我国婴幼儿托育服务标准规范体系的现状及其优化研究

近年来,我国婴幼儿托育服务标准规范建设进程较快,当前体系框架已初步建立。但由于长期以来标准规范建设比较缓 慢、推进机制不健全等客观因素制约,当前婴幼儿托育服务在通用基础标准规范方面整体滞后,婴幼儿安全照护和权益保障标准 规范方面仍存短板,监管和人员标准规范方面较弱等问题。根据托育标准规范体系现状,结合托育服务发展需求,当前亟需建立 托育服务标准规范体系的协同推进工作机制,加快通用基础标准规范研制,促进服务提供标准规范的健全,补足支持保障标准规 范的短板,进而完善标准规范框架体系,推动各类标准规范的兼容,进而为婴幼儿托育服务高质量发展提供支持和保障。     

Vagal modulation of 1‐month‐old infants to auditory stimuli is associated with self‐regulatory behavior

During infancy, cardiac vagal modulation has been associated with attentional and social engagement behaviors. While studies have shown that infants display a behavioral repertoire that enables them to interact with others by being able to regulate themselves in order to attend to and to discriminate emotional and social cues, vagal modulation to sensory stimuli and its association with behavioral outcomes at early ages remains to be addressed. In this study, we analyzed the cardiac vagal response of 1‐month‐old infants to two auditory stimuli intensities and whether vagal response was associated with social interactive and self‐regulatory abilities. Therefore, we recorded cardiac and respiratory physiological responses in 28 infants using a Biopac System. Neurobehavioral assessment was performed using the Neonatal Behavioral Assessment Scale. We observed increased respiratory sinus arrhythmia (RSA) amplitude to both auditory stimuli intensities when compared to baseline. No intensity effect was found for the RSA response. Additionally, we observed that higher RSA amplitude to both auditory stimuli was positively correlated with adjusted self‐regulatory behaviors, suggesting a convergence between multiple measures assessing infants' state regulation. Results are discussed in light of 1‐month‐old infants' auditory stimuli processing and its implications for regulatory behaviors and the emergent social‐like behaviors.     

Grandparents' Education and Infant Health: Pathways Across Generations

Using data from the Fragile Families and Child Wellbeing survey linked to respondents' medical records (N = 2,870), this study examines the association between grandparents' education and birth outcomes and explores potential pathways underlying this relationship. Results show that having a grandfather with less than a high school education was associated with a 93 gram reduction in birth weight, a 59% increase in the odds of low birth weight, and a 136% increase in the odds of a neonatal health condition when compared with having a grandfather with a high school education or more. These associations were partially accounted for by mother's educational attainment and marital status as well as by prenatal history of depression, hypertension, and prenatal health behaviors, depending on the specific outcome. The findings from this study call for heightened attention to the multigenerational influences of educational attainment for infant health.     

Becoming the mother of a child with disabilities: a systematic literature review

The transition to motherhood starts early in pregnancy and is completed when the mother feels competent in caring for the infant. Becoming the mother of a child with disabilities is demanding as their needs are complex. The aim of the review was to appraise completed qualitative and quantitative reports on the challenges of mothers of children with disabilities regarding their own transition to motherhood. A review of the literature was carried out through, first, a computerized search strategy to identify relevant studies from selected databases and, second, quality appraisal and thematic analysis of selected studies. The transition to motherhood of children with disabilities takes place in the inside world at home, the outside world external to home and the ‘going-between’ world of travelling between the two worlds. The mothers are challenged at home to integrate basic infant care with technical care of their children. In the outside world they often struggled to ensure that their children got the necessary professional care. Travelling between their homes and healthcare services posed many problems.     

幼儿心理在幼儿园室内环境设计中的运用研究——以浙江省宝阳幼儿园为例

幼儿园室内环境的设计是现代设计中的重要组成部分。以浙江宝阳幼儿为例,从幼儿心理需求为中心,通过对室内生活、学习和公共区域等三个方面及整体色彩的分析,深入地探讨符合儿童身心发展的幼儿园室内环境的设计策略。     

Services to prevent child placing-out for cocaine-affected and non-affected families

This study sought to evaluate the effectiveness of the'In-Home Family Care' programme of Children's Home Society of California in Alameda County, particularly regarding the emphasis and impact of services for cocaine-affected families. The family characteristics, problems addressed and service provision in cases served over a 3-year period were assessed in terms of their relation to placement outcome for cocaine-affected and non-affected families. This evaluation found that, despite serious and often chronic problems among cocaine-affected families, their child removal rate was no higher than that for non-affected families. Implications for risk assessment and placement decisions are discussed.     

Parents' experiences with child protection during pregnancy and post-birth

Limited research has directly sought the input of parents involved in the child protection system during pregnancy and with their infants. As the focus of these policies and practices, parents have a unique and important insight not available to others, so it is vital to obtain their input. As part of a larger Australian study, qualitative interviews were undertaken with 13 parents asking about their views and experiences. Parents predominantly became involved with child protection services during pregnancy through a prenatal report. Parents who previously had their newborn removed from their care described it as sudden and unexpected, leaving them distressed and unsupported post-removal, with a growing list of requirements for them to see their baby or for restoration to be considered. Domestic violence was a particular issue of concern for some mothers who expressed distress that their partners, perpetrators of violence, were allowed access to their infant with fewer requirements than for them. Improvements recommended by the parents included greater communication and preparation for the removal, better recognition of improvements in their situations and increased supports to be provided to parents both pre- and post-removal. Parental experiences provide an important guide to improving child protection practice with these families.     

家庭托育点管理实践及启示：政策工具的视角

家庭托育点的规范化对婴幼儿健康成长至关重要。通过文献收集和访谈获得既往管理举措和当前试点政策,运用政策工具进行分析和总结,探究管理家庭托育点的背景、对象和措施。结果表明：家庭托育点因经济优势而被纳入管理,现有征求意见稿管理对象偏向小规模邻托,但试点和市场偏向较大收托规模;消防审查依托既有消防验收,师资准入要求偏低,质量监管依靠政府。管理建议：应根据收托规模区分小型和大型家庭托育点开展试点;完善三方协同的管理架构,设定专门空间环境要求,提高师资准入要求,建立综合质量监管。     

Under the skin: Exploring 2-month-olds' thermal reactions in different social interactions with mother and stranger

Physiological adaptations to external stressors can reveal socio-cognitive health in infancy. With the use of thermal imaging and behavioural analyses, the current study examined the arousal markers accompanying infants’ interactions with a familiar and an unfamiliar person. To address the current research question, the mother and a complete stranger interacted with 2 to 3 month-old infants (N= 10, 2 boys)in three different conditions: Neutral, Play, and Compliment. Behavioral analyses showed that overall gaze was longer to the Stranger compared to the Mother independent of condition. Physiological findings showed that skin temperature was significantly higher with the stranger independent of condition. The regions of the face that passed the significance threshold included the maxillary area, the nose, and the forehead. Both behavioral and physiological findings emphasize the ability of the infant to distinguish between a familiar and an unfamiliar person. Most importantly, however thermal imaging has proven to be a promising tool in physiologically differentiating between variable social conditions in very young infants opening up a new experimental portal for identifying healthy physiological development.     

Decision-Making Criteria in Child Custody Disputes That Involve Requests for Overnight Visits with Infants and Toddlers: Derived from a Review of the Literature

ABSTRACT

The court, child custody evaluators, and mediators are often faced with difficult decisions regarding how to best meet the needs of children from families who are involved in child custody disputes. In some cases, the court, child custody evaluators and mediators are asked to make decisions about parenting plans for infants and toddlers. When decision makers are faced with actual cases, they are likely to be assisted by lines of inquiry that help them gather the most relevant data to answer the question at hand. A review of the literature has led to the development of 13 criteria that decision makers can use to reach conclusions about whether overnight visits would be advisable with a given infant or toddler. The criteria are considered neutral and are not based on any bias or preconceived opinion about whether overnights with infants and toddlers are or are not advisable. Instead, the criteria proposed provide the decision-maker with an objective way of structuring their thinking about a particular case to insure that all pertinent information has been considered before reaching a conclusion about whether overnight visitation is in the best interest of a given child.