Treatment Foster Care in a System of Care: Sequences and Correlates of Residential Placements

We examined Treatment Foster Care (TFC) in residential trajectories for youth with psychiatric disorders and aggressive behavior. We analyzed residential placements of a statewide sample of youth during the 12 months preceding and following admission to TFC. Prior to TFC, the majority of youth were residing in more restrictive settings (group homes or residential treatment). Two-thirds of youth remained in TFC throughout the follow-up year. Of those who left, nearly half returned home, and slightly fewer were discharged to group homes. By the end of the 12-month follow-up period, rates of group home use were similar to those seen in the pre-TFC period. Movement out of TFC during the year was associated with being older at placement and with increased problem behavior (particularly externalizing behaviors). TFC serves as a step-down placement for a substantial number of youth. However, this is not the only way it is used, and models based on short-term transitioning or reunification with families may not be widely implemented or relevant in practice. Additional research is needed to understand current functions of TFC in residential trajectories and to maximize its utility in systems of care.     

Pregnancy-specific stress, prenatal health behaviors, and birth outcomes

OBJECTIVE: Stress in pregnancy predicts earlier birth and lower birth weight. The authors investigated whether pregnancy-specific stress contributes uniquely to birth outcomes compared with general stress, and whether prenatal health behaviors explain this association. DESIGN: Three structured prenatal interviews (N = 279) assessing state anxiety, perceived stress, life events, pregnancy-specific stress, and health behaviors. MAIN OUTCOME MEASURES: Gestational age at delivery, birth weight, preterm delivery (<37 weeks), and low birth weight (<2,500 g). RESULTS: A latent pregnancy-specific stress factor predicted birth outcomes better than latent factors representing state anxiety, perceived stress, or life event stress, and than a latent factor constructed from all stress measures. Controlling for obstetric risk, pregnancy-specific stress was associated with smoking, caffeine consumption, and unhealthy eating, and inversely associated with healthy eating, vitamin use, exercise, and gestational age at delivery. Cigarette smoking predicted lower birth weight. Clinically-defined birth outcomes were predicted by cigarette smoking and pregnancy-specific stress. CONCLUSION: Pregnancy-specific stress contributed directly to preterm delivery and indirectly to low birth weight through its association with smoking. Pregnancy-specific stress may be a more powerful contributor to birth outcomes than general stress.     

The effects of stimulus movement and attention on peripheral stimulus localization by 8- to 26-week-old infants

This study examined the effect of stimulus movement on localization probability and latency during attention and inattention. Forty infants, 10 each at 8, 14, 20, and 26 weeks of age were presented with a central stimulus. Then, a peripheral stimulus was presented (static or dynamic checkerboard). Stimulus movement did not affect localization probability. Infants localized the dynamic peripheral stimulus more quickly than the static peripheral stimulus when there was no focal stimulus. Focal stimulus attention attenuated this difference in localization latency between static and dynamic stimuli. Signal detection analysis showed that sensitivity to the peripheral stimulus increased over this age range along with a decrease in the bias against responding. The effects of attention were on response bias rather than stimulus sensitivity. These results imply attention affected the localization response to the peripheral stimulus but did not affect the sensitivity of the sensory and perceptual pathways to peripheral stimuli.     

The corridor illusion

Contrary to general belief, the classical corridor illusion is not due solely to the perspective and contextual cues provided by the corridor. Additional factors that are equally important are the inherent spatial anisotropies of the visual system and fixation tendencies.