Abstract:Risk factors during preschool years, such as poverty and unattended social/emotional problems, are known to have a strong negative influence on children's later functioning. This study aimed to investigate the effectiveness of an on-site integrated school-based mental health services and consultation program for preschool children and their families. The sample consisted of 47 children and parents in 3 childcare centers who came from low-socioeconomic, urban backgrounds. Parents provided questionnaire data on … Show more
“…This study demonstrated that two different group interventions implemented in an urban middle-school setting were successful in improving students' attachment security and reducing trauma symptoms in typically developing young adolescents from ethnically and socioeconomically minoritized backgrounds. Students benefit from school-based group intervention [68,69], but few studies have addressed the effectiveness of psychodynamically oriented school-based group interventions. The two interventions offer two different strategies for resolving trauma symptoms.…”
Symptoms resulting from childhood trauma can negatively impact socioemotional well-being and school performance during early adolescence unless positive changes in attachment security and mental representations of significant relationships occur. A sample of 109 eighth grade urban students were randomly assigned to one of two weekly, one-hour, school-based group interventions—Storytelling/Story-Acting for Adolescents (STSA-A) or Mentalization-Based Treatment Group Intervention (MBT-G). The Object Relations Inventory (ORI), Adolescent Attachment Questionnaire (AAQ) and Child PSTD Stress Scale (CPSS) were administered to students and their primary group leaders at the beginning (October) and end (May) of the intervention protocol as outcome variables. Participants in both the STSA-A and MBT-G intervention conditions experienced significant increases in attachment security and decreases in trauma symptoms. Over the course of eight months of group intervention, affective valence of paternal mental representations significantly decreased for boys and for participants in the STSA-A condition, while affective valence of primary group leader mental representations significantly decreased for participants in the MBT-G condition. STSA-A and MBT-G were found to be efficacious at improving attachment security and reducing trauma symptoms in young adolescents. The strengths of each group intervention for addressing interpersonal issues unique to specific types of adolescents are discussed.
“…This study demonstrated that two different group interventions implemented in an urban middle-school setting were successful in improving students' attachment security and reducing trauma symptoms in typically developing young adolescents from ethnically and socioeconomically minoritized backgrounds. Students benefit from school-based group intervention [68,69], but few studies have addressed the effectiveness of psychodynamically oriented school-based group interventions. The two interventions offer two different strategies for resolving trauma symptoms.…”
Symptoms resulting from childhood trauma can negatively impact socioemotional well-being and school performance during early adolescence unless positive changes in attachment security and mental representations of significant relationships occur. A sample of 109 eighth grade urban students were randomly assigned to one of two weekly, one-hour, school-based group interventions—Storytelling/Story-Acting for Adolescents (STSA-A) or Mentalization-Based Treatment Group Intervention (MBT-G). The Object Relations Inventory (ORI), Adolescent Attachment Questionnaire (AAQ) and Child PSTD Stress Scale (CPSS) were administered to students and their primary group leaders at the beginning (October) and end (May) of the intervention protocol as outcome variables. Participants in both the STSA-A and MBT-G intervention conditions experienced significant increases in attachment security and decreases in trauma symptoms. Over the course of eight months of group intervention, affective valence of paternal mental representations significantly decreased for boys and for participants in the STSA-A condition, while affective valence of primary group leader mental representations significantly decreased for participants in the MBT-G condition. STSA-A and MBT-G were found to be efficacious at improving attachment security and reducing trauma symptoms in young adolescents. The strengths of each group intervention for addressing interpersonal issues unique to specific types of adolescents are discussed.
“…While the majority of programs involved the parents as participants, the Responsive Early Childhood Curriculum, the Relationships for Growth and Learning Program and Early Head Start focused mainly on children ( Love et al, 2005 ; Landry et al, 2014 ; Bekar et al, 2017 ). These programs were targeted for toddlers at risk, due to individual or environmental risk factors.…”
Section: Discussionmentioning
confidence: 99%
“…These programs were targeted for toddlers at risk, due to individual or environmental risk factors. Relationships for Growth and Learning used principles of play psychotherapy and was successful in that it enabled at-risk toddlers to catch-up to their peers in behavioral functioning ( Bekar et al, 2017 ). Early Head Start has been studied extensively with 3,000 families, with the research finding that it has positive impacts on children’s cognitive, behavioral, social and emotional functioning ( Love et al, 2005 ).…”
Section: Discussionmentioning
confidence: 99%
“…The Relationships for Growth and Learning Program is designed to target preschool children who are at risk for developing mental health problems ( Bekar et al, 2017 ). The program uses peer play psychotherapy and other mental health services.…”
Section: Existing Early Life Interventions For Childrenmentioning
The period of infancy and early childhood is a critical time for interventions to prevent future mental health problems. The first signs of mental health difficulties can be manifest in infancy, emphasizing the importance of understanding and identifying both protective and risk factors in pregnancy and the early postnatal period. Parents are at a higher risk of developing mental health problems during the perinatal period. An understanding of the evidence around prevention and intervention for parental anxiety and depression is vital to the process of prevention of early mental health disorders in infants and young children. Here we review the existing prevention and treatment interventions in the early years focusing on the period from conception to 3 years – the majority targeting parents in order to improve their mental health, and that of their infants. Elements of successful programs for parents include psychoeducation and practical skills training, as well as work on the co-parenting relationship, developing secure attachment, and enhancing parental reflective functioning. While both targeted and universal programs have produced strong effect sizes, universal programs have the added benefit of reaching people who may otherwise not have sought treatment. In synthesizing this information, our goal is to inform the development of integrated models for prevention and novel early intervention programs as early in life as possible.
“…A facilitated family-centered model, such as EPIIC playgroups, provide these participatory opportunities for families not only to strengthen existing practices, decisions, and choices, but to learn new skills that directly relate to improving their child’s speech and language outcomes. Playgroup models have been used in a variety of contexts to support young children’s social-emotional skills (Kim et al, 2003; McCollum and Yates, 1994; McCollum et al, 2001), provide emotional support and social networks for refugee families (Jackson, 2006), and improve adaptive and behavioral skills of preschool children (Bekar et al, 2016). The EPIIC playgroups may provide benefits to children’s language skills while also providing the opportunity for parents to learn from one another and build a support network.…”
Family-centered practices that build caregiver capacity are a central focus of early intervention services for young children with disabilities. The purpose of this study was to evaluate the feasibility of adapting the 'Parents Interacting with Infants' (PIWI) facilitated playgroup model to target effective communication strategies for parents of young children with communication delays. A concurrent multiple baseline across behaviors design with three parent-child dyads was used to determine the effects of the weekly facilitated playgroup model on parents' successful implementation of communicative strategies and the effects on the children's communication behaviors. Visual analysis revealed a functional relationship between the seven-week intervention and an increase in parent and child outcomes. Results support the feasibility of using a facilitated playgroup model to enhance parents' ability to implement effective communication strategies with their children. Clinical implications and future directions for research are discussed.
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