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Family Voices Updates Booklet on Partnerships, Families, and Title V
Getting to Know Title V provides families with information about maternal and child health (MCH) services funded under Title V of the Social Security Act. The booklet, published by Family Voices with support from the Health Resources and Services Administration's Maternal and Child Health Bureau, presents brief facts about Title V administration, background, and history. Additional topics include the Title V federal-state partnership, appropriations and requirements, MCH populations, family-centered care and family involvement, block grant and performance measures, needs assessment, accountability, and the Title V Information System. The booklet is available at https://org2.democracyinaction.org/o/6739/images/Getting_to_Know_Title_V_reduced.pdf
Resources Focus on Antipsychotics for Children and Adolescents
Antipsychotic Medicines for Children and Teens: A Review of the Research for Parents and Caregivers discusses antipsychotic medicines to treat psychiatric conditions in children. It explains what medical research says about the benefits and possible side effects of these medicines when taken by children. The information in the summary comes from the report First- and Second-Generation Antipsychotics for Children and Young Adults published by the Agency for Healthcare Research and Quality (AHRQ) in February 2012, which is based on a review of 81 studies published between January 1987 and February 2011 on antipsychotic medicines in children. The consumer summary is available at http://www.effectivehealthcare.ahrq.gov/ehc/products/147/1146/anti_psych_ped_cons_fin_to_post.pdf
AHRQ has also produced a clinician summary, a continuing-medical-education activity, and a slide talk based on the report. These materials, as well as the full report executive summary from the research review, are available at http://www.effectivehealthcare.ahrq.gov/search-for-guides-reviews-and-reports/?pageaction=displayproduct&productID=1147
Fact Sheets Examine Lessons from Experimental Evaluations of Programs and Interventions
Child Trends has released two fact sheets, one focused on female children and adolescents and one focused on male children and adolescents, that examine programs and strategies that work (or don't work) for each gender. The fact sheets synthesize findings from rigorously evaluated programs drawn from Child Trends' online database of experimentally evaluated, out-of-school time social interventions called LINKS (Lifecourse Interventions to Nurture Kids Successfully). The fact sheets present findings from the programs in the following categories: found to work, mixed findings, and not found to work. Topics include academic achievement, delinquency, externalizing or acting out behaviors, mental health or internalizing (depression) outcomes, physical health and nutrition, reproductive health and sexuality, self-sufficiency, and substance use. A discussion of the findings is also included. The fact sheets are available as follows:
* What Works for Female Children and Adolescents is available at http://www.childtrends.org/Files//Child_Trends-2012_08_20_WW_FemaleChildrenAdol.pdf
* What Works for Male Children and Adolescents is available at http://www.childtrends.org/Files//Child_Trends-2012_08_20_WW_MaleChildrenAdol.pdf
The 2012 National Strategy for Suicide Prevention: Goals and Objectives for Action sets forth a national agenda to guide suicide-prevention activities in the United States over the next decade. The document is based on an assessment of progress made to date and challenges identified since the U.S. Surgeon General issued the first National Strategy for Suicide Prevention in 2001. The strategy-revision process was initiated and overseen by a task force of the National Action Alliance for Suicide Prevention, co-led by the Surgeon General and the director of the Suicide Prevention Resource Center. The strategy includes 13 goals and 60 objectives that have been updated to reflect advances in suicide-prevention knowledge, research, and practice, as well as broader changes in society and health care delivery that have created new opportunities for suicide prevention. Topics include healthy and empowered individuals, families, and communities; clinical and community preventive services; treatment and support services; and surveillance, research, and evaluation. The appendices contain a summary list, a crosswalk of goals and objectives from 2001 to 2012, a brief history of suicide prevention in the United States, a list of groups with increased suicide risk, and general suicide prevention resources, a glossary, and federal working group agency descriptions. The document is available at
http://www.surgeongeneral.gov/library/reports/national-strategy-suicide-prevention/full-report.pdf
Article Assesses Relationship Between Early Maternal Factors and Dental Caries in Adolescents
"This study identifies early intrinsic ability of the mother as an important predictor of subsequent caries experience, but the psychosocial factors had a limited role in this pathway," write the authors of an article published in the September 2012 issue of the Journal of Dental Research. It is difficult to understand the complex pathways through which psychosocial and behavioral factors act as mediators for oral health. The authors of the article propose a model including four stages in the following hypothesized causal order: (1) maternal enabling factors (antecedent), (2) maternal psychosocial factors (mediator), (3) adolescent dental behavior and access (mediator), and (4) dental caries experience (outcome). They investigate whether early (child ages 3 and 8) and concurrent (adolescent age 14) maternal enabling and psychosocial factors are associated with adolescent caries experience.
The sample was recruited from a cohort of children participating in a longitudinal study evaluating the effects of very low birthweight on neurodevelopment. The original cohort consisted of 321 participants consecutively recruited from three hospitals in a four-county region. The cohort was followed from birth until age 14, with an 84 percent participation rate at age14. Among this cohort, 246 participated in the dental study, but further exclusions resulted in a final sample of 224. Existing prior demographic, medical, and psychosocial assessments (at ages 3 and 8) along with concurrent assessments (at age 14) were used to study dental outcomes at age 14. Measures included demographics and medical assessments; maternal enabling factors (MEF; education, cognitive abilities, and psychological distress); maternal psychosocial factors (stress, coping, and social support); dental behaviors (fluoride treatment and consumption of sugary drinks as measured by parent questionnaire administered at age 14); access (health insurance and frequency of dental visits); and dental outcomes (clinical assessment of plaque accumulation and the number of dental sealants on permanent molars).
The authors found that
The authors conclude that "more longitudinal research is necessary to assess if these maternal enabling factors have an effect on caries from an early age." They continue, "also, research is needed into the best ways to support parents with poor enabling factors to address oral health issues for their child."
Nelson S, Lee W, Albert JM, et al. 2012. Early maternal psychosocial factors are predictors for adolescent caries. Journal of Dental Research 91(9):859-864. Abstract available at http://jdr.sagepub.com/content/91/9/859
Readers: More information is available from the following MCH Library resource:
- Oral Health for Infants, Children, Adolescents, and Pregnant Women: Knowledge Path at
http://www.mchoralhealth.org/knwpathoralhealth.html
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