Child therapy outcome in a community mental health center

Studies by the Davis Child Therapy Effectiveness Project reveal that brief therapy is the norm. A retrospective outcome study in one mental health center shows a large proportion of adjustment reactions. Outcome ratings from therapists, parents and patients show fairly high levels of outcome and significant improvement in rated impairment. The children who were more impaired at intake were found to have the most visits and numbers of visits were unrelated to success in treatment. Examples are provided illustrating the use of parent responses to modify center practices.     

Child and spouse replacement mechanisms: a life cycle perspective on family composition in Peru

The author assesses the patterns of family extension in Peru by examining variations in family composition over the family life cycle. The amount and type of extension among Peruvian families at successive stages of family development are examined. The relative importance of general overlap and of child and spouse replacement mechanisms as processes that help to ensure the viability of residential family units is studied. The empirical analysis is based on a 1970-1971 survey of a national sample of Peruvian households     

The impact of variations in height on young children's impressions of men and women

Two studies examined whether variations in height influence children's impressions of men and women. In Study 1, 28 preschool-aged children judged the strength, dominance, smartness, and concern for others of male and female targets of different heights. Children judged both taller male and female targets as stronger and more dominant, but not to have more concern for others or smartness than shorter targets. In Study 2, 71 preschool-aged children viewed pairs of male and female targets in three height conditions (male target taller, female target taller, targets equal height) and made trait judgments as in Study 1. Again, taller male targets were judged to be stronger, more dominant, and smarter, but not to have more concern for others than shorter female targets. Moreover, disruptions of gender-typical height differences were associated with reversals in impressions of male and female targets. That is, taller female targets were judged to be stronger, more dominant, and smarter when they appeared with shorter male targets. The present findings not only support the claim that physical stature figures importantly in the process by which children form trait impressions but also indicate that covariations between height and gender exert a strong impact on particular traits children attribute to men and women.Portions of this paper were presented at the 1991 meeting of the Society for Research in Child Development, Seattle, Washington. Special thanks are extended to Stephanie Fein who created the stimulus materials and interviewed the children in Study 2, and to Todd Horvitz who interviewed the children in Study 1.     

Child sexual abuse: community concerns in urban Tanzania

The aim of this study was to explore community perceptions about child sexual abuse in Tanzania. Thirteen focus group discussions were conducted with adult community members. The core category, children's rights challenged by lack of agency, was supported by eight categories. Aware but distressed portrayed feelings of hopelessness, lack of trust in the healthcare and legal systems reflected perceived malpractice, decreased respect for children's rights referred to poor parental care and substance abuse, myths justifying CSA illustrated cultural beliefs to rationalize child sexual abuse, disclosure threatened by fear of stigma and discrimination aligned the manifestations that prevent disclosure, actions driven by economic circumstances described the economical dependence of victims, urging a change in procedures reflected informants' wish to ally with local governance and pressure groups, and willingness to act indicated the community's role in supporting victims. The study showed how lack of agency calls for efforts to increase children's human rights at all levels.     

Violent heights in an Andean community of Southern Peru*

Depuis quelques années, on peut observer que les régions amérindiennes des hautes terres du Pérou souffrent d'un nombre accru de meurtres. Cet article examine si la réforme agraire entreprise en 1969 ne serait pas en partie à l'origine de ce phénomène. Des données provenant de la communauté de Llallahui sont analysées afin d'examiner les conditions socio-économiques de la paysannerie andéenne et, à partir de cette analyse, des conclusions sur les effets politiques de ce genre de violence sont présentées. In recent years, Peru's Andean regions are experiencing a high level of homicides. This paper examines whether there is a link between this type of rural violence and the implementation of the 1969 land reform. Data from the community of Llallahui are used to discuss the significance of such a phenomenon in terms of the socio-economic conditions which prevail in the region and of the place it holds in undermining peasants' organized political responses.     

Child welfare supervised children's participation in center-based early care and education

Research suggests that early care and education (ECE) services, particularly center-based ECE, may help prevent child maltreatment and also mitigate some of the negative developmental outcomes associated with child maltreatment. There is also preliminary evidence to suggest that ECE could reduce the likelihood that maltreatment allegations will be substantiated by child welfare authorities and/or result in children being placed in out-of-home care. However, little is known about rates of ECE participation among children receiving child welfare services, nor the factors that determine ECE participation for this population. Data from the first wave of the National Survey of Child and Adolescent Wellbeing II, a nationally representative sample of children referred to the United States (U.S.) child welfare system (CWS) for suspected maltreatment, were used to measure the frequency with which 0–5 year olds participate in center-based ECE. Additionally, logistic regression analyses explored the effects of maltreatment type, substantiation, and children's living arrangements (i.e., with parents, relatives, or foster parents) on this outcome, controlling for a range of child and family covariates associated with ECE participation in the general population. Results indicate that less than a third of 0–5 year olds receiving child welfare services in the U.S. are participating in center-based ECE. Among the various categories of maltreatment type measured, being reported to the CWS for suspected physical abuse was associated with decreased odds of center-based ECE participation; however, other types of maltreatment, substantiation, and living arrangement were unrelated to center-based ECE participation. These findings suggest that, despite recent efforts by the U.S. federal government to promote ECE participation for CWS-supervised children, the vast majority of young children in the U.S. CWS are not receiving center-based ECE, and physically abused children are particularly disadvantaged when it comes to accessing these services.     

Promoting children's interest in health: an evaluation of the child health profile

The child health profile was developed as an extension for older children of the personal child health record, which has normally been kept by mothers. The profile was introduced in three health board areas in Scotland. A questionnaire survey of young people revealed a mixed response concerning the usage and value of the profile. A small number had used it fully as a means of recording or communicating about personal health‐related matters, but a majority had not actively used the profile and two fifths said they had lost their copy. Children reported that doctors and nurses rarely asked to see the profile. Many respondents wanted more extensive and detailed health information. Copyright © 2002 John Wiley & Sons, Ltd.     

Inferring Australian children's sense of community: A critical exploration

Sense of community (SOC) has been found to be a predictor of adult well-being and psychological health. Recent research has begun to explore adolescents' SOC. However, there is a dearth of research on the meaning children attach to their community and the development of their SOC, despite its potential for providing an understanding of important aspects of children's lives. Conversational interviews were conducted in schools with 46 children aged from 9 to 12 years. The results were analysed using an unfolding strategy. The findings indicate that for children, understandings of community focus on the relationships shared with the significant others central to their experience of childhood--family, friends, and neighbours, consistent with Bronfenbrenner's ecological framework. Children also described community in terms of environment, both built and natural. Further exploration of the children's understanding of community yielded insights into the role of activities, interactions, good and bad aspects of community and problem solving in their understanding of community. The implications of the research are discussed in terms of programme planning at the individual and systemic levels. Le sentiment d'appartenance àune communauté est un indicateur qui nous permet de prévoir la santé psychologique et le bien-être chez les adultes. Les chercheurs ont commencé récemment à explorer le sentiment d'appartenance à une communauté par les adolescents. Cependant peu de recherche a étéfaite sur le sens que les enfants donnent àla communauté à laquelle ils appartiennent et au développement de leur esprit communautaire. Ceci est important pour comprendre certains aspects essentiels de la vie des enfants. Nous avons conduit dans quelques écoles des entretiens non dirigés avec 46 enfants âgés de 9 à 12 ans. Les résultats ont été analysés étape par étape. Ils nous ont indiqué que la prise de conscience par les enfants de leur communauté proche dépendait de rapports-clés associés à leur expérience--en famille, avec leurs amis et leurs voisins, selon le modèle écologique de Bronfenbrenner. Les enfants décrivent également leur communauté en faisant des liens avec leur environnement (la nature et les bâtiments). D'autres études sur la manière dont les enfants assimilent la notion de communauté ont aidé à comprendre le rôle jouépar leurs activités, leurs interactions, les aspects positifs et négatifs de la vie de groupe et par la résolution des problèmes. Nous présenterons des applications de cette recherche à l'élaboration de programmes au niveau individuel et systémique.     

Gender,age, and exclusion: a challenge to community organisations in Lima,Peru

This article examines the role of two successful grassroots women's organizations in empowering women in old age in Lima, Peru. These organizations include Comedores Populares (soup kitchens) and the Vaso de Leche (glass of milk) Program. The primary goal of both groups is poverty alleviation, specifically through improved nutrition. Through them, women have lobbied on issues such as provision of education and health services, and campaigned against the guerrilla insurgency of the 1980s and the early 1990s. However, evidence from three low-income settlements on the outskirts of Lima implied that no long-term support is available from these organizations to promote the welfare of elderly people. Also, the contribution that elderly members of households make to the work of the organizations is invisible and undervalued. Thus, these findings clearly suggest that even the most successful New Social Movements in Lima are also passive members of society in need of charity.     

Future perspectives on work and family dynamics in Southern Europe: the importance of culture and regional contexts

The Southern countries model (Portugal, Spain, Italy, and Greece) take a specific family-oriented approach to work–family reconciliation. They are family-oriented in that they entrust the family with more responsibilities that in other countries. Work–family reconciliation is considered as a political action that gives quite limited and unstable support to encourage women’s labour-market participation; this results in the poor development of external services and in few benefits for women, who have to undertake multiple roles inside and outside the family. In these countries, negotiation is left to the private spheres of the couple or local communities, so that each family can decide on the best way to use the existing policies and consider the possibilities available to them. In this sense it is not possible only to apply ‘outside models’ (such as the Nordic, French, German, etc.) to find an effective approach for these countries. The special issue, starting from the current situation explores possibilities for future scenarios in Southern Europe countries concerning work–family dynamics. It includes general comparative papers or case study on work-care arrangements, family and care policies, early childhood education and care (ECEC) with regard to family well-being, gender equality, fertility or father involvement in Southern European countries.     

Social support and physical health: the importance of belonging

Social support is a multifaceted construct recognized as a significant predictor of physical health. In this study, the authors examined several support domains simultaneously in a sample of 247 college students to determine their unique prediction of physical health perceptions and physical symptoms. They also examined gender differences across social support and physical health. Their findings indicated that belonging predicted better health perceptions for women and fewer physical symptoms for men, suggesting that a sense of connection to a group of others is a key support component for the physical health of college students.     

The effects of children's presence on woman abuse

The association between the presence of children and woman abuse was investigated. Data were collected from 419 women who had called the police because of an abusive incident involving their male partner. Minor children were present in the home in 3/4 of the cases and were frequent witnesses to the abusive incident. In more than 1/2 of the cases, children had witnessed the assault according to the victims; 2/3 of the victims reported that children had seen the police when they arrived. There was almost no association between the presence of children in the home and assault on women: the presence of children was not associated with cumulative incidence of abuse, severity of abuse, degree of injury, or the victim's decision-making process in calling the police. However, police were more likely to provide information and referrals to shelters when children were present.     

Collaboration and competition in a children's health initiative coalition: a network analysis

Activating communities to achieve public health change and initiate policy reform usually requires collective action from many entities. This case study analyzes inter-organizational networks among members of a coalition created to expand health insurance coverage to uninsured children in a large metropolitan area. Six networks were measured: collaboration, competition, formal agreements, receive funding from, send funding to, and greater communication. The response rate was 65.8% (50 of the 76 active members). Positive network questions such as “who do you collaborate with” elicited many network choices whereas negative ones such as “who do you compete with” elicited few. The collaboration network had a core–periphery structure and analysis showed that a large network can be reduced to a small set of core organizations one-sixth the size of the whole. Centrality (out- and in-degree) was associated with perceived organizational function and perceived barriers to success. For example, organizations that received many choices as collaboration partners were more likely to perceive the coalition functioned well than those who received few choices. The study suggests that perceptions of organizational performance are associated with position in the network, central members are more likely to perceive the organization performs well than those on the periphery.     

Conformity and change: community effects on female genital cutting in Kenya

In this article, I analyze women's decisions to have their daughters circumcised based on data from 7,873 women in Kenya collected in the 1998 Kenya Demographic and Health Survey. I use multilevel models to assess the degree to which women s decisions are correlated with the decisions of other women in their community, in addition to studying the effects of socioeconomic characteristics measured at both the individual and community levels. I find some support for modernization theories, which argue that economic development leads to gradual erosion of the practice of female circumcision. However, more community-level variation is explained by the convention hypothesis, which proposes that the prevalence of female circumcision will decline rapidly once parents see that a critical mass of other parents have stopped circumcising their daughters. I also find substantial variation among different ethnic groups in the pace and onset of the decline of female genital cutting.     

AIDS: health education in schools:The role of the community child health services

SUMMARY. Health education is seen as the only effective method of combating the spread of AIDS, until an adequate immunisation procedure is discovered. The use of both information and education within schools is discussed, particularly emphasising the need for schools and the community child health services to work closely together. The article represents the views of the authors and is not an official document