To Value and Address Diversity: From Policy to Practice

A basic assumption of Target 3 of the National Agenda is that the rates of identification, placement, and achievement of children and adolescents with serious emotional disturbance (SED) are strongly correlated with dimensions of diversity, such as race, gender, socioeconomic status, and culture. A related assumption is that culturally competent and linguistically appropriate exchanges and collaborations among families, professionals, students, and communities will enable our school systems to achieve better educational outcomes for all children, including those with SED. We discuss these assumptions in the context of current policies and suggest ways of translating these policies into practices.     

Demography, psychosocial factors, and emotional problems of Korean American adolescents

This study attempted to identify emotional problems and examine the related demographic and psychosocial factors of 340 Korean American adolescents in a major metropolitan area. Results revealed that lower GPA, longer length of residence in the United States, subjects' poor self-esteem, greater severity of conflict with parents, and poor relationships with peers were significant predictors of emotional problems. The findings could be beneficial for social work practitioners and educators in determining the service needs of Korean American adoelscents and designing interventions for their problems.     

Religious Activity and Pastoral Counseling Among Protestant Youth with SED

The past decade has shown a surge of interest in faith-based resources for a variety of social problems. However, these resources have not been systematically studied for children with emotional and behavioral problems. We investigated religious activity and use of pastoral counseling among Protestant youth with serious emotional disorders (SED) (N=464) and examined associated youth and caregiver characteristics. Findings indicate that the majority of SED youth do participate in religious activities, but do not frequently receive pastoral counseling for their problems. Youth with fewer externalizing problems as well as minority youth had an increased likelihood of participation in religious activities, while youth with more psychosocial impairment had an increased likelihood of using pastoral counseling. Implications of this study for research and practice are discussed.     

Modern Settlements in Special Needs Education: Segregated Versus Inclusive Education

In the history of special needs education, the distinction between human nature and its social environment has been a controversial matter. The controversy regards whether special needs are primarily caused by the child's psycho-medical body or by cultural concepts of normality and deviance. Settlements of this controversy govern whether the pupil or the educational institution becomes the main point of intervention. In Denmark, the particularities of settlements can be identified by juxtaposing the introduction of intelligence testing in the 1930s with the contemporary policy agenda of inclusion. With intelligence testing, special needs education was to service children whose needs were seen as part of their human nature. Inclusion, in turn, assumes special needs to be stigmatizing cultural labels that need to be abandoned by changing school cultures. Drawing on actor-network theory we can approach such settlements as a product of a modern division between human nature and social environment. Although both these settlements depend on a distinction between human nature and social environment, this distinction generates practical tensions for each settlement.     

The Intensive Mental Health Program: Development and Structure of the Model of Intervention for Children with Serious Emotional Disturbances

In order to meet the challenging needs and behaviors of children with Serious Emotional Disorders (SED), a school and community based Intensive Mental Health Program (IMHP) was developed and evaluated. We describe the conceptual framework, treatment principles, and model for service delivery for psychological and educational interventions under the umbrella of the IMHP. The program illustrates a model of comprehensive services for children with SED.     

Latino Foster Parent Health Perceptions of Chronic Conditions: A Qualitative Exploration

Prior work using nationally representative data of children in the child welfare system suggested that Latino foster parents were less likely to identify children in their care as having chronic conditions. Hispanics comprise over one-fifth of children in foster care, the majority of whom have special health care needs, and there is a growing need to recruit qualified Latino families into the child welfare system. Little is known about Latino parents’ health perceptions regarding chronic conditions, and potential reasons for differing identification rates of children with special health care needs. We conducted 17 home-based, in-depth interviews with Latino foster parents to explore health perceptions and cultural beliefs for children in their care around the concept of chronic illness. We found that Latino foster parents’ understanding of conditions that occurred “over and over again” related to emotional and behavioral health problems. In contrast, their perception of “chronic” was associated with terminal, biological conditions that had limited treatment options, such as cancer, HIV, and hepatitis. Latino foster parents did not interpret the survey question on chronic illness as it was intended, and their view of recurrent conditions did not reflect chronic health conditions. Developing survey questions that are culturally sensitive should improve accuracy in assessing chronic health conditions for this high-risk population. Sensitivity to cultural interpretation for this high-needs population is vital to enhancing communication between families and health providers caring for children in foster care.     

前瞻性情绪作为社会风险的信息源假说：公共场景下风险决策的情绪及文化机制探讨

本研究从梳理决策的情绪理论入手, 在综合几种主要理论的基础上提出了“前瞻性情绪作为社会风险信息源”的假说。前瞻性情绪是在决策过程中产生的, 由于对决策选择的预期而感受到的, 进而影响决策行为的情绪。社会环境下的风险事件具有突发和稍纵即逝的特征, 如果一个公民对这类风险事件做出反应, 其结果的概率难于量化。在这种情况下, 前瞻性情绪能够为决策者快速提供有关信息, 并形成对决策预期结果严重性和可能性的综合表征, 从而成为公众场景下风险决策的有效线索。不同前瞻性情绪的组合在面对社会性风险事件时具有针对性的作用。近年来在文化比较中对于面子、荣誉和尊严文化的划分, 也为我们研究文化的情绪特征和行为效应提供了理论框架。本研究拟通过四项研究和多个实验探讨前瞻性情绪如何影响公众场景下人们的风险应对行为, 并对三种文化的情绪特征进行比较, 探索情绪性决策中个人因素、群体因素、及文化因素如何共同决定公共场景下风险决策(如亲社会行为或反社会行为)的发生与发展, 同时也期望为公共政策的制定及风险管理提供科学依据。     

The Chinese single-child family programme and population psychology

China's population explosions of the early 1950s and late 1960s, followed by the launching of the one-child population policy, can be expected to have an effect on the country's demographic structure that will persist for another 60-80 years. The proportion of the population over 60 years of age should increase from 7.6% in 1982 to a peak of 25.3% by 2040. As a result, by the mid-21st century, a labor force comprised of half the population will be supporting equal numbers of young and aged people. Although political and economic utility factors make it unlikely that China's fertility rate will ever fall below 2.0, the steady aging of society will have long-term social as well as demographic consequences. Increased material and emotional investment in children, brought about by the one-child policy, may compete with investments in the needs of the aged. Recommended is consolidation of a three-generation family system in which grandparents help to maintain family interdependence and provide child care in exchange for support from their adult children. Such a model is consistent with the Confucian emphasis on respect for the wisdom of the elderly and responsibility for their well-being.     

Co-operative parenting post-divorce: possibility or pipedream?

Research shows that, after divorce, children do best when they retain a constructive relationship with both parents. Hence, mediation services and recent reforms in family law seek to encourage parents to co-operate fully and amicably, and to share parental responsibility for the care and well-being of their children. There is a danger that a vision of 'happy-ever-after' post-divorce families ignores the complexity of transitions facing separating families, and the emotional, social and economic stresses which parents experience for many years.
Drawing on years of research with divorcing families, this paper invites practitioners to consider whether too much is expected of divorced parents, and whether existing services for separating families adequately address the needs of different family members.     

Creating Supportive Environments for Children Who have had Exposure to Traumatic Events

The prevalence of trauma among young children and its impact on educational outcomes is gaining attention. It is probable that the needs of children who have experienced or been exposed to trauma have long gone unmet due to identification challenges and a lack of knowledge concerning best practices. For this study, qualitative interviews were conducted to gather perspectives of 14 community-based service providers who worked with children and families regarding trauma-related concerns. Each shared his or her perspectives on knowledge and skills early childhood education teachers need to support children who have experienced traumatic events and partner with their families. Research questions were: What should early childhood teachers know about (1) trauma experiences among young children; (2) the emotional and behavioral patterns of children who have experienced traumatic events; and (3) supporting the social and emotional well-being of children in the classroom setting, including partnering with families, who have experienced or been exposed to traumatic events? Participants indicated that teachers might not readily connect children’s behaviors and emotions to trauma. However, teachers can use approaches and strategies (e.g., being attuned and supporting positive social and emotional and communicative responses) that promote social and emotional well-being for children who experience trauma. Participants also noted that teachers can resist re-traumatization by making adaptations to social, physical, and temporal aspects of the classroom environment. Findings indicate that trauma-informed care might be viable in early childhood classroom settings. Implications for research are discussed.     

Meeting the Psychological Needs of Gifted Black Students: A Cultural Perspective

In the literature, one finds rich analyses of the psychological, emotional, and social needs of gifted people. The data on the specific psychological needs of gifted minority children, however, are lacking; one finds even less information on their cultural needs. This article examines the psychological and social difficulties confronting gifted Black students. Racial identity development theory is described briefly, including the significance of culture on achievement and psychological well-being. Finally, recommendations are made for counselors who wish to work effectively with gifted Black students.     

Rehabilitation of the Culturally Different: A Model of the Individual in Cultural Change

Services of rehabilitation agencies and facilities tend to be structured to the needs of the larger American culture. It is important, however, to reconsider our social service programs in view of the needs of different cultural groups when providing services that will aid these individuals to move across cultural boundaries. An attempt is made in this paper to develop a model of the individual who undergoes such cultural transition. Such a model should help define problems in service programs, assess the value of current service activities, and identify areas for developing new services that will aid the overall process of cultural transition. A model of behavior development is outlined, followed by a formulation of a model of the individual in cultural change.     

Breaking ground,hitting ground: A Sure Start rapid response service for parents and their under fours

This paper describes a project aimed at taking an under fours' counselling and parent support service into a neighbourhood characterized by particularly high levels of deprivation and ethnic diversity. Referrals to the local CAMHS showed a high level of disturbance in school aged children and adolescents in this area. However, children under 4 years were strikingly under-represented in referral statistics, suggesting the need to make our service more accessible to this group. The project took the form of a once-weekly clinic run in a community centre. Differences in ways of engaging and working with the families in order to make the service accessible and ‘user friendly’ are described. So, too, is a protocol developed in order to support the worker in thinking through the many anxiety raising situations to be responded to in dealing with severely deprived families living in extremely stressful situations. Three clinical examples illustrate that a major value of this initiative was in increasing the worker's understanding of ethnic and cultural differences and of how to work with them. The service also helped to promote good liaison between statutory and voluntary agencies. The project was established initially under the auspices of Sure Start, a government sponsored scheme for enriching developmental opportunities of under fours and their parents in deprived areas. After running for 18 months, it will be funded through mainstream resources, as an example of the kind of innovative work with hard to reach populations encouraged by the guidelines given in the new National Service Framework for Children in England.     

Caregiver Involvement in the Intensive Mental Health Program: Influence on Changes in Child Functioning

We examined behavioral markers of caregiver involvement and the ways in which family participation was related to treatment outcomes in 47 elementary school children with SED enrolled in a school-based intensive mental health program. Measures of caregiver involvement included therapeutic home visits, attendance at therapeutic meetings, completion of ratings on the daily point sheet, and extra communications with the therapeutic team on the point sheet. Greater initial impairment was associated with greater caregiver involvement. Greater caregiver involvement was linked to improvement in child thought processes, increased ability to provide emotional and social supports for the child, and greater overall child functioning at discharge. Our findings also reflected increased therapists’ attempts to provide additional in-home services in cases where caregivers demonstrated a decline in their ability to provide for their children’s physical and material needs, or in which therapists discovered that the family functioning was more impaired than what was initially assessed. We provide a case study that exemplifies many of these findings.     

Service Coordination and Children’s Functioning in a School-Based Intensive Mental Health Program

Coordination of mental health services in children with serious emotional disturbance (SED) has shown a preliminary relationship to positive outcomes in children. Yet, research in this area is sparse. Therefore, the relation between service coordination activities and adaptive functioning was examined for 51 children SED who were treated in the school-based Intensive Mental Health Program for elementary school students (IMHP; average treatment length was 12?months; mean age 9.37 at intake). Systematic review of detailed case records identified 16,669 episodes of service coordination that could be coded reliably for frequency, quality, and purpose (planning, linking, monitoring) of the service coordination component. Adaptive functioning was measured by Child and Adolescent Functional Assessment Scale (CAFAS) ratings and daily points earned on the behavior management system of the IMHP at intake, 6, 12?months, and discharge. Findings indicated that the frequency, quality, and purpose of the service coordination component varied from case to case and by time in treatment. Although service coordination activities overall decreased as treatment progressed, concentrated high quality service coordination (measured by frequency, quality, and component of service coordination) consistently predicted improved functioning on both CAFAS ratings and daily points earned. Results have both practice and policy implications for training interagency teams and clinicians on when and how to optimally coordinate services.     

Child and Family Emotional Functioning: A Cross-National Examination of Families from China and the United States

Scant research has examined links between particular emotion socialization processes and child emotion functioning cross-nationally. In this study, we assessed a sample of 55 families from the United States (U.S.; 28 boys and 27 girls) and 49 families from China (27 boys and 22 girls) on family emotional expressiveness and children’s emotional experiences and regulation. Results indicated that children and families from the U.S. reported greater emotional expressiveness than their Chinese counterparts. Children from the U.S. also reported greater undercontrolled emotion than Chinese youth. Family expression of positive emotion was related to effortful emotion regulation in U.S. youth only, whereas family expression of negative emotion was associated with undercontrolled emotion for both U.S. and Chinese children. Our findings advance context-specific models of emotional development by illustrating similarities and differences in emotional functioning among U.S. and Chinese families. From a clinical perspective, the findings suggest that practitioners should consider the cultural variations of emotion communication within families when conducting both assessment and therapy.     

父母积极教养课程及其在中国的社会和文化适应

基于社会学习理论的父母教养课程被普遍视为预防儿童青少年行为问题以及促进儿童身心健康的“黄金标准”。父母积极教养课程（Triple P – Positive Parenting Program）是其中的主要代表。本文详尽介绍了Triple P的理论基础、干预体系、课程内容以及实证研究结果,分析了该课程存在的优势以及缺陷。此外,本文结合中国家庭的特点和需求,探讨了该课程运用于中国家庭时可能会遇到的挑战,同时提出了改良的方向,为家庭干预实践工作者和研究人员提供了新的视角。     

Food,faith, social service and institution building: the Annamrita programme of the Hare Krishna movement in India

Based on fieldwork with the Annamrita programme, a food-based social service of ISKCON or the Hare Krishna movement in India, I look at the intricate connection between food, faith, social service and institution building. Formally known as the ISKCON Food Relief Foundation, the Annamrita programme has partnered with the government’s midday meal scheme for school children. From the point of view of sociology of food and sociology of religion, I propose that food is a cultural, moral and emotional investment for ISKCON. I describe how a faith-based social service through the instrument of food becomes a mode of bridging and institution building. The governmentality of this food service and the sacred public–private partnership is a specific kind of cultural and macroeconomic intervention in a resource-limited setting such as India. Camouflaged and embedded in this programme is an element of cultural hegemony and a Krishna consciousness-governed nationalism, with the ideas of the nation as a sacred land. Krishna is considered as the vanguard of sacralisation and the faith messages of ISKCON inevitably accompany the service package.     

Issues in Professional Training to Implement Evidence‐based Parenting Programs: The Preferences of Indigenous Practitioners

Indigenous children have elevated risk for poor health, behavioural, emotional, and social outcomes. Significant evidence exists that parenting programs can reduce family risk factors and improve outcomes for children and families; however, mainstream programs have had slower uptake in Indigenous communities than other communities. Culturally sensitive delivery of evidence‐based programs can enhance engagement of parents, yet the development of a workforce to deliver programs to Indigenous parents faces many obstacles. This project seeks to identify professional training processes that enhance Indigenous practitioners’ skills and confidence in delivering an evidence‐based parenting program. A survey of trained parenting practitioners via an online practitioner network assessed their views of the training and post‐training support processes they had experienced. Respondents were 57 Indigenous and 720 non‐Indigenous practitioners from 15 countries. Most training processes were rated equally helpful by Indigenous and non‐Indigenous practitioners. However, several training processes were identified as important for the delivery of culturally competent training, such as tailoring the pace of training and simplifying the language in teaching resources. Practitioners with higher ratings of the helpfulness of peer support following training reported higher program uptake and implementation. Qualitative themes also focused on the helpfulness of program resources, and having a peer support network and mentoring. Increasing access to appropriate, flexibly delivered training and post‐training support for Indigenous professionals will support the development of a skilled workforce with local knowledge and connections, and further increase the reach of evidence‐based services in Indigenous communities.     

Prolonged Separation and Reunification among Chinese Immigrant Children and Families: An Exploratory Study

The present study explored the lived experiences of Chinese immigrant parents in New York City who went through prolonged separation and faced challenges after reunification in the United States. The study assessed their attitudes, perceptions, and reactions to the separation and reunification process to gain better understanding of the ways prolonged separation and reunification impact on child development and family wellbeing. A phenomenological research approach was used to study qualitatively the narrative data from in-depth interviews. The analytical process was based on data immersion, coding, sorting codes into themes, and comparing the themes across interviews. The sample included 18 Chinese immigrant families who had sent their American-born children to China for rearing and reunited with their children within the past 5 years. Data analyses revealed specific themes that included reasons for separation, parenting methods, child’s initial adjustment, behavior, and family relationship, child’s social, emotional, and academic challenges, parental stress and challenges, and recommendations for services. This study contributed to our knowledge of prolonged separation, a common practice among a vulnerable, hard-to-reach immigrant population. It shed light on specific needs of Chinese immigrant families by examining closely the unique circumstances pertaining to prolonged separation, parenting practice, and related family challenges. An understanding of the approaches these families adopt to cope with life challenges may help inform practitioners in formulating service strategies for these families. Specific assessments in child-care, education, and health care settings are essential to prompt immediate follow-up and intervention when needed.