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PubMed2005

The mental health of looked after children: matching response to need.

Previous research has established high rates of mental health need in looked after children. The study described in this paper aimed to explore in more depth the mental health problems of looked after children and to examine the service response to those needs in two English local authorities. The study utilised a purposive sample of 80 looked after children which was biased towards those with high needs but which reflected the characteristics of looked after children in the two areas with regard to age, gender and type of placement. Key data on children and young people were collected from social services' case files and a set of indicators of mental health need was designed by the research team in order to distinguish different types and levels of mental health problems. High levels of mental health need in the study group were associated with placement disruption. Educational difficulties were also apparent in the group with the highest levels of mental health need. Longer-term input from child and adolescent mental health services (CAMHS) professionals did not appear to be targeted on the group with the highest level of mental health needs. The researchers conclude that longer-term CAMHS interventions could be usefully focused on looked after children who have experienced high levels of placement disruption. As the professional group most likely to be providing substantial intervention to looked after children and their carers, social workers require relevant training in identifying and responding to mental health needs. CAMHS professionals could develop and strengthen their consultative roles with front-line carers, social workers and schools.

Adolescent↗
PubMedDate not supplied

Training needs of staff in Romanian institutions for young children.

In order to make adequate provision for staffing and staff training in leagane (long-term residential care institutions for preschool age children in Romania) a postal survey was conducted in the autumn of 1991 to ascertain the demographic characteristics, job titles and educational attainment of directors and staff, staffing needs and the kinds of positions currently filled, the numbers of directors and staff exposed to continuing education programmes within the last 2 years, and the opinions of directors and staff regarding their most important continuing educational needs. The bulk of the direct care workforce was less than 50 years old. Thirty-four per cent of the direct care staff had less than a high-school education. Sixty-seven per cent of the staff were health professionals or health care workers. There were few psychologists, physical therapists, teachers or social workers. In the last 2 years, directors and other physicians had been mostly exposed to courses in the areas of psycho-social care/management and paediatric medical care. Nurses had attended professional development courses. Infirmiera (nursing assistants) had also attended professional development courses such as those offered by foreign non-governmental organizations on the care of institutionalized children. Educators (teaching assistants) had attended courses in child development and rehabilitation. Directors and staff expressed clear opinions regarding their needs and preferences for additional training.

Adolescent↗
PubMed1978

[One chronobiological aspect of sterotyped behaviour (author's transl)].

The stereotyped behaviours of six institutionalized handicapped children were continuously observed during several days. Each child showed at least two forms of stereotyped behaviour. Using spectra of variance and cross-correlation analysis, the data were analysed with respect to underlying periodicities. A 2.5-hour cycle was found in all observed stereotypies. Furthermore, stable phase relationships were found between the periodic variations of different stereotypies in one and the same child. The temporal courses of hand and oral stereotypies were synchronous but head and whole-body stereotypies were delayed by half a phase with respect to sterotypic handwaving. A possible relationship is discussed between the 2.5-hour periodicity of stereotyped behaviour and Kleitman's "Basic Rest Activity Cycle."

Aggression↗
PubMed1996

[The physical capacity of Bulgarian boys from homes for children and youth].

The educational effects and living conditions' impact on the physical activity of boys with unequal social status have been investigated. Children from under school age to secondary school age, living in different towns and regions of the country have been studied. The indicators used for physical activity are 60 meters sprint, long jump, right and left hand small ball throw. A comprehensive analysis of the studied indicators is made. It has been found out that the boys from the asylums aged from 3 to 6 years living in town have significantly poorer results in the sprint events compared to the mean standards for the age.

Adolescent↗