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Pub Date: |
2012-12-00 |
Pub Type(s): |
Journal Articles; Reports - Research |
Peer Reviewed: |
Yes |
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Descriptors:
Family Programs; Home Programs; Parenting Skills; Child Behavior; Family Relationship; At Risk Persons; Behavior Modification; Cognitive Restructuring; Outcomes of Treatment; Anxiety; Parent Child Relationship; Parent Role; Program Effectiveness
Abstract:
This study examined the effects of the Boys Town In-Home Family Program (BT-IHFP) on parenting skills, family functioning, and child behavior for at-risk families involved with child protective services. The BT-IHFP is designed as a home-based, family-centered alternative to out-of-home placement with the goal of improving family functioning, keeping families together, and preventing further involvement with child protective services. The model uses a hands-on cognitive-behavioral approach, promotes family engagement, provides 24/7 services to families, and links families to community resources. While it is essential to examine ultimate, long-term outcomes such as family preservation, it is also important to investigate the proximal and intermediate outcomes that address the key changes in behavior that support successful long-term outcomes. The goals of this study were to (1) examine the pre-post change of proximal and intermediate outcomes and (2) examine if improvements in parenting skills, parental roles, and parental stress (proximal outcomes) will be related to improvements in child behavior at home, child behavior at school, and family functioning (intermediate outcomes). Inspecting intake and discharge data for 44 families, 94% were intact at discharge and significant pre-post improvements were found in proximal and intermediate outcomes. These findings suggest that this six-week intensive BT-IHFP holds promise for teaching at-risk families skills to promote positive family functioning.
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Pub Date: |
2012-09-00 |
Pub Type(s): |
Journal Articles; Reports - Research |
Peer Reviewed: |
Yes |
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Descriptors:
Autism; Early Intervention; Severity (of Disability); Outcomes of Treatment; Program Effectiveness; Pervasive Developmental Disorders; Functional Behavioral Assessment; Special Education; Local Government; Toddlers; Young Children; Longitudinal Studies; Cognitive Development; Adjustment (to Environment); Child Behavior; Correlation; Home Programs; Foreign Countries; Educational Methods
Abstract:
In this article, written by Phil Reed and Lisa Osborne, both from Swansea University, the impact of severity of autism, and the time-input of the treatment programme, on the outcome effectiveness for four early interventions for individuals on the autism spectrum was explored. The four interventions studied were applied behaviour analysis (ABA), special nursery, an adapted portage intervention, and a local authority approach. Sixty-six children (aged from two years six months to four years) were studied over nine months, in terms of their intellectual, educational and adaptive behavioural functioning. Children undergoing the ABA approach demonstrated greater gains in functioning (especially in educational functioning). There were differences in the way that autism severity and intervention time-input impacted on the different early intervention programmes. For special nursery, portage and local authority approaches, the gains made by the children were inversely related to the severity of their autism and directly related to time-input. In contrast, the converse was true for the ABA approach. These data are discussed with respect to their implications for choosing an intervention strategy for a child on the autism spectrum. (Contains 3 tables and 2 figures.)
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Author(s): |
Manz, Patricia |
Source: |
Early Childhood Education Journal, v40 n4 p231-238 Aug 2012 |
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Pub Date: |
2012-08-00 |
Pub Type(s): |
Journal Articles; Reports - Research |
Peer Reviewed: |
Yes |
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Descriptors:
Preschool Education; Disadvantaged Youth; Home Programs; Family Involvement; Child Development; Family Structure; Home Visits; Incidence; Hispanic Americans; African Americans; Whites; Urban Areas
Abstract:
Since 1965, Head Start has stood as a model, two-generational program for promoting developmental competencies among children living in socioeconomic disadvantage for the US and international communities. The cornerstone of Head Start is the promotion of caregivers' involvement in their young children's development and early learning. In accomplishing this ambitious goal, Head Start operates from a variety of programming options, one of which is home-based. The home-based Head Start program can occur alone or be combined with a classroom-based program. Relative to its classroom-based counterpart, the home-based program has received little empirical attention. To this end, this study explores the association of home visiting frequency to caregiver involvement as it occurs naturally in a combined Head Start program serving families in small urban communities. The interrelationships of child and family demographics to caregiver involvement as well as participation in the home-based program were also examined. Consistent with prior studies, two-parent families reported greater involvement in the children's preschool education than other family structures. Additionally, home visiting frequency was higher for Hispanic families relative to African American and Caucasian families. Notably, home visiting frequency did not correspond with families' report of their involvement with their child at home or preschool or their communication with classroom teachers. Although the exploratory nature of this study does not yield conclusions, it does call attention to the need to empirically investigate the development and integration of evidence-based caregiver involvement interventions in the home-based Head Start program.
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Pub Date: |
2012-04-00 |
Pub Type(s): |
Journal Articles; Reports - Evaluative |
Peer Reviewed: |
Yes |
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Descriptors:
Intervention; Family Counseling; Therapy; Social Work; Child Care; Home Programs; Emotional Disturbances; Case Studies; Outcomes of Treatment; Family Environment; Counselor Client Relationship; Behavior Change
Abstract:
This article examines the benefits of in-home family therapy with severely distressed families through the analysis of four cases that demonstrate the creative use of this intervention with families whose children were placed in a full-time day care facility. Although the efficacy of home intervention with distressed families has been documented, the case illustrations here analyze the process more fully--the "how" and the "why" it works. The first three cases explicate the contribution of home intervention to the engagement of social worker and client. Each case highlights how home intervention enhances the therapeutic alliance by promoting change from a different starting point--the client (home as a secure base for change), the worker (viewing the client from a different perspective), and the client-worker interaction (power sharing in setting boundaries). The fourth case (in vivo narrative reconstruction) serves as a striking example of how the home--as a multisystemic, intergenerational container of the family's past, present, and future--can be enlisted as a partner in reconstructing silenced chapters of the family narrative.
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Pub Date: |
2012-00-00 |
Pub Type(s): |
Journal Articles; Reports - Research |
Peer Reviewed: |
Yes |
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Descriptors:
Early Intervention; Special Education; Mental Health; Infants; Toddlers; Professional Development; Reflection; Special Education Teachers; Consultants; Pilot Projects; Home Programs; Program Effectiveness; Urban Areas
Abstract:
The fields of special education/early intervention and infant mental health are moving closer, as practitioners find common ground in understanding and intervening to support vulnerable infants and toddlers. The importance of the impact of relationships on all developmental domains has been brought to the foreground. This includes relationships between parent and interventionist, as well as parent and child. Ongoing professional development in the form of reflective consultation supports the work of interventionists by fostering reflective functioning and facilitating a greater understanding of the impact of interactions and emotions in their work with families. This may lead to a broader and deeper range of intervention approaches and a better choice of intervention based on a better understanding of individual and family needs. This article describes a collaborative pilot project that integrates an infant mental health approach to support early interventionists within a special education system. The project supported the services of an infant mental health consultant to facilitate ongoing reflective consultation for 2 home-based school district teams working in an urban community. Data were collected to explore the effects of reflective consultation in supporting early interventionists, decreasing burnout, and increasing skills needed to work with diverse families. As a result of this project, the participants advocated for use of district professional development funds to continue reflective consultation with the consultant.
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Pub Date: |
2012-00-00 |
Pub Type(s): |
Journal Articles; Reports - Research |
Peer Reviewed: |
Yes |
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Descriptors:
Early Intervention; Interdisciplinary Approach; Physical Therapy; Occupational Therapy; Speech Language Pathology; Allied Health Personnel; Teachers; Best Practices; Home Programs; Young Children; Disabilities
Abstract:
This article focuses on one early intervention team's transition from a multidisciplinary center-based model to a transdisciplinary, natural environment service delivery model. The team consisted of an occupational therapist, physical therapist, speech and language pathologist, and early intervention teacher. Each team member began with different backgrounds, skill sets, and beliefs about how early intervention services should look. The team agreed upon basic principles of best practice for early intervention, but the level of comfort for implementation varied greatly among team members. Over the last 2 years, the team has learned about themselves and the art of delivering family-centered practice to families with young children with disabilities. This is a reflection on 6 lessons learned as they moved out of the classroom where equipment, materials, and physical surroundings defined services and determined roles, and moved into the homes of the families where services and roles were ever-changing and unpredictable. Finally, implications for personnel preparation, including professional development and preservice training programs, are discussed.
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