Can Early Intervention Have an Impact on Future Life? A Study of Life Events,Social Interaction,and Child Behavior Among Mothers at Psychosocial Risk and Their Children Eight Years After Interaction Treatment

Forty-six mothers at psychosocial risk who had undergone interaction treatment when their children were babies were studied with respect to experienced negative life events, social network, and behavior problems in children. One reference group comprising 45 nontreated mothers at psychosocial risk and one comprising 56 mothers without psychosocial problems was used. Children in the study group had experienced more life events than the children of nonrisk mothers but fewer than the children of untreated psychosocial risk mothers. They had a poorer social network than nonrisk mothers, and the children had fewer acting-out behavior than the children of nontreated risk mothers.     

Child protection and out-of-home placement experiences of preschool children born to mothers enrolled in methadone maintenance treatment during pregnancy

Children born to opiate-dependent women engaged in methadone maintenance treatment are at high risk of child welfare concern. However, few studies have examined the early child protection service (CPS) contacts of this group or the risk factors that place some but not other mother–infant dyads at increased risk of serious concern resulting in the removal of the child from the family home. As part of a prospective longitudinal study based in New Zealand, 73 women enrolled in methadone maintenance treatment during pregnancy and 54 non-methadone maintained comparison mothers were recruited during pregnancy and interviewed close to delivery, 18-months and 4.5-years. At each follow-up evaluation, detailed life history methods were used to describe children's family circumstances and all CPS contacts. By 4.5-years postdelivery, methadone maintained mothers were ten-times more likely to have been investigated by child protection services than comparison mothers (59% v. 6%, p < .001). Of these contacts, almost half (44%) resulted in the removal of the child from the family home compared to no comparison children (p < .001). These children were most frequently placed before age 1, with an average of 1–2 caregiver changes (range: 0–7). In addition to maternal methadone maintenance treatment during pregnancy (p < .001), significant independent predictors of child out-of-home placement included maternal depression (p = .01), maternal history of child custody loss (p = .02), and to some extent, high levels of family socioeconomic adversity (p = .06). Findings highlight the complex psychosocial needs of this high-risk group, as well as the need for careful monitoring and parenting support following hospital discharge.     

Young children's internalizing and externalizing behaviors after mothers exit welfare: Comparisons with children of non-welfare mothers

Although not part of its stated aims, current welfare legislation is assumed to benefit children through increased parental employment and self-sufficiency. Research findings on the extent to which parental welfare participation improves child well-being are inconclusive. This study investigates the behavioral outcomes of young children whose mothers have received TANF using data from the Fragile Families and Child Wellbeing Study (N = 2169). Controlling for maternal demographic characteristics, current financial status, and health risks, we found that the difference between children's externalizing behaviors in families of former TANF recipients relative to children of mothers who had never been on welfare decreased the longer mothers had been off welfare. However, overall, externalizing behaviors were significantly higher among children of former TANF recipients relative to children whose mothers had never received welfare. The findings suggest that ensuring healthy development for children requires long-term supports to help mothers as they transition off welfare.     

Factors Associated with Drug Treatment Entry Patterns Among Hispanic Women Injection Drug Users Seeking Treatment

SUMMARY

This paper examines patterns of drug treatment entry and factors that are associated with these patterns among 1,849 Hispanic women injection drug users (IDUs). The data analyzed originates from a statewide drug-treatment database covering seven years, 1996–2002. Through the use of logistic regression analyses, the study identified significant differences in predisposing, need and enabling factors in the use of detoxification only, residential treatment, or methadone maintenance. Compared to other Hispanics, Puerto Rican women were 40 percent less likely to use only detoxification services and one and a half times more likely to use methadone maintenance. Having health insurance was an especially important factor associated with methadone treatment utilization. Two of the most important factors associated with residential treatment use were history of mental health services utilization and involvement with the criminal justice system. This article discusses specific social work practice implications including the need for social work practitioners to promote services such as residential treatment, to be trained in treatment of co-occurring mental health disorders, especially among women in residential treatment, and the need to establish close linkages with the mental health and criminal justice systems.     

Maternal attitudes of Greek migrant women

This study examines groups of Greek migrant mothers and their attitudes towards their children in different stages of the migratory process. There were 2 lots of samples of Greek migrants mothers who had at least 2 children 8-10 years old, 1 from the home country (5 villages of the District Drama in East Macedonia) and 1 from the receiving country (the area of Baden-Wurtenberg, where most of the migrants from East Macedonia are living). The 4 groups are: 1) 20 mothers who have always lived with their child in the host country; 2) 20 mothers who live in the host country where their child has joined them in the last 2-4 years; 3) 27 mothers who have lived in the host country with their child and have returned home in the last 2-4 years; and 4) 24 non-migrant mothers who have always lived with their families in the home country (control group). Women were interviewed using 2 questionnaires: a survey and an attitude questionnaire. The range of mothers' ages was 20-50 years. The youngest mothers were in the control group whereas group 1 mothers were the oldest. Groups 1 and 2 were mostly unskilled workers; groups 3 and 4 were mostly housewives. The returnees stayed in the host country a mean of 10 years, whereas the other 2 migrant groups were there 14.6 years. There were significantly fewer children in the families of groups 1 and 2 than 3 and 4. The attitude questionnaire covered the following child rearing practices: 1) training the child to participate in home duties; 2) keeping clean and tidy; 3) self-reliance and social behavior towards visitors; 4) ways of dealing with a child's obedience/disobedience; 5) dealing with favor-seeking behavior, food, and sleeping problems; and 6) mother's degree of permissiveness, supervision, and intervention on child's personal and interpersonal sphere of life. Findings show that moving from home to host country and coming back home creates the most controlling mothers, probably because mothers and children face anxiety-producing situations as they redefine family roles and readjust to the social environment. Returnees are as emotionally involved with their children as mothers who have always lived with their children in the host country. There are more similarities than differences between the 2 migrant groups. Both groups show similar attitudes to the control on 5 out of 7 composite variables. These findings suggest there is a strong cultural pattern in maternal attitudes which has not been affected by the sociocultural environment. The 2 groups of migrant mothers are similar to the returnees in their attitudes towards boys and girls except that returnees were more overprotective of boys than girls.     

The relationship between motherhood and re-incarceration

Using matched administrative records from the Illinois Department of Corrections and the Illinois Department of Children and Family Services, this paper finds that mothers' rates of re-incarceration are higher than those of women without children. It is also found that incarcerated mothers whose children have been in foster care have a higher re-incarceration rate than do women without children. The re-incarceration rate is particularly higher among mothers whose children were placed in foster care at the time of their first incarceration and mothers who had children in foster care but lost their custody before their first incarceration. These findings are more pronounced among white women with records of drug-related offenses or drug addiction than among their African-American counterparts.     

How child protective services investigators decide to substantiate mothers for failure-to-protect in sexual abuse cases

The purpose of this study was to determine how Child Protective Services (CPS) investigators decide to substantiate mothers for failure-to-protect from sexual abuse. A case-comparison study was used to compare 31 mothers who were and 62 mothers who were not substantiated for failure-to-protect by CPS. The multivariate analysis showed that mothers who did not consistently believe the sexual abuse occurred and who did not consistently act protectively were more likely to be substantiated. In addition, if they knew about the abuse from more than one source were less supportive of the children; and had a substance abuse problem, a mental health problem or were being battered, then they were more likely to be substantiated. Investigators appear to apply criteria consistently to substantiate mothers. doi:10.1300/J070v15n04_04.     

An experiment in primary health care in Karachi,Pakistan

The Health Education and Literacy Project (HELP) set up a primary health care (PHC) project in the urban slum of Naleem Colony in Karachi, Pakistan, in 1992. The project integrated preventive health, literacy, sanitation, and income generation. Its focus was the community health worker (CHW). Its motto was self-sustainability. A rotating fund allowed the community to contribute towards maintaining the CHW. A community grass-roots organization had administrative control of the project. Researchers had conducted a baseline survey and one year later a knowledge, attitude, and practices survey of 150 households that had received health education and of 150 other households that did not receive health education. The two groups were located in geographically distinct areas. At follow-up, the intervention group consistently was more likely to have good hygienic health practices than the control group (garbage covered, garbage disposal in the garbage drum, washing hands before feeding, and wash hands and child after defecation; p 0.05). Mothers in the intervention group were significantly more likely to know about the vaccinations children needed than those in the control group (for all vaccinations, 76% vs. 21%; p 0.0001). They were also more likely to know how to make oral rehydration solution (ORS) at home than their counterparts (65% vs. 15%). Among intervention mothers, 27% of their children had had diarrhea and 92% of the mothers had used ORS during an episode of diarrhea. The knowledge of correct dietary sources of protein among the intervention group improved significantly between baseline and follow-up (23% vs. 55%; p 0.05), while it did not for the controls (23% vs. 30%; p 0.05). These findings suggest that the project was on the right track towards overall community development by providing health education, sanitation, literacy, and income generation services to the people of the squatter settlement.     

Abusers gaining custody in family courts: A case series of over turned decisions

Abstract

This article presents findings and recommendations based on an in-depth examination of records from 27 custody cases from across the United States. The goal of this case series was to determine why family courts may place children with a parent that the child alleges abused them rather than with the nonoffending parent. We focused on “turned around cases” involving allegations of child abuse that were at first viewed as false and later judged to be valid. The average time a child spent in the court ordered custody of an abusive parent was 3.2?years. In all cases we uncovered the father was the abusive parent and the mother sought to protect their child. Results revealed that initially courts were highly suspicious of mothers' motives for being concerned with abuse. These mothers were often treated poorly and two-thirds of the mothers were pathologized by the court for advocating for the safety of their children. Judges who initially ordered children into custody or visitation with abusive parents relied mainly on reports by custody evaluators and guardians ad litem who mistakenly accused mothers of attempting to alienate their children from the father or having coached the child to falsely report abuse. As a result, 59% of perpetrators were given sole custody and the rest were given joint custody or unsupervised visitation. After failing to be protected in the first custody determination, 88% of children reported new incidents of abuse. The abuse often became increasingly severe and the children's mental and physical health frequently deteriorated. The main reason that cases turned around was because protective parents were able to present compelling evidence of the abuse and back the evidence up with reports by mental health professionals who had specific expertise in child abuse rather than merely custody assessment.     

Living in the war zone: mothers and young children in a public housing development

This paper explores how mothers who live in two Chicago neighborhoods share the possibility of real danger with their preschool children. A structured interview was conducted with 20 mothers: ten who live in a high-rise public housing development and ten residents of a nearby community. The initial findings raise critical questions for those concerned with mental health issues in child development.     

A study of the Health of Children Born to Foreign- and Native-Born Mothers in Taiwan

This paper examined the health of children born to foreign-born and native-born mothers. Using a logistic methodology to analyze data from the 2008 Survey of Foreign and Mainland Chinese Spouses’ Living Demand and the 2005 National Health Survey of Children 12 Years old and under in Taiwan, the results showed girls were more likely to have better health than boys regardless of whether they were born to migrant or native-born mothers. In addition, a more significant effect was found for native-born fathers than foreign-born mothers on children’s health among transnational marriage families. Finally, household income might have a more significant impact on children’s health in native-born mothers’ families than those of foreign-born mothers.     

Developmental Outcomes of Children of Homeless Substance-Abusing Mothers

Abstract

This study evaluated the impact ofan extended shelter-based child development/family therapy intervention, called Building Blocks, on the development of children of substance- abusing homeless mothers. The homeless children had greater than expected percentages ofdevelopmental deficits in a number of the developmental domains. Those children who participated in the extended child development/family therapy services were one fourth as likely to have a developmental deficit at 12 months compared to children who did not receive these services. Interventions must be intensive and long-term to improve the developmental outcomes of children with multiple risks ofpoverty, homelessness, and family substance abuse.     

Factors Related to Successful Outcomes Among Preschool Children Born to Low‐Income Adolescent Mothers

The purpose of this study was to describe how the experiences and circumstances of the most successful children born to low‐income adolescent mothers differed from the experiences and circumstances of the least successful children over the first 54 months of their lives. Success was defined as scoring in the top quartile for this sample on the Peabody Picture Vocabulary Test‐Revised (PPVT‐R) when the children were 54 months old and about to make the transition to kindergarten. The experiences of the 22 children with the highest scores on the PPVT‐R were contrasted with the experiences of the 22 children who had the lowest scores on the PPVT‐R for this sample. The two groups differed markedly on measures of caregiving and home environment assessed when the children were 12, 24, 36, and 54 months old. In addition, mothers of the most successful children achieved more years of education, were more likely to be employed, had fewer children on average, tended to live in more desirable neighborhoods, and were more likely to be living with a male partner. Case studies are also presented on four families (two from the most successful group and two from the least successful group) to further illustrate how the experiences and circumstances of children in the two groups differed.     

A program based on Social Cognitive Theory and Smith's model of health and illness and its effect on maternal self-efficacy and child behavior

PurposeThis study was conducted in order to determine the effect of a program based on Social Cognitive Theory and Smith's Model of Health and Illness on the self-efficacy, self-esteem and attitudes of mothers and on the emotional and behavioral problems and competence levels of their children.MethodThis quasi-experimental study used a control group and a pretest-posttest design. The sample was composed of 77 mothers (experimental group, n = 39; control group, n = 38) who had low self-efficacy and self-esteem and whose children had problematic behavior. The mothers in the experimental group underwent a 10-session program over a period of 10 weeks. This program included activities to help them build trust in themselves and their surroundings, induce positive thinking, increase their childcare knowledge and skills, establish an effective interaction with their children, set realistic and positive goals, cope with stress, experience the feeling of success and become motivated. Data were collected by using the Demographic Information Form, the self-efficacy for Parenting Task Index-Toddler Scale, the Rosenberg Self-Esteem Scale, the Parent Attitude Scale and the Brief Infant-Toddler Social & Emotional Assessment. Data were collected before the start of the program, immediately after its completion and three months afterwards.ResultsIt was found that, at the end of the program and after the following three months, the self-efficacy, self-esteem and democratic attitude scores of the experimental group mothers and the competency scores of their children had significantly increased compared to their pre-program scores. The problem domain scores of their children had decreased and a statistically significant difference was detected in favor of the experimental group. In both the experimental and the control group, a weak negative correlation was found between the self-efficacy and democratic attitude scores of the mothers and the problem domain scores of their children.ConclusionThe total 12-hour program created a positive change, even among the mothers with low self-efficacy, low self-esteem and low education and income levels who had problematic children. Therefore, healthcare professionals may find it beneficial to offer this program to all mothers having 2- and 3-year-old children.     

Child custody placement outcomes for mothers

Internationally there is a broad literature on risks for child custody placements. In contrast, very little is known about their outcomes on parents. The topic is relevant not only for parents themselves but also for children placed outside their homes, as many children keep contact with their birth parents or return to live with them. In a retrospective cohort study setting we analyze child custody placement outcomes (social assistance receipt, unemployment and work disability) for mothers whose children had been taken into custody between 1997 and 2004 in Finland. Data from a child placement register were merged with several administrative social insurance registers. Comparison groups of population mothers are included in the study. The procedure yielded an internationally unique database. According to the results of our study, mothers whose children are taken into custody are more often unemployed and in need of social assistance than mothers in the comparison group. Furthermore, they are also more often on a disability pension, due to mental health problems in particular, than mothers in general. While considering the results, we examine family policy and general welfare policy implications of support to families whose children have been taken into custody.     

Characteristics of Sexually Abused Children and Their Nonoffending Mothers Followed by Child Welfare Services: The Role of a Maternal History of Child Sexual Abuse

Considering the importance of mother’s support in the adaptation of a sexually abused child, it is relevant to determine if the mothers and children involved in an intergenerational cycle of child sexual victimization differ from dyads in which only the child has been abused. The purpose of this study was to compare mother–child dyads with sexually abused children according to whether the mother had herself been victim of child sexual abuse. The sample included 87 dyads with sexually abused children aged 3–18 years old and their mothers (44 reporting maternal and child abuse), followed by social welfare services of the province of Quebec (Canada). The two groups of mothers were compared on their past family abuse experiences and past family relations, their mental health history, their current psychological distress, their parenting behaviors, and their current levels of family functioning. Children were compared on their adaptation. Multivariate analyses indicated that mothers reporting child sexual abuse were more likely to report more other maltreatments in their childhood and greater prevalence of lifetime history of alcohol abuse disorders, dysthymia, and panic disorder compared with mothers who had not experienced CSA. Compared to children whose mothers had not experienced CSA, those whose mothers had experienced CSA showed higher rates of problems behaviors and were more likely to report having been sexually abused by a trusted person. These results highlight the specific clinical needs for the assessment and treatment for sexually abused children whose mothers experienced child sexual abuse.     

Child protection pathways for newborn infants: A multi-disciplinary retrospective chart review of an Irish maternity hospital’s records

In Ireland, little is known about mothers and infants where child welfare and protection concerns arise during the perinatal period. This study explores, for the first time, perinatal child protection. A retrospective audit was carried out of a large maternity hospital's medical social work, neonatal and psychiatric files for a five-year period from 2016 to 2020. The study identified 99 children, born to 86 mothers, who were either subject to a child protection conference; placed for adoption; discharged to someone other than the mother; or discharged home under supervision. The study found that two-thirds of the children were discharged to their mother's care. When compared to national data, the health indicators for this cohort of mothers and children painted a grim picture. The maternal profiles identified high prevalence of mental health and addiction difficulties and domestic violence. The study found evidence of supports provided to the mothers to enable them to care for their infants while they remained in the hospital and during an initial discharge from hospital. However, a significant number of the mothers were not caring for their children when viewed across a longer time frame. Dedicated multi-disciplinary clinics and improved data systems were identified as of importance.     

Sexuality-Related Outcomes of Adolescent Children of Teen Mothers

The relationship between being an adolescent child of a teen mother and sexuality-related outcomes was investigated using data from the National Longitudinal Survey of Youth. Adolescents whose mothers were teenagers at first birth were more likely to have had sex by age 16 than other adolescents. Gender moderated this effect, as this relationship was stronger for sons than for daughters. In addition, children of mothers with a lower level of education, adolescents who lived in poverty, and adolescents who resided with less than two biological parents at the start of the study were more likely to have had sex.     

Shared Physical Custody: Summary of 40 Studies on Outcomes for Children

One of the most complex and compelling issues confronting policymakers, parents, and professionals involved in making custody decisions is this: What type of parenting plan is most beneficial for the children after their parents separate? More specifically, are the outcomes any better or worse for children who live with each parent at least 35% of the time compared to children who live primarily with their mother and spend less than 35% of the time living with their father? This article addresses this question by summarizing the 40 studies that have compared children in these two types of families during the past 25 years. Overall the children in shared parenting families had better outcomes on measures of emotional, behavioral, and psychological well-being, as well as better physical health and better relationships with their fathers and their mothers, benefits that remained even when there were high levels of conflict between their parents.     

Effect on Preschoolers' Literacy when Never‐Married Mothers Get Married

Healthy Marriage programs in the United States aim to promote marriage primarily among low‐income individuals. There is little research assessing whether children fare better when their never‐married mothers get married. The present study uses the Early Childhood Longitudinal Survey–Birth Cohort to test the hypothesis that children have higher literacy scores when their mothers who had never married when the children were 9 months old had married when the children were 48 months old (N = 2,800). A small positive effect was found, but only when marriage was compared with cohabitation. The association between marriage and literacy is partially explained by mothers' increased household income. The children of mothers who were single noncohabitants or married and then divorced or separated were also doing better with respect to literacy than children of cohabiting mothers. Future research is needed to better understand how cohabitation is associated with negative effects on children's literacy.