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The stress and related factors in foster care
IACAPAP 2012 – 20th World congress / Neuropsychiatrie de l’enfance et de l’adolescence 60S (2012) S254–S309 Conclusion.– The results have clearly indicated an improvement in each child in the group in the area of their social relationships and self-expression by using ABT tools. ABT has been proved to be a successful technique to work with children with deprived background. http://dx.doi.org/10.1016/j.neurenf.2012.04.758 We-P-3115
Interpersonal trauma and the correlation with attachment difficulties and psychopathology among children in foster care
M. Schröder ∗ , T. Perez , M. Schmid Section Research, Department of Childhood and Adolescent Psychiatry (KJPK), Basel, Switzerland ∗ Corresponding author.
Foster children often have experienced early traumatization and various psychosocial and biological risk factors. Especially the high prevalence of reactive attachment disorders in foster children is often described as a consequence of stressful relationship experiences in their families of origin. Traumatic experiences were assessed with the Essener Trauma Inventory for Children (ETIKJ-F) as part of an epidemiological survey. In additional, the German versions of the Relationship Problems Questionnaire (RPQ) and the Child Behavior Checklist (CBCL) were used. Data from 275 foster children aged 5 to 16 years were analyzed (M = 10.98 years; SD = 3.26); 69% of the foster children had experienced a relational traumatic event. When subjects were grouped based on the experience of a relational trauma, showed significant mean differences were found concerning the extent of relationship problems and psychopathological symptoms according to the CBCL (controlled for gender, age, duration of foster relationship, and number of placement changes). The two groups differed especially in terms of inhibited attachment and internalizing symptoms. The number of placement changes influenced these variables as well. The high prevalence of trauma in foster children and the high association with relationship problems and psychopathology indicate how important a “trauma-sensitive” agenda for support and corresponding counselling and training of the foster parents are. http://dx.doi.org/10.1016/j.neurenf.2012.04.759 We-P-3116
Changes of behavioral problems of children at a children’s home in Japan, accompanied by the downsizing K. Tanaka a,∗ , T. Mandai b , N. Iwamoto c , Y. Matsui a , S. Kitayama d , E. Honaga e , A. Tamaoka a , A. Hishimoto a a Psychiatry, Kobe Graduate School of Medicine, Kobe, Japan b Pediatrics, Kobe University Hospital, Kobe, Japan c Psychiatry, Kobe University Hospital, Kobe, Japan d Pediatrics, Kobe Graduate School of Medicine, Kobe, Japan e Child and Adolescent Psychiatry, Osaka City General Hospital, Osaka, Japan ∗ Corresponding author. In Japan, many of abused and orphaned children are settled at Children’s homes (Jidou-yougo-shisetsu) for custody and care. These homes are running on the residential and collective care, and embrace a large number of children. And psychologically traumatized children are treated by psychologist in the home or refer to psychiatrists. But treatment is not always effective; we suppose that the reasons arise from not only severity of trauma but absence of static rearer. And we think that downsizing the large-sized unit into small units is important for establishment of secure relationship with rearer and children. In a certain home, a large-sized residential unit was reorganized into small-sized units. In this process, we have observed and evaluated the changes of behavioral problems and attachment by CBCL and other scales. We found the scores of behavioral problems are not improved, it may attribute to the betterment of rearer’s powers of observation through the closer relationship with rearer and children. http://dx.doi.org/10.1016/j.neurenf.2012.04.760 We-P-3117
The stress and related factors in foster care
S279
C. Chen Department of Child and Adolescent Psychiatry, Taoyuan Mental Hospital, Taoyuan City, Taiwan Purpose.– To investigate the current status, the difficulties and psychiatric care requirements of foster care in Taiwan. Method.– We note that 260 foster care children were recruited to fill in the questionnaire for the investigation of the current status including the difficulties and challenge and the psychiatric care requirements during March 2009 to May 2010. Ten invalid questionnaires were abandoned. SPSS analysis was performed and further discussion was made. Result.– More younger child were displaced in foster family than institution, However, caregivers at institution are younger, higher educational degree, Among the children who need foster care, professional knowledge and the skills for behavioral intervention are thought to be most necessary requirements. Conclusion.– Foster care displacement remains a new challenge in child protective welfare. Continuing education on knowledge of the scope and the management strategies of behavior problems are especially required. Further investigation of the quality of foster care services will be needed to better fulfill both the expectation of the families and improve the quality of life of the child who under such protective displacement. http://dx.doi.org/10.1016/j.neurenf.2012.04.761 We-P-3118
Factors governing cognitive function of primary school children in Pakistan A. Shaheen a,∗ , M. Nadeem a , S. Ullah b Applied Psychology, Islamia University, Pakistan b University of Hull, Hull, UK ∗ Corresponding author.
a
Objectives.– To identify the factors governing cognitive function of primary school children in Pakistan. Design.– Prospective observational study, in 4 public schools of Pakistan. Method.– Two hundred children (90 male, 110 female), age 7–12 years, assessed using McCarthy scale. Child health, immunization compliance, play facilities, parental education, income, parenting (mother/father/both/relatives), parentchild interaction time, family system (single/extended) were assessed against child cognitive function. Results.– Girls demonstrated better skills (P < 0.05). 5.5% poor immunization compliance. Parenting 1.5% – single mother, 0.5% - relatives. Play facilities, immunization, parental education & income, 3 hours interaction time had positive impact on cognitive function (all P < 0.05). Extended family did not affect cognition adversely (P > 0.05). Conclusion.– Female gender, play facilities, immunization, parental education and income, minimum of 3 hours interaction time has a positive impact on child cognitive function. Family system does not affect the child cognition in rural areas of Pakistan. http://dx.doi.org/10.1016/j.neurenf.2012.04.762 We-P-3119
“Leaving care” for adolescents in residential care homes in Japan N. Tamai a,∗ , N. Morita b , Y. Ogai b Graduate School of Comprehensive Human Science Doctoral Program in Human-care Sciences, University of Tsukuba, Tsukuba Ibaragi, Japan b Faculty of Medicine, University of Tsukuba, Tsukuba Ibaragi, Japan ∗ Corresponding author.
a
In Japan, most children and adolescents who are in need of custodial care due to serious family problems, such as child abuse or neglect, are placed in residential care homes (Yogoshisetsu). In this study, we focus on “leaving care”, which is the care provided for adolescents who are in the transition period from residential care to independent living. A structured questionnaire was administered to samples of care-workers and young adults who were former residents of residential care homes, with the aim of exploring the following subjects:
Interpersonal trauma and the correlation with attachment difficulties and psychopathology among children in foster care
M. Schröder ∗ , T. Perez , M. Schmid Section Research, Department of Childhood and Adolescent Psychiatry (KJPK), Basel, Switzerland ∗ Corresponding author.
Foster children often have experienced early traumatization and various psychosocial and biological risk factors. Especially the high prevalence of reactive attachment disorders in foster children is often described as a consequence of stressful relationship experiences in their families of origin. Traumatic experiences were assessed with the Essener Trauma Inventory for Children (ETIKJ-F) as part of an epidemiological survey. In additional, the German versions of the Relationship Problems Questionnaire (RPQ) and the Child Behavior Checklist (CBCL) were used. Data from 275 foster children aged 5 to 16 years were analyzed (M = 10.98 years; SD = 3.26); 69% of the foster children had experienced a relational traumatic event. When subjects were grouped based on the experience of a relational trauma, showed significant mean differences were found concerning the extent of relationship problems and psychopathological symptoms according to the CBCL (controlled for gender, age, duration of foster relationship, and number of placement changes). The two groups differed especially in terms of inhibited attachment and internalizing symptoms. The number of placement changes influenced these variables as well. The high prevalence of trauma in foster children and the high association with relationship problems and psychopathology indicate how important a “trauma-sensitive” agenda for support and corresponding counselling and training of the foster parents are. http://dx.doi.org/10.1016/j.neurenf.2012.04.759 We-P-3116
Changes of behavioral problems of children at a children’s home in Japan, accompanied by the downsizing K. Tanaka a,∗ , T. Mandai b , N. Iwamoto c , Y. Matsui a , S. Kitayama d , E. Honaga e , A. Tamaoka a , A. Hishimoto a a Psychiatry, Kobe Graduate School of Medicine, Kobe, Japan b Pediatrics, Kobe University Hospital, Kobe, Japan c Psychiatry, Kobe University Hospital, Kobe, Japan d Pediatrics, Kobe Graduate School of Medicine, Kobe, Japan e Child and Adolescent Psychiatry, Osaka City General Hospital, Osaka, Japan ∗ Corresponding author. In Japan, many of abused and orphaned children are settled at Children’s homes (Jidou-yougo-shisetsu) for custody and care. These homes are running on the residential and collective care, and embrace a large number of children. And psychologically traumatized children are treated by psychologist in the home or refer to psychiatrists. But treatment is not always effective; we suppose that the reasons arise from not only severity of trauma but absence of static rearer. And we think that downsizing the large-sized unit into small units is important for establishment of secure relationship with rearer and children. In a certain home, a large-sized residential unit was reorganized into small-sized units. In this process, we have observed and evaluated the changes of behavioral problems and attachment by CBCL and other scales. We found the scores of behavioral problems are not improved, it may attribute to the betterment of rearer’s powers of observation through the closer relationship with rearer and children. http://dx.doi.org/10.1016/j.neurenf.2012.04.760 We-P-3117
The stress and related factors in foster care
S279
C. Chen Department of Child and Adolescent Psychiatry, Taoyuan Mental Hospital, Taoyuan City, Taiwan Purpose.– To investigate the current status, the difficulties and psychiatric care requirements of foster care in Taiwan. Method.– We note that 260 foster care children were recruited to fill in the questionnaire for the investigation of the current status including the difficulties and challenge and the psychiatric care requirements during March 2009 to May 2010. Ten invalid questionnaires were abandoned. SPSS analysis was performed and further discussion was made. Result.– More younger child were displaced in foster family than institution, However, caregivers at institution are younger, higher educational degree, Among the children who need foster care, professional knowledge and the skills for behavioral intervention are thought to be most necessary requirements. Conclusion.– Foster care displacement remains a new challenge in child protective welfare. Continuing education on knowledge of the scope and the management strategies of behavior problems are especially required. Further investigation of the quality of foster care services will be needed to better fulfill both the expectation of the families and improve the quality of life of the child who under such protective displacement. http://dx.doi.org/10.1016/j.neurenf.2012.04.761 We-P-3118
Factors governing cognitive function of primary school children in Pakistan A. Shaheen a,∗ , M. Nadeem a , S. Ullah b Applied Psychology, Islamia University, Pakistan b University of Hull, Hull, UK ∗ Corresponding author.
a
Objectives.– To identify the factors governing cognitive function of primary school children in Pakistan. Design.– Prospective observational study, in 4 public schools of Pakistan. Method.– Two hundred children (90 male, 110 female), age 7–12 years, assessed using McCarthy scale. Child health, immunization compliance, play facilities, parental education, income, parenting (mother/father/both/relatives), parentchild interaction time, family system (single/extended) were assessed against child cognitive function. Results.– Girls demonstrated better skills (P < 0.05). 5.5% poor immunization compliance. Parenting 1.5% – single mother, 0.5% - relatives. Play facilities, immunization, parental education & income, 3 hours interaction time had positive impact on cognitive function (all P < 0.05). Extended family did not affect cognition adversely (P > 0.05). Conclusion.– Female gender, play facilities, immunization, parental education and income, minimum of 3 hours interaction time has a positive impact on child cognitive function. Family system does not affect the child cognition in rural areas of Pakistan. http://dx.doi.org/10.1016/j.neurenf.2012.04.762 We-P-3119
“Leaving care” for adolescents in residential care homes in Japan N. Tamai a,∗ , N. Morita b , Y. Ogai b Graduate School of Comprehensive Human Science Doctoral Program in Human-care Sciences, University of Tsukuba, Tsukuba Ibaragi, Japan b Faculty of Medicine, University of Tsukuba, Tsukuba Ibaragi, Japan ∗ Corresponding author.
a
In Japan, most children and adolescents who are in need of custodial care due to serious family problems, such as child abuse or neglect, are placed in residential care homes (Yogoshisetsu). In this study, we focus on “leaving care”, which is the care provided for adolescents who are in the transition period from residential care to independent living. A structured questionnaire was administered to samples of care-workers and young adults who were former residents of residential care homes, with the aim of exploring the following subjects: