Background:Farmworker-serving community health workers have limited access to farmworker health research findings, training, and education resources. With funding from the National Library of Medicine, we are working to improve the health information literacy of both community health workers and farmworkers. We conducted focus group discussions with community health workers to explore their experiences providing health education and information to farmworkers, their information-seeking behaviors, and their technology and information needs. Data from the focus groups provided insights into the main areas in which community health workers would like to receive professional development.Case Presentation:Our team, which includes health sciences librarians, developed a resource list of educational materials for farmworker health, videos to increase community health workers'' skills finding health information online, and webinars to introduce these resources to community health workers. Videos, available in Spanish and English, included instruction on finding and evaluating online health information, accessing reputable online consumer health information sources, and advanced searching tips for Google and PubMed. Through three webinars, we introduced the resource list, videos, and design software for creating handouts and infographics to community health workers.Conclusions:Community health workers have a critical role in providing health education and information to farmworkers, and our efforts represent a first step in addressing community health workers'' limited access to professional development. Health sciences librarians are well positioned to partner with interdisciplinary teams working to reduce health disparities and provide resources and training to community health workers, farmworkers, and other underserved communities.