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School of Social Work Faculty Publications and Presentations

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How Human Resource Professionals Manage Diversity: Decisions On Flexible Work Arrangements For Parents Of Children With Disabilities, Julie M. Rosenzweig, Eileen M. Brennan, Katherine J. Huffstutter, Daniel Coleman Jan 2007

How Human Resource Professionals Manage Diversity: Decisions On Flexible Work Arrangements For Parents Of Children With Disabilities, Julie M. Rosenzweig, Eileen M. Brennan, Katherine J. Huffstutter, Daniel Coleman

School of Social Work Faculty Publications and Presentations

PDF version of a presentation given at the Community, Work and Family II International Conference, Lisbon, Portugal, April 2007.


Access To Child Care For Children With Emotional Or Behavioral Challenges: An Essential Element Of Family Support, Eileen M. Brennan, Julie M. Rosenzweig, Anna M. Malsch, Katherine J. Huffstutter, Lisa Maureen Stewart, John Conley Jan 2007

Access To Child Care For Children With Emotional Or Behavioral Challenges: An Essential Element Of Family Support, Eileen M. Brennan, Julie M. Rosenzweig, Anna M. Malsch, Katherine J. Huffstutter, Lisa Maureen Stewart, John Conley

School of Social Work Faculty Publications and Presentations

Parents don't always feel they can disclose the special needs of their children to other families or even caregivers unless it is obvious they have had the training and skills to handle the situation. They also may not disclose their children's special needs to their employer, unless difficulties arranging and keeping child care make disclosure necessary. Major policy issue but unknown to public because many families do not disclose. Reality is that 1 in 5 families have a child with special needs. Research implications---parents develop strategies to keep their jobs and keep child care. Parents often have to choose between …


Taking It On: Disclosure, Stigmatization, And Self-Esteem, Eileen M. Brennan, Julie M. Rosenzweig, Anna M. Malsch, Lisa Maureen Stewart, John Conley Jan 2007

Taking It On: Disclosure, Stigmatization, And Self-Esteem, Eileen M. Brennan, Julie M. Rosenzweig, Anna M. Malsch, Lisa Maureen Stewart, John Conley

School of Social Work Faculty Publications and Presentations

PDF version of a presentation given at the Building on Family Strengths: State of the Science Conference, Research and Training Center on Family Support and Children's Mental Health, Portland, OR, in May 2007.


What Makes Mentoring Effective? How Research Can Guide You In Selecting A Program, Julia M. Pryce, Michael Stokely Kelly, Thomas E. Keller Jan 2007

What Makes Mentoring Effective? How Research Can Guide You In Selecting A Program, Julia M. Pryce, Michael Stokely Kelly, Thomas E. Keller

School of Social Work Faculty Publications and Presentations

This article focuses on how mentoring can be made more effective through research which would allow a better means for evaluating various mentoring programs


Relationship Between Resident Workload And Self-Perceived Learning On Inpatient Medicine Wards: A Longitudinal Study, Elizabeth M. Haney, Christina Nicolaidis, Alan Hunter, Benjamin K. Chan, Thomas G. Cooney, Judith L. Bowen Jul 2006

Relationship Between Resident Workload And Self-Perceived Learning On Inpatient Medicine Wards: A Longitudinal Study, Elizabeth M. Haney, Christina Nicolaidis, Alan Hunter, Benjamin K. Chan, Thomas G. Cooney, Judith L. Bowen

School of Social Work Faculty Publications and Presentations

Background: Despite recent residency workload and hour limitations, little research on the relationship between workload and learning has been done. We sought to define residents' perceptions of the optimal patient workload for learning, and to determine how certain variables contribute to those perceptions. Our hypothesis was that the relationship between perceived workload and learning has a maximum point (forming a parabolic curve): that either too many or too few patients results in sub-optimal learning.

Methods: Residents on inpatient services at two academic teaching hospitals reported their team and individual patient censuses, and rated their perception of their learning; the patient …


Parents As Navigators: How Caregivers Of Children With Mental Health Difficulties Find Supports In The Workplace, Eileen M. Brennan, Marlene Penn, Katherine J. Huffstutter, Jennifer R. Bradley, Julie M. Rosenzweig Jan 2006

Parents As Navigators: How Caregivers Of Children With Mental Health Difficulties Find Supports In The Workplace, Eileen M. Brennan, Marlene Penn, Katherine J. Huffstutter, Jennifer R. Bradley, Julie M. Rosenzweig

School of Social Work Faculty Publications and Presentations

Presentation given at the 19th Annual Research Conference: A System of Care for Children's Mental Health: Expanding the Research Base, Tampa, FL, February 2006.


"Come Pick Up Your Child!" Integrating Work And Family Life For Parents Of School-Aged Children With Mental Health Challenges, Eileen M. Brennan, Ana Maria Brannan, Judy Kendall, Jennifer R. Bradley, Katherine J. Huffstutter Jan 2006

"Come Pick Up Your Child!" Integrating Work And Family Life For Parents Of School-Aged Children With Mental Health Challenges, Eileen M. Brennan, Ana Maria Brannan, Judy Kendall, Jennifer R. Bradley, Katherine J. Huffstutter

School of Social Work Faculty Publications and Presentations

Our research team sought to discover the factors that lead to the unemployment of parents of children with mental health disorders. Our preliminary analyses and findings are reported in this presentation. We controlled for factors that affect participation in the paid workforce for parents in general: (a) child age, (b) level of caregiver education, and (c) the number of children in the household. We also introduced factors that pertain specifically to families that have children with emotional or behavioral disorders: the level of the child's internalizing and externalizing symptoms, and the number of child absences from school. Our research was …


Families Challenged By Children's Mental Health: Employment And Community Integration, Eileen M. Brennan, Katherine J. Huffstutter, Julie M. Rosenzweig, Jennifer R. Bradley Jan 2006

Families Challenged By Children's Mental Health: Employment And Community Integration, Eileen M. Brennan, Katherine J. Huffstutter, Julie M. Rosenzweig, Jennifer R. Bradley

School of Social Work Faculty Publications and Presentations

Slides of a presentation given to the conference 'Work, Stress, and Health 2006: Making a Difference in the Workplace' held in Miami, FL, in 2006.


Managing Employees Dependent Care Challenges: Human Resource Professionals' Perspectives, Jennifer R. Bradley, Katherine J. Huffstutter, Eileen M. Brennan, Julie M. Rosenzweig Jan 2006

Managing Employees Dependent Care Challenges: Human Resource Professionals' Perspectives, Jennifer R. Bradley, Katherine J. Huffstutter, Eileen M. Brennan, Julie M. Rosenzweig

School of Social Work Faculty Publications and Presentations

PDF version of a presentation given at the 86th annual meeting of the Western Psychological Association, Palm Springs, CA.


Patterns Of Risk And Trajectories Of Preschool Problem Behaviors: A Person-Oriented Analysis Of Attachment In Context, Thomas E. Keller, Susan J. Spieker, Lewayne D. Gilchrist Dec 2005

Patterns Of Risk And Trajectories Of Preschool Problem Behaviors: A Person-Oriented Analysis Of Attachment In Context, Thomas E. Keller, Susan J. Spieker, Lewayne D. Gilchrist

School of Social Work Faculty Publications and Presentations

A small proportion of children exhibit extreme and persistent conduct problems through childhood. The present study employed the multiple-domain model of Greenberg and colleagues as the framework for person-oriented analyses examining whether parents' child attachment combines with parenting, family ecology, and child characteristics in particular configurations of risk that are linked to this problematic developmental pathway. Using prospective data from a community sample of adolescent mothers and their children, latent variable growth mixture modeling identified a normative trajectory with declining problem behaviors during the preschool period. Consistent with research on early-starter pathways, a distinct group of children featured a higher …


Men As Caregivers At The End Of Life, Erik K. Fromme, Linda L. Drach, Susan W. Tolle, Patricia Ebert, Pamela Miller, Nancy Perrin, Virginia P. Tilden Dec 2005

Men As Caregivers At The End Of Life, Erik K. Fromme, Linda L. Drach, Susan W. Tolle, Patricia Ebert, Pamela Miller, Nancy Perrin, Virginia P. Tilden

School of Social Work Faculty Publications and Presentations

Background: Few studies have focused on men as caregivers at the end-of-life. The objective of this secondary data analysis was to examine the experiences of men involved in end-oflife caregiving, focusing on caregiver strain.

Methods: We used a random sample of Oregon death certificates to telephone survey family caregivers of Oregonians who had died 2 to 5 months earlier in private homes, nursing homes, and other community-based settings. Measurements included single-item indicators and embedded scales to measure caregiver strain and perceived decedent symptom distress. For the 25 husbands, sons, wives, and daughters who reported the highest levels of strain, we …


Health Care Workers' Expectations And Empathy Toward Patients In Abusive Relationships, Christina Nicolaidis, Maryann Curry, Martha Gerrity May 2005

Health Care Workers' Expectations And Empathy Toward Patients In Abusive Relationships, Christina Nicolaidis, Maryann Curry, Martha Gerrity

School of Social Work Faculty Publications and Presentations

Purpose: To understand attitudes that may affect health care workers' ability to provide appropriate long-term care for patients who stay with abusive partners.

Methods: We surveyed 278 health care workers in 31 primary care practices before their participation in an educational intervention.

Results: More than half of participants (51% to 60%) found it easy to empathize with a patient who decided to remain in an abusive relationship if the patient was described as poor or disabled, but few (25% to 39%) could empathize if the patient was described as educated or financially secure. A majority (57% to 59%) agreed with …


Management Of Menopause-Related Symptoms, Heidi D. Nelson, Elizabeth M. Haney, Laura Humphrey, Jill Miller, Anne Nedrow, Christina Nicolaidis, Kimberly K. Vesco, Miranda Walker, Christina Bougatsos, Peggy Nygren Mar 2005

Management Of Menopause-Related Symptoms, Heidi D. Nelson, Elizabeth M. Haney, Laura Humphrey, Jill Miller, Anne Nedrow, Christina Nicolaidis, Kimberly K. Vesco, Miranda Walker, Christina Bougatsos, Peggy Nygren

School of Social Work Faculty Publications and Presentations

Although many measures have been developed to assess menopausal symptoms, few demonstrate standardization, validity, or reliability. Some measures are based on self-reports of the presence, severity, and frequency of individual symptoms, such as hot flashes. Others utilize cumulative or global scores based on lists or scales of symptoms attributed to menopause, such as mood, cognition, quality of life, sexual function, and somatic symptoms. Many studies base their measures on study-specific checklists, questionnaires, or scales. Ninety-two measures of menopausal symptoms were reported by studies included in this evidence review. This systematic evidence review focuses on five Key Questions relating to symptoms …


The Impact Of Domestic Violence On Depression In Teen Mothers: Is The Fear Or Threat Of Violence Sufficient?, Barbara Mary Sussex, Kevin Corcoran Feb 2005

The Impact Of Domestic Violence On Depression In Teen Mothers: Is The Fear Or Threat Of Violence Sufficient?, Barbara Mary Sussex, Kevin Corcoran

School of Social Work Faculty Publications and Presentations

The purpose of this study was to assess whether the fear or threat of intimate partner violence (IPV) impacted depression and peer support among a population of pregnant and parenting female adolescents, and whether cessation made a difference. The sample consisted of 286 teen mothers participating in a substance abuse prevention intervention. Data were self-report assessed at 6-month intervals from entry through 18 months. IPV was defined by a report of avoidance of another within the past 6 months out of fear or threat of violence and was also assessed for those aged 18 and older with measures from the …


The Oregon Mental Health Referral Checklists: Concept Mapping The Mental Health Needs Of Youth In The Juvenile Justice System, Kevin Corcoran Feb 2005

The Oregon Mental Health Referral Checklists: Concept Mapping The Mental Health Needs Of Youth In The Juvenile Justice System, Kevin Corcoran

School of Social Work Faculty Publications and Presentations

This article summarizes the development of checklists to identify the mental health needs of youth in the juvenile justice system. With concept mapping as its base, a 31-item checklist was developed in three parallel forms and assessed on three samples: youth in a locked correctional facility and parents and juvenile justice professionals of adjudicate youth who were sentenced to community service. The instruments appear to have acceptable to very good internal consistency and moderate to strong coefficients of equivalence. Total symptoms were associated with internal and external problems for youth, suggestions from a trusted friend that one might have a …


Adolescents Growing Up In Stressful Environments, Dual Diagnosis, And Sources Of Success, Albert R. Roberts, Kevin Corcoran Feb 2005

Adolescents Growing Up In Stressful Environments, Dual Diagnosis, And Sources Of Success, Albert R. Roberts, Kevin Corcoran

School of Social Work Faculty Publications and Presentations

This article considers the social and psychological challenges to youth in contemporary society. The authors examine the variety of social impediments that face youths in most of our social institutions, from schools and the juvenile justice system to the family. They underscore the need for prevention, health promotion, and comprehensive assessment. Further, they assert that ‘‘dual diagnosis’’ needs to be considered not as a ‘‘special population’’ but as the typical or common experience of at-risk youths once they are diagnosed at mental health centers or juvenile justice reception and diagnostic centers. They conclude that evidence-based assessment, intervention, prevention, and health …


Measuring The Impact Of The Voices Of Survivors Program On Health Care Workers’Attitudes Toward Survivors Of Intimate Partner Violence, Christina Nicolaidis, Maryann Curry, Martha Gerrity Jan 2005

Measuring The Impact Of The Voices Of Survivors Program On Health Care Workers’Attitudes Toward Survivors Of Intimate Partner Violence, Christina Nicolaidis, Maryann Curry, Martha Gerrity

School of Social Work Faculty Publications and Presentations

BACKGROUND: Most continuing medical education programs on intimate partner violence (IPV) use an expert-driven approach and focus on changing knowledge and screening behaviors. The Voices of Survivors program aims to also improve attitudes and empathy.

OBJECTIVES: To test the Attitudes Toward Survivors of IPV (ATSI) survey psychometrically. To assess the effectiveness of the Voices of Survivors program in changing health care workers’ responsibility to assess for and counsel about IPV, respect for patient autonomy, empathy toward patients in abusive relationships, barriers, confidence, knowledge, and self-reported assessment behaviors.

SETTING: Thirty-one unaffiliated primary care practices in Washington County, Ore.

DESIGN: Comparison of …


Midwest Evaluation Of The Adult Functioning Of Former Foster Youth: Outcomes At Age 19, Mark E. Courtney, Amy Lynn Dworsky, Gretchen Ruth, Thomas E. Keller, Judy Havlicek, Noel S. Bost Jan 2005

Midwest Evaluation Of The Adult Functioning Of Former Foster Youth: Outcomes At Age 19, Mark E. Courtney, Amy Lynn Dworsky, Gretchen Ruth, Thomas E. Keller, Judy Havlicek, Noel S. Bost

School of Social Work Faculty Publications and Presentations

The Midwest Evaluation of the Adult Functioning of Former Foster Youth (Midwest Study) is a longitudinal study that has been following a sample of young people from Iowa, Wisconsin, and Illinois as they transition out of foster care into adulthood. It is a collaborative effort involving Chapin Hall at the University of Chicago; the University of Wisconsin Survey Center; and the public child welfare agencies in Illinois, Iowa, and Wisconsin. This report concentrates on the outcomes of 19 year old youth as they "age out" of the child welfare system and transition to adulthood.


Participation In The Paid Labor Force By Caregivers Of Children With Emotional And Behavioral Disorders, Eileen M. Brennan, Ana Maria Brannan Jan 2005

Participation In The Paid Labor Force By Caregivers Of Children With Emotional And Behavioral Disorders, Eileen M. Brennan, Ana Maria Brannan

School of Social Work Faculty Publications and Presentations

We explored the relationship between school-age children's emotional and behavioral symptoms and workforce participation of their family caregivers using structural equation modeling. Secondary analysis of data from the national evaluation of the Comprehensive Community Mental Health Services for Children and Their Families Program was performed with a subsample of 2,585 caregivers. Findings from structural equation modeling indicated that higher levels of internalizing and externalizing symptoms were significant predictors of more frequent school absences, less adequate childcare, and greater caregiver strain related to missing work. In turn, more adequate childcare and greater caregiver strain from missed work were associated with lower …


Work-Life Integration For Families Having Children With Mental Health Disorders, Eileen M. Brennan, Julie M. Rosenzweig, Barbara J. Friesen Jan 2005

Work-Life Integration For Families Having Children With Mental Health Disorders, Eileen M. Brennan, Julie M. Rosenzweig, Barbara J. Friesen

School of Social Work Faculty Publications and Presentations

PDF version of a presentation given at the 37th World Congress of the International Institute of Sociology, Stockholm, Sweden, July 2005.


Families In Context: Work-Life Integration Experiences Of Parents Of Children With Mental Health Disabilities, Julie M. Rosenzweig, Jennifer R. Bradley, Katherine J. Huffstutter, Eileen M. Brennan Jan 2005

Families In Context: Work-Life Integration Experiences Of Parents Of Children With Mental Health Disabilities, Julie M. Rosenzweig, Jennifer R. Bradley, Katherine J. Huffstutter, Eileen M. Brennan

School of Social Work Faculty Publications and Presentations

PDF version of a presentation given at the Community, Work and Family Conference, Manchester, UK, March 2005.


Lessons About Recruiting Primary Care Practices To Domestic Violence Trainings, Jim Winkle, Christina Nicolaidis Jan 2005

Lessons About Recruiting Primary Care Practices To Domestic Violence Trainings, Jim Winkle, Christina Nicolaidis

School of Social Work Faculty Publications and Presentations

A few studies have evaluated continuing medical education programs on domestic violence, but they have generally used convenience samples and have not provided information regarding their recruitment strategies or the proportion of eligible providers that attended the interventions. (Davis, Kaups, Campbell, & Parks, 2000; Haney, Kachur, & Zabar, 2003; McCauley, Jenckes, & McNutt, 2003) In one study that did provide such information, investigators faxed invitations to 1887 physicians, of which only 121 (6%) responded that they were interested despite a $50-$100 incentive to participate in a short on-line program with free Continuing Medical Education (CME) credits (Harris, Kutob, Surprenant, Maiuro, …


Getting Your Money's Worth: What Early Childhood Directors Should Know About Working With Mental Health Professionals, Beth L. Green, Maria C. Everhart, Lynwood Gordon Jul 2004

Getting Your Money's Worth: What Early Childhood Directors Should Know About Working With Mental Health Professionals, Beth L. Green, Maria C. Everhart, Lynwood Gordon

School of Social Work Faculty Publications and Presentations

The increasing numbers of young children with challenging behaviors and emotional problems have led many child care providers and early childhood education programs to employ or contract with mental health professionals (Lavigne et al., 1996). Head Start Programs, for example, are required by federal performance standards to utilize services of mental health professionals that are "sufficient" to meet the needs of children and families. However, there has been little research to help program managers make informed choices about who might provide the best services, what services are most important to support staff and families, and how to make the best …


Racial Discrepancies In The Association Between Paternal Vs. Maternal Educational Level And Risk Of Low Birthweight In Washington State, Christina Nicolaidis, Cynthia W. Ko, Somnath Saha, Thomas D. Koepsell Jun 2004

Racial Discrepancies In The Association Between Paternal Vs. Maternal Educational Level And Risk Of Low Birthweight In Washington State, Christina Nicolaidis, Cynthia W. Ko, Somnath Saha, Thomas D. Koepsell

School of Social Work Faculty Publications and Presentations

Background: The role of paternal factors in determining the risk of adverse pregnancy outcomes has received less attention than maternal factors. Similarly, the interaction between the effects of race and socioeconomic status (SES) on pregnancy outcomes is not well known. Our objective was to assess the relative importance of paternal vs. maternal education in relation to risk of low birth weight (LBW) across different racial groups.

Methods: We conducted a retrospective population-based cohort study using Washington state birth certificate data from 1992 to 1996 (n = 264,789). We assessed the associations between maternal or paternal education and LBW, adjusting for …


Models Of Inclusion In Child Care: Child Care That Works For Children With Emotional And/Or Behavioral Challenges: Family Member Perceptions, Shane Ama, Eileen M. Brennan, Sara Berman, Jennifer R. Bradley Jan 2004

Models Of Inclusion In Child Care: Child Care That Works For Children With Emotional And/Or Behavioral Challenges: Family Member Perceptions, Shane Ama, Eileen M. Brennan, Sara Berman, Jennifer R. Bradley

School of Social Work Faculty Publications and Presentations

Although 5-10% of employed parents care for a child with emotional or behavioral challenges (EBCs) (Emlen, 1997), family support resources are notably lacking. A recent focus group study of 41 working parents (Rosenzweig, Brennan, & Ogilvie, 2002) found child care to be particularly difficult to find and maintain for families that included children with EBCs. Participants reported a number of barriers to child care arrangements that could successfully meet their family's needs. First, since few qualified providers had the expertise to meet the needs of children with EBCs, arrangements were difficult to find. A combination of the lack of quality …


Supporting Families Of Children With Serious Emotional Or Behavioral Disorders In A 24/7 World, Julie M. Rosenzweig, Eileen M. Brennan, April Burris, Christine Mary Shea Jan 2004

Supporting Families Of Children With Serious Emotional Or Behavioral Disorders In A 24/7 World, Julie M. Rosenzweig, Eileen M. Brennan, April Burris, Christine Mary Shea

School of Social Work Faculty Publications and Presentations

PDF version of a presentation given at the Training Institutes on Developing Local Systems of Care for Children and Adolescents with Emotional Disturbances and their Families, San Francisco, CA, June 2004.


Promoting Inclusion In Child Care Centers: Learning From Success, Jennifer R. Bradley, Shane Ama, Maria Gettman, Eileen M. Brennan, Peris W. Kibera Jan 2004

Promoting Inclusion In Child Care Centers: Learning From Success, Jennifer R. Bradley, Shane Ama, Maria Gettman, Eileen M. Brennan, Peris W. Kibera

School of Social Work Faculty Publications and Presentations

The purpose of this article is to share findings from research on nine child care centers that successfully provided child care for children with emotional and behavioral challenges alongside their peers without specific challenges (Brennan, Bradley, Ama, & Cawood, 2003). Following a brief overview of the research study, we focus a lens on the classroom, where staff selected and developed practices that included all children. The lens is then widened to view a broader picture of inclusion, such as the ways that the centers work with families, and the structure and culture of the organizations.


Violence, Mental Health, And Physical Symptoms In An Academic Internal Medicine Practice, Christina Nicolaidis, Maryann Curry, Bentson H. Mcfarland, Martha Gerrity Jan 2004

Violence, Mental Health, And Physical Symptoms In An Academic Internal Medicine Practice, Christina Nicolaidis, Maryann Curry, Bentson H. Mcfarland, Martha Gerrity

School of Social Work Faculty Publications and Presentations

OBJECTIVE: To assess how physical and/or sexual intimate partner violence (IPV), child abuse, and community violence relate to long-term mental and physical problems; to examine the overlap between different forms of violence and the impact of experiencing multiple forms of violence.

DESIGN: Cross-sectional survey.

SETTING: Three general internal medicine practices affiliated with an academic medical center.

PARTICIPANTS: English-speaking women aged 25 to 60.

MEASUREMENTS: Telephone or in-person interview and chart review.

RESULTS: One hundred seventy-four women completed interviews. A majority of participants experienced more than one form of violence. In separate multivariate analyses, each form of violence was associated with …


Pedagogy For The Economically Privileged: “Tuning In” To The Privileged Learner, Ann Curry-Stevens Oct 2003

Pedagogy For The Economically Privileged: “Tuning In” To The Privileged Learner, Ann Curry-Stevens

School of Social Work Faculty Publications and Presentations

Today’s activists are challenged by the sheer scope of losses by social movements. We have lost most significant battles and have moved into a defensive position struggling to retain earlier gains in social policy. The gap between rich and poor continues to widen, and it is clear that we need new allies in the struggles for justice. The middle class has been eyed as potential allies, with the hope that in bringing their resources, information, and power to bear, progressive social change will result. This paper draws from dissertation research on a pedagogy for the privileged: research that involves transformative …


Setting The Pace: Model Inclusive Child Care Centers Serving Families Of Children With Emotional Or Behavioral Challenges, Eileen M. Brennan, Jennifer R. Bradley, Shane Ama, Natalie Diane Cawood Jan 2003

Setting The Pace: Model Inclusive Child Care Centers Serving Families Of Children With Emotional Or Behavioral Challenges, Eileen M. Brennan, Jennifer R. Bradley, Shane Ama, Natalie Diane Cawood

School of Social Work Faculty Publications and Presentations

Approximately 10% of American children experience an emotional or behavioral disorder that causes some level of impairment in their development, learning, or functioning in daily life, and the numbers of those affected appear to be growing (U.S. Public Health Service, 2000). With the entry of many family caregivers into the workforce, increasing numbers of children with these challenges are enrolling in child care settings that offer services to infants, toddlers, young children, or school aged youth (Shonkoff & Phillips, 2000). Child care settings can provide a unique opportunity to address the needs of children with emotional or behavioral challenges and …