Early Childhood Mental Health Consultation: Promoting Change in the Quality of Teacher–Child Interactions

The goal of this study was to examine the relationship between characteristics of early childhood mental health consultation (ECMHC) and changes in the quality of teacher–child interactions. One hundred forty‐one early childhood teachers, serving 3‐ to 5‐year‐olds in publically funded early education programs in the state of Arkansas, participated in this study. All childcare sites and preschool programs participating in the study received ECMHC through the Arkansas Early Childhood Mental Health Consultation Project over a period of 3 years. Findings from this study suggest that teachers exposed to ECMHC through their employment at one of the project sites made significant gains toward high‐quality teacher–child interactions relative to their initial levels of quality. In particular, delivery aspects of ECMHC and teachers’ experiences of ECMHC predicted change in quality of teacher–child interactions. Findings suggest that ECMHC may be a promising professional development intervention for teachers in early childhood settings and that specific characteristics of consultation may be particularly influential in impacting change in those settings.     

Review of Infant Mental Health papers

The paper of the Change Process Study Group of Boston addresses an unsolved conceptual problem: How does one codify intersubjective states? The transfer of concepts from infant research to the adult therapeutic dyad is more than an analogy in that certain primitive aspects of mind appear in infancy, but persist throughout life. The regulation of consciousness is one salient example. The adult therapeutic dyad and the mother–infant dyad can be viewed as self-regulating dynamic systems that are also self-reparative. The concept of implicit relational knowledge is offered as an alternative way of thinking about internal object relations. © 1998 Michigan Association for Infant Mental Health     

Mental Health and Adverse Childhood Experiences

The theoretical basis of occupational therapy interventions was investigated in two mental health facilities in the Midwestern United States. Using retrospective cohort and grounded theory designs, 121 medical records were reviewed and five occupational therapy practitioners were interviewed. Theoretical reasoning was not explicitly documented, but according to analysis, the behavioral/cognitive-behavioral model, client-centered models, and the model of human occupation were the most frequently used theories to guide interventions. Lack of documentation of theory use has significant implications for the value accorded to occupational therapy skills in health care. A larger study is recommended to increase external generalizability of the findings.     

Infant Mental Health Intervention for Preterm Infants in Japan: Promotions of Maternal Mental Health,Mother–Infant Interactions,and Social Support by Providing Continuous Home Visits until the Corrected Infant Age of 12 Months

The aim of this study was to investigate the effectiveness of the Japanese Infant Mental Health Program (JIMHP) for preterm mother–infant dyads until the infants reached 12 months of corrected age. Mothers in the JIMHP group (n = 26) received one hospital visit in addition to standard care in the Growing Care Unit (GCU) and five home visits based on the principles of infant mental health (IMH) after discharge from the hospital, until the infant reached 12 months of corrected age. In contrast, mothers in the control program group (n = 40) received standard care in the GCU and three conventional home visits during the same period. The dyads were then compared across groups, revealing that the JIMHP dyads showed less maternal depressive symptoms, better maternal interaction, increased social support by medical workers and healthcare professionals, a high persistence rate for attending the program, and a more positive perception toward the program (p < .05). However, there were no significant differences in the impact of parenting stress or in child development. These results are discussed in terms of their significance and the practical/clinical availability of IMH principles and the JIMHP as a new support model for preterm infants in Japan.     

Early Postpartum Parental Preoccupation and Positive Parenting Thoughts: Relationship with Parent–Infant Interaction

Parenting behaviors and parent–infant emotional bonding during the early postpartum months play a critical role in infant development. However, the nature and progression of parental thoughts and their relationship with interactive behaviors have received less research. The current study investigated the trajectory of parental thoughts and behaviors among primiparous mothers (n = 18) and fathers (n = 15) and multiparous mothers (n = 13) and fathers (n = 13), which were measured at the first and third postpartum month. At the third postpartum month, the relationship between parental thoughts and parental interactive behaviors also was tested. Mothers and fathers showed high levels of preoccupations and caregiving thoughts during the first postpartum month that significantly declined by the third postpartum month. In contrast, positive thoughts about parenting and the infant increased over the same time interval. Mothers presented higher levels of preoccupations and positive thoughts than did fathers, and first‐time parents reported more intense preoccupations than did experienced parents. Although maternal sensitivity was inversely related to maternal anxious thoughts, paternal sensitivity was predicted by higher levels of anxious as well as caregiving and positive thoughts.     

Impact of a Kentucky Maternal, Infant, and Early Childhood Home-Visitation Program on Parental Risk Factors

As public health organizations continue to implement maternal and child health home-visitation programs, more evaluation of these efforts is needed, particularly as it relates to improving parental behaviors. The purpose of our study was to assess the impact of families’ participation in a home-visitation program offered by a central Kentucky health department on parental risk factors. A family social worker or nurse interviewed parents pre-intervention, completing a Parent Survey which assessed multiple parental risk factors associated with negative health and well-being and to calculate a total risk score. Upon exiting the program, parents are re-interviewed to document improvements, review progress and accomplished goals, plan for transitional services, and calculate a new risk score. As of December 2010, 64 families had completed the home-visitation program and had pre- and post-risk scores available for analysis. Based on paired-sample t tests, there was a statistically significant difference in total mean risk scores among both mothers and fathers from pre to post. The McNemar–Bowker test also revealed statistically different scores for four of the six risk factors for mothers and fathers pre- and post-home-visitation: lifestyle behaviors and mental health, coping skills and support systems, stresses, and anger management skills. Findings suggest that families who were deemed at-risk for adverse pregnancy and child health outcomes benefit from participation in the home-visitation program. Programs designed to promote positive pregnancy outcomes and child development may benefit from providing social support, fostering parental knowledge, skill development and problem solving, insuring proper medical care, and connecting parents with community resources.     

Outcomes and Findings of Program Evaluation for the Intensive Mental Health Program

We describe changes in adaptive functioning for children enrolled in the Intensive Mental Health Program (IMHP), an innovative model for serving children with the most severe forms of SED. Most children show marked improvements in multiple indicators of role performance and symptomatology. Although a high risk, high need group, most children attended school regularly and lived with a stable caregiver at discharge.     

心理时间旅行与自我:发展中关系模式的转换

该研究分别考察了儿童中晚期(9~12岁)、少年期(13~15岁)和青年早期(17岁、19岁、21岁)个体心理时间旅行的发展模式,并进一步探讨了不同年龄阶段,情景记忆和自我对情景预见作用模式的转换。研究采用访谈法评估心理时间旅行,以自我描述(儿童期和少年期)或自我连续性(青年早期)作为评估自我的指标。研究发现:(1)儿童中晚期,想象未来情景细节的数量随年龄增长而增加,少年期和青年早期的情景预见能力则趋于平稳,与情景记忆的发展趋势一致;(2)无论在哪个年龄段,情景记忆对情景预见都是有效的预测源;(3)自我描述在少年期才开始对情景预见产生预测作用;(4)青年早期,情景记忆以自我连续性为中介变量作用于情景预见。     

Implementing a Primary Mental Health Service for Children: Administrator and Provider Perspectives

The Child Mental Health Service (CMHS) is an Australian primary care program introduced in July 2010 to provide mental healthcare to children who have, or are at risk of, developing psychological disorders. The Australian Government provided supports (e.g., training for mental health professionals), resources (e.g., funding for positions devoted to fostering inter-agency linkages or partnerships) and various flexibilities in service delivery. This study aimed to explore the processes used in the implementation of the CMHS in order to achieve its objectives of delivering a high quality standard of service, and forging linkages and support networks with other relevant health and non-health agencies. Structured interviews were conducted with 20 program administrators, six referring professionals and eight mental health professionals. Interviews were recorded, transcribed and analysed for themes using NVivo. The CMHS appears to have made good progress towards achieving its objectives by implementing processes that facilitated the delivery of a high quality service (e.g., engaging appropriately qualified, and encouraging additional training and clinical support for, mental health professionals; employing quality assurance mechanisms and clinical governance arrangements) and establishment of inter-agency linkages (e.g., devoting a professional role—Coordination and Liaison—to this purpose). Provider perspectives suggest that the CMHS has had a positive impact on children and their families. Comparable countries implementing primary mental health programs for children may benefit from considering similar additional supports (e.g., training for mental health professionals), resources (e.g., funding positions devoted to fostering service inter-agency linkages) and service delivery flexibilities as those available in the CMHS.     

幼儿心理健康评估现状和思考

婴幼儿期是人生的重要时期,这个时期的心理健康对一个人未来的心理发展起着非常大的影响作用。本文主要介绍国内外在幼儿心理健康评估方面的研究历史、现状,并做一个对比,比较国内外在幼儿心理健康评估方面研究的差异,指出国内在这方面研究的不足,并展望未来的研究趋势。     

宗教与心理健康关系的研究综述

近年来,国外学者对宗教与心理健康关系进行了大量的研究.宗教总体上与更健康的心理,更多的幸福感,更低的抑郁、焦虑水平以及更低的自杀率有关.生命意义感、健康行为和社会支持很可能是影响宗教与心理健康关系的中间因素.在分析这一领域研究存在的问题的基础上,对在国内开展相关研究进行展望.     

中学生自我价值感与心理健康的相关研究

“自我价值感”(self-worth)是指个体在社会生活和人际交往中,认知和评价作为客体的自我对社会主体(包括群体和他人)以及作为主体的自我的正向效应而产生的一种肯定自我的情感体验。虽然我国心理学工作者对我国青少年学生的自我价值感的特点做过初步研究(黄希庭等,1999),并对自我价值感与成就动机、成就归因、考试焦虑、自我评价之间的关系做过一些研究(王俊山,于海霞等),但对中学生自我价值感与心理健康的关系却未见其研究报导。本研究的目的是探讨中学生自我价值感与心理健康之间的关系,以期为促进中学生心理健康教育提供科学依据。     

印象管理与心理健康表现之相关

本研究旨在考察中国人印象管理与心理健康表现的相关.研究采用印象管理问卷和一般健康问卷,对某石油国企员工进行调查,发现印象管理程度越高的人,其心理健康程度越差;自我推销和威胁策略与焦虑失眠呈正相关;迎合策略与躯体化症状呈正相关,但和严重抑郁呈负相关;示弱策略与社交障碍呈正相关;做秀策略与心理健康各维度均没有显著相关.结果表明不同的印象管理策略对心理健康有不同的影响.     

Examining the Association Between the Imagination Library Early Childhood Literacy Program and Kindergarten Readiness

This study evaluated participation in the Imagination Library early childhood literacy enrichment program and children's pre-literacy and pre-numeracy skills at kindergarten entry in an urban school district. Previous studies have demonstrated that program participation is associated with greater early childhood reading practices. Results presented in this article suggest that program participation is also positively and significantly associated with higher early language and math scores, even after controlling for other key factors associated with kindergarten readiness. These results offer support for policy interventions designed to advance kindergarten readiness by increasing access to early literacy materials for families with young children.     

学校组织健康与学生心理健康的相关性研究

探讨初中组织健康与学生心理健康的相关,结果表明,学校组织健康状况与学生心理健康水平相关十分显著,学校组织越健康,学生心理健康水平越高,置身于健康学校组织里和不健康学校组织里的学生,其心理健康水平差异显著;回归分析进一步表明,学校组织健康因子与学生心理健康因子有较好的回归关系,特别是校长倡导、关心体贴和校长影响力这三个组织健康因子与学生心理健康各因子回归显著。