This chapter draws upon 14 years of related ethnographic studies to uncover the principal features that characterize family life among the poor. Experiences dealing with multiple agencies are discussed, as well as experiences dealing with health problems in the context of the U.S. medical care system, and the aftermaths of household emergencies. 34 references.
This chapter reviews how theorists and policymakers portray the state’s capacity to alter the behavior and beliefs of low income parents and then highlights findings from a study of two women’s experiences in their efforts to find jobs and supportive resources. Finding a job and securing welfare supports were linked to their parenting pathway, however, the mothers’ first concern was their children’s well-being. The chapter concludes by exploring whether the motivating power of raising children might lead to a more effective family policy. 34 references. (Author abstract modified)
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Journal Article The Incredible Years (IY) Parent and Child Series are evidence-based interventions that increase knowledge and mastery of parenting, mood regulation, and interpersonal problem solving strategies for caregivers while developing similar social and emotional skills in their children. Rogers, Bobich, and Heppell (2016) use a case study approach to examine the effectiveness of adaptations of the IY program for delivery in a transitional housing shelter. They describe strategies for modifying IY to meet the needs of a vulnerable population within the context of the shelter and the broader welfare…
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Journal Article The commentaries by Williams (2016) and Gartenberg and Lang (2016) on the case of Cathy and her mother Ms. Z (Rogers, Bobich, & Heppell, 2016) explore the similarities between children who have been homeless and those in the foster system, and highlight the importance of trauma-focused treatment to address their mental health needs. A further consideration of the challenges to obtaining such treatment due to system barriers, stigma, and the intergenerational transmission of trauma is applied to the case of Cathy. This illustrates the importance of an array of mental health treatment…
Brief
As states work to strengthen supports for young children's mental health, often with the goal of reducing the incidence of costly conditions at later ages, they face the question of how to finance new or expanded services. This brief examines states' use of Medicaid as a key source of funding for early childhood mental health (ECMH) services. It presents the results of a 50-state survey that gathered information from state administrators about Medicaid coverage and related policies concerning the following services for children from birth to age 6: child screening for social-emotional…
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Journal Article This issue on fathers was conceived as a rallying cry for all professionals to examine their practices of including fathers in their services. For too long, infant mental health professionals have either ignored fathers' important influences on infants and toddlers or have given lip-service to their importance while allowing the status quo of not including fathers to continue. This article provides history and context for the impetus behind --and the hurdles to--moving from focusing on dyads to family systems, and it highlights a few forward-looking new programs and initiatives already…
In this report, the Trust for America’s Health (TFAH) examines how to increase the public health approachto child development by looking at national, State and local strategies, policies and programs that have a high impact for improving health and well-being across a range of sectors, and how to better bring those sectors together to develop partnerships that have a better chance of achieving common goals. It begins by reviewing the impact of negative experiences on the physical health and brain development of a child, and the need to reduce risks and build protective factors that help…
This paper discusses the need for targeted public investment in children’s mental and behavioral health and opportunities presented by the Patient Protection and Affordable Care Act (ACA) for promoting children’s cognitive, affective, and behavioral health. The following points are made: emphases within the ACA for prevention and coordination of care enable more family focus, or the two-generation framework, however, important gaps remain that threaten the reach of evidence-based, family-focused health care and ultimately, healthy development; there are untapped opportunities to deliver…
Other
This slide presentation begins by explaining key components of child well-being, including: physical health, development, and safety; psychological and emotional development; social development and behavior; and cognitive development and educational achievement. Information is then provided on inputs that impact child well-being outcomes and reasons social workers need to focus on the positive inputs. Reasons include: the Declaration of Independence that focuses on the right of men to the pursuit of happiness, good science, fully describes children and youth, can be measured well, and to…
In our discussion, we review and synthesize research evidence on five identified domains of instability that have been well established in the literature: family income, parental employment, family structure, housing, and the out-of-home contexts of school and child care. In our review of the evidence, we also discuss some of the key pathways through which instability may affect development. Specifically, research points to the underlying role of parenting, parental mental health, and the home environment in providing the stability and support young children need for positive development. We…
