Raising healthy children through enhancing social development in elementary school: Results after 1.5 years

This study examined results of a comprehensive, multifaceted longitudinal school-based prevention program called Raising Healthy Children (RHC). RHC focuses on enhancing protective factors with the goal of promoting positive youth development, reducing identified risk factors, and preventing adolescent problem behaviors. Participants included 938 elementary students from first or second grade who were enrolled in 10 area schools in the Pacific Northwest and randomly divided into two groups, those receiving RHC and peer controls. Analyses were conducted 18 months after implementation and focused on academic and behavioral improvements within the school environment. Results using hierarchical linear modeling showed that RHC students, compared to their peers who did not receive the intervention, had significantly higher teacher-reported academic performance (t ratio=2.27, p<.001) and a stronger commitment to school (t ratio=2.16, p<.03). Similarly, teachers reported that RHC students showed a significant decrease in antisocial behaviors (t ratio=−2.43, p<.02) and increased social competency (t ratio=2.96, p<.01) compared to control peers. Regression results from parent-reported outcomes also showed that RHC students had higher academic performance, β=.082, t=2.72, p<.01 and a stronger commitment to school, β=.080, t=2.45, p<.02. Results from this study and their implications for early and long-term prevention are discussed.     

Kinship Foster Care from the Perspective of Quality of Life: Research on the Satisfaction of the Stakeholders

A quality of life studies perspective has guided the design and implementation of research on kinship care as a placement resource within the child protection system in Catalonia (Spain). This research was carried out gathering the points of view of the three main stakeholders: kinship caregivers, children who are placed in extended family and practitioners of the EAIAs (Childhood and Adolescence Interdisciplinary Care Teams). Satisfaction involved in kinship care has been explored. In this article the main stakeholders’ satisfaction with kinship care is presented, and on the other hand, children’s satisfaction with life as a whole and with five specific domains in life is analysed: Education received from their caregiver, their school, their friends, their time enjoyment and their health. As expected, practitioners show the lowest evaluations with this kind of service. Surprisingly, evaluations by children referred to kinship care and to education received by caregivers are higher than those in the normative population aged 12–16 in relation to their own natural family. The findings show implications for practice and they imply challenges for quality-of-life research.     

Empowering youth to change their world: Identifying key components of a community service program to promote positive development

Prior to graduating from high school, the vast majority of youth in the United States will take part in at least one community service activity. Although it is frequently assumed that community service is inherently beneficial to those that take part, the activities and processes of youth service programs tend to be unsystematic and vary widely. In addition, empirical assessment of youth service programs is inconsistent and often lacks methodological rigor. The present paper addresses these concerns in a preliminary evaluation of both the process experience and the outcomes of a theoretically grounded school-based community service program for urban adolescents. The evaluation focuses on identifying key components of a youth community service program, assessing whether the program was experienced as it was intended, and providing preliminary data on participant outcomes. Findings indicate that the program was experienced as both empowering (i.e., guided by student initiative, preferences, and strengths) and promoting a sense of community (i.e., encouraged cooperation and collective decision making). Results also suggest that taking part in the community service program increased youths' self-reported empathy and intent to be involved in future community action, as compared to a group of matched controls. Implications and recommendations for developing and evaluating service-learning or community service programs in the schools are discussed.     

The Efficacy of a Video-Based Teamwork-Building Series with Urban Elementary School Students: A Pilot Investigation

The Talking with TJ teamwork-building series is a video-based program designed to promote social/emotional competence in elementary school children. The program emphasizes group planning, diversity appreciation, and teamwork. Although it has been implemented in schools and by children's social organizations nationwide, empirical investigations have not evaluated its use in urban school districts. This article presents pilot data on the effectiveness of “TJ” with a sample of 208 third-grade students from an urban district designated “high risk” due to poverty, community violence, and below average reading abilities. TJ had significant positive effects on several aspects of students' social concept, but did not lead to significant behavior changes over the 5-week intervention period. These results suggest that the program is a promising means of increasing feelings of self-efficacy for students participating in cooperative problem solving tasks, but a longer-term intervention is likely necessary to produce significant behavioral effects.     

Demographic Influences on Psychiatric Diagnoses Among Youth Served in California Systems of Care

We examined the influences of demographic factors on diagnostic assignment among youth served in California public mental health systems after adjusting for the effects of county characteristics and standardized symptom and functioning indices. The sample consisted of 12,106 youth with severe emotional disturbance being served in integrated and coordinated service systems in 13 counties of California. African Americans were overrepresented in the sample relative to the ethnic characteristics of the counties and Asian Americans were under-represented. Results from logistic regression analyses showed that gender, age, and ethnicity affected the assignment of eight categories of clinical diagnosis at admission. However, standardized measurement of clinical status and functioning had little relationship to clinicians' assignment of diagnosis. Whereas no significant gender and age differences were found on broadband CBCL syndromes, ethnically diverse youth differed on CBCL internalizing and externalizing scores. Youth's role functioning as assessed by the CAFAS also significantly differed by gender, age, and ethnicity.     

Promoting healthy food consumption among young children: Evaluation of a multi-component nutrition education program

This study was an outcome evaluation of a multi-component nutrition education program for African American kindergarten and first grade students attending an under-resourced urban school. The program focused on increasing fruit and vegetable knowledge and vegetable consumption during school lunch. It included a classroom-based knowledge change component, a lunchtime-based behavior-change component, and a home component. This program was unique in that natural helpers in the school (i.e., paraprofessionals) were enlisted as agents of behavior change. Findings indicated that the program was considered socially valid from the perspectives of students, teachers, and paraprofessional community assistants. Implementation integrity was acceptable for the classroom intervention, but highly variable for the lunchtime intervention. Program outcomes demonstrated that knowledge change was high, but behavior change was variable. Inconsistent behavioral effects appeared to be related in part to the variable level of intervention integrity. The challenges of promoting intervention integrity with paraprofessionals were discussed, and strategies for improving integrity were outlined.     

Gender congruence and body satisfaction in nonbinary transgender people: A case control study

Abstract

Background: Binary transgender people access gender affirming medical interventions to alleviate gender incongruence and increase body satisfaction. Despite the increase in nonbinary transgender people, this population are less likely to access transgender health services compared to binary transgender people. No research has yet understood why by exploring levels of gender congruence and body satisfaction in nonbinary transgender people.

Objective: The aim of this study was to compare levels of gender congruence and body satisfaction in nonbinary transgender people to controls [binary transgender people and cisgender (nontrans) people].

Method: In total, 526 people from a community sample in the UK took part in the study (97 nonbinary, 91 binary, and 338 cisgender identifying people). Participants were asked to complete an online survey about gender congruence and body satisfaction.

Results: There were differences in gender congruence and body satisfaction between nonbinary and binary transgender people. On sex-specific parts of the body (i.e., chest, genitalia, and secondary sex characteristics), nonbinary transgender people reported significantly higher levels of gender and body satisfaction compared to binary transgender people. However, there was no difference in congruence and satisfaction with social gender role between the two transgender groups (nonbinary and binary). Cisgender people reported significantly higher levels of gender congruence and body satisfaction compared to transgender people (nonbinary and binary).

Conclusions: There are differences in gender congruence and body satisfaction between nonbinary and binary transgender people. Nonbinary individuals may be less likely to access transgender health services due to experiencing less gender incongruence and more body satisfaction compared to binary transgender people. Transgender health services need to be more inclusive of nonbinary transgender people and their support and treatment needs, which may differ from those who identify within the binary gender system.     

How to Fix Peer Review: Separating Its Two Functions—Improving Manuscripts and Judging Their Scientific Merit—Would Help

Adequate access to child and adolescent mental health services for young people in high need populations is an important concern of service systems researchers and program evaluators. We present results of a statewide study of access to community mental health services for eight populations of special concern. The analysis relied exclusively on existing databases in conjunction with innovative statistical techniques to provide comprehensive measures of access to care. Our findings indicate that access to care varied substantially across special populations, although children and adolescents in each of our eight “special populations” had greater access to public mental health services than members of the general population of the state. The interpretation of the findings and directions for future research are discussed.Reprinted with permission from The Scientist. Originally published in the June 6, 2005 issue of The Scientist (www.the-scientist.com).     

Access to Child and Adolescent Mental Health Services

Adequate access to child and adolescent mental health services for young people in high need populations is an important concern of service systems researchers and program evaluators. We present results of a statewide study of access to community mental health services for eight populations of special concern. The analysis relied exclusively on existing databases in conjunction with innovative statistical techniques to provide comprehensive measures of access to care. Our findings indicate that access to care varied substantially across special populations, although children and adolescents in each of our eight “special populations” had greater access to public mental health services than members of the general population of the state. The interpretation of the findings and directions for future research are discussed.