Dissertations / Theses: 'Child care consultants Psychology'

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McCarter, Kayla D. "RURAL PEDIATRIC PRIMARY CARE PRACTICE PATTERNS AS A RESULT OF AN ON-SITE BEHAVIORAL HEALTH CONSULTANT: A RETROSPECTIVE ANALYSIS." Digital Commons @ East Tennessee State University, 2014. https://dc.etsu.edu/honors/204.

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Nationally, it has been estimated that 10 to 21% of children with psychosocial concerns are seen in primary care settings (Jellinek et al., 1999; McInerny, Szilagyi, Childs, Wasserman & Kelleher, 2000; Palermo et al., 2002). Often, however, children go undiagnosed with/treated for psychosocial concerns in pediatric primary care due to lack of physician time and poor referral rates to mental health providers. Evaluations of integrated care models, in which a behavioral health consultant is present in primary care practices, has shown to increase the availability of mental health services (Stancin, Perrin, & Ramirez, 2009). Using extant data from patient records extracted by a trained nurse, this study aims to assess practice scheduling habits and seasonal variation in behavioral health consultant (BHC) usage on days when a BHC is present versus non-BHC days in one rural pediatric office over the course of four years. This study aims to evaluate economic efficiency based on the number of patients scheduled per day. It is hypothesized that the presence of an onsite BHC will increase patient volume and, thus, economic efficiency. Information gathered from the clinic’s electronic scheduling system included: 1) the number of patients scheduled on a BHC day and 2) the number of patients scheduled on a non-BHC day for each week of the BHC’s employment. These data—both overall and by year and season—were analyzed using one-way ANOVA and post hoc Tukey testing. There were no significant differences in scheduled patient volume found between the day types overall. However, yearly analysis revealed significant differences between 2010 and 2012, 2013, and 2014 on BHC days and between 2010 and 2014 on non-BHC days. When examined by season, significant differences were found between Fall/Winter and Spring/Summer on both day types in post hoc Tukey testing. These findings have important implications for the trajectory of benefits provided by a BHC in a rural integrated care model.

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Anderson-Michael, Julie L. "A study of the first four fiscal years of Eastern Illinois University School of Family & Consumer Sciences Child Care Resource & Referral /." View online, 1996. http://repository.eiu.edu/theses/docs/32211998764272.pdf.

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Coulman, Laura. "Knowledge, attitudes, and experiences of resource teachers and resource consultants in inclusive child care centres in Ontario." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1999. http://www.collectionscanada.ca/obj/s4/f2/dsk2/ftp03/MQ40405.pdf.

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Unseld, Kimberly A. "School Psychology Practitioners' Perspectives on Consultation Training and Practice." TopSCHOLAR®, 2004. http://digitalcommons.wku.edu/theses/238.

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School psychologists have increased their practice of consultation within the schools due to mandates by the National Association of School Psychologists (NASP) and positive outcomes associated with the service. Previous research has examined how training directors at school psychology graduate programs viewed consultation training. The current study investigated how school psychologists view their training in consultation and how they view the practice of consultation in school systems. A random sample of 510 school psychologists from across the country was sent a survey to obtain their perspectives on consultation. A 46% return rate was achieved. The respondents were divided into two groups based on the practitioner’s years of experience (i.e., more than 10 years experience and less than 10 years experience) in order to make comparisons based on when the school psychologists received their training. Results indicated that recent graduates reported more comprehensive training in consultation, a heavier emphasis on collaborative and problem-solving consultation and significantly higher levels of satisfaction with consultation training and practice. However, recent graduates did not perceive their skills with consultation to be higher than school psychologists with less training, but more experience.

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Smith, Robert Lee. "Educational psychology and the law in child care cases." Thesis, University of Exeter, 2007. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.436425.

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Polaha, Jodi, N. Benfield, and J. Correll. "Building Behavioral Health Consultants: Innovative Strategies for Training Psychology Graduate Students to Work in Primary Care." Digital Commons @ East Tennessee State University, 2009. https://dc.etsu.edu/etsu-works/6607.

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Washburn, Sandra S. "Stress management training: Massed versus distributed practice for child care workers." Scholarly Commons, 1995. https://scholarlycommons.pacific.edu/uop_etds/2801.

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This study investigated two different training schedules for a stress management course offered to 36 child care workers. The study included three groups, a massed training group, distributed training group, and an untreated control group. Based on learning theory as presented in the paper, it was hypothesized that the distributed format (1 hour per week for 8 weeks) would yield greater changes in reported stress than would the massed format (4 hours in 2 sessions) or the wait-list control. Results indicated that statistically the training was effective in changing the number of hours absent from work, that the distributed format was superior to the massed in changing number of hours absent from work, and that the massed format was preferred by participants. Trends further tended toward support for the hypothesis that the distributed format would be more effective, particularly with the Emotional Exhaustion pre-/post-training scores. Critique and suggestions for further study are included in this paper.

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Tunaley, Jillian Rachel. "Later life parent-child relationships and the transition to care." Thesis, University of Birmingham, 2002. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.269545.

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Abbott-Egnor, Wendy. "Child Sexual Abuse and Prenatal Care: Understanding Screening, Modifications, and Proper Care." ScholarWorks, 2018. https://scholarworks.waldenu.edu/dissertations/5297.

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Research has shown that 1 in 9 women in prenatal care have a history of childhood sexual abuse. Pregnant women with a history of childhood sexual abuse are at increased risk of depression, somatization, preterm contractions, posttraumatic stress symptomology, and re-traumatization. The purpose of this study was to bridge the gap in literature between research and practice. Data was collected from practitioners regarding the care and treatment of pregnant women with a childhood sexual abuse history. It was hypothesized that screening practices and modification to care and treatment based on practitioner knowledge of prior sex abuse history will vary by provider type and provider title. A quantitative, online-based survey design was used to gather data from prenatal and birthing practitioners regarding their treatment of female patients who have a history of childhood sexual abuse. Data was analyzed via multiple regression analysis. The data analysis did not lead to any significant results and therefore was unable to support any findings regarding the research questions and hypotheses. The results of this study can be used to encourage practitioners to seek education regarding childhood sexual abuse and its effects on the health and wellbeing of pregnant women. Further, this study brings awareness to the importance of screening for childhood sexual abuse and modifying care during pregnancy and childbirth.

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Anstey, Erica Hesch. "Factors Related to the Professional Management of Early Breastfeeding Problems: Perspectives of Lactation Consultants." Scholar Commons, 2013. http://scholarcommons.usf.edu/etd/4860.

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Addressing the sub-optimal breastfeeding initiation and duration rates has become a national priority. Inadequate support for addressing early breastfeeding challenges is compounded by a lack of collaboration between providers such as lactation professionals, nurses, pediatricians, and the family. The purpose of this exploratory study was to understand International Board Certified Lactation Consultants' (IBCLCs) perceived barriers to managing early breastfeeding problems. This qualitative study was guided by the symbolic interactionist framework through a grounded theory methodological approach. In-depth interviews were conducted with 30 IBCLCs from across Florida. IBCLCs were from a range of practice settings, including hospitals, WIC clinics, private practice, and pediatric offices. Data were digitally recorded, transcribed, and analyzed in Atlas.ti. A range of barriers were identified and grouped into the following categories: indirect barriers such as social norms, knowledge, attitudes; direct occupational barriers such as institutional constraints, lack of coordination, and poor service delivery; and direct individual barriers including social support and mother's self-efficacy. A model was developed to illustrate the factors that influence the role enactment of IBCLCs in terms of managing breastfeeding problems. IBCLCs overwhelmingly wish to be perceived as valued members of a health care team, but often find interprofessional collaboration is a struggle. However, IBCLCs find creative strategies to navigate challenges and describe their role as pivotal in empowering mothers and their families to meet their breastfeeding goals. Though rarely actualized, IBCLCs place strong value on coordinated, team approaches to breastfeeding management that employ transparent communication between providers and focus on empowering and educating mothers. Strategies for better collaboration and communication between IBCLCs and other providers are needed. Findings provide insight into the management issues of early breastfeeding problems and may lead to future interventions to reduce early weaning, thus increasing the lifelong health benefits of breastfeeding to the infant and mother.

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Meyer, Lauren. "Child life specialists in foster care| A case for child life in a nontraditional setting." Thesis, Mills College, 2014. http://pqdtopen.proquest.com/#viewpdf?dispub=1557350.

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The current study examined the possible gaps in meeting the needs of children in foster care, the additional skillsets that contribute to meeting their needs, and the role child life specialists play in meeting those needs. Additionally, the study looked specifically at how child life could find a place in the nontraditional setting of foster care. Two groups of participants were recruited for the study; the first group was comprised of child life specialists. The second group included professionals who worked directly with children in foster care in some capacity. Two surveys were designed and conducted, one for each group. Generally, both groups of participants identified the following unmet needs: emotional needs, attachment needs, behavioral needs, supporting children in coping, and psychological preparation. Skillset matches for meeting these needs included experience in psychological preparation for children, knowledge in supporting coping, child development expertise, and awareness of family-centered care. These matches are closely tied to child life specialists' training. Additionally, there seems to be a lack of play in working with foster children, and this was identified as a possible gap in the system, highlighting another way child life specialists could support children in foster care. Through this study, clear ways were identified in which child life specialists could strengthen the services provided to children in foster care. These results have implications for an interdisciplinary future of the child life field.

Keywords: child life, foster care, unmet needs, child life in nontraditional roles

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Hart, Margaret Sue. "Stability of child care in rural low-income families." The Ohio State University, 2006. http://rave.ohiolink.edu/etdc/view?acc_num=osu1154613258.

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Williams, James Larry. "A Christian childcare training program reduction of burnout /." Theological Research Exchange Network (TREN), 1991. http://www.tren.com.

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Ma, YanLing Abell Ellen Elizabeth. "Examining the reliability and validity of a measure of child care provider motivation." Auburn, Ala, 2009. http://hdl.handle.net/10415/1854.

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Eisenbrandt, Lydia, and Jill D. Stinson. "Adolescents in Residential Care With Major Mental Illness." Digital Commons @ East Tennessee State University, 2018. https://dc.etsu.edu/asrf/2018/schedule/129.

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Mental major illness, including psychotic disorders and mood disorders, has been linked to early prenatal/childhood factors and subsequent behavioral health concerns. For example, Watson et al. (1999) found that maternal illness and extreme stress during pregnancy disrupts fetal brain development, increasing the likelihood of depression or schizophrenia in later life. Research has also shown a dose-response effect between the number of adverse childhood experiences (ACEs) and mental health outcomes, with increasing ACEs linked to more severe mental health problems and suicide attempts (Merrick et al., 2017). Persons with major mental illness, like schizophrenia or bipolar disorder, are also at increased risk of suicidal and self-harm behaviors (Happell et al., 2012; Morden et al., 2009). These individuals also demonstrate a higher rate of substance use (Linszen et al., 1995) that often contributes to poor medical health (Dixon et al., 2000; Jeste et al., 1996). The current study sought to differentiate adolescents with and without major mental illness (i.e., psychotic or mood disorders) by investigating a sample of youth who were in a residential treatment facility for sexually abusive behaviors (N = 296). Data related to participants’ prenatal/birth concerns, ACE scores, history of suicide attempts and self-harm, and use of alcohol, tobacco, marijuana, and inhalants were gathered from archival records. Results indicated that there were a number of adolescents diagnosed with a psychotic disorder (n = 33) or mood disorder (n = 189). Two separate logistic regressions assisted with differentiating adolescents with and without psychotic or mood disorders using the specified predictors. A significant model (χ2 = 94.910, Nagelkerke’s R2 = 0.412, p < 0.001) correctly classified 76.4% of participants with a mood disorder. Adolescents with a mood disorder were 4 times as likely to have had prenatal or birth concerns (OR: 4.404, p < 0.001), and were significantly more likely to have higher ACE scores (OR: 1.148, p =.024). Further, those with a mood disorder were 2.5 times as likely to have self-harmed (OR: 2.673, p=.009), and approximately 23 times more likely to have attempted suicide (OR: 22.858, p=.003). Another significant model (χ2 = 29.842, Nagelkerke’s R2 = 0.210, p < 0.001) correctly classified 88.3% of participants with a psychotic disorder. Adolescents with a psychotic disorder diagnosis were significantly more likely to have higher ACE scores (OR: 1.237, p =.020), and were 4 times as likely to have a self-harm history (OR: 4.474, p=.005) compared to those without a psychotic disorder. Results indicate that prenatal/birth concerns appear to be a significant factor for those who are diagnosed with a mood disorder, but not with a psychotic disorder. Also, those with mood disorders, but not psychotic disorders, were more likely to have attempted suicide. Adolescents with either a mood or psychotic disorder both tended to self-harm and have experienced more ACEs. Interestingly, substance use was not higher among adolescents with mood or psychotic disorders, despite predictions and previous research findings.

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Bacon, John J. "Selection of residential child care workers: A look at performance predictors." CSUSB ScholarWorks, 1986. https://scholarworks.lib.csusb.edu/etd-project/386.

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Cutler, Jared. "A Comparison of the Relative Impact of Structural and Dynamic Child Care Quality on Child Outcomes." DigitalCommons@USU, 2001. https://digitalcommons.usu.edu/etd/6154.

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Child care researchers divide child care quality into two separate categories: structural child care quality (adult-child ratios, class size, amount of physical space, etc.) and dynamic child care quality (number and quality of teacher-child relationships). A consensus has emerged in the child care literature that structural child care quality has no direct effect on children's developmental outcomes (e.g., language development, social development, school readiness) . Rather, structural child care quality facilitates dynamic child care quality, which then has a direct effect on child outcomes. While child care researchers frequently assert that structural variables merely facilitate dynamic variables, and have no direct impact on child outcomes, this assertion has never been empirically tested. The presented study tested the relative impact of structural and dynamic child care quality on child outcomes using multiple regression analysis. A data set from the European Child Care and Education Study involving 1,246 subjects was used, and 20 structural quality variables, 10 dynamic quality variables, and four measures of child outcomes were used in the multiple regression equations. In each case it was found that structural quality variables continued to be correlated with child outcomes after the variance associated with dynamic quality variables was removed, indicating that structural child care quality has an influence on child outcomes beyond merely facilitating dynamic quality . The prevailing view that structural child care quality merely facilitates dynamic child care quality, and has no direct influence on child outcomes, was not supported by the present study.

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Mistretta, Jacqueline M. "The Relationship between Type of Child Care Setting and Externalizing Behaviors in Kindergarten Students." Thesis, Alfred University, 2017. http://pqdtopen.proquest.com/#viewpdf?dispub=10687289.

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Past studies examining child care and externalizing behaviors have produced conflicting results. This study examined whether an association exists between type of child care that a child attended the year before kindergarten and externalizing problem behaviors as rated by the child’s kindergarten teacher. Ordinary least-squares regression was used to examine variables that impact ratings of externalizing behavior by evaluating data from the Early Childhood Longitudinal Study, Kindergarten Class of 2010–2011 (ECLS-K:2011). The ECLS-K:2011 has up-to-date data that includes a nationally representative sample of children in the United States. Participants were 13,544 children. Additionally, SES and the total number of hours of weekly care were analyzed to see if they moderated the relationship between type of care and externalizing behaviors. Findings indicated that children who attended center care only exhibited more externalizing behaviors than children who attended other types or combinations of care. Children from lower SES families had significantly more externalizing behaviors than children from higher SES families. Findings also indicated that SES had less of an effect on externalizing behavior among children who attended relative and center care than children who attended center care only. The more hours a child spent in care each week, the greater their ratings of externalizing problem behaviors. Additionally, the effects of total hours on externalizing behaviors were lower for children who attended relative care only and relative and center care than those who attended center care only. Study implications for policymakers, parents, and researchers are discussed in depth. For instance, if parents wish to send their children to center care, they may want to incorporate an additional type of weekly care, which may act as a buffer to externalizing problem behaviors. Additionally, policymakers may want to facilitate greater access for child care other than center care only.

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Nguyen, Hanh Hong. "The Effects of Type of Child Care Arrangement and Satisfaction with Care on Employee Job Satisfaction and Absenteeism." PDXScholar, 1994. https://pdxscholar.library.pdx.edu/open_access_etds/4784.

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This study examined the effects of different types of child care arrangements (i.e., care by relatives; care by nonrelatives; self-care by child; and care by day care centers) and satisfaction with care on employee absenteeism and job satisfaction. A 53% response rate was obtained from a questionnaire administered to 501 classified staff employees at Portland State University. Only responses from employees with children under the age of 18 living at home were used. Eighty-six employees met this selection criterion. It was hypothesized that parents using self-care by child would have the highest absences, followed by parents using day care centers, followed by parents using care by nonrelatives, followed by parents using care by relatives. Second, it was hypothesized that parents using care by relatives would have the highest job satisfaction levels, followed by parents using care by nonrelatives, followed by parents using day care centers, followed by parents using self-care by child. Third, it was hypothesized that satisfaction with care would affect job satisfaction and absenteeism such that parents who were satisfied with their care arrangements would have higher job satisfaction and lower absenteeism. Fourth, it was hypothesized that there would be a significant difference between men and women on absenteeism such that women would have higher absences than men. Hierarchical regression analyses revealed that employees using care by nonrelatives had significantly higher absences (during the last month and year) than those using care by relatives. In addition, employees using care by nonrelatives reported the highest number of absences on both measures of absenteeism. This study revealed that type of child care arrangement was not related to employee job satisfaction. The analyses also revealed that employees' satisfaction with care was related to absenteeism (during the last month), i.e., as parents' satisfaction with care increased, the number of absences reported decreased. Therefore, the first and third hypotheses were partially supported but the second and fourth hypotheses were not supported. The results of this study demonstrates that the types of child care arrangements that parents use are related to employee absenteeism but not job satisfaction.

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Sutton, James Henry. "The work environment and burnout among family and child care workers." Thesis, University of British Columbia, 1987. http://hdl.handle.net/2429/26128.

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This thesis explores the relationship between work environment and burnout by examining the question: Do workers experiencing burnout see their work environment more negatively than co-workers who are not burned-out? The goal is to explore the potential usefulness of measures of work environment and burnout to guide efforts at burnout intervention and prevention. Thirty-nine family and childcare workers from five sites in the Vancouver area responded to a survey to test hypotheses addressing this question. The work environment and burnout were found to be highly interactive with the work environment variables of supervisor support and clarity identified as key factors in burnout. The Maslach Burnout Inventory and Moos (1981) Work Environment Scale were found to be useful instruments for intervention and future research.
Arts, Faculty of
Social Work, School of
Graduate

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Kleindorfer, Keli Jean. "Gratitude Among Mothers Raising a Child With Special Health Care Needs." ScholarWorks, 2020. https://scholarworks.waldenu.edu/dissertations/7935.

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For a mother raising a child with special health care needs (CSHCN), maintaining positive feelings of gratitude can become challenging because of the stress associated with caregiving, as well as the consequences of unmanaged stress, which include decreases in both physical and psychological health and well-being. Chronic, unmanaged stress has been associated with various health issues that can be severe and potentially life-threatening. The purpose of this phenomenological study was to examine how mothers raising a CSHCN experience gratitude. A secondary purpose was to identify possible barriers to experiencing gratitude, which, when implemented as a coping style, may decrease the negative effects of daily stress and improve mental health. The broaden-and-build theory of positive emotions along with the transactional model of stress and coping provided an optimal conceptual framework for this study. The research questions were centered around the challenges and stressors unique to each mother, coping strategies, and gratitude. The ways in which the combination of factors contributed to quality of life among the mothers were examined specifically. Data from face-to-face interviews with 15 mothers were transcribed, coded, and thoroughly analyzed for themes. The primary themes that emerged were support from family and friends, feelings of gratitude, coping mechanisms, life satisfaction, gratitude for a flexible job, stress related to full dependency, high stress levels over the past 30 days, increased stress when describing the child, and a need to work on eating habits. Findings and recommendations from this study may contribute to positive social change and support the benefits of gratitude, especially in highly stressful situations.

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Turner, Karen Mary Thomas. "Parenting and family support in primary care settings /." St. Lucia, Qld, 2003. http://www.library.uq.edu.au/pdfserve.php?image=thesisabs/absthe17454.pdf.

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Davison, A. J. "Representational reality : the role of mental models in child care : the iconic interactional module systems approach to working with children in group care." Thesis, University of Newcastle Upon Tyne, 1989. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.232916.

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Kellum, Jennifer Louise. "Child-care: The return on investment for American business." CSUSB ScholarWorks, 1998. https://scholarworks.lib.csusb.edu/etd-project/1657.

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Tolliver, Matthew, Jodi Polaha, Stacey L. William, and Christina R. Studts. "Evaluating the Prevalence of Child Psychosocial Concerns in Rural Primary Care." Digital Commons @ East Tennessee State University, 2021. https://doi.org/10.1037/rmh0000130.

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Child psychosocial concerns in rural areas are assumed to be greater than national averages due to mental health provider shortages, however, there is minimal empirical support for this claim. The present study aimed to replicate findings showing a higher prevalence of child psychosocial concerns in rural areas. In addition, this study evaluated six distinct definitions of “rural” to determine whether the operational definition of rurality was associated with prevalence of psychosocial concerns. Caregivers presenting with their child at 8 pediatric primary care sites (N = 2,672) completed a demographic questionnaire and the Pediatric Symptom Checklist (PSC). Logistic regression models tested associations between operational definitions of rurality and prevalence of clinically significant child psychosocial concerns. Multiple logistic regression models were used to test additional independent effects of maternal education level while controlling for child age. The effects of rurality on prevalence of clinically significant psychosocial concerns were inconsistent across the 6 measures of rurality; when significant, however, effects were small and in the opposite direction than hypothesized. These findings highlight discrepancies in results based on disparate operational definitions and measures of rurality. When rurality was associated with child psychosocial concerns, children in more highly populated areas reported more psychosocial concerns than children in smaller rural areas.

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D'Agostino, Janice. "A child's impressions of hospitalization /." Thesis, McGill University, 2000. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=33457.

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The research problem in this qualitative, pilot study explores a child's impressions of hospitalization while in hospital.
Nine children who were in-patients on a pediatric unit of an acute care hospital were interviewed using a semi-structured, self-constructed questionnaire.
The principal finding indicates that these children experienced a neutral emotional response to their hospitalization. Although the subjects were chosen randomly, all children resided in two parent families. This may be a significant factor in enhancing their ability to master hospitalization. Second, their neutral impression of hospitalization may be based on receiving a reasonable level of health care in a child centred environment with support from family.

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Nelson, Sarah M. "Effects of Foster Care Placements on the Mental Health of Abused Children in Florida." NSUWorks, 2015. http://nsuworks.nova.edu/cps_stuetd/88.

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INTRODUCTION: As evidenced in the literature, when maltreated children are admitted into state care, they are frequently not afforded sufficient mental health treatment. Concomitantly, foster parents are often not given proper training in providing complex care for these children. As such, the current study aimed to examine the role that foster care has in the development of psychopathology in maltreated children and their caregivers. METHODS: Participants included 234 maltreated youths (ages 7 to 17) presenting for treatment at a community mental health center specializing in childhood trauma. Children and adolescents currently residing in foster care as well as in their biological home environments were included. RESULTS: Results of multiple regression models indicated that a history of foster care plays a significant role in the association between children and adolescents who have witnessed domestic violence and internalizing disorders, externalizing disorders, and parenting stress. DISCUSSION: Results from this study revealed that a lack of foster care history plays a significant role in moderating the development of psychopathology in children and adolescents who have witnessed domestic violence. This association was also found with parenting stress. Future research needs to further explicate the specific roles that a child’s living situation can play in future psychological impairment.

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Cutler, Jared. "An Investigation of the Impact of Chld Care Quality on Child Outcomes Using Structural Equation Modeling." DigitalCommons@USU, 2004. https://digitalcommons.usu.edu/etd/6205.

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The quality of a child care setting is believed by many child care researchers to have an impact on the development of children in child care. While a considerable amount of research has been done regarding the impact of child care quality on child outcomes, an examination of literature reviews on the topic reveals that there is a lack of consensus in the field on the question of whether child care quality has a substantial impact on children's development. The present study assessed the impact child care quality has on child outcomes. A dataset from the NICHD Early Child Care Study involving 878 subjects was used. Analyses utilizing structural equation modeling indicated that child care quality has a substantial impact on children's development, even when the influence of demographic and family variables is taken into account.

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Boustani, Maya. "Sexual health promotion programming for youth in or at-risk for foster care: Improving knowledge, attitudes, and behaviors." FIU Digital Commons, 2016. http://digitalcommons.fiu.edu/etd/2626.

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Among girls in foster care, 48% become pregnant at least once by age 19 (Dworkey & Courtney, 2010). Teen moms are less likely to graduate from high school and their children also are more likely to be placed in foster care due to abuse or neglect (Hoffman, 2006). Furthermore, 50% of 21-year-old men aging out of foster care report they have gotten someone pregnant, compared to 19% of their peers not involved in foster care (Courtney et al., 2007). Youth in or at-risk for foster care (YFC) report limited knowledge about, access to, and use of condoms; ambivalent attitudes toward teen parenting; and participation in other risky behaviors. For the current study, we adapted and supplemented an evidence-based sexual health program called SiHLE, using a systematic adaptation framework (ADAPT-ITT, Wingood & DiClemete, 2008), to address these unique and targeted needs of YFC. Thirty-six youth participated in four sessions of SiHLE-YFC during their stay at a temporary shelter. Four 90-minute sessions focused on increasing sexual health knowledge, improving attitudes toward and self-efficacy of condom use, and developing core skills such as problem-solving and communication. As hypothesized, youth showed high satisfaction with the intervention and significant improvement in sexual health knowledge from pre to post. At one month follow-up, youth continued to show significant improvement in sexual health knowledge, along with a significant reduction in risky sexual behaviors. Though not significant, there were moderate effect sizes for changes in attitudes toward teen pregnancy and condoms. There were no changes in attitudes towards teen parenting. Taken together, findings suggest that sexual health education directly targeting the unique needs of YFC may improve sexual health knowledge and behavior, and are discussed in the context of challenges associated with intervention and research with this population.

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Packard, Anna Elise. "Parent Functioning and Child Psychotherapy Outcomes: Predicting Outcomes in Usual Care." BYU ScholarsArchive, 2009. https://scholarsarchive.byu.edu/etd/2311.

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A prominent need in the youth psychotherapy literature includes the examination of mechanisms of change within the context of "real world" clinical settings, where the practice of psychotherapy differs significantly from that in controlled clinical trials. In examining mechanisms of change in youth psychotherapy, variables related to parent functioning may be among the most important factors to consider in predicting and promoting good child outcomes. The purpose of the present study was to evaluate three important aspects of parent functioning—psychological symptom distress, interpersonal relations, and social role performance—as potential predictors of successful treatment outcomes in a traditional community outpatient treatment setting for children and adolescents. Further, this study examined whether parents indirectly benefited from their children receiving services, expanding our view on the scope and benefits inherent in youth psychotherapy. Parent Symptom Distress, Interpersonal Relations, and Social Role performance were measured using the domains of the Outcome Questionnaire 45 (OQ-45; Lambert et al., 2004), and youth treatment outcomes were measured using the parent and self-report versions of the Youth-Outcome Questionnaire (Y-OQ; Burlingame, Wells, Lambert, & Cox, 2004; Y-OQ-SR; Wells, Burlingame & Rose, 2003). Using Hierarchical Linear Modeling with this sample of 339 youth, aged 4-17 and their parents, this study examined the relationship between these parent domains and youth progress in therapy. Results revealed that parent Symptom Distress and Social Role performance improved significantly over the course of youth treatment. Further, Social Role performance at intake significantly predicted the rate of change in parent-reported youth outcome; and Interpersonal Relations at intake significantly predicted rate of change in youth-reported outcome. Finally, changes in parent Social Role performance were associated with changes in youth symptoms over the course of treatment. Examining the associations between these variables is an important step toward identifying potential mechanisms of change in youth mental health treatment. The results of this study provide valuable information on the importance of attending to parent functioning in the assessment and treatment of youth mental health issues.

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Pumariega, Andres J., William French, Udema Millsaps, Michele Moser, and Pat Wade. "Service Intensity/Level of Care Determination in a Child Welfare Population." Digital Commons @ East Tennessee State University, 2019. https://dc.etsu.edu/etsu-works/5582.

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Objectives: The process of service intensity (SI) or level of care (LOC) determination regarding mental health services has a problematic history. There is a need for reliable and valid SI/LOC determination tools for youth in the child welfare system. Methods: In 2004 and 2005, the Tennessee Child Program Outcome Review Team (CPORT) reviewed 437 children and youth in the child welfare system (277 in state custody, 160 at risk of custody) of whom 61.6% were male, 64.8% Caucasian and 28.4% African American. Instruments used included the CASII, CAFAS, CBCL, YSR, TRF, and the CPORT Child and Family Indicators. Results: All CASII subscales significantly correlated to the CAFAS Total Scores (Pearson coefficients 0.225 to 0.454). The CASII Total Score and the CASII SI determinations were highly correlated to CBCL, YSR, and TRF total and sub-scales. Significant correlations between the CASII SI determinations were found across all of the 13 CPORT Child and Family Indicators, while actual placement significantly correlated with only three of the 13 dimensions. The actual SI/LOC placements were significantly divergent from the placement recommendations derived using the CASII instrument (p < 0.000) with the majority of CASII SI/LOCs recommendations being for less restrictive placements. Conclusions: The CASII SI/LOC tool demonstrates high levels of reliability and validity in multiple care contexts, including child welfare, juvenile justice, and mental health settings. Expanded use of the CASII could potentially result in less restrictive, more appropriate, and less costly services becoming available to youth in these systems.

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Pumariega, Andres, Michele R. Moser, Patricia Wade, and T. Clark. "The Use of a Level of Care Measure in a Child Welfare Population." Digital Commons @ East Tennessee State University, 2005. https://dc.etsu.edu/etsu-works/4974.

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Level of care determination is an important process in treatment and service planning for children and their families both in mental health and child welfare. This area of service delivery is beginning to develop systematic approaches for decision-making. The process and implementation of the Child and Adolescent Level of Care Utilization System (CALOCUS) within the context of the Children's Program Outcome Review Team (CPORT) evaluation and a full sample of data will be presented examining the CALOCUS levels of care across age, gender, race, and compared with CAFAS, CBCL and CPORT system outcome data on children in state custody in Tennessee.

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Jenkins, Kate. "Psychological correlates of well-being in direct care staff in services for children with intellectual disabilities and challenging behaviour." Thesis, University of Southampton, 2009. https://eprints.soton.ac.uk/161935/.

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Working with people with learning disabilities can be stressful for direct care staff; as many as one-third of staff members in adult services experience stress levels indicative of a mental health problem. In addition to adverse effects on staff mental and physical health, staff stress can impact on the delivery and quality of services for people with learning disabilities. Challenging behaviour is recognised as a significant source of staff stress. Both adults and children with learning disabilities may display challenging behaviours including self-injury and physical aggression, the severity and frequency of which can be extremely distressing for staff exposed to them on a daily basis. This thesis explored psychological mechanisms which may explain how challenging behaviour impacts on the well-being of care staff. Chapter One reviews the evidence for the roles of negative emotional reactions to challenging behaviour and the psychological resources of care staff in the development of stress and burnout. Chapter Two investigates whether experiential avoidance, thought suppression and mindfulness, which has been found to be significant predictors of mental health outcomes outside of the learning disabilities field, provides a psychological mechanism for understanding the relationship between negative emotional reactions to challenging behaviour and staff well-being.

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Cohen, Deborah A. "Obtaining Genuine Family Involvement: Unpacking the System of Care Values and Principles." UKnowledge, 2014. http://uknowledge.uky.edu/csw_etds/9.

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Despite the federal government’s $1.5 billion investment between 1993 and 2010 to fund 164 separate community-based systems of care, there has been an extremely limited attempt to measure the impact of system of care. The impetus for this research is the struggle for how the value based concept of system of care is communicated within a community. While child mental health services researchers have published a number of randomized control trials to explore individual level supports for youth served in a system of care community, researchers have struggled to devise a way to measure system of care philosophy diffusion. While system of care is a system level intervention, this study explored the role of the system of care value: family voice as it pertains to direct practice for children and families. The goal was to assess whether specific direct practices regularly associated with system of care (i.e., wraparound or home-based services) lead to greater family voice or if the mere presence of a high-functioning system of care community leads to equal family voice for all receiving community-based services. The primary finding was a relationship between the perception of family functioning and perceived empowerment/self-efficacy. This finding suggests that as functioning improves, so does a caregiver’s perception of their personal empowerment/ self-efficacy. While the framing of this study was to “unpack” the system of care value of family voice, the findings do not support any clear cut explanation for how family voice is promoted or communicated to families. Based on the findings, it appears as if families feel more empowered as their child improves. Additional research needs to be done on the application of family voice within the practice setting to better understand how to best instruct staff to infuse family voice in their daily practice.

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Miller, Melissa Anne. "Effects of childcare program quality on adaptive behavior development." Online version, 1998. http://www.uwstout.edu/lib/thesis/1998/1998millerm.pdf.

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Tolliver, Robert M. "Who Done It? Rurality vs. SES as Critical Factors in Evaluating the Prevalence of Child Psychosocial Concerns in Primary Care." Digital Commons @ East Tennessee State University, 2013. https://dc.etsu.edu/etd/2302.

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The purpose of this study was to evaluate the prevalence of child psychosocial concerns in rural primary care, hypothesized to be greater than national averages due to lacking mental health services in rural areas. This study was an examination of the role of SES, various definitions of “rural,” and the interaction of SES and rurality, in predicting parent-reported child psychosocial concerns in Appalachian primary care clinics. Caregivers presenting with their child at one of 8 pediatric primary care sites (n=2,672) were recruited to complete a measure assessing demographics and the Pediatric Symptom Checklist (PSC). Results showed that while rural status was not associated with PSC scores, higher parental education was associated with lower rates of clinically significant psychosocial concerns. The present study failed to replicate prior preliminary findings that child psychosocial concerns are more prevalent in rural primary care. SES, rather than rurality, appeared to be the primary predictor of such concerns.

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Goosen, Elzaan. "The self-concept and interpersonal functioning of South African girls in child care : a suggested model." Thesis, Stellenbosch : Stellenbosch University, 2004. http://hdl.handle.net/10019.1/50188.

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Thesis (MSc)--University of Stellenbosch, 2004.
ENGLISH ABSTRACT: This study aimed to create an elaborate model that can shed light on the intra- and interpersonal functioning of middle childhood and early adolescent South African girls in child care. Data used included: 1) measures of self-concept that was measured by The Beck Youth Inventories: Self-concept inventory for Youths (Beck, Beck & Jolly, 2001), 2) a qualitative indication of perceived attachment towards a mother figure and 3) biographical data provided by the social workers associated with the children's homes that participated in the study. Participants included 70 girls between the ages of 9 and 14, of which 35 were assigned to the Children's Home Group. The Control Group comprised of the rest of the participants. Regression analysis, correlation measurement and the calculation of the significance of the differences between groups were used to test hypotheses. Results indicated that perceived attachment to a mother figure is a significant mediator of selfconcept, but that factors related to age seemed to have the most significant mediating effect during the developmental stages of middle childhood and early adolescence. The results were used to combine and elaborate on existing theories of intra- and interpersonal functioning in order to suggest a model that attempts to explain the functioning of South African girls in child-care in more depth. Implications for these findings are discussed.
AFRIKAANSE OPSOMMING: Die doel van hierdie ondersoek was om 'n gedetailleerde modelop te stel wat lig kan werp op die intra- en interpersoonlike funksionering van middel-kinderjarige en adolessente dogters in kindersorg in Suid-Afrika. Die data wat gebruik is, sluit in: 1) meetings van selfkonsep wat gemeet is deur die Beck Youth Inventories: Self-concept inventory for Youths (Beck, Beck & Jolly, 2001), 2) 'n kwalitatiewe indikasie van dogters se persepsie oor die binding tussen hulle en hulonderskeie moeders, asook. 3) biografiese data wat verskaf is deur die maatskaplike werkers wat geassosieer was met die kinderhuise wat deelgeneem het. Die deelnemers het bestaan uit 'n groep van 70 dogters tussen die ouderdomme van 9 en 14 jaar. Die helfte van die deelnemers het vanuit die kinderhuise gekom terwyl die res van die deelnemers die kontrolegroep gevorm het. Regressie analises, korrelasie metings en die berekening van die beduidendheid van verskille tussen groepe is gebruik om hipoteses te toets. Die resultate het daarop gedui dat dogters se persepsie van die kwaliteit van die binding tussen hulle en hul moeders, wel 'n beduidende mediator van self-konsep is gedurende middle-kinderjare en adolessensie is, maar dat faktore wat verband hou met ouderdom, die grootste mediërende effek het op self-konsep gedurende hierdie ontwikkelingsfases. Op grond van die resultate is 'n model saamgestel wat 'n voortbouing is op bestaande teorie, maar poog om meer lig te werp op die intra en interpersoonlike funksionering van Suid-Afrikaanse dogters in kindersorg te verduilik. Die implikasies hiervan word bespreek.

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Cochrane, Hannah. "Exploring perceptions and experiences of the education, health and care process." Thesis, University of Birmingham, 2016. http://etheses.bham.ac.uk//id/eprint/7020/.

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Following recent reform to special educational needs (SEN) guidance and legislation in England, the introduction of the education, health and care (EHC) needs assessment process has resulted in a considerable change in the statutory support system for children with significant SEN. To date, limited research has been conducted to explore perceptions of the EHC process. This research used a multiple nested case study design to explore the perceptions of key individuals – parents, school staff and educational psychologists – about the purposes and experiences of the EHC process. Participant views were collected using semi-structured interviews and analysed using thematic analysis. A range of purposes for the EHC process were identified including; creating a shared understanding of need, facilitating planning and support, protecting children with SEN and promoting progress. Participants reported varying experiences of collaboration during the assessment phase and outcomes following the issuing of the plan. Key factors related to perceptions of success for the EHC process included; values and existing practice, knowledge and access to support and resources. Possible implications for educational psychology practice are discussed through consideration of the practical wisdom, or phronesis, drawn from these findings.

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Bermudez, Pamela. "Perceived Fairness of a Child-care Subsidy in a Temporary Agency: An Equity Theory Approach." PDXScholar, 1995. https://pdxscholar.library.pdx.edu/open_access_etds/4910.

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The purpose of this study was to extend research findings on perceived equity into the context of the contingent workforce by examining employees' perceived fairness of a child-care subsidy (i.e., distributive justice perception) in a temporary employment agency. The variables of interest to the study were perceived fairness, comparison other, input importance, organizational responsibility and family-friendliness. The variables were examined on three levels of subsidy status (i.e., subsidy group, parents/no-subsidy group, and nonparents group). A cover letter and a questionnaire regarding perceived fairness of the child-care subsidy were mailed to all employees who had worked for the temporary agency in the last three years. In addition, a stamped self addressed envelope was attached, so respondents could mail the questionnaire directly to the researcher within 2 weeks. Respondents were instructed to anonymously answer the entire questionnaire, and to indicate the degree of their agreement or disagreement with respect to each of the statements in the questionnaire. Findings are based on 64 survey responses, which represented a return rate of 9.5%. The data were analyzed using separate analyses of variance and regression analyses. Results indicated significant differences among parents with subsidy, parents without subsidy and non-parents on their perceived importance of inputs such as level of education, hours per week and "other'' inputs (i.e., client satisfaction and work environment). Specifically, parents without subsidy perceived the level of education and the number of hours worked per week as more important inputs than did either the non-parents and the parents with subsidy. However, non-parents perceived the level of education and the number of hours worked per week as more important inputs than did the parents with subsidy. Furthermore, non-parents and parents without the subsidy perceived "other'' inputs as more important input than did the parents with subsidy. Significant differences were also found between the subsidy group and no-subsidy group and perceived fairness. Specifically, the subsidy group perceived the child care subsidy as more fair than the no-subsidy group (i.e., parents without subsidy and non-parents). A significant interaction of the effect of family-friendliness on the relationship between subsidy status and perceived fairness was also found.

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Dempster, Robert Morrison. "“But What Will People Think?” : The Role of Stigma in the Process of Parental Help-Seeking for Child Behavior Problems." Kent State University / OhioLINK, 2011. http://rave.ohiolink.edu/etdc/view?acc_num=kent1309209110.

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Rasnake, L. Kaye. "Anxiety reduction with children receiving medical care : cognitive developmental considerations /." The Ohio State University, 1987. http://rave.ohiolink.edu/etdc/view?acc_num=osu1487325740719711.

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Ngqakayi, Nomsa C. "Subjectivity in the 'maid'/'madam' relationship and its effects on the occupational child care-giving functions of the domestic worker." Master's thesis, University of Cape Town, 1991. http://hdl.handle.net/11427/14058.

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Bibliography: leaves 62-63a.
This study investigated the manner in which discursive practises in the social relations within domestic service position, the domestic worker, and the work she does, as of low status and impinges on the child caregiving functions of the domestic worker. The extent to which racial factors are operant was assessed. Accounts were obtained from both 'maids' and 'madams' through in-depth, semi-structured interviews. The approach to the transcribed data was informed by Hallway's (1989) interpretative discourse analysis whilst analytical concepts from Davies and Harre (1990) were used for the actual analysis of discursive positioning. Discourses that emerged from the "madams" accounts polarized into a progressive liberal discourse and an oppressive, colonial discourse. The domestic workers' accounts revealed a discourse of servility as well . as a contradictory discourse of resistance. Racial considerations did not surface as decisive in the 'choice' of positioning, although their influence was not completely irrelevant. What did surface as decisive in enforcing democratic social practises, or approximations thereof, was the need for good quality substitute care as well as the need to retain already existent relationships of attachment between the domestic workers and the children under their care.

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Susmani, Krystle Anne. "Certified child life specialists' perspectives on supporting siblings of infants in the neonatal intensive care unit." Thesis, Mills College, 2015. http://pqdtopen.proquest.com/#viewpdf?dispub=1588940.

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The current study sought to examine certified child life specialists’ perspectives on supporting siblings of infants in the neonatal intensive care unit (NICU). The intent of the study was to identify the types of support available, barriers to offering support, the individuals who offers support and the effectiveness of interventions by certified child life specialists with siblings of infants in the NICU. Sixty-eight certified child life specialists were surveyed regarding their work supporting siblings of infants in the neonatal intensive care unit. Results support previous literature suggesting that there are many barriers to offering support to siblings in the hospital, including: staff availability, space constraints, funding, and visitation policies. In addition, results demonstrated that provided supports still vary widely from hospital to hospital and certified child life specialists are the individuals who are most likely to offer support when it is available. Furthermore, the certified child life specialists surveyed view their interventions with siblings of infants in the NICU as effective or very effective. In conclusion, these findings support the need to increase the presence of certified child life specialists in the NICU in order to adequately meet the psychosocial needs of siblings.

Keywords: certified child life specialists, child life interventions, siblings, neonatal intensive care unit, NICU

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Prill, Hollie Rae. "The quality of the family day care setting and its effects on children's social and cognitive play behaviors." CSUSB ScholarWorks, 1998. https://scholarworks.lib.csusb.edu/etd-project/1670.

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West, Aimee Michelle. "Child Behavioral Severity and Parents' Perceptions of the Effectiveness and Likelihood of Seeking Behavioral Health Treatment." Kent State University / OhioLINK, 2013. http://rave.ohiolink.edu/etdc/view?acc_num=kent1366645309.

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Harper, Amber Rachelle. "Respite Care and Marital Quality: Families with a Child Diagnosed with an Autism Spectrum Disorder." BYU ScholarsArchive, 2012. https://scholarsarchive.byu.edu/etd/3141.

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Parents of children with an autism spectrum disorder (ASD) are at greater risk than other couples for having higher stress levels and lower marital quality. Respite care has been suggested as a way to help alleviate stress. This study investigated the relationship between respite care and marital quality; and the potential of mother stress and father stress as mediating variables. One hundred and one couples, each consisting of a mother and a father who lived with their child with an ASD, were given questionnaires including a respite questionnaire, Revised Dyadic Adjustment Scale, Experience in Close Relationships Questionnaire, and Daily Hassles and Uplifts Scale. Results showed that the amount of respite care was positively related to marital quality for both husbands and wives. Husband and wife stress and husband and wife uplifts mediated the relationship between respite care and marital quality for both husbands and wives, indicating these variables of stress and uplifts were processes through which respite care had an indirect effect on marital quality. Results suggest that policy makers should develop strategies for providing respite care for families with children diagnosed with an ASD.

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Dempster, Robert M. "The Role of Parenting Factors in Pediatrician Identification of Children with Psychosocial Problems." Kent State University / OhioLINK, 2008. http://rave.ohiolink.edu/etdc/view?acc_num=kent1227714265.

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Wilson, Katharine Frieda. "Home Behavioral Economics: Family and Work Decisions in the United States and Norway." Diss., Temple University Libraries, 2014. http://cdm16002.contentdm.oclc.org/cdm/ref/collection/p245801coll10/id/308770.

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Psychology
Ph.D.
Stay at home fathers are a growing group in American society. However, most research has focused on the quality of care provided by stay at home fathers, rather than the decision making which determines which parent stays home. We sought to investigate this by attempting to put a price tag on maternal care versus paternal care while examining the potential effects of nationality and social support on that price tag. We collected data from 240 participants in the United States and 250 from Norway via online survey. Participants were asked how much a mother needs to earn to allow her husband to stay at home to provide childcare and how much a father needs to earn to allow his wife to stay at home and provide childcare, in addition to items to assess gender roles attitudes. No effect of social support was found, but Norwegians were slightly more likely than Americans to place a heavier earning burden on the husband. There were few differences in gender role attitudes by nationality. The impact of public policy and social desirability on the results are discussed.
Temple University--Theses

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Brown, Margaux Hanes. "An Examination of Executive Function, Stress, and Adolescent Attachment to Caregivers in a Social Neuroscience Model Using the National Institute of Child Health and Human Development (NICHD) Study of Early Child Care and Youth Development (SECCYD)." Thesis, The George Washington University, 2014. http://pqdtopen.proquest.com/#viewpdf?dispub=3610769.

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The goal of this study was to explore the relationship between stress and executive function (EF) in adolescence and to determine the extent to which the adolescent-caregiver attachment moderated the effects of stress on EF. EF are a set of meta-cognitive processes, including planning, that require coordinated neural activation in the prefrontal cortex and a number of other brain regions. Deficits in EF are associated with many mental health disorders. Large-scale, federally funded efforts are ongoing to understand more about EF and the brain.

Current adolescent brain research calls for further investigation of how regions coordinate in task-specific activities (Spear, 2010). The stress, or hypothalamic-pituitary axis (HPA), and attachment systems share underlying neural substrates that overlap with regions activated to perform EF. Adolescence is a sensitive period for changes in EF skills (Blakemore & Choudhury, 2006), the HPA axis (Romeo, 2011), and attachment (Allen, 2008). Therefore, this research was aimed at exploring how stress and attachment predict performance on an EF task in adolescence. Specifically, the researcher examined the extent to which attachment styles moderated the relationship between cortisol, a measure of HPA axis functioning, and performance on the Tower of London (TOL), a test of planning skills. The NICHD Study of Early Child Care and Youth Development (SECCYD) data were used to examine this overarching research question in a social neuroscience model.

While the TOL is one of the most frequently used measures of EF, its scoring methods vary across studies (Etnier & Change, 2009). Study 1 consisted of an exploratory factor analysis with data from 932 youth, and results supported a single factor model that best represented planning skills, which was consistent with the hypothesized structure based on an exploratory study with a small sample of college students (Berg, Byrd, McNamara, & Case, 2010). The factor score was then used as the criterion variable in Study 2, which included three moderated regression models that explored secure, preoccupied, and dismissing attachment styles. Though results suggested that cortisol and attachment were not predictive of planning in this sample, potential explanations for the lack of findings are proposed and recommendations for future research are included.

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Bruce, Molly. "Reactive Attachment Disorder in infants in foster care and associated mental health and cognitive functioning." Thesis, University of Glasgow, 2016. http://theses.gla.ac.uk/7601/.

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Background: Reactive attachment disorder (RAD) has been described as one of the least researched and most poorly understood psychiatric disorders (Chaffin et al., 2006). Despite this, given what is known about maltreatment and attachment, it is likely that RAD has profound consequences for child development. Very little is known about the prevalence and stability of RAD symptoms over time. Until recently it has been difficult to investigate the presence of RAD due to limited measures for informing a diagnosis. However this study utilised a new observational tool Method: A cross sectional study design with a one-year follow-up explored RAD symptoms in maltreated infants in Scotland (n=55, age range= 16-62 months) and associated mental health and cognitive functioning. The study utilised the Rating of Inhibited Attachment Behavior Scale (Corval, et al., unpublished 2014) that has recently been developed by experts in the field along side The Disturbances of Attachment Interview (Smyke & Zeanah, 1999). Children were recruited as part of the BeST trial, whereby all infants who came in to the care of the local authority in Glasgow due to child protection concerns were invited to participate. The study sample was representative of the larger pool of data in terms of age, gender, mental health and cognitive functioning. Results: The sample was found to be representative of the population of maltreated children from which it was derived. Prevalence of RAD was found to be 7.3% (n=3, 95% CI [0.43 – 14.17]) at T1, when children are first placed in to foster care. At T2, following one year in improved care conditions, 4.3% (n=2, 95% CI [below 0 – 10.16]) met a borderline RAD diagnosis. Levels of observed RAD symptoms decreased significantly at T2 in comparison to T1 but carer reported symptoms of RAD did not. Children whose RAD symptoms did not improve were found to be significantly older and showed less prosocial behaviour. RAD was associated with some mental health and cognitive difficulties. Lower Verbal IQ and unexpectedly, prosocial behaviour were found to predict RAD symptoms. Conclusions: The preliminary findings have added to the developing understanding of RAD symptoms and associated difficulties however further exploration of RAD in larger samples would be invaluable.

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Dissertations / Theses on the topic 'Child care consultants Psychology'

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