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Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale
Published on: August 25, 2014
Infants and Toddlers in Foster Care
Mary Dozier1, Charles H Zeanah, Kristin Bernard
1Department of Psychology, University of Delaware.
Insights
Children in child welfare need nurturing, synchronous, and stable care for regulation. Interventions targeting parents and systems are crucial to meet these needs and improve outcomes for vulnerable young children.
Area of Science:
- Child Psychology
- Developmental Science
- Social Work
Background:
- Children in the child welfare system frequently experience behavioral and physiological dysregulation.
- These children require specific caregiving qualities, including nurturance, synchrony, and stability, to foster healthy development.
- Without targeted interventions, the needs of these vulnerable children are often unmet within the existing system.
Purpose of the Study:
- To introduce two intervention models aimed at improving parental synchrony and nurturance.
- To identify systemic factors that can increase caregiver stability and commitment.
- To address the critical care needs of children within the child welfare system.
Main Methods:
- Development and presentation of two distinct intervention models.
- Analysis of systemic factors influencing caregiver stability and commitment.
- Focus on enhancing parent-child interactions and caregiving environments.
Main Results:
- The proposed interventions are designed to enhance parental capacity for synchronous and nurturing care.
- Systemic modifications are highlighted to promote caregiver stability and long-term commitment.
- The study outlines a pathway to better meet the regulatory and attachment needs of children in care.
Conclusions:
- Interventions at both the parent and system levels are essential for supporting children in the child welfare system.
- Enhancing parental synchrony and nurturance is key to improving child regulation and attachment.
- Systemic changes are vital for ensuring stable and committed caregiving relationships for these children.
Abstract:
Young children involved in the child welfare system are susceptible to behavioral and physiological dysregulation. These children need nurturing care to develop organized attachments to caregivers; they need synchronous care to support their physiological and behavioral regulation; and they need stable caregivers who can commit to them, supporting their sense of self and behavioral regulation. Without intervention at the level of the parent and the system, most children involved with the child welfare system are unlikely to have these needs met. We present two models of intervention designed to enhance parents' synchrony and nurturance, and highlight aspects of the system that can enhance the stability and commitment of caregivers.
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