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At least 19 recordsLinked to original sources
PubMed2000

The Child-Friendly Healthcare Initiative (CFHI): Healthcare provision in accordance with the UN Convention on the Rights of the Child. Child Advocacy International. Department of Child and Adolescent Health and Development of the World Health Organization (WHO). Royal College of Nursing (UK). Royal College of Paediatrics and Child Health (UK). United Nations Children's Fund (UNICEF).

OBJECTIVE: Although modern medical technology and treatment regimens in well-resourced countries have improved the survival of sick or injured children, most of the world's families do not have access to adequate health care. Many hospitals in poorly resourced countries do not have basic water and sanitation, a reliable electricity supply, or even minimal security. The staff, both clinical and nonclinical, are often underpaid and sometimes undervalued by their communities. In many countries there continues to be minimal, if any, pain control, and the indiscriminate use of powerful antibiotics leads to a proliferation of multiresistant pathogens. Even in well-resourced countries, advances in health care have not always been accompanied by commensurate attention to the child's wider well-being and sufficient concerns about their anxieties, fears, and suffering. In accordance with the United Nations Convention on the Rights of the Child,(1) the proposals set out in this article aim to develop a system of care that will focus on the physical, psychological, and emotional well-being of children attending health care facilities, particularly as inpatients. DESIGN OF THE PROGRAM: To develop in consultation with local health care professionals and international organizations, globally applicable standards that will help to ensure that practices in hospitals and health centers everywhere respect children's rights, not only to survival and avoidance of morbidity, but also to their protection from unnecessary suffering and their informed participation in treatment. Child Advocacy International will liase closely with the Department of Child and Adolescent Health and Development of the World Health Organization (WHO) and the United Nations Children's Fund (UNICEF) in the implementation of the pilot scheme in 6 countries. In hospitals providing maternity and newborn infant care, the program will be closely linked with the Baby Friendly Hospital Initiative of WHO/UNICEF that aims to strengthen support for breastfeeding. United Nations Children's Fund, United Nations Convention on the Rights of the Child, child protection, breastfeeding, pain control, palliative care, child abuse.

Child↗
PubMed1999

Child care and mother-child interaction in the first 3 years of life. NICHD Early Child Care Research Network.

Relations between nonmaternal child care and ratings of maternal sensitivity and child positive engagement during mother-child interaction at 6, 15, 24, and 36 months were examined for 1,274 mothers and their children participating in the National Institute of Child Health and Human Development (NICHD) Study of Early Child Care. In longitudinal analyses that controlled for selection, child, and family predictors, child care was a small but significant predictor of maternal sensitivity and child engagement. For the whole sample, including families who did and did not use child care, more hours of child care predicted less maternal sensitivity and less positive child engagement. For children who were observed in child care, higher quality child care predicted greater maternal sensitivity, and more child-care hours predicted less child engagement. The effects of child care on mother-child interaction were much smaller in the analytical models than the effects of maternal education but were similar in size to the effects of maternal depression and child difficult temperament. Patterns of association with child care did not differ significantly across ages of assessment.

Age Factors↗
PubMed1982

Effect of high school students' knowledge of child development and child health on approaches to child discipline.

Because there is an association between the lack of knowledge of normal child development, high and unrealistic expectations for a child's performance, and child abuse, a questionnaire about normal child development, child health maintenance, child discipline aspects of childrearing, and child development was given to a representative sample of high school students in Iowa. Though high school students in Iowa rank high in academic performance, the results of this study indicated that students in grades 9 through 12 had a poor knowledge of child development and child health maintenance. Students whose highest probability of response to a child discipline problem was either to punish or abuse knew less about child development and child health maintenance than their peers. Boys at all grade levels knew less about child development and child health maintenance and were more likely to choose punishment and abuse than girls. Though the causes for child abuse are multifactorial and complex, there is a need to guarantee that all who are at risk for parenthood be informed about child development, child health maintenance, and child discipline to minimize the effects that ignorance of these factors may have on their approaches to discipline and their potential for child abuse.

Adolescent↗
PubMed2001

Child care and common communicable illnesses: results from the National Institute of Child Health and Human Development Study of Early Child Care.

OBJECTIVES: To examine the relationship between experiences in child care and communicable illnesses (gastrointestinal tract illness, upper respiratory tract infection, and ear infections or otitis media) throughout the first 3 years of life and to investigate whether increased frequency of these illnesses is related to language development, school readiness, and behavior problems. DESIGN: Health, child care, family, and child developmental data were obtained from more than 1200 participants in the National Institute of Child Health and Human Development Study of Early Child Care, a 10-site prospective study that began at the participants' birth. Longitudinal logistic regression analyses were performed using each type of communicable illness as the outcome variable, with family, child, and child care variables as predictors in the model, and followed by a series of regression analyses with developmental measures as the outcome variables. RESULTS: Rates of illness were higher in children in child care than for children reared exclusively at home during the first 2 years of life, but the differences were nonsignificant by age 3 years. Number of hours in child care per week during the first year and number of other children in the child care arrangement were related to the rates of illness. There was no evidence that increased rates of illness have a negative effect on school readiness or language competence. However, there was some evidence that increased illness was associated with behavior problems as reported by mothers, but not by child care providers. CONCLUSIONS: Children in child care experience more bouts of illness in the first 2 years of life, but differences are negligible by age 3 years. The increased rates of illness bear little relation to other aspects of children's development, except, perhaps, for a small increase in behavior problems.

Age Factors↗
PubMedDate not supplied

The relation of child care to cognitive and language development. National Institute of Child Health and Human Development Early Child Care Research Network.

Children from 10 sites in the United States were followed from birth to age 3 to determine how experiences in child care relate to cognitive and language development (Ns varied between 595 and 856, depending on the assessment). Multiple assessments of family and child care environments and of cognitive and language competence were collected. Analyses that adjusted for maternal vocabulary score, family income, child gender, observed quality of the home environment, and observed maternal cognitive stimulation indicated that the overall quality of child care, and language stimulation in particular, was consistently but modestly related to cognitive and language outcomes at ages 15, 24, and 36 months. The effect sizes for high (top quartile) versus low (bottom quartile) quality ranged from .18 to .48. After adjusting for child care quality, cumulative experience in center-based care was associated with better outcomes than was participation in other types of care. The amount of time children spent in care was not related to outcomes. Children in exclusive maternal care did not differ systematically from children in child care. Tests for lagged relations of earlier child care experiences to later performance (adjusting for current child care) showed that language stimulation predicted subsequent cognitive and language performance 9 to 12 months later. Although children in center care at age 3 performed better than children in other types of care, earlier experience in child care homes was associated with better performance at age 3 than was experience in other types of care. The relations of child care variables to outcomes did not vary consistently as a function of family income, quality of home environment, child gender, or ethnic group.

Age Factors↗
PubMedDate not supplied

Maternal employment and child cognitive outcomes in the first three years of life: the NICHD Study of Early Child Care. National Institute of Child Health and Human Development.

With increased numbers of women employed in their children's first year of life and with increased attention being paid by parents and policy makers to the importance of early experiences for children, establishing the links that might exist between early maternal employment and child cognitive outcomes is more important than ever. Negative associations between maternal employment during the first year of life and children's cognitive outcomes at age 3 (and later ages) have been reported using data from the National Longitudinal Survey of Youth-Child Supplement. However, it was not known whether these findings would be replicated in another study, nor whether these results were due to features of child care (e.g., quality, type), home environment (e.g., provision of learning), and/or parenting (e.g., sensitivity). This study explored these issues using data on 900 European American children from the National Institute of Child Health and Human Development Study of Early Child Care, which provides information on child cognitive scores at 15, 24, and 36 months, as well as data about the home environment (as assessed by the Home Observation of the Measurement of the Environment Scale), parental sensitivity, and child-care quality and type over the first 3 years of life. Maternal employment by the ninth month was found to be linked to lower Bracken School Readiness scores at 36 months, with the effects more pronounced when mothers were working 30 hr or more per week and with effects more pronounced for certain subgroups (i.e., children whose mothers were not sensitive, boys, and children with married parents). Although quality of child care, home environment, and maternal sensitivity also mattered, the negative effects of working 30 hr or more per week in the first 9 months were still found, even when controlling for child-care quality, the quality of the home environment, and maternal sensitivity. Implications for policy are also discussed.

Child Care↗
PubMed2006

The child's active role in mother-child, father-child psychotherapy: a psychodynamic approach to the treatment of relational disturbances.

The short-term mother-child and father-child psychoanalytic psychotherapy assumes that children develop specific types of relationships with each parent, as well as with the parenting couple. The model integrates an intra-psychic, object-relational view with an interpersonal perspective to the treatment of relational disturbances in childhood. The same therapist meets with the mother-child, father-child dyads on a weekly basis, along with regular meetings with the parental dyad. The model focuses on the developmentally prelatency child's need for the active participation of both parents in the here-and-now shared experiences of the therapeutic process. The participants express, in interactions and in enactments, various contents and meanings of their specific patterns of relations. The therapist addresses the behaviours as well as the meanings of relations, thus promoting reflective understanding and experiential changes in self, other, and self-other relations. The child's active and different participation with each parent is the main change-promoting factor. The child uses mainly the medium of play to express his/her needs and to mobilize the therapist's help. The therapist's access to the different dyads is utilized to better understand the explicit and implicit relational themes. The therapist supports the co-construction of new and different behaviour patterns and the co-creation of additional meanings to representations. The setup fosters the child's active participation in each dyad's growth-promoting changes.

Adult↗
PubMed2003

Exposure to partner violence and child behavior problems: a prospective study controlling for child physical abuse and neglect, child cognitive ability, socioeconomic status, and life stress.

Previous research suggests an association between partner violence and child behavior problems. However, methodological shortcomings have precluded the formation of directional conclusions. These limitations include failure to control for the effects of child physical abuse and general life stress, employment of nonrepresentative samples from battered women's shelters, and reliance on a single contemporaneous reporter, usually the mother, for information on both independent and dependent measures. This study used prospective, longitudinal data (N = 155) and multiple informants to examine the relation between maternal reports of partner violence in the homeand teacher- and youth-report ratings of concurrent and prospective child behavior problems. Hierarchical multiple regression analyses were used to control for the effects of child physical abuse, child physical neglect, socioeconomic status, child cognitive ability, and life stress. The contribution of partner violence to child behavior problems was confirmed for boys' (n = 81) externalizing problems and girls' (n = 74) internalizing problems. Child developmental status at the time of exposure further influenced these relations. For boys, behavior problems in middle childhood were most strongly related to contemporaneous partner violence, whereas behavior problems among both boys and girls at age 16 were most strongly related to partner violence exposure during the preschool years.

Child↗
PubMed1999

Child outcomes when child care center classes meet recommended standards for quality. NICHD Early Child Care Research Network.

OBJECTIVES: This study assessed outcomes for children when child care centers meet recommended care standards. METHODS: Data from the NICHD Study of Early Child Care were used to examine the association between meeting standards for child-staff ratios, group sizes, caregiver training, and caregiver education and children's development at 24 and 36 months of age. RESULTS: There were 5 major findings: (1) most classes observed did not meet all 4 recommended standards (compliance ranged from 10% at 6 months of age to 34% at 36 months of age); (2) linear associations were found between number of standards met and child outcomes, and this was more the case at 36 months than at 24 months of age: (3) there was no evidence of threshold effects; (4) children in classes that met more standards had better school readiness and language comprehension scores as well as fewer behavior problems at 36 months of age; and (5) child outcomes were predicted by child-staff ratio at 24 months and caregiver training and education at 36 months of age. CONCLUSIONS: Outcomes were better when children attended classes that met recommended child-staff ratios and recommended levels of caregiver training and education.

Analysis of Variance↗
PubMed1998

Landmarks in child abuse and neglect: three flowers in the desert. The whiplash shaken infant syndrome, by J. Caffey, Pediatrics, 1974;54:396-403; Covert video recordings of life-threatening child abuse: lessons for child protection, by David P. Southall et al, Pediatrics, 1997;100:735-760; Preventing child abuse and neglect: a randomized trial of nurse home visitation, by David L. Olds et al, Pediatrics, 1986;78:65-78.

Explore the source record for details and available documents.

Child↗
PubMed1998

Relations between family predictors and child outcomes: are they weaker for children in child care? NICHD Early Child Care Research Network.

Studies suggesting that family factors predict developmental outcomes more strongly for children reared principally by their parents than those with extensive early child-care experience stimulated the examination of the differential prediction of child outcomes using a subsample of families participating in the National Institute of Child Health and Human Development (NICHD) Study of Early Child Care. A variety of factors were used to predict development of children who averaged 30 hr of nonparental care per week for each month of their lives and for those who never experienced more than 10 hr of care per week by someone other than their mothers. Multivariate analyses provided no evidence that family factors predicted outcomes differentially for these 2 groups, though exploratory analyses revealed several instances of differential prediction.

Adaptation, Psychological↗
PubMed1986

[Apropos of mother-child hospitalizations: mother-child hospitalization in a child psychology service].

Mother-child hospitalization is still rarely practiced in child psychiatric services. The experience of this kind of care in the child and adolescent psychopathology service in the Herold Hospital (Paris), however, demonstrates its interest. It permits one to respect the bond of attachment and proves to be a useful instrument of psychiatric evaluation of children, particularly in greater diagnostic precision to which the observation of the mother-child unit also contributes. The conjoint hospitalization, however, involves some risks, which can be anticipated in pre-hospitalization work up: repercussion on the family, difficulties in the functioning of the care taking team, and especially the impact on the mother of the hospitalization which creates a real crisis situation which must be handled in order to be able to use the maturative possibilities.

Adolescent↗
PubMed2006

Maternal depression, child frontal asymmetry, and child affective behavior as factors in child behavior problems.

BACKGROUND: Despite findings that parent depression increases children's risk for internalizing and externalizing problems, little is known about other factors that combine with parent depression to contribute to behavior problems. METHODS: As part of a longitudinal, interdisciplinary study on childhood-onset depression (COD), we examined the association of mother history of COD, child frontal electroencephalogram asymmetry, and affective behavior with children's concurrent behavior problems. RESULTS: Children in the COD group had higher anxious/depressed and aggressive problems than did children in the control group, but this was qualified by a COD-by-asymmetry interaction effect. For COD but not control children, left frontal asymmetry was associated with both anxious/depressed and aggressive child problems. Children with left frontal asymmetry and low affect regulation behavior had higher anxious/depressed problems than did those with high affect regulation behavior. Boys with left frontal asymmetry had higher aggressive problems than did those with right frontal asymmetry. CONCLUSIONS: In children of mothers with COD, physiological and behavioral indices of affect regulation may constitute risks for behavior problems.

Adult↗
PubMed1994

Child support enforcement program: paternity establishment and revision of child support enforcement program and audit regulations--Office of Child Support Enforcement. Final rule.

This final rule contains provisions regarding both paternity establishment and the audit. The paternity establishment provisions implement the requirements of section 13721 of the Omnibus Budget Reconciliation Act of 1993 (OBRA '93) signed by the President on August 10, 1993, which amends title IV-D of the Social Security Act (the Act). These provisions require States to adopt procedures for a simple civil process for the voluntary acknowledgement of paternity, including early paternity establishment programs in hospitals. For paternity cases that remain contested, the statutory provisions require States to adopt a variety of procedures designed to streamline the paternity establishment process. These include the use of default orders, a presumption of paternity based on genetic test results, conditions for admission of genetic test results as evidence, and expedited decision-making processes for paternity cases in which title IV-D services are being provided. In addition, this final regulation amends the Child Support Enforcement program regulations governing the audit of State Child Support Enforcement (IV-D) programs and the imposition of financial penalties for failure to substantially comply with the requirements of title IV-D of the Act. This regulation specifies how audits will evaluate State compliance with the requirements set forth in title IV-D of the Act and Federal regulations, including requirements resulting from the Family Support Act of 1988 and section 13721 of OBRA '93. This final regulation also redefines substantial compliance to place greater focus on performance and streamlines Part 305 by removing unnecessary sections.

Child Welfare↗