Monday, February 17, 2014

Should Children be Expelled from Child Care Programs

In my place of work I have been dealing with Management about their desire to expel children from our center.  I realize that there are children with some challenging behaviors. However, management desire is to expel children who bite, toddlers who hit and scratch other children who has toys they want and all this to please parents who are upset that their child is getting bit.  Early Care Educators report that assistance with children's challenging behaviors is a great need.  Often this is because they have "little training in behavior management or ways to promote social and emotional competence"  (Perry, Holland, Darling-Kuria & Nadiv, 2011).  Many early care programs are using mental health consultants in their programs to help provide the needed assistance.  Currently at my job we have contracted mental health specialists that are with us for a six month rotation.  One aspect of there job is to assist teachers in the classroom who are dealing with challenging behaviors.  However, most come with no experience working with young children.  We are suppose to have a Behavioral Health Specialist on staff, but because of budget cuts we have not been able to hire in that position. The challenge for me has been dealing with staff who are not able to recognize the difference between normal child development and possible emotional and/or behavioral problems.

So the question is should children be expelled from child care programs who exhibit challenging behaviors?
If so, under what circumstances? 

References

Perry, D.F., Holland, C., Darling-Kuria, N., & Nadiv, S., (2011).  Challenging behavior and expulsion from child care: The role of mental health consultation, Zero to Three. 

Monday, February 10, 2014

Post Traumatic Stress Disorder and Mental Health Care for Young Children

Post Traumatic Stress Disorder (PTSD) and Mental Health care for young children are two contemporary issues facing Early Care Educators today. The early years of children are critical in brain development. Both of these issues affect a child’s brain development. During the first five years of a child’s life their stress response system, affect regulation strategies and basic relationship schemas are forming (Ippen, Harris, Van Horn & Lieberman, 2011). If children are experiencing trauma during these years this could create an adverse effect on the mental health of children.

According to a Zero to Three, task force, they define infant mental health as;

the capacity of children from birth to age three to experience, regulate, and express emotions; form close, secure interpersonal relationships; and explore the environment and learn, all in the context of family, community and cultural expectations for young children. Infant mental health is synonymous with healthy social – emotional development (American Psychologist, p.130).

From the above definition it is clear that young children need to have early experiences of love, care and nurturing. Children depend on primary caregivers for this experience. Unfortunately many children do not receive this kind of care. The U.S. Department of Health and Services documented that about 56% of victims of maltreatment are children under the age of seven. And, 50% of preschool children suffering from PTSD “do not experience natural recovery and retain the diagnosis for at least 2 years” (Clinical Child and Family Psychology Review, p. 2). These statistics support a need for appropriate mental health services.

This is important to the field because research shows that mental health consultation supports the improvement of over-all job related stress, overall quality of early care and a reduction in staff turn-over (Perry & Linas, 2012). When young children experience trauma they need to receive supportive services just as adults. One intervention program that has proven effective is the Child-Parent Psychotherapy (CPP). This is a scientific proven method of therapy between a child and his/her parent. The focus is on “parent-child relationship as the vehicle for child improvement” (Ippen et al, 2011, p. 504). The parent’s goal is to develop the capacity to provide safety and developmentally appropriate care giving to the child. It would appear that at an early stage in the child’s life the caregiver- child bond is be repaired. Although CPP has met success further research of mental health interventions need to be conducted.

References

De Young, A.C., & Kenardy, J.A., (2011). Trauma in early childhood: A neglected population. Clinical Child and Family Psychology Review, 1-20. doi: 10.1007/s10567-011-0094-3

Ippen,C., Harris, W., Van Horn, P., & Lieberman, A., (2011). Traumatic and stressful events in early childhood: Can treatment help those at highest risk? Child Abuse & Neglect, 35, 504-513.

Nelson, F., & Mann, T., (2011). Opportunities in public policy to support infant and early childhood mental health. American Psychologist, 66(2), 129-139.  doi: 10.1037/a0021314

Perry, D.E., & Linas, K., (2012). Building the evidence for early childhood mental health consultation: Where we’ve been, where we are, and where we are going. Infant Mental Health Journal, 33(3), 223-225.

Monday, February 3, 2014