2004
DOI: 10.1002/imhj.20021
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Institution‐based early intervention program

Abstract: This article details an early intervention program in orphanages in St. Petersburg, Russian Federation. The program is based upon the analysis of the orphanage system and statistical data on children, personnel, and their interaction. The results of observations conducted before the intervention showed crucial deficits of the caregiving staff with respect to their stability and consistency, as well as responsiveness and emotional availability. Instead, the caregivers focus attention on medical care, education,… Show more

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Cited by 45 publications
(47 citation statements)
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“…Other children are raised in orphanages from birth. Orphanages vary widely in quality but most fail to provide consistency in caregivers, and do not provide the quality of language stimulation that children receive in family homes (Dennis, 1973;Johnson, 2000;Miller 2005a;Muhamedrahimov, Palmov, Nikiforova, Groark, & McCall, 2004). In addition, depending on the economics and resources of the country, some orphanages fail to provide adequate nutritional or medical care.…”
Section: Preadoption Issuesmentioning
confidence: 97%
“…Other children are raised in orphanages from birth. Orphanages vary widely in quality but most fail to provide consistency in caregivers, and do not provide the quality of language stimulation that children receive in family homes (Dennis, 1973;Johnson, 2000;Miller 2005a;Muhamedrahimov, Palmov, Nikiforova, Groark, & McCall, 2004). In addition, depending on the economics and resources of the country, some orphanages fail to provide adequate nutritional or medical care.…”
Section: Preadoption Issuesmentioning
confidence: 97%
“…According to the results of the quasi-experimental intervention study, the structural characteristics of institutions for infants and young children was shown to be critical for the positive development of children in orphanages. Specifically, the double intervention program was designed to provide structural changes (by assigning two primary caregivers to smaller ageand disability-integrated groups, terminating transitions of children to new wards, and establishing a "Family Hour" for primary caregivers to be with their children), coupled with staff training (emphasizing sensitive and responsive caregiver-child interactions); it showed better developmental outcomes for children as compared with the intervention program implementing staff training only (Muhamedrahimov et al, 2004 , 2011). Those with a substantial history of institutional care (IC) (~1-2 years) display a variety of long-term neurological, physical, cognitive, behavioral, and social-emotional difficulties (Nelson et al, 2011;Rutter et al, 2010).…”
Section: Resultsmentioning
confidence: 99%
“…An initial step in preparing to develop a new service program is to understand the current situation; namely, the nature of the intended participant group and its cultural and social values, political opportunities and constraints, and the history of the problem and previous attempts to remediate it (see Chapter 73 on service panning in general). For example, in the case of an intervention project to improve caregiving in the orphanages of St. Petersburg, Russian Federation (i.e., Groark, Muhamedrahimov, Palmov, Nikiforova, & McCall, 2005;Muhamedrahimov, Palmov, Nikiforova, Groark, & McCall, 2004), this meant understanding 1) how caregiving was currently provided, the rules and regulations governing the orphanage; 2) why various practices exist (e.g., caregivers do not get social-emotionally close to children to avoid the pain of separation later); 3) that caregivers work 24-hour shifts to minimize transportation expenses and to have three days off to be with their own children or work other jobs); and 4) a long tradition of adult-directed teaching.…”
Section: Program Development and Designmentioning
confidence: 99%
“…Building intellectual and skill capacity in the community is essential in sustaining the quality of services. For example, the St. Petersburg (Russia) orphanage project Muhamedrahimov et al, 2004) used a train-the-trainer approach in which a written curriculum was produced and a specialist trained the professionals in each orphanage. Those professionals were available to train new caregivers who replaced those who left and thus keep the level of performance high in the orphanage over time.…”
Section: Sustaining Program Benefitsmentioning
confidence: 99%