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Full-Text Articles in Child Psychology

Cultural And Structural Barriers Of Utilizing Mental Health Services In A School-Based Setting For Latinx Populations, Silvia Lozano, Bridgette Guadalupe Calderon May 2024

Cultural And Structural Barriers Of Utilizing Mental Health Services In A School-Based Setting For Latinx Populations, Silvia Lozano, Bridgette Guadalupe Calderon

Electronic Theses, Projects, and Dissertations

This qualitative research study aimed to reduce mental health service disparities in Latinx communities and helps fill in the gap by addressing cultural and structural barriers to utilizing MHS in a school-based setting for Latinx youth. There is limited research regarding Latinx parents’ perspectives and the reservations they have on utilizing school-based mental health services (MHS) for their children. This study identified six important themes: cultural factors, trust and rapport, reservations, access and awareness, parental involvement and challenges, and school-based resources. Implications for school districts are that they can use these findings to increase early intervention mental behavioral health programs …


Pediatric Providers’ Experiences Assessing Young Children’S Emotions And Behaviors, Vaibhavi Venkataramanan, Akira Isaac B.S., Sara Bufferd Ph.D. Sep 2023

Pediatric Providers’ Experiences Assessing Young Children’S Emotions And Behaviors, Vaibhavi Venkataramanan, Akira Isaac B.S., Sara Bufferd Ph.D.

The Cardinal Edge

Introduction: Preschool-aged children experience anxiety and mood-related emotions (e.g., irritability, fears) and behaviors (e.g., tantrums) that are developmentally normative, but can overlap with psychopathology, making assessment challenging (Bufferd et al.,2016). Most children see pediatric medical providers annually, and providers can evaluate them. However, providers face challenges like limited training and time (Bean et al.,2000;Heneghan et al.,2008). Accurate and early identification of emotional and behavioral difficulties is critical to support young children’s mental health and prevent worsening problems.

Methods: Participants included N=22 pediatricians who see 3-5-year-old children in their practice. Pediatricians completed an online survey about their experiences assessing young …


Parental Psychological Maltreatment In Egypt: Exploring Intergenerational Parenting Behavior And Identifying Protective Factors, Sylvia Said Jun 2023

Parental Psychological Maltreatment In Egypt: Exploring Intergenerational Parenting Behavior And Identifying Protective Factors, Sylvia Said

Theses and Dissertations

Psychological maltreatment is an under-recognized problem, even though it is a widespread form of child maltreatment and has detrimental consequences, whether in the short or long term. This study aims to explore the intergenerational patterns of parenting behaviors, measure the difference in emotionally abusive behaviors between mothers and fathers, investigate the relationship between childhood emotional abuse and adopting different parenting styles, and identify the protective factors against parental psychological maltreatment. A mixed-methods approach was used to answer these research questions thoroughly. Online versions of the survey, in English and Arabic, were shared on social media platforms, and online interviews were …


Parents’ Adverse Childhood Experiences In Relation To Parent-Child Emotion Socialization, Emily Thompson May 2023

Parents’ Adverse Childhood Experiences In Relation To Parent-Child Emotion Socialization, Emily Thompson

Undergraduate Honors Theses

Parents’ adverse childhood experiences in relation to parent-child emotion socialization

Objective: Parents have an integral role in a child’s development of important emotional and psychosocial processes through emotion socialization. The goal of this paper is to examine the presence of adverse childhood experiences during the parents’ childhood and adolescence alongside the parents’ responses to their child’s emotional expression. The impact of adverse childhood experiences on a parent’s ability to socialize their child’s emotions is a key factor in the continued objective of cultivating positive parent-child interaction and improving adolescent mental health.

Methods: Participants were 165 adolescents and their parents. Adolescent …


The Developmental Importance Of Napping In Preschool Children, Adam T. Newton Nov 2022

The Developmental Importance Of Napping In Preschool Children, Adam T. Newton

Electronic Thesis and Dissertation Repository

Most children cease napping between 2- and 5-years-old. Little is known about the predictors or outcomes related to this cessation, or the interrelation of different components of nap behavior. Four empirical studies were conducted to investigate the developmental importance of napping among preschool children.

Studies 1 and 2 used a large, longitudinal sample of Canadian children to investigate the predictors (Study 1) and outcomes (Study 2) related to early nap cessation. Early nap cessation was defined as stopping daytime sleep before three years old. In Study 1, parents reported on their own, child, and family functioning at two timepoints (0-1 …


Impact Of Parental Substance Misuse On Attachment In Young Adults: A Qualitative Approach, Susan E. Hardman Aug 2022

Impact Of Parental Substance Misuse On Attachment In Young Adults: A Qualitative Approach, Susan E. Hardman

Dissertations, 2020-current

This study examined the impact of parental substance misuse on young adult development and relationships by interviewing young adults about their experience being raised by a parent who misused substances. A qualitative design based on constructivist grounded theory and informed by constructs from attachment theory was used. Participants consisted of 10 young adults, ages 18-26, who endorsed being raised by a parent who misused substances. The interview questions developed for the study were informed by a measure of adult attachment. Analysis of the data included identification of emergent categories/themes as well as a priori constructs from attachment theory (safe haven, …


Collaborating With Big Brothers Big Sisters And Parents To Develop Caregiver-Initiated Mentoring, Meredith J. Scafe Aug 2022

Collaborating With Big Brothers Big Sisters And Parents To Develop Caregiver-Initiated Mentoring, Meredith J. Scafe

Graduate Theses and Dissertations

Research shows that youth enrolled in formal mentoring programs often wait months before being matched with a mentor. This paper describes the development and pilot test of Caregiver-Initiated Mentoring (CG-IM), a program originally designed to equip caregivers to assist Big Brothers Big Sisters (BBBS) mentoring program staff in identifying and recruiting mentors from their social network. Using a mixed-methods design, the initial efficacy of the CG-IM program was evaluated via a small pilot test. I broadly explored caregivers’ experiences participating in the CG-IM program and a BBBS staff member’s experience implementing it. Caregivers completed a post-survey that included quantitative measures …


Together Or Apart? The Effects A Parent's Relationship Dynamic Has On Their Child(Ren)'S Romantic Relationship, Kailee Delos Santos Aug 2022

Together Or Apart? The Effects A Parent's Relationship Dynamic Has On Their Child(Ren)'S Romantic Relationship, Kailee Delos Santos

University Honors Theses

The relationship between parents is considered one of the most influential interactions a child will experience; as it is usually the first relationship a child witnesses where personal values and interests develop (Stanger, 2019). Nonetheless, it is a consistently understudied population in family research and, when studied, children are primarily examined during adolescence and often only in the context of conflict and rivalry. Additionally, much of this research does not examine the effects of a child's romantic relationship on the larger family system. This thesis seeks to address this gap in the literature by understanding how the relationship of a …


Lina Saadeddin_Supporting Transition Resilience Of Newcomer Groups (Strong) - Examining Impact Of Strong On Youth, Feasibility Of Community Implementation, And Parental Engagement, Lina Saadeddin Jun 2021

Lina Saadeddin_Supporting Transition Resilience Of Newcomer Groups (Strong) - Examining Impact Of Strong On Youth, Feasibility Of Community Implementation, And Parental Engagement, Lina Saadeddin

Electronic Thesis and Dissertation Repository

This study investigated the feasibility of virtual Supporting Transition Resilience of Newcomer Groups (STRONG) delivered through a community agency. STRONG is a Tier-2 intervention developed to enhance resilience and coping among newcomer youth. Ten youth participants from two STRONG groups completed pre-and post-surveys and participated in a focus group to describe their experiences. Parent sessions were added to STRONG programming. Five parents completed a satisfaction survey and a focus group to share their feedback. Two clinicians and one community manager provided feedback on the implementation in two focus groups. The study used a mixed-method approach. While there were no significant …


Longitudinal Impact Of Parental Catastrophizing On Child Functional Disability In Pediatric Amplified Pain, Bernadette L. Dougherty, Nataliya Zelikovsky, Kimberly S. Miller, Daniel Rodriguez, Sharon Lee Armstrong, David D. Sherry Jan 2021

Longitudinal Impact Of Parental Catastrophizing On Child Functional Disability In Pediatric Amplified Pain, Bernadette L. Dougherty, Nataliya Zelikovsky, Kimberly S. Miller, Daniel Rodriguez, Sharon Lee Armstrong, David D. Sherry

Psychology Faculty Work

OBJECTIVE: Children with amplified musculoskeletal pain (AMPS) experience significant functional disability, with impairment in their ability to participate in age-appropriate activities of daily living. Parental factors play an important role in a child's pain symptoms and treatment outcomes, with parental pain catastrophizing and protective behaviors linked to several maladaptive outcomes for children. Aims of the current study were to examine how parental pain catastrophizing, child pain catastrophizing, and parental protective behaviors longitudinally impacted functional disability for children with AMPS.

METHODS: Archival data were examined from parent-child dyads presenting to a tertiary pain clinic for treatment of AMPS. Over …


An Evaluation Of Wayfinding Abilities In Adolescent And Young Adult Males With Autism Spectrum Disorder, Yingying Yang, Weijia Li, Dan Huang, Wei He, Yanxi Zhang, Edward Merrill Jan 2021

An Evaluation Of Wayfinding Abilities In Adolescent And Young Adult Males With Autism Spectrum Disorder, Yingying Yang, Weijia Li, Dan Huang, Wei He, Yanxi Zhang, Edward Merrill

Department of Psychology Faculty Scholarship and Creative Works

Background

Wayfinding refers to traveling from place to place in the environment. Despite some research headway, it remains unclear whether individuals with Autism Spectrum Disorder (ASD) show strengths, weaknesses, or similarities in wayfinding compared with ability-matched typically developing (TD) controls.

Method

The current study tested 24 individuals with ASD, 24 mental-ability (MA) matched TD (MA-TD) controls, and 24 chronological-age (CA) matched TD (CA-TD) controls. Participants completed a route learning task and a survey learning task, both programmed in virtual environments, and a perspective taking task. Their parents completed questionnaires assessing their children’s everyday wayfinding activities and competence.

Results

Overall, CA-TD …


Social Influences And Social Desirability On Recollections Of Childhood Bullying, Jaynee L. Bohart Jan 2021

Social Influences And Social Desirability On Recollections Of Childhood Bullying, Jaynee L. Bohart

Graduate Student Theses, Dissertations, & Professional Papers

Parents and peers play important roles in shaping attitudes toward a variety of matters during adolescence. However, little research has investigated parental and peer influence on developing attitudes toward bullying. Further, few studies have looked at whether socially desirable responding (SDR) impacts self-reports in bullying research. To address these gaps in literature, the current study recruited college students from a mid-sized public university in the Rocky Mountain region of the United States to complete a survey. The survey assessed the participants’ past attitudes toward bullying, perceptions of their parents’ and peers’ influence on their attitudes, and bullying participant roles during …


The Importance Of Nutrition For Development In Early Childhood, Kaitlyn Sue Suha Dec 2020

The Importance Of Nutrition For Development In Early Childhood, Kaitlyn Sue Suha

Electronic Theses, Projects, and Dissertations

Understanding which foods contain the necessary vitamins and nutrients for a child’s health, and which ones are lacking, can decrease the likelihood of children developing nutritional deficiencies and promote their overall developmental health. It is important for parents of young children to have an understanding of nutrition and the effect that poor nutrition can have. this project presented information sessions to parents to educate them further about these important topics through four weekly online workshops. Participants were asked to complete a pre- and post-session survey. Survey results scores indicated that participants reported an increase in knowledge and understanding in regards …


The Impact Of Parental Health Mindset On Postoperative Recovery In Children, Alexandra Kain, Claudia Mueller, Brenda J. Goliamu, Brooke N. Jenkins, Michelle A. Fortier Nov 2020

The Impact Of Parental Health Mindset On Postoperative Recovery In Children, Alexandra Kain, Claudia Mueller, Brenda J. Goliamu, Brooke N. Jenkins, Michelle A. Fortier

Psychology Faculty Articles and Research

Background

Mindset, or one’s beliefs about the ability to change one’s outcomes, has been studied in the educational domain but not in surgical settings. The purpose of this study was to examine the role of parental health mindset on children’s recovery.

Methods

Participants were part of a larger National Institutes of Health‐funded trial that included 1470 children undergoing outpatient tonsillectomy and adenoidectomy. We used measures of parental coping style (Monitor Blunter Style Scale; MBSS) and medication attitudes (Medication Attitudes Questionnaire; MAQ) to validate the Health Beliefs Scale (HBS; Criterion validity, Cohen’s kappa). HBS categorizes parents as having a growth mindset, …


Parents As Pimps: Survivor Accounts Of Trafficking Of Children In The United States, Jody Raphael Feb 2020

Parents As Pimps: Survivor Accounts Of Trafficking Of Children In The United States, Jody Raphael

Dignity: A Journal of Analysis of Exploitation and Violence

This article discusses four survivor accounts of survivors of being sold for sexual exploitation by their parents for monetary gain. These narratives, supplemented by other accounts from 100 newspaper stories between 2012 and 2018, reveal the fact that many survivors were sold as very young children, and the abuse continued through their teen years, blurring distinctions between pedophilia and the sex trade industry. In their accounts, survivors described the motivations of their parents as well as the buyers, who used excessive force and violence. Some researchers are beginning to document the existence of parental pimping and its prevalence, which ranges …


Parental Stress, Anxiety, And Depression And Child Emotional Intelligence In Children With 22q11.2 Deletion Syndrome, Megan A. Goldfarb Aug 2018

Parental Stress, Anxiety, And Depression And Child Emotional Intelligence In Children With 22q11.2 Deletion Syndrome, Megan A. Goldfarb

University of New Orleans Theses and Dissertations

Children with chromosome 22q11.2 deletion syndrome (22q11.2DS) have serious medical, psychological, and behavioral symptoms that are stressful to their parents. Higher general intelligence quotients (IQ) and emotional intelligence (EI) in children could allay parental stress. Self-reported stress, anxiety, and depression were measured in parents of children with 22q11.2DS (n=42) and a healthy control group (n=20) in relation to children’s IQ and EI. Children with 22q1.2DS had lower IQ and EI scores. Parental groups did not differ in their reported stress, anxiety, or depression. Children’s IQ and EI levels did not relate to parental measures of affect even in the 22q11.2DS …


Deception From Parents To Romantic Partners, Xiaoti Fan Aug 2018

Deception From Parents To Romantic Partners, Xiaoti Fan

Graduate Theses and Dissertations

Deception plays an important role in every type of relationship, particularly for the two most intimate relationships: parent-child and romantic. People usually learn behaviors and communication strategies from their parents and enforce or adjust them in other types of relationships based on various personal as well as social influences. The purpose of this study is to examine the strategies and motives young adults use with their parents and romantic partners when they convey deceptive messages, and explore how people apply patterns of deception from their parent-child relationships to their romantic relationships. In this study, two aspects of deceptive behavior are …


Longitudinal Effects Of Peer, School, And Parenting Contexts On Substance Use Initiation In Middle School Adolescence, Barry Allen Ladis Mar 2018

Longitudinal Effects Of Peer, School, And Parenting Contexts On Substance Use Initiation In Middle School Adolescence, Barry Allen Ladis

FIU Electronic Theses and Dissertations

Substance use initiation (SUI) among adolescents is a critical public health concern. Research indicates SUI in middle adolescence increases the risk of substance use in adulthood and later dependence, which can result in deleterious consequences for youth, family relationships, and community (Substance Abuse and Mental Health Services Administration, [SAMSHA], 2014). This study investigated the role of involvement with deviant peers, school connectedness, and parenting quality on SUI (e.g., alcohol, cigarettes, and marijuana) in middle adolescence using secondary data from a 5-year longitudinal study (N = 387). First, exploratory factor analyses and confirmatory factor analyses with a separate independent sample …


The Children Keep Reminding Us: One School's Experience After 9/11, Kate Delacorte Nov 2017

The Children Keep Reminding Us: One School's Experience After 9/11, Kate Delacorte

Occasional Paper Series

This essay reflects on the experience of a new preschool that was located a few blocks away from the World Trade Center and had not yet opened at the time of September 11. After the event, the school held meetings with teachers, parents, and their children. The conversations highlighted the overwhelming difference between the needs of the parents and the needs of the children. Through sharing of fears, experiences, and emotions, the new community grew closer.


Bedtime Fading With Response Cost For Treatment Of Sleep Disturbances In Children With Autism Spectrum Disorder, Sela Ann Sanberg Aug 2017

Bedtime Fading With Response Cost For Treatment Of Sleep Disturbances In Children With Autism Spectrum Disorder, Sela Ann Sanberg

Theses & Dissertations

As many as 82% of children with Autism Spectrum Disorders (ASD) experience numerous chronic sleep-related problems and at a much higher frequency and severity than their typically developing peers. Behavioral treatments are considered best practice and first-line treatment to address sleep problems. These treatments tend to address one specific sleep-related behavior at a time. Bedtime Fading with Response Cost (BFRC) is a promising intervention that targets a multitude of sleep problems concurrently and has yet to be replicated by more than one investigative team in the home setting with children on the autism spectrum. This study evaluated the effectiveness of …


Training Parents In Descriptive Assessment And Function Identification, Makenzie Sip May 2017

Training Parents In Descriptive Assessment And Function Identification, Makenzie Sip

All Graduate Theses and Dissertations, Spring 1920 to Summer 2023

It is often difficult for parents to address their child’s problem behavior. Children with special needs can display more frequent and intense problem behavior. Therefore, professionals need to help parents of children with special needs identify how to decrease their child’s problem behavior. Professionals help to decrease problem behavior by performing assessments called descriptive assessments to identify why the problem behavior is happening, and then using these assessments to create an appropriate plan of how to prevent and respond to the problem behavior. We examined if parents could be taught the skills necessary to perform descriptive assessments and then use …


Observational Assessment Of Empathy In Parent-Child Verbal Exchanges And Their Influence On Child Behavior, Patty Carambot Sep 2016

Observational Assessment Of Empathy In Parent-Child Verbal Exchanges And Their Influence On Child Behavior, Patty Carambot

Dissertations, Theses, and Capstone Projects

Empathy, the ability to both experientially share in and understand others’ thoughts, behaviors, and feelings, is vital for human adaptation. Deficits in empathy development have implications across the lifespan for the development of prosocial behavior, social functioning, mental health disorders, and risk for antisocial behavior (e.g., Guajardo, Snyder, & Petersen, 2009; Moreno, Klute & Robinson, 2008). In light of these societal and individual burdens, it is imperative to foster and strengthen the development of this ability early in life to prevent or ameliorate such negative outcomes. This type of prevention can take a variety of forms, but parent and child …


The Role Of Child Anxiety In Parent Sick Role Reinforcement, Sarah Ann Bilsky May 2016

The Role Of Child Anxiety In Parent Sick Role Reinforcement, Sarah Ann Bilsky

Graduate Theses and Dissertations

A large body of evidence suggests that parents can facilitate offspring anxiety in response to bodily arousal. These learning experiences are referred to as “sick role reinforcement,” and are particularly important during adolescence, given the profound bodily changes (e.g., puberty) that characterize this period. Sick role reinforcement is likely important in the context of panic disorder (PD). Panic theorists suggest that parents may enhance panic vulnerability by increasing the threat value of bodily sensations. Although a sizeable body of work has examined the role of parent behavior in these processes, few have examined offspring factors in this process. Additionally, little …


Getting An Early Start: Promoting The Growth Mindset In Kindergarten Children, Gina M. Cancelliere Jan 2016

Getting An Early Start: Promoting The Growth Mindset In Kindergarten Children, Gina M. Cancelliere

PCOM Psychology Dissertations

Expanding the current mindset research focus from the adolescent population to kindergarten-age children and examining the variables that impact mindsets in young children were the prominent goals of this study. The first research question sought to uncover information regarding the relationship between parents’ mindsets (growth or fixed) and observable behavioral markers associated with the mindsets that present in young children. Four behaviors were of primary interest: level of engagement, type of self -verbalizations, anxiety-related behavior and guessing behavior. Also examined was the relationship between parents’ mindsets and children’s mindsets. The second research question explored the association between these aforementioned behavioral …


Parents And Teachers’ Perceptions And Clinical Diagnosis Of Autism Among White And Non-White Groups, Margaret Gopaul Jan 2016

Parents And Teachers’ Perceptions And Clinical Diagnosis Of Autism Among White And Non-White Groups, Margaret Gopaul

School of Psychology Publications

The pervasiveness of autism has significantly increased over the past 2 decades with the 2014 Center for Disease Control and Prevention report indicating 1 in 68 children are diagnosed with Autism Spectrum Disorder (ASD). Early intervention is recommended as the most effective treatment approach. Nevertheless, previous research has indicated that White children are diagnosed with ASD about 1.5 years earlier than are Non-White children. A current gap remains in literature regarding ASD and different racial groups, and evidence has been inconclusive regarding disparities in identifying and diagnosing ASD. To fill this gap, this study investigated the relationship between child race, …


Let’S Play! A Study Examining The Acceptability Of Cross-Gender Play Of Children, Angela R. Youngs Jan 2016

Let’S Play! A Study Examining The Acceptability Of Cross-Gender Play Of Children, Angela R. Youngs

Murray State Theses and Dissertations

The purpose of this study was to examine parental preference regarding their children and gender-specific and gender-neutral toys. More specifically, to examine some factors that may impact parents’ preferences regarding the types of toys their child chooses. The factors of interest used in the present study include general demographics (e.g., gender, age, etc.), gender role perceptions, religiosity, and level of conservatism. Participants were gathered from a survey-taking website. The sample consisted of 88 parents (43 female, 43 male, and 2 who chose not to identify) whose ages ranged from 22 to 62 (M = 31.82, SD = 6.95). Each …


Parents And Teachers’ Perceptions And Clinical Diagnosis Of Autism Among White And Non-White Groups, Margaret Gopaul Jan 2016

Parents And Teachers’ Perceptions And Clinical Diagnosis Of Autism Among White And Non-White Groups, Margaret Gopaul

Walden Faculty and Staff Publications

The pervasiveness of autism has significantly increased over the past 2 decades with the 2014 Center for Disease Control and Prevention report indicating 1 in 68 children are diagnosed with Autism Spectrum Disorder (ASD). Early intervention is recommended as the most effective treatment approach. Nevertheless, previous research has indicated that White children are diagnosed with ASD about 1.5 years earlier than are Non-White children. A current gap remains in literature regarding ASD and different racial groups, and evidence has been inconclusive regarding disparities in identifying and diagnosing ASD. To fill this gap, this study investigated the relationship between child race, …


Title: Parents And Teachers’ Perceptions And Clinical Diagnosis Of Autism Among White And Non-White Groups, Margaret Gopaul Jan 2016

Title: Parents And Teachers’ Perceptions And Clinical Diagnosis Of Autism Among White And Non-White Groups, Margaret Gopaul

Walden Dissertations and Doctoral Studies

The pervasiveness of autism has significantly increased over the past 2 decades with the 2014 Center for Disease Control and Prevention report indicating 1 in 68 children are diagnosed with Autism Spectrum Disorder (ASD). Early intervention is recommended as the most effective treatment approach. Nevertheless, previous research has indicated that White children are diagnosed with ASD about 1.5 years earlier than are Non-White children. A current gap remains in literature regarding ASD and different racial groups, and evidence has been inconclusive regarding disparities in identifying and diagnosing ASD. To fill this gap, this study investigated the relationship between child race, …


Developing Community Reinforcement And Family Training (Craft) For Parents Of Treatment-Resistant Adolescents., Kimberly C Kirby, Brian Versek, Mary Louise Kerwin, Kathleen Meyers, Lois A Benishek, Elena Bresani, Yukiko Washio, Amelia Arria, Robert J Meyers May 2015

Developing Community Reinforcement And Family Training (Craft) For Parents Of Treatment-Resistant Adolescents., Kimberly C Kirby, Brian Versek, Mary Louise Kerwin, Kathleen Meyers, Lois A Benishek, Elena Bresani, Yukiko Washio, Amelia Arria, Robert J Meyers

Faculty Scholarship for the College of Science & Mathematics

We describe a project focused on training parents to facilitate their treatment-resistant adolescent's treatment entry and to manage their child after entry into community-based treatment. Controlled studies show that Community Reinforcement and Family Training (CRAFT) is a unilateral treatment that fosters treatment entry of adults; however, there are no controlled trials for parents with a substance-abusing child. We examined the behavioral parent training literature to guide us in tailoring CRAFT for parents of adolescents. We discuss adaptations to CRAFT, outcomes and experiences gained from a brief pilot of the revised CRAFT program, and the future directions of this work.


Finding Childcare For The Disabled Child: The Process And Decisions Through The Primary Caregiver’S Lens, Misty Dawn Torres Jan 2015

Finding Childcare For The Disabled Child: The Process And Decisions Through The Primary Caregiver’S Lens, Misty Dawn Torres

Antioch University Full-Text Dissertations & Theses

In this qualitative, Grounded Theory study, the researcher examined the process that primary caregivers go through when selecting a childcare placement for children who have special needs. Data were collected through participant interviews with primary caregivers (n=10) who responded to recruitment notices posted on (1) listservs by organizations directly affiliated with early intervention and child care services; (2) local Internet classified sites; and (3) through word of mouth. The research demonstrated that caregivers who learned of their child’s disability in a prenatal diagnosis or prior to an adoption identified with having a greater sense of choice and control over their …