Dilemmas of child care in the United States: Employed mothers and children at risk.

Describes the lack of US policies and the research on child care needs, both for employed parents and for their children. Unlike all other industrialized nations, the US has not developed coherent policies on the twin initiations of parental leaves and quality child care. Although neither Canada nor the US have achieved the level of support for employed families that are common in Europe, the deficiencies of US policies are especially glaring. Given the high rates of maternal employment in both countries, the major issues are how to provide a comprehensive system of high quality child care for infants and young children and how to fund necessary services. (French abstract) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

In the shadow of mother-care: Contexts for an understanding of child day care in North America.

Asserts that child day care in Canada and the US has become one of the most significant social policy issues of the 1980s, yet governmental action is, and has been, grindingly slow. The question "why?" leads one to explore the socio-cultural and historical roots of mother-care in North American society. In doing so, the boundaries of the mother-care paradigm become evident, clearing the way for the conceptualization of new social structures and familial roles and relationships in a society not circumscribed by Victorian values and visions. (French abstract) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Admitting paediatric trauma patients to rehabilitation following acute care: decision making practices in the USA and Australia

Paediatric patient access to rehabilitation services following trauma has significant long-term implications for clients, their families and the community. The aim of this research was to examine and compare the process by which patients are discharged from acute care and enter rehabilitation in the USA and Australia. The subjects were 31 American and 29 Australian discharge and rehabilitation admission coordinators. Subjects were surveyed about how they currently make trauma to rehabilitation referrals for children. Clinicians in both countries considered the severity of a child's injury and their social situation the most important factors when determining placement for a child. However, there were differences between Australian and US respondents in terms of how important they considered the factor 'medical coverage'. In addition, it was found that clinicians are not consistently using both standardized assessments and formal guidelines to assist them to determine which children should receive rehabilitation following acute care. Benefits of this research include a greater understanding of clinician discharge and admission decision making, and the equity of such decisions. However, further research is required on the influence of payment systems on access to paediatric rehabilitation.     

Adapting cognitive-behavioral therapy for Mexican American students with anxiety disorders: Recommendations for school psychologists.

Mexican American students are the fastest growing group in U.S. public schools. There is a growing body of research indicating that Mexican American families underutilize mental health services and are more likely to drop out of care prematurely when they do seek help. These findings may indicate that our health care system is not providing ethnic minorities with culturally competent care. Although cognitive?behavioral interventions are considered to be evidence-based treatments for child anxiety disorders, previous protocols have not taken cultural factors into account. This article discusses how to adapt cognitive?behavioral therapy (CBT) for Mexican American students with anxiety disorders. Working within the Psychotherapy Adaptation and Modification Framework (PAMF), this article offers adaptation principles that may guide school psychologists in implementing CBT strategies when working with Mexican American youth and their families. A case study is provided illustrating how cultural modifications of CBT can lead to positive outcomes for Mexican American students. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Toward a national family policy.

Outlines significant components of a national family policy (NFP) agenda and the ways in which they have been or will need to be addressed legislatively. The focus is on improved child care and child support. Other family-related policies include pay equity, flexible work scheduling, social security reform, tax credits for homemakers and displaced homemakers, eldercare, and long-term care. An NFP must address fairer treatment in the tax code, family and medical leave, affordable child care, minimum health care coverage, retirement security, and a right to decide whether, when, and how to have a family. Changes in US demographics, family life, and economy call for an NFP. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Adolescent health: Reflections on a report to the U.S. Congress.

The Office of Technology Assessment (OTA) found that the conventional wisdom that American adolescents are so healthy that they do not require health and related services is not justified; US adolescents often face formidable barriers to obtaining needed health care, and relatively little appropriate attention has been paid to adolescents by the federal government. OTA suggested that Congress could act to (1) increase adolescents' access to health care by supporting comprehensive health services specifically for adolescents, (2) restructure the federal role in adolescent health by creating an office of adolescent health in the US Executive Branch, and (3) improve adolescents' social environments by providing more support to families of adolescents, limiting adolescents' access to firearms, supporting the expansion of their recreational opportunities, and further increasing opportunities for community service. Federal actions taken since OTA's report are summarized. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Application of a general health policy model in the American health care crisis

There is near consensus that the US health care system requires reform. Only a quarter of the American public has faith in the current system. Health care was one of the major issues considered in the 1992 US presidential election and the search for innovative solutions has transcended administrations.     

Association of insulin resistance to electrocardiographic changes in non obese Asian Indian subjects with hypertension

Although it is well documented that child maltreatment exerts a deleterious impact on child adaptation, much less is known about the precise etiological pathways that eventuate in child abuse and neglect. This paper reports on a multimethod ecological study of the relationship between neighborhood structural factors and child maltreatment reports in African American and European American census tracts. The study had two major components. First, in an aggregate analysis, the effects of four measures of community structure (impoverishment, child care burden, instability, and geographic isolation) on child maltreatment report rates were examined separately for predominantly African American (n = 94) and predominantly European American (n = 189) census tracts. Impoverishment in particular had a significantly weaker effect on maltreatment rates in African American than in European American neighborhoods. Second, focused ethnographies were conducted in four selected census tracts with child maltreatment report rates in the highest and lowest quartiles. Ethnographic data point to the importance of the social fabric in accounting for differences in child maltreatment report rates by predominant neighborhood ethnicity.     

Child care research: A case for Canadian national standards.

Research on child care is reviewed with respect to the effects of (1) licensing/regulation and (2) teacher education on the provision of high quality care for young children and developmental outcomes. A model is proposed indicating direct and indirect links between licensing and regulation, teacher education, the quality of child care, and child development outcomes. Discussion focuses on critical differences in American and Canadian demographics and attitudes toward social assistance and how this influences interpretation of research findings. Using the Canadian context as a framework, recommendations are made for national standards regarding (1) licensing and regulation of child care and (2) teacher education. (French abstract) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The shame of American education.

Recent analyses of American schools and proposals for school reform have missed an essential point: Most current problems could be solved if students learned twice as much in the same time and with the same effort. It has been shown that they can do so (a) when the goals of education are clarified; (b) when each student is permitted to advance at his or her own pace; and (c) when the problem of motivation is solved with programmed instructional materials, so designed that students are very often right and learn at once that they are. The theories of human behavior most often taught in schools of education—particularly cognitive psychology—stand in the way of this solution to the problem of American education, but the proposal that schools of education simply be disbanded is a step in the wrong direction. Teachers need to be taught how to teach, and a technology is now available that will permit them to teach much more effectively. (17 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Lay judgments about child custody after divorce.

In a pair of studies, we examine lay people's judgments about how hypothetical cases involving child custody after divorce should be resolved. The respondents were citizens called to jury service in Pima County, AZ. Study 1 found that both male and female respondents, if they were the judge, would most commonly award equally shared custody arrangements, as advocated by most fathers' groups. However, if the predivorce child care had been divided disproportionately between the parents, this preference shifted, slightly but significantly, toward giving more time to the parent who had provided most of that care, consistent with the Approximation Rule advocated by the American Law Institute. Moreover, respondents judged that the arrangements prevailing in today's court and legal environment would award equal custody considerably less often, and would thereby provide much less parenting time to fathers, than the respondents themselves would award. Study 2 found that respondents maintained their strong preference for equally shared custody even when there are very high levels of parental conflict for which the parents were equally to blame, but awarded substantially less time to the culpable parent when only one was the primary instigator of the parental conflict. The striking degree to which the public favors equal custody combined with their view that the current court system under-awards parenting time to fathers could account for past findings that the system is seriously slanted toward mothers, and suggests that family law may have a public relations problem. (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

Infant day care and infant-care leaves: A policy vacuum.

Current US policy supports neither high-quality infant daycare nor alternatives, such as paid leaves for infant care. Psychologists, on the basis of research showing the importance of quality care for infants, should support measures to protect daycare quality and to help families afford decent care. At the same time, there are compelling child and family health reasons for psychologists to support voluntary, part-paid, 6-mo leaves for infant care. For 4 wks preceding and 6 wks following childbirth, working mothers should be eligible for a fully paid maternity leave. The remainder of the leave would be made available on a part-paid basis to either parent in any combination they chose to facilitate the parent–infant relationship. (16 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The economic impact of work and family issues: Child care satisfaction and financial considerations of employed mothers.

This article introduces the role of financial considerations into work–family research by considering the costs and benefits of employed mothers’ child care satisfaction. Data from 2 samples offer empirical support for the addition of a fourth factor to a current measure of child care satisfaction so that the measure reflects mothers’ satisfaction not only with caregiver attentiveness, communication, and dependability but also with child care-related financial considerations. This article also discusses relationships between child care satisfaction and work–family conflict and job satisfaction for this population. The results of this study provide both organizations and child care providers with a broader picture of the concerns that employed mothers face as they search for reliable, affordable child care. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Preparing for communities of care for child and family mental health for the twenty-first century

In a period of unprecedented change in the American health care system, a strong reform movement for child and family mental health services has developed in the last two decades that provides blueprints and models for the development of communities of care to provide individualized, strength-based services tailored to the needs of each child and family. To bring the spirit and substance of this reform into the twenty-first century, a two-pronged strategy is proposed, focusing on the broad implementation of value-based outcome measures and the development of skilled clinician leaders to ensure the effectiveness of the new delivery system.     

Differential susceptibility to parenting and quality child care.

Research on differential susceptibility to rearing suggests that infants with difficult temperaments are disproportionately affected by parenting and child care quality, but a major U.S. child care study raises questions as to whether quality of care influences social adjustment. One thousand three hundred sixty-four American children from reasonably diverse backgrounds were followed from 1 month to 11 years with repeated observational assessments of parenting and child care quality, as well as teacher report and standardized assessments of children’s cognitive-academic and social functioning, to determine whether those with histories of difficult temperament proved more susceptible to early rearing effects at ages 10 and 11. Evidence for such differential susceptibility emerges in the case of both parenting and child care quality and with respect to both cognitive-academic and social functioning. Differential susceptibility to parenting and child care quality extends to late middle childhood. J. Belsky, D. L. Vandell, et al.’s (2007) failure to consider such temperament-moderated rearing effects in their evaluation of long-term child care effects misestimates effects of child care quality on social adjustment. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Crisis in training pediatric psychologists.

Examines the shortage in the US of personnel who are trained in child mental health care that results in underservice to children, youth, and families. Doctoral programs offering specialty training are in short supply, as are pediatric psychology training programs. In addition, many clinical psychology programs are ill-equipped to offer curriculae for the development of skills and knowledge bases required by child psychologists. It is concluded that a training conference is needed to communicate the issues involved in this mental health provider crisis if children are to have access to psychological services. (19 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Testing a series of causal propositions relating time in child care to children’s externalizing behavior.

[Correction Notice: An erratum for this article was reported in Vol 46(2) of Developmental Psychology (see record 2010-03975-013). On the first page of the article “Testing a Series of Causal Propositions Relating Time in Child Care to Children’s Externalizing Behavior,” by Kathleen McCartney, Margaret Burchinal, Alison Clarke- Stewart, Kristen L. Bub, Margaret T. Owen, Jay Belsky, and the NICHD Early Child Care Research Network (Developmental Psychology, 2010, Vol. 46, No. 1, pp. 1–17), author Alison Clarke- Stewart’s name was misspelled as Aliso Clarke-Stewart. In addition, the e-mail address listed for the corresponding author Kathleen McCartney is incorrect. The correct e-mail address is: kathleen_mccartney@gse.harvard.edu. The online versions of this article have been corrected.] Prior research has documented associations between hours in child care and children’s externalizing behavior. A series of longitudinal analyses were conducted to address 5 propositions, each testing the hypothesis that child care hours causes externalizing behavior. Data from the National Institute of Child Health and Human Development Early Child Care Research Network (NICHD) Study of Early Child Care and Youth Development were used in this investigation because they include repeated measures of child care experiences, externalizing behavior, and family characteristics. There were 3 main findings. First, the evidence linking child care hours with externalizing behavior was equivocal in that results varied across model specifications. Second, the association between child care hours and externalizing behavior was not due to a child effect. Third, child care quality and proportion of time spent with a large group of peers moderated the effects of child care hours on externalizing behavior. The number of hours spent in child care was more strongly related to externalizing behavior when children were in low-quality child care and when children spent a greater proportion of time with a large group of peers. The magnitude of associations between child care hours and externalizing behavior was modest. Implications are that parents and policymakers must take into account that externalizing behavior is predicted from a constellation of variables in multiple contexts. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Shared caregiving: Comparisons between home and child-care settings.

The experiences of 84 German toddlers (12–24 months old) who were either enrolled or not enrolled in child care were described with observational checklists from the time they woke up until they went to bed. The total amount of care experienced over the course of a weekday by 35 pairs of toddlers (1 member of each pair in child care, 1 member not) did not differ according to whether the toddlers spent time in child care. Although the child-care toddlers received lower levels of care from care providers in the centers, their mothers engaged them in more social interactions during nonworking hours than did the mothers of home-only toddlers, which suggests that families using child care provided different patterns of care than families not using child care. Child-care toddlers experienced high levels of emotional support at home, although they experienced less prompt responses to their distress signals. Mothers' ages were unrelated to the amounts of time toddlers spent with them, but older mothers initiated more proximity. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Quality of mother–toddler interactions, maternal depressive symptoms, and behavior problems in preschoolers of adolescent mothers.

Longitudinal data for 63 inner-city African American and Puerto Rican adolescent mothers and their firstborn children were used to examine the relations among (a) level of maternal depressive symptoms reported in the first year postpartum and at 28 to 36 months postpartum, (b) mother-toddler conflict and contingent (reciprocal) responses observed in play interactions at 20 months, and (c) maternal reports of child problem behaviors at 28 to 36 months. The model that best predicted child problem behaviors was an additive one, reflecting the independent contributions of maternal depressive symptoms and maternal-child conflict. A lack of contingent responses occurred more frequently in the interactions of more symptomatic mothers with their toddlers. Although this was not associated with subsequent levels of child problem behaviors, the implications of this passive response strategy for the perpetuation of depression in families are discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

American child care today.

Child care has 2 purposes: mothers' employment and children's development. These are conflicting goals, because the first focuses on the quantity and affordability of child care whereas the second favors expensive quality services. Affordable child care fosters maternal employment and gender equality. With welfare reform demanding more child-care places to move mothers from welfare to work, the pressure for larger quantities of child care is great. Demanding regulations raise the quality of care and give more assurance of children's well-being, but they also increase the cost. More expensive regulations price more working parents out of licensed care and force them to use unregulated home care. Widely varying qualities of child care have been shown to have only small effects on children's current development and no demonstrated long-term impact, except on disadvantaged children, whose homes put them at developmental risk. Parents have far greater impact on their children's development through both the genes and environments they provide. Thus, greater quantities of affordable, regulated child care may be possible. (PsycINFO Database Record (c) 2010 APA, all rights reserved)