Unique System of Care Issues and Challenges in Serving Children Under Age 3 and their Families

This article addresses the primary modifications necessary for system change to better meet the mental health needs of children under the age of three. The role of risk and resiliency factors in the young child, family and community and the necessity for a comprehensive community infant-family mental health system with a focus on the whole family are addressed. Barriers to care within early childhood systems of care are examined, including stigma, community referral and collaboration, diagnostic concerns during infancy, issues around family engagement, empowerment and partnership, funding of comprehensive and well coordinated infant-family services, workforce capacity and evaluation. Recommendations for implementation of system changes at the community and federal levels are proposed.     

Breaking bread: spirituality,food and early childhood education

The spiritual aspect of early childhood education is supported by the early childhood curriculum in Aotearoa New Zealand, Te Whāriki. Research in three different early childhood settings presents new perspectives on the everyday experiences of children in terms of spirituality. Each setting formed a case study that included the voices of children, parents and teachers. Focusing on the practices that surround food and eating, this narrative account takes the sharing of food as a starting point for analysing the spiritual experiences of young children and the metaphor of ‘breaking bread’ is used. It is proposed that the concept of everyday spirituality informs the practice of teachers in each context and working with young children involves considering issues of equity, culture and well‐being.     

Expulsion prevention: Framework for the role of infant and early childhood mental health consultation in addressing implicit biases

Young children of color—especially boys—are at disproportionate risk for suspension and expulsion from early care and education settings. Infant and Early Childhood Mental Health Consultation (IECMHC) is an approach associated with lower than expected expulsion rates, but the mechanisms through which it may influence preschool expulsion are unknown. This paper reflects on the parallels between IECMHC and interventions created to reduce implicit bias. Based on interviews with leaders in IECMHC practice, implementation, and evaluation, a theoretical framework was created to articulate how IECMHC is hypothesized to affect expulsion by first reducing the influence of implicit bias on disciplinary decisions. Implications for practice and research are provided.     

Spirituality and humour: making connections for early childhood education

In looking at the relations between children’s spirituality and children’s expressions of humour, this paper explores the connections between the findings and theoretical implications and contributions of two separate empirical studies carried out with children between the ages of 5 and 6, in Cyprus and the US. Findings from the phenomenological study in the US point to joy (joyfulness and delight), concern for others (kindness, compassion and caring), relationships (importance and value of friends and family) and imagination (use and exploration in play), as observed expressions of children’s spirituality. Initial links between these findings and findings from the study completed in Cyprus, using the theoretical framework of The Theory of the Absurd and the Empowerment Theory, point at the importance of children’s story productions and the use of their imagination, as an expression of both their spiritual and humourous selves. Educational implications point to teachers allowing for kindergarteners to participate in story telling including incongruity, humourous symbols, violation of rules and violence, to convey humour, mixing these elements with expressions of imagination, joy and concern, through nurturing relationships with others, to express aspects of their spirituality. Other connections between the findings in these studies point at the potential importance of engaging children in story telling to create spiritual meaning and understanding, and overall nurture children’s spirituality.     

Latin American immigrant parents and their children's teachers in U.S. early childhood education programmes

For many immigrants, their children's schools offer their first sustained interaction with the major societal institutions of their new countries, and so exploring the ways in which immigrant parents manage their children's educational experiences offers insight into how they adapt to new cultural norms, customs and expectations and how they are treated in return. This study delved into the involvement of Latin American immigrant parents in U.S. education, shifting the traditional focus down from elementary and secondary school to early childhood education. Statistical analysis of nationally representative data revealed that Latina immigrants had lower frequencies of most home‐ and community‐based involvement behaviours than U.S.‐born and foreign‐born parents of varying racial/ethnic backgrounds but higher frequencies of involvement behaviours requiring participation in early childhood education programmes. As a window into these national patterns, qualitative data from an early childhood programme in an immigration‐heavy state revealed that Latina immigrant mothers and their children's teachers often talked about each other as partners in supporting children's educational experiences but that their actual interactions tended to socialise mothers into being more passive recipients of teachers' directives.     

Finding connections between spirituality and play for early childhood education

ABSTRACT

In an attempt to provide holistic education and care, expand the view of young children’s development to include the spiritual, and make connections with the found benefits of play for all areas of development, this article looks at 33 surveyed U.S. early childhood educators’ perceptions on nurturing spirituality through open-ended and free play. Data collected from the open-ended questions of an online survey were analyzed looking at 22 mentions of play as a mean to support spirituality. Findings show that 45.5% of surveyed teachers mentioned play as a way intentionally used in the classroom to nurture children’s spirituality. It is posed that developmentally appropriate approaches to early childhood education would be enhanced by including spirituality in their understanding of the child, as well as intentionally nurturing spirituality in educational settings, by providing free, child-centered, child-directed play and opportunities for children to experience spiritual moments, defined as feeling wonder, awe, joy, and inner-peace.     

Spirituality and child protection in early childhood education: a strengths approach

In recent international and Australian early childhood curriculum guidelines and child-protection policies, the need for teachers of young children to foster spirituality has been highlighted. However, what this might mean in practice has not been widely explored. This article addresses the more controversial issue of spiritual abuse and the right of children to protection in terms of spiritual development. We present a critique of current definitions taken from research and policy documents. Qualitative data provide the research background. Vignettes are presented to give examples of what spiritual harm might look like in practice. Finally, a strengths-based approach is introduced and strategies are suggested in order to explore the potential of the Strengths Approach (a social justice approach originating from social service practice) to aid early years’ teachers to create spiritually protective learning environments. This approach recognises and values children’s holistic development and wellbeing and supports them to appreciate, engage with and question the world around them with a resilient spirit.     

Trauma‐Informed Care for Individuals with Serious Mental Illness: An Avenue for Community Psychology's Involvement in Community Mental Health

Individuals with serious mental illness are at particularly high risk for trauma; however, service environments with which they interact may not always be trauma‐informed. While community mental health and other human services settings are moving toward trauma‐informed care (TIC) service delivery, a variety of TIC frameworks exist without consensus regarding operationalization, thereby leading to challenges in implementation. TIC is principle‐driven and presents substantial overlap with community psychology values and competencies, including ecological frameworks, second‐order change, empowerment, and citizen participation. One way to address barriers to TIC implementation is to draw on the strengths of the field of community psychology. With a particular emphasis on the applicability of TIC to individuals with serious mental illness, this paper identifies key implementation issues and recommends future directions for community psychologists in clarifying the service framework, its adaptation to specific service contexts, and improving delivery through consultation and evaluation. Community psychologists may work with various disciplines involved in the TIC field to together promote a more conscious, actionable shift in service delivery.     

Exploring the complex emotional relationships that influence children's participation rights in early childhood education settings

Early childhood educators engage in complex and emotional work in their professional role educating and caring for children aged from birth to five years. The aim of this paper is to promote autoethnography as a most suitable method of understanding the role emotions play in the actualisation of young children's participation rights in early childhood education services. The author is a practising educator and draws upon a specific auto-ethnographic account of practice, the story of Sarah, as the focus of this paper to explore the emotional intensity of relationships in early childhood education. Autoethnography is discussed as a method to sit alongside ‘traditional’ ethnographic research to provide a deep understanding of the role of the educator embracing and enacting a rights approach in their work and what influences their decision making. In conclusion the author suggests autoethnography is a useful reflexive tool for educators to consider the role of emotions as a catalyst for change to ensure the actualisation of children's participation rights in daily practice in early childhood education.     

Association of prenatal attachment and early childhood emotional,behavioral, and developmental characteristics: A longitudinal study

This study examines the associations between prenatal attachment and child development, socioemotional behavioral problems, and competence at early childhood. It also inquires whether maternal depression and anxiety at the prenatal period and at early childhood are associated with child outcomes. The study consisted of 83 mothers and their children. Data regarding the prenatal attachment, depression, and anxiety were collected during Weeks 28 to 40 of gestation. When the children were 21 to 31 months old, the Brief Infant and Toddler Social Emotional Assessment (BITSEA) and the Ankara Developmental Screening Inventory (ADSI) were applied to children along with Beck Depression Inventory (BDI) and the Beck Anxiety Inventory (BAI) administered to mothers. Results showed that prenatal attachment scores significantly correlated with BITSEA-Competency subscale scores and ADSI total scores at early childhood, r(83) = 0.246, P = .025, and r(82) = 0.316, P = .004, respectively. Prenatal attachment levels were found to be the predictors of both behavioral and emotional competence and development at early childhood, b = 0.081, t(83) = 2.273, P = .014, and b = 0.281, t(83) = 3.225, P = .002, respectively. In addition, prenatal attachment was shown to be even a stronger predictor of development than was worsening maternal depression at early childhood, b = −0.319, t(83) = 2.140, P = .035. Our results indicate that fostering prenatal attachment may be beneficial for better infant outcomes at early childhood.     

The protective role of maternal posttraumatic growth and cognitive trauma processing among Palestinian mothers and infants

War survivors use multiple cognitive and emotional processes to protect their mental health from the negative impacts of trauma. Because mothers and infants may be especially vulnerable to trauma in conditions of war, it is urgent to determine which cognitive and emotional processes are effective for preventing negative trauma impacts.” This study examined whether mothers’ high posttraumatic growth (PTG) and positive posttraumatic cognitions (PTC) protected (a) their own mental health and (b) their infants’ stress regulation and sensorimotor and language development from the effects of war trauma. The participants were 511 Palestinian mothers and their infants living in the Gaza strip. The mothers were interviewed in their second trimester of pregnancy (T1) as well as when the infant was four months (T2) and twelve months (T3). Mothers reported posttraumatic growth (PTG; Tedeschi & Calhoun, 1996) at T1 and posttraumatic cognitions (PTCI; Foa et al., 1999) at T2. They also reported their exposure to traumatic war events both at T1 and T3 and described their mental health conditions (e.g., PTSD and/or depressive and dissociation symptoms) at T3. The Infant Behaviour Questionnaire (IBQ) was used to measure infants’ stress regulation at T2 and sensorimotor and language development at T3. The results, based on regression analyses with interaction terms between trauma and PTG, showed that high levels of traumatic war events were not associated with high levels of PTSD, depressive, or dissociation symptoms among mothers showing high levels of PTG. This suggests that PTG may protect maternal mental health from the effects of trauma. In turn, positive maternal PTCs appeared to protect the infants’ stress regulation from the effects of war trauma. The study concludes by discussing ways to develop and implement preventive interventions for mother-infant dyads in war conditions.     

Health care practitioners' perceptions of public mental health care in the Eastern Cape,South Africa

This qualitative study explored the perceptions of health care practitioners (HCPs) concerning public mental health care in the Eastern Cape Province of South Africa. Data were collected from thirteen purposively selected HCPs using in-depth unstructured interviews (males?=?6, females?=?7). Data were transcribed verbatim and later thematically analysed. The findings suggest that mental health professionals perceive mental health services to be both inadequate and of suboptimal quality. Specifically, they perceived public mental health care to have lower priority, to be poorly resourced and lacking in patient-oriented care qualities.     

The relationship between home environment and early childhood development of left-behind children under 3 years in rural China

BackgroundHome environment provides stimulation and learning opportunities required for children’s early development. However, few studies have focused on the effects of home environment on left-behind children’s development in rural China. The study aimed to investigate the relationship between home environment and early childhood development of left-behind children under 3 years old in rural China.MethodsInformation about sociodemographic characteristics, caregivers’ mental health, home environment and children’s development was collected. Infant/Toddler Home Observation for Measurement of the Environment Inventory (IT-HOME) was used to assess home environment. Child’s development was evaluated with the Chinese version of the Ages & Stages Questionnaire - third edition.ResultsElevated caregivers’ depressive symptoms were associated with a higher risk of total suspected development delay. An increase of one score in the IT-HOME resulted in a 7% decrease in total suspected development delay. Higher scores in the dimensions of involvement and variety were associated with a lower risk of suspected development delay adjusting for covariates.ConclusionsOur results have implications for home-based intervention aiming at promoting nurturing care as well as caregivers’ mental health, which is required for early development of young left-behind children in rural areas of China.     

Impact of maternal adverse childhood experiences on child socioemotional function in rural Kenya: Mediating role of maternal mental health

Mothers in low‐ and middle‐income countries (LMIC) suffer heightened vulnerability for adverse childhood experiences (ACEs), which is exacerbated by the multitude of risk factors associated with poverty and may lead to increased risk of psychiatric disorder. The constellation of complex, co‐occurring biological, environmental, social, economic and psychological risk factors are in turn transmitted to her child, conferring vulnerability for adverse development. This study examines the association between maternal intra‐ and extra‐familial ACEs, maternal education and the mental health of her child, mediated by maternal mental health. Mother‐child dyads (n = 121) in Machakos, Kenya were examined cross‐sectionally using self‐report measures of ACEs, maternal mental health and child internalizing and externalizing mental health problems. The four models proposed to examine the relationship between intra‐ and extra‐familial maternal ACEs and child internalizing and externalizing problems demonstrated indirect pathways through maternal mental health. These effects were found to be conditional on levels of maternal education, which served as a protective factor at lower levels of maternal ACEs. These models demonstrate how the impact of ACEs persists across the lifespan resulting in a negative impact on maternal mental health and conferring further risk to subsequent generations. Elucidating the association between ACEs and subsequent intergenerational sequelae, especially in LMIC where risk is heightened, may improve targeted caregiver mental health programs for prevention and intervention.     

Deception and subtypes of aggression during early childhood

A multi-informant study investigated the association between deception capacities and subtypes of aggression in a young early childhood sample (M = 44.65 months of age, SD = 13.39, N = 64). A newly developed teacher report of deception had appropriate psychometric properties (reliability, concurrent validity, and construct validity). Recently introduced observational methods of physical and relational aggression were reliable and valid with this sample. Findings indicated that both physical and relational aggression were associated with concurrent deception. For boys only, physical aggression uniquely predicted deception, controlling for the variance associated with relational aggression. In addition, relational aggression predicted deception above and beyond the role of physical aggression for the entire sample.     

早期儿童数学学习与执行功能的关系

执行功能是个体对复杂的认知活动的自我调节和以明确目标为导向的活动过程, 对早期儿童的数学学习起着重要的作用。早期儿童数学学习与执行功能呈显著正相关, 执行功能是儿童数学学习的重要认知加工机制。早期儿童执行功能和数学学习之间存在着相互预测的关系, 执行功能可以预测数学成绩, 数学成绩可以预测执行功能。高质量的早期数学教育可能具有发展儿童执行功能和数学能力的双重价值。未来研究可以明确执行功能的界定和统一测量工具, 提供更可靠的证据证明早期儿童执行功能与数学能力的因果关系, 以及进一步探究语言、数学以及执行功能三者之间的关系。     

儿童早期工作记忆与数学学习的关系

以往研究认为工作记忆对数学学习很重要,但是以往工作记忆和早期数学学习的关系研究结果并不一致。本研究运用元分析的方法回顾了33篇独立研究,含307项相关系数作为效应值,总被试量为42423名平均年龄3~8岁的儿童,旨在探讨工作记忆的3个主成分PL(语音回路)、VSSP(视觉空间画板)、CE(中央执行)与数学学习不同方面之间的关系,以及样本年龄对工作记忆和数学学习相关程度的调节作用。结果显示:工作记忆与数学学习确实存在强相关,工作记忆子成分中,CE与数学学习平均相关的程度最强。并且,CE与数学学习不同方面之间的相关程度不存在显著差异,PL、VSSP与数运算的相关程度比数概念更强,存在显著差异。样本年龄对CE、PL与数学学习之间相关关系存在显著调节作用,对VSSP与数学学习之间的相关关系不存在显著调节作用。文献梳理还发现,以往研究对数学学习的考察,大都聚焦数概念、数运算的内容,未来研究需要关注几何与空间、测量等方面内容。     

Adverse childhood experiences and coping strategies: identifying pathways to resiliency in adulthood

ABSTRACT

Objective

The current study examined whether coping strategies mediate the link between adverse childhood experiences (ACEs) and adult psychiatric and physical health outcomes.     

Social problem solving in early childhood: Developmental change and the influence of shyness

The purpose of this study was to examine developmental change and the influence of shyness on social problem-solving (SPS). At 24, 36, and 48 months, children (N = 570) were observed while interacting with an unfamiliar peer during an SPS task and at 24 months, maternal report of shyness was collected. Results showed that across the full sample, children displayed low but stable levels of withdrawn SPS and increasing levels of SPS competence over development. In addition, results showed multiple trajectories of withdrawn and competent SPS. Shyness was associated with high-increasing and high-decreasing withdrawn SPS trajectories compared with the low-increasing withdrawn SPS trajectory. Shyness was also associated with the low-increasing compared with the high-increasing SPS competence trajectory. Findings demonstrate the development of SPS competence over early childhood, and the influence of early shyness on this developmental course, with some shy children showing improvement in SPS skills and others continuing to show SPS difficulties over time.     

Evaluating the effect of educational media exposure on aggression in early childhood

Preschool-aged children (M = 42.44 months-old, SD = 8.02) participated in a short-term longitudinal study investigating the effect of educational media exposure on social development (i.e., aggression and prosocial behavior) using multiple informants and methods. As predicted, educational media exposure significantly predicted increases in both observed and teacher reported relational aggression across time. Follow-up analyses showed that educational media exposure also significantly predicted increases in parent reported relational aggression across more than a two year period. Results replicate and extend prior research that has demonstrated links between educational media exposure and relational aggression, but not physical aggression, during early childhood.