Providing medical evaluations for possible child maltreatment to children with special health care needs     

Giardino AP  Hudson KM  Marsh J 《Child abuse & neglect》2003,27(10):1179-1186

OBJECTIVE: Children with special health care needs are known to be at increased risk of all forms of child maltreatment when compared to children without such needs. We describe a health care team's experience providing medical evaluations for suspected child maltreatment to children with special health care needs. METHOD: Consecutive cases seen as outpatients in the Abuse Referral Clinic for Children with Disabilities were abstracted and analyzed. Mail and telephone follow-up contact was attempted after the medical evaluation to determine adherence with treatment recommendations. A subsample of cases for which complete financial information was available was reviewed to determine a reimbursement rate. RESULTS: During the study, 49 children received complete outpatient evaluations. Ages ranged from 3 to 16 years old, and 54% were males. Special needs spanned a wide range of physical, developmental/cognitive and behavioral conditions. The largest number of referrals came from child protective services (42%) followed by referrals from physicians (27%). After the team's comprehensive evaluation, 18% of the children were found to have a history or physical examination that was diagnostic for child maltreatment, 13% were thought to be at high risk, 25% were thought to be at low risk and 44% were thought to have non-abusive etiologies. The collection rate was 14% for an average reimbursement of $38 per case. Only 29 caregivers could be found at follow-up and 22 remembered the recommendations made by the team. Of the 25 cases that were referred for outpatient mental health counseling, 12 (48%) complied. CONCLUSION: Children with a wide range of special health care needs were evaluated in an outpatient special health care needs clinic that offered comprehensive medical evaluations for possible child maltreatment. Medical evaluation services for this group of children were poorly reimbursed. Mental health services were frequently recommended but often not accessed. Child maltreatment teams seeking to serve children with special health care needs will need to plan for service delivery to a potentially diverse group of children and families who may experience difficulty in carrying through on the team's treatment recommendations.  相似文献   

The benefits and challenges of the integrated programme for children with disabilities in mainstream kindergarten-cum-child care centres in the Hong Kong Special Administrative Region: implications for social change     

Yuk Ching Lai  Judith Gill 《Early Years: An International Journal of Research and Development》2019,39(2):132-147

Initially developed from policies implemented under British rule, the integrated programme for children with disabilities has not been widely publicised in the context of early childhood education in the Hong Kong Special Administrative Region (HKSAR). Local communities have responded differently to the integrated programme implemented in mainstream kindergarten-cum-child care centres (Kg-cum-CCCs), which serve children from 2 to 6 years old. This study focuses on the perceived benefits and challenges of the integrated programme implemented in mainstream Kg-cum-CCCs. Thirty stakeholders (18 school personnel and 12 parents of children with and without disabilities) from six integrated Kg-cum-CCCs took part in a series of semi-structured in-depth interviews, providing a comprehensive database for this study. The data were analysed with reference to previous studies on the integrated programme for children with disabilities in the context of the current educational experience in the HKSAR. The findings indicate that the stakeholders believe that the integrated programme can benefit children with and without disabilities, but that it can also cause challenges for these children. Implications for policy and practice are discussed.  相似文献   

Psychological and demographic predictors of undergraduate non-attendance at university lectures and seminars     

Jeremy Oldfield  Judith Rodwell  Laura Curry  Gillian Marks 《Journal of Further & Higher Education》2018,42(4):509-523

Absenteeism from university teaching sessions is increasingly becoming a common phenomenon and remains a major concern to universities. Poor attendance has significant and detrimental effects on students themselves, their peers and teaching staff. There is, however, a lack of previous research investigating demographic and psychological predictors of non-attendance alongside salient reasons students offer for their absence; it is this ‘gap’ that the present study attempts to fill. We approached 618 undergraduate university students from a single UK university studying various courses to complete a bespoke questionnaire assessing their estimated percentage attendance at lectures and seminars over the academic year. Students answered demographic questions, completed psychometric tests of perceived confidence (Perceived Confidence for Learning) and university belongingness (Psychological Sense of School Membership), and rated the degree to which possible reasons for non-attendance applied to themselves. Multiple regression analyses were carried out separately for estimated attendance at lectures and seminars. Results demonstrated that significant predictors of poorer attendance for both scenarios were experiencing a lower sense of belongingness to university; working more hours in paid employment; having more social life commitments; facing coursework deadlines; and experiencing mental health issues. Improving a sense of belonging to university and targeting interventions at students working in paid employment may be effective means of increasing attendance. Providing support for students with mental health issues, structuring courses around coursework deadlines and helping students to organise their attendance around social activities could also be advantageous.  相似文献   

Psychological symptoms in sexually abused girls   总被引：2，自引：0，他引：2  

Judith A. Cohen M.D.  Anthony P. Mannarino Ph.D. 《Child abuse & neglect》1988,12(4):571-577

This study examined psychological symptoms exhibited by children who had recently been sexually abused. Twenty-four girls aged 6 to 12 years old were evaluated within six months of being abused using a variety of standardized child psychiatric instruments. Results showed a marked discrepancy between child and parent reports of symptoms. The abused children did not exhibit significant depressive, anxiety, or low self-esteem symptoms by self-report; however, their parents rated them as having significantly more behavioral problems than a normative sample but as somewhat less pathological than a clinical sample. The implications of these findings in relation to our current understanding of the psychological problems manifested by sexually abused children and for future research are discussed.  相似文献   

Emotional and behavioral characteristics over a six-year period in youths with persistent and nonpersistent dyscalculia     

Auerbach JG  Gross-Tsur V  Manor O  Shalev RS 《Journal of learning disabilities》2008,41(3):263-273

The authors examined behavior problems in a matched sample of 58 youths with persistent dyscalculia (PD) and nonpersistent dyscalculia (NPD). Participants were classified as having dyscalculia at age 10-11 years. Parents completed the Child Behavior Checklist for their children at ages 10-11, 13-14, and 16-17 years, while the youths did so at the last two age periods. Only at age 16-17 years were there significantly more problems, particularly attention problems and externalizing problems, reported by parents for PD youths compared to NPD youths. A higher percentage in the PD group than in the NPD group received scores in the clinical range for externalizing problems. However, the mean levels of behavior problems at this age and the earlier ages were within the normal range for both groups. For youth-reported problems, the only significant difference was for attention problems at 16-17 years. Therapeutic interventions should focus on the academic domain and improving and altering behavioral patterns.  相似文献   

Lessons learned from a decade implementing Comprehensive Sexuality Education in resource poor settings: The World Starts With Me     

Ine Vanwesenbeeck  Judith Westeneng  Thilly de Boer  Jo Reinders  Ruth van Zorge 《Sex education》2016,16(5):471-486

Today, more than half of the world population is under the age of 25 years and one in four is under age 18. The urgency of expanding access to Comprehensive Sexuality Education (CSE) notably for children and young people in Africa and Asia is greater than ever before. However, many challenges to the implementation and delivery of CSE in resource poor settings have been identified in the literature. CSE’s effectiveness could be strongly improved if these challenges were better met. This paper aims to contribute to those much-needed improvements by sharing lessons learned from a decade of implementation of one particular CSE programme, The World Starts With Me, among various populations in 11 low income countries in Africa and Asia. The aims, content, reach and effectiveness of the programme are described. Next, the challenges for implementation and delivery at student, teacher, school and context level are discussed with reference to the wider knowledge base in this area. Finally, suggestions are provided for ways forward including the increased sensitivity of programmes for normative and practical barriers to sexual health, further advancement towards gender transformativity, a far-reaching expansion of comprehensive forms of teacher training and coaching, and a serious stepping-up of multilevel ‘whole school’ approaches.  相似文献   

Landscapes of Consciousness: Reading Theory of Mind in <Emphasis Type="Italic">Dear Juno</Emphasis> and <Emphasis Type="Italic">Chato and the Party Animals</Emphasis>     

Zaira R. Arvelo Alicea  Judith T. Lysaker 《Children‘s Literature in Education》2017,48(3):262-275

Picturebooks aid children’s developing social understanding because they are dialogic, relational contexts where child readers have opportunities to engage vicariously with a wide range of imagined others. We use research by literacy and literature scholars, including our own past work, to showcase a series of visual and linguistic elements in picturebooks that invite readers to co-create characters’ consciousness via social imagination, the equivalent to a Theory of Mind in the world of story. We ground these relational and dialogical invitations by presenting an analysis of these elements in the picturebooks (in: Pak, Dear Juno, Puffin Books, New York, 1999; in: Soto, Chato and the Party Animals, Puffin Books, New York, 2004).  相似文献   

How student teaching in an urban setting affects teacher candidates' career motivations     

Alicia Pagano  Lois Weiner  Roselynn Obi  Judith Swearingen 《The Urban Review》1995,27(1):51-76

This is a qualitative study to determine changes in the motivation of senior student teachers to teach (at the elementary, early childhood, and secondary levels) in an urban setting during the student teaching internship in an urban public school. Emerging themes include roles of classroom teachers, discouragement from tenured teachers, school bureaucracy, views of students, relationships with cooperating teachers, candidates' views about subject matter, and their views about themselves. The findings indicate that motivation to teach changed during student teaching. This cohorts' experiences strengthened their confidence and commitment to teach in culturally diverse urban public schools rather than discouraging them. This research supports a contextual approach to understanding motivation and challenges educators to reflect on several issues of preservice training as well as collaboration with teacher practitioners. With a knowledge of what attracts teachers to the occupation and an understanding of how that attraction is influenced by field experiences in urban schools, programs which prepare teachers may be better able to educate teachers who want to teach in urban schools and can perform successfully in that setting.  相似文献   

Secondary school pupils' satisfaction with their ability grouping placements     

Susan Hallam  Judith Ireson 《British Educational Research Journal》2007,33(1):27-45

There has been little research exploring pupils' satisfaction with their ability group placement. This article explores the extent to which pupils are happy with their placement, and the reasons they give for wanting to move to another class or set. The sample comprised over 5000 Year 9 pupils (aged 13–14 years) in 45 mixed secondary comprehensive schools in England. The schools represented three levels of ability grouping in the lower school (Years 7 to 9). Pupils responded to a questionnaire which explored their current set placement, their satisfaction with it, and their reasons for wanting to change. A substantial proportion of pupils expressed a wish to change set, most, but not all, in an upward direction, mainly because the level of work was inappropriate. The implications for ability grouping practices in schools are discussed.  相似文献   

Instructor influence on reasoned argument in discussion boards     

Sue Gerber  Logan Scott  Douglas H. Clements  Julie Sarama 《Educational technology research and development : ETR & D》2005,53(2):25-39

In this study, we explore the extent to which two instructional techniques promote critical discourse in an online class on educational standards and curriculum: instructor stance (challenging/nonchallenging) and topic level (higher order/lower order). Posts from 25 students, across four modules, were analyzed. These four modules constituted approximately one third of the course, and were selected because the professor was the sole facilitator for them. Results indicate that, regardless of topic level, a challenging stance by the professor had a positive effect on the percentage of student posts that referenced readings and theory. There was an interaction between level and stance on student use of reasoned argument. Lower order challenging forums were associated with a greater percentage of reasoned posts. This may be due to the abstractness of the professor's probes in higher order forums. Implications for future research include empirical investigations incorporating contextual variables and qualitative studies to ascertain how students engage with bulletin boards.  相似文献