The delivery to impoverished mothers of a coordinated set of medical and social services, including day-care for their children, had effects that were evident a decade after the intervention ended. Intervention mothers were more likely to be self-supporting, and they had higher educational attainment and smaller family sizes than did control mothers. Intervention children had better school attendance, and boys were less likely to require costly special school services than were corresponding control children. The financial implications of these results were considerable, totaling about $40,000 in extra estimated welfare costs and documented school service costs needed by the 15 control families in the single year in which these follow-up data were gathered. There were no indications that the intervention had lasting effects on the children's IQ scores. The results suggest that family support procedures, including quality day-care, have considerable promise as a general model for intervention programs.
This study is a replication and extension of an earlier study, using a larger sample, a better measure of poverty status, and new longitudinal data. The study used path analysis to test hypothesized models of how the Parents as Teachers (PAT) program affects children's school readiness and subsequent third-grade achievement. Participants were 5,721 kindergarten children who were chosen to be representative of all children beginning public school in the state of Missouri in the fall of 1998-2000. These children were subsequently located in the state's third-grade test database 4-5 years later (82% of the original kindergarten sample). The causal models, which postulated both direct and indirect effects of PAT, were strongly supported by the data. EDITORS' STRATEGIC IMPLICATIONS: The findings add to the evidence that the PAT home visiting program holds promise as a primary prevention program. The authors demonstrate how parenting practices (including reading to children and enrolling them in preschool) promote both school readiness and subsequent academic achievement, but they also remind us of the pervasive effects of poverty.
The delivery to impoverished mothers of a coordinated set of medical and social services, including day-care for their children, had effects that were evident a decade after the intervention ended. Intervention mothers were more likely to be self-supporting, and they had higher educational attainment and smaller family sizes than did control mothers. Intervention children had better school attendance, and boys were less likely to require costly special school services than were corresponding control children. The financial implications of these results were considerable, totaling about $40,000 in extra estimated welfare costs and documented school service costs needed by the 15 control families in the single year in which these follow-up data were gathered. There were no indications that the intervention had lasting effects on the children's IQ scores. The results suggest that family support procedures, including quality day-care, have considerable promise as a general model for intervention programs.
For at-risk teen mothers, this parent support program and school-based child care setting appears to offer promising opportunities to help young mothers with parenting, avoid rapid subsequent pregnancies, and stay engaged with school, while their children are cared for in a close and safe environment.
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