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https://www.readbyqxmd.com/read/28813259/alternatives-for-abandoned-children-insights-from-the-bucharest-early-intervention-project
#1
REVIEW
Charles H Zeanah, Kathryn L Humphreys, Nathan A Fox, Charles A Nelson
The Bucharest Early Intervention Project is the first and only randomized controlled trial of foster care as an alternative to institutional care for orphaned and abandoned children. Across various domains of brain and behavioral development we demonstrated that children in families developed more favorably than children in institutions, that foster care remediates some but not all compromises associated with institutional placement and that earlier placement in foster care leads to more developmental gains in some but not all domains...
June 2017: Current Opinion in Psychology
https://www.readbyqxmd.com/read/28813241/should-potential-risk-of-chronic-traumatic-encephalopathy-be-discussed-with-young-athletes
#2
Kimberly Hornbeck, Kevin Walter, Matthew Myrvik
As participation in youth sports has risen over the past two decades, so has the incidence of youth sports injuries. A common topic of concern is concussion, or mild traumatic brain injury, in young athletes and whether concussions sustained at a young age could lead to lifelong impairment such as chronic traumatic encephalopathy (CTE). While the pathway from a concussed young athlete to an adult with CTE remains unknown, current research is attempting to provide more clarity. This article discusses how health care professionals can help foster an informed, balanced decision-making process regarding participation in contact sports that involves the parents as well as the children...
July 1, 2017: AMA Journal of Ethics
https://www.readbyqxmd.com/read/28805141/inhibited-attachment-disordered-behavior-in-institutionalized-preschool-children-links-with-early-and-current-relational-experiences
#3
Raquel Corval, Jay Belsky, Joana Baptista, Paula Oliveira, Ana Mesquita, Isabel Soares
Inhibited attachment disordered behavior (IADB) is characterized by difficulty in establishing an attachment relationship with a primary caregiver; is associated with persistent social and emotional problems; and is observed most frequently in contexts of pathological care such as institutional rearing. Here, we seek to enhance understanding of the conditions that give rise to IADB among institutionalized children by examining prior family experiences of neglect and deprivation and concurrent relational experiences at the institution...
August 14, 2017: Attachment & Human Development
https://www.readbyqxmd.com/read/28799260/parent-and-staff-perceptions-of-parental-needs-during-a-child-s-hospital-admission-to-a-paediatric-high-dependency-unit-a-new-zealand-study
#4
Mandie Foster, Lisa Whitehead
AIM: This study aimed to identify parents' and staff's perceptions of parents' needs during a paediatric high-dependency unit admission and the relationships between needs, socio-demographic and clinical variables and explores if these perceptions have changed. METHODS: This study uses a cross-sectional descriptive correlational design, and 104 parents whose children received care and 88 staff who worked within a paediatric high-dependency unit at a tertiary hospital in New Zealand completed the Needs of Parents' Questionnaire in 2011...
August 10, 2017: Journal of Paediatrics and Child Health
https://www.readbyqxmd.com/read/28792079/mentoring-relationship-quality-and-maltreated-children-s-coping
#5
Ashley A Chesmore, Lindsey M Weiler, Heather N Taussig
Coping strategies are believed to protect against the harmful effects of maltreatment on children's psychosocial outcomes. Caregivers are thought to be critical in helping children develop adaptive coping strategies, yet many maltreated children have poor and/or insecure relationships with their parents. A quality relationship with a caring, non-parental adult (e.g., a mentor), however, may be one strategy to promote healthy coping among maltreated children. Children (N = 154) in this study participated in a mentoring and skill-based program for maltreated preadolescents placed in foster care...
August 9, 2017: American Journal of Community Psychology
https://www.readbyqxmd.com/read/28765679/placement-instability-among-young-people-removed-from-their-original-family-and-the-likely-mental-health-implications
#6
Simon Rice, Sue Cotton, Kristen Moeller-Saxone, Cathrine Mihalopoulos, Anne Magnus, Carol Harvey, Cathy Humphreys, Stephen Halperin, Angela Scheppokat, Patrick McGorry, Helen Herrman
BACKGROUND: Young people in out-of-home care are more likely to experience poorer mental and physical health outcomes related to their peers. Stable care environments are essential for ameliorating impacts of disruptive early childhood experiences, including exposure to psychological trauma, abuse and neglect. At present there are very few high quality data regarding the placement stability history of young people in out-of-home care in Australia or other countries. OBJECTIVES: To undertake the first systematic census of background, care type and placement stability characteristics of young people living in the out-of-home care sector in Australia...
April 25, 2017: Shanghai Archives of Psychiatry
https://www.readbyqxmd.com/read/28751491/pediatric-chronic-critical-illness-reducing-excess-hospitalizations
#7
Renee D Boss, Erin P Williams, Carrie M Henderson, Rebecca R Seltzer, Miriam C Shapiro, Emily Hahn, Nancy Hutton
OBJECTIVES: The past 2 decades have seen an expanding pediatric population that is chronically critically ill: children with repeated and prolonged hospitalizations and ongoing dependence on technologies to sustain vital functions. Although illness complexity prompts many hospitalizations, our goal with this study was to explore modifiable patient, family, and health system contributions to excess hospital days for children with chronic critical illness (CCI). METHODS: Semistructured interviews were conducted with 51 stakeholders known for their CCI expertise...
July 27, 2017: Hospital Pediatrics
https://www.readbyqxmd.com/read/28746733/mothers-with-substance-addictions-show-reduced-reward-responses-when-viewing-their-own-infant-s-face
#8
Sohye Kim, Udita Iyengar, Linda C Mayes, Marc N Potenza, Helena J V Rutherford, Lane Strathearn
Maternal addiction constitutes a major public health problem affecting children, with high rates of abuse, neglect, and foster care placement. However, little is known about the ways in which substance addiction alters brain function related to maternal behavior. Prior studies have shown that infant face cues activate similar dopamine-associated brain reward regions to substances of abuse. Here, we report on a functional MRI study documenting that mothers with addictions demonstrate reduced activation of reward regions when shown reward-related cues of their own infants...
July 26, 2017: Human Brain Mapping
https://www.readbyqxmd.com/read/28743054/continuity-for-children-after-guardianship-versus-adoption-with-kin-approximating-the-right-counterfactual
#9
Nancy Rolock, Kevin R White
Over the past two decades there has been a rapid increase in the number of children and youth living in guardianship and adoptive homes who were previously in foster care. Further, previous studies compared outcomes for children in guardianship homes to those for children in adoptive homes, despite the fact that many factors likely affect the selection of foster youth into different types of permanent placements. This study examined two counterfactuals for guardianship as a permanent placement type: adoption only and adoption or long-term-fostercare (A+LTFC)...
July 22, 2017: Child Abuse & Neglect
https://www.readbyqxmd.com/read/28739651/improving-asthma-care-by-building-statewide-quality-improvement-infrastructure
#10
Judith C Dolins, Jennifer Powell, Edward Wise, Kimberly Giuliano, Peggy Stemmler, Wes Stubblefield, P Cooper White, James Wiley, Dennis Z Kuo
BACKGROUND AND OBJECTIVES: Pediatric medical professionals have an increasing desire for quality improvement (QI) methods that produce sustainable changes in health care delivery. Previous reports have described QI in single settings or single coordinating entities that work with multiple sites. The objectives of this project are (1) to improve care for children with asthma across multiple practice settings and (2) to develop state-level expertise to support QI projects across entities in multiple states...
July 24, 2017: Pediatrics
https://www.readbyqxmd.com/read/28734200/rates-of-meaningful-change-in-the-mental-health-of-children-in-long-term-out-of-home-care-a-seven-to-nine-year-prospective-study
#11
Michael Tarren-Sweeney
Children residing in long-term out-of-home care have high rates of clinical-level mental health difficulties. However, the stability of these children's difficulties throughout their time in care is uncertain. This paper reports estimates of the seven- to nine-year stability of carer-reported scores on the Child Behavior Checklist (CBCL) and Assessment Checklists for Children (ACC) and Adolescents (ACA) for 85 children in long-term foster or kinship care. Prospective score changes on the CBCL total problems and ACC-ACA shared-item scales were assigned to one of four change groups: 'sustained mental health'; 'meaningful improvement'; 'no meaningful change'; and 'meaningful deterioration'...
July 19, 2017: Child Abuse & Neglect
https://www.readbyqxmd.com/read/28721693/towards-relational-recovery-nurses-practices-with-consumers-and-families-with-dependent-children-in-mental-health-inpatient-units
#12
Kim Foster, Sophie Isobel
Facilitating parent-child and family connections during parental hospitalization provides important opportunities for mental health services to support individual and family recovery. Nurses are often the primary point of contact for families in the inpatient context. They play an integral role in the care provision of consumers and families and in supporting consumers' recovery. The aim of the present qualitative study was to explore nurses' practice with families in inpatient mental health settings in the context of designated family rooms...
July 18, 2017: International Journal of Mental Health Nursing
https://www.readbyqxmd.com/read/28686142/care-and-supportive-measures-in-school-aged-children-with-prenatal-substance-exposure
#13
Lisbeth B Sandtorv, Siren Haugland, Irene Elgen
AIMS: Prenatal exposure to substances, including alcohol, opiates, and a number of illicit drugs, may have a negative impact on fetal development. Studies have shown that substance exposure can influence a child's neurodevelopment and the need for care and supportive measures. In this study, we aimed to investigate the care status and the level of supportive measures in school-aged children prenatally exposed to alcohol and other substances. METHODS: This study included children aged between 6 and 14 years who were referred to Haukeland University Hospital in Norway with developmental impairment and a history of prenatal substance exposure...
July 1, 2017: Scandinavian Journal of Public Health
https://www.readbyqxmd.com/read/28681920/how-do-foster-carers-manage-the-oral-health-of-children-in-foster-care-a-qualitative-study
#14
Vanessa Muirhead, Sri-Kavi Subramanian, Desmond Wright, Ferranti S L Wong
OBJECTIVES: This qualitative study explored how the foster family environment influenced children's oral health. It also aimed to better understand foster carers' oral health knowledge, attitudes and experiences of managing foster children's oral health behaviours and oral health care. METHODS: An interpretative phenomenological analysis (IPA) study design was used to recruit a purposive sample of foster carers in Tower Hamlets, United Kingdom, from a range of backgrounds (maximum variation sampling)...
July 6, 2017: Community Dentistry and Oral Epidemiology
https://www.readbyqxmd.com/read/28679837/neuronal-networks-in-the-developing-brain-are-adversely-modulated-by-early-psychosocial-neglect
#15
Catherine Stamoulis, Ross E Vanderwert, Charles H Zeanah, Nathan A Fox, Charles A Nelson
The brain's neural circuitry plays a ubiquitous role across domains in cognitive processing and undergoes extensive re-organization during the course of development in part as a result of experience. In this paper we investigated the effects of profound early psychosocial neglect associated with institutional rearing on the development of task-independent brain networks, estimated from longitudinally acquired electroencephalographic (EEG) data from <30 to 96 months, in three cohorts of children from the Bucharest Early Intervention Project (BEIP), including abandoned children reared in institutions who were randomly assigned either to a foster care intervention or to remain in care as usual and never institutionalized children...
July 5, 2017: Journal of Neurophysiology
https://www.readbyqxmd.com/read/28666173/linking-routinely-collected-social-work-education-and-health-data-to-enable-monitoring-of-the-health-and-health-care-of-school-aged-children-in-state-care-looked-after-children-in-scotland-a-national-demonstration-project
#16
D Clark, A King, K Sharpe, G Connelly, L Elliott, L M D Macpherson, A D McMahon, I Milligan, P Wilson, D I Conway, R Wood
BACKGROUND AND OBJECTIVES: Children in state care ('looked after children') have poorer health than children who are not looked after. Recent developments in Scotland and elsewhere have aimed to improve services and outcomes for looked after children. Routine monitoring of the health outcomes of looked after children compared to those of their non-looked after peers is currently lacking. Developing capacity for comparative monitoring of population-based outcomes based on linkage of routinely collected administrative data has been identified as a priority...
June 27, 2017: Public Health
https://www.readbyqxmd.com/read/28664570/swedish-population-based-study-of-pupils-showed-that-foster-children-faced-increased-risks-for-ill-health-negative-lifestyles-and-school-failure
#17
Lisbet Engh, Staffan Janson, Birgitta Svensson, Carl-Gustaf Bornehag, Ulla-Britt Eriksson
AIM: This population-based study explored if foster children faced a higher risk of health problems than children of the same age who were not in foster care. METHODS: Data for 13,739 pupils aged 10, 13 and 16 years were obtained from the Pupil Health Database in the county of Värmland, Sweden, for the school years 2012/2013 and 2013/2014. These included data on school performance, health, lifestyle and social relationships, based on children's interviews with school nurses...
June 30, 2017: Acta Paediatrica
https://www.readbyqxmd.com/read/28661889/voices-in-the-wilderness-co-location-meeting-the-needs-of-children-in-protective-care
#18
Graham Swanson, Michael Mills, Amie Davis, Anne Kittler, Vivian R Ramsden
OBJECTIVE: To explore how access to a family medicine clinic co-locating with the Children's Aid Society (CAS) of Hamilton in Ontario helped meet the unique needs of children in care. DESIGN: Qualitative research using semistructured face-to-face and telephone interviews. SETTING: The CAS of Hamilton. PARTICIPANTS: Nineteen foster parents. METHODS: Stakeholders were invited to participate with flyers posted in the clinic, notices that were mailed to foster parents, personal invitations that were distributed during clinic visits, and an internal memo that was distributed to the CAS staff...
November 2016: Canadian Family Physician Médecin de Famille Canadien
https://www.readbyqxmd.com/read/28659651/poverty-among-foster-children-estimates-using-the-supplemental-poverty-measure
#19
Jessica Pac, Jane Waldfogel, Christopher Wimer
We use data from the Current Population Survey and the new Supplemental Poverty Measure (SPM) to provide estimates for poverty among foster children over the period 1992 to 2013. These are the first large-scale national estimates for foster children who are not included in official poverty statistics. Holding child and family demographics constant, foster children have a lower risk of poverty than other children. Analyzing income in detail suggests that foster care payments likely play an important role in reducing the risk of poverty in this group...
March 2017: Social Service Review
https://www.readbyqxmd.com/read/28656806/baseline-characteristics-of-dependent-youth-who-have-been-commercially-sexually-exploited-findings-from-a-specialized-treatment-program
#20
Monica Landers, Kimberly McGrath, Melissa H Johnson, Mary I Armstrong, Norin Dollard
Commercial sexual exploitation of children has emerged as a critical issue within child welfare, but little is currently known about this population or effective treatment approaches to address their unique needs. Children in foster care and runaways are reported to be vulnerable to exploitation because they frequently have unmet needs for family relationships, and they have had inadequate supervision and histories of trauma of which traffickers take advantage. The current article presents data on the demographic characteristics, trauma history, mental and behavioral health needs, physical health needs, and strengths collected on a sample of 87 commercially sexually exploited youth...
June 28, 2017: Journal of Child Sexual Abuse
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