The experience of providing INFANT and EARLY CHILDHOOD MENTAL HEALTH consultation, from the perspective of providers on the Kitsap and Olympic peninsulas of Washington State
Monday, December 27, 2010
On Infant and Toddler Mental Health: Convenient, affordable and relevant continuing education delivered via CD-ROM
Friday, December 24, 2010
On the Effectiveness of PCIT for Families of Children on the Autism Spectrum: The role of shared positive affect
J Autism Dev Disord. 2008 Oct;38(9):1767-76. Epub 2008 Apr 10.Solomon M, Ono M, Timmer S, Goodlin-Jones B.marjorie.solomon@ucdmc.ucdavis.edu
Department of Psychiatry & Behavioral Sciences, University of California, Davis, 2825 50th Street, Sacramento, CA 95817, USA.
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We report the results of a pilot trial of an evidence-based treatment-Parent-Child Interaction Therapy (PCIT; Eyberg et al. Psychopharmacology Bulletin, 31(1), 83-91, 1995) for boys aged 5-12 with high functioning autism spectrum disorders and clinically significant behavioral problems. The study also included an investigation of the role of shared positive affect during the course of therapy on child and parent outcomes. The intervention group showed reductions in parent perceptions of child problem behaviors and child atypicality, as well as an increase in child adaptability. Shared positive affect in parent child dyads and parent positive affect increased between the initial and final phases of the therapy. Parent positive affect after the first phase was related to perceptions of improvement in problem behaviors and adaptive functioning.PMID: 18401693 [PubMed - indexed for MEDLINE]
Sunday, December 19, 2010
On the Incredible Years Parenting Program: Implementation in ECE, primary care settings, and informal child care
Building a Continuum of Early Childhood Social Emotional Programs, Services & Supports in Adams CountyAccomplishments & Outcomes. Our community has experienced great benefit from integrating social emotional work into the early learning and health domains, and was surprised to realize the importance of considering the multiple ways in which early childhood settings – and the variety of their approaches to promoting social emotional growth and development – can satisfy the goals laid out in the Early Childhood Colorado Framework. This resulted in better clarity of purpose at the community level, as well as opportunities to maximize local resources without compromising the unique nature of the many different types of early childhood service providers, including ECE, primary care settings, informal child care and others.
- 100% implementation of the Incredible Years in all Colorado Preschool Program and Head Start classrooms in the county – 2,600 children.
- Implementation of the Incredible Years in 25 Kindergarten classrooms in three districts.
- Six cohorts of the 14-week Incredible Years Parenting Series annually.
- A combination of CSEFEL training and Early Childhood Mental Health Consultation in all child care centers and family child care homes who, for infrastructure reasons, cannot implement the Incredible Years.
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Tuesday, December 14, 2010
On We're Meeting in December: Can't wait until 2011
Friday, December 10, 2010
On Parent Child Interaction Therapy as Effective for Post Traumatic Stress: Reduces child anxiety
..when the parent-child relationship is enhanced and is less coercive/violent/rejecting, children's anxiety goes down (and remember, PTS [Post Traumatic Stress] is a type of anxiety) as well as their behavior improves. This suggests that when externalizing behavior problems, violence and/or serious parent/child relationship problems are present even though the child has clinical PTS, try triaging to start with PCIT [Parent Child Interaction Therapy] or AF-CBT [Alternatives for Families Cognitive-Behavioral Therapy] since this interventions will address more than just the PTS sx. If the child still has PTS after PCIT or AF-CBT, then TF [Trauma-Focused Cogntive Behavior Therapy] may be warranted.
A prescription for treatment from Lucy Berliner at Harborview, based on research from the University of California at Davis. -gw
On Heal Thyself, Washington: Evidence-based help at heal-wa.org
Information about setting up your UW NetID and passwordSome resources on HEAL-WA (indicated by a lock) are governed by license agreements that limit by whom these resources can be used.
Access to these resources is provided via a UW NetID and password, and is limited to members of the following groups of health care professionals who are licensed to practice in Washington State: Chiropractors, East Asian Medicine Practitioners, Massage Therapists, Mental Health Counselors, Naturopathic Physicians, Optometrists, Osteopathic Physicians and Osteopathic Physician Assistants, Physicians and Physician Assistants, Podiatrists, Psychologists, Registered Nurses, and Social Workers. ARNPs - your eligibility is through your RN license.
Monday, December 6, 2010
On U of W Website Calls Attention to the Power of Videotaping Homevisits: A vehicle for self-reflection
One technique the infant mental health specialists learn is to videotape mothers and babies during home visits and review the playback side-by-side with the parent. They comment on positive moments and wonder with the parent about other moments that may not be going so well. What was going on when the infant grimaced and gurgled? When he was reaching for mom? Did she know he wanted her – only her, no one else in the room? “We ask questions about what’s going on, so parents can come to their own conclusions,” says Spieker. “It’s not, ‘Here’s what you did wrong’ or ‘Here’s what you should do.’ It’s a vehicle for self-reflection.”
The goal is to reframe parents’ ideas about child-rearing. “We help parents reflect on a baby’s needs, cues, and symbols, to help them see that: ‘This baby is in distress. He’s a little helpless baby and he really needs me. And this is how he lets me know,’ ” says Spieker.
Decades of research into infant attachment consistently show that babies thrive mentally, socially and emotionally in direct relation to a parent’s responsiveness and sensitivity. Low levels of parental sensitivity -- in particular lack of comfort for infants in distress -- are linked to insecurity and aggression in school-age children. Long-range studies suggest those aggressive tendencies can impact social functioning, academic achievement, and relationships with teachers and friends