175
Posters Advancing Comprehensive Early Childhood Intervention
Session 3
HEALTH Topic - Trauma-Informed Care
p3.28 Assessing Environmental Risk Factors Associated With Healthy Child Development via Network Analysis Presenting Author: Rodrigo Leao (Brazil) Affiliation: Catholic University of Rio de Janeiro, University of Oregon Co-Authors: Luis Anunciacao, Diane Bricker, Jantina Clifford, Kimberly Murphy, Jane Squires Adverse Childhood Experiences, such as abuse, neglect, and exposure to violence, disrupt development and have lasting impacts on adulthood. This study examined the psychometric structure of the Environmental Screening Questionnaire - Research Edition (ESQ-RE). The ESQ-RE was completed by parents or caregivers for 22,391 children aged 1 to 83 months (55.6% male), with most respondents reporting a 4-year college education or higher (44.2%) and 61% identifying as White. Using network analysis, we estimated the internal structure of the ESQ-RE, identifying its central measures and item clusters. Results indicated satisfactory preliminary psychometric properties, with the network analysis revealing a well-fitted six- cluster structure. These clusters align partially with the ESQ- RE’s theoretical domains: education and employment, housing, child and family health, economics and financials, family life, and community. This study provides robust evidence supporting the ESQ-RE as a promising tool for assessing contextual risks to child development. p3.29 The Baby Steps Clinic: An Inter-Professional Approach to Improving Care for Families Impacted by Prenatal Substance Exposure Prenatal substance exposure has impacted a significant number of families in the United States, and in the Appalachian Highlands in particular. Evidence is emerging that the effects of exposure may include chronic health issues, neurodevelopmental delays, speech-language deficits, academic difficulties, gastrointestinal and feeding issues, auditory impairment, and motor delays. The Baby Steps Clinic was created to serve as a medical home for children (birth through 5 years) affected by prenatal substance exposure in our region to ensure comprehensive health, developmental, and behavioral screening and follow up. The team includes a pediatrician, care coordinator, early interventionist, dietitian, occupational therapist, speech therapist, physical therapist, audiologist, along with community partners. Attendees will learn about the team’s unique, arena-style approach to assessment, their challenges and successes with early identification of delays and concerns, providing targeted education, and connecting families with practitioners and therapists to promote positive outcomes in this vulnerable population. p3.30 Child Abuse, Violence and Health Presenting Author: Ivete Maria Santos (Brazil) Affiliation: Federal University of Bahia Presenting Author: Michelle Johnson (USA) Affiliation: East Tennessee State University Co-Authors: Teresa Boggs, Kara Boynewicz, Christy Isbell, Dianna Puhr Co-Authors: Zelma Freitas Soares, Laisa Liane Paineiras Domingos, Eduarda Taine do Val Reis, Berenice Temoteo da Silva The purpose of this poster is to show ways of violence against children in social and economic vulnerability in Brazil, how they learn, internalize, reproduce and perpetuate models of violence in areas of high level of urban violence and lethal violence against youth. Violence has been identified as a risk factor for many health problems (WHO, 2002). Studies show that violence compromises the quality of life and health of individuals, being responsible both for potential years of life lost, and increasing the years lived with disability (Oliveira et al., 2021; Heard-Garris et al., 2018). Some groups are more vulnerable and more exposed to violence, such as children, who may show signs of psychological distress or internalize violent behaviors from learning to socialize in places where urban violence is part of everyday life (Engle et al., 2011; Levandowski et al., 2021; Williams et al., 2021). p3.31 Implementing Minding the Baby (MTB) in Denmark: Experiences from Mothers, Fathers and Clinicians Presenting Author: Maiken Pontoppidan (Denmark) Affiliation: VIVE - the Danish Center for Social Science Research Co-Author: Nina Thorup Dalgaard Minding the Baby (MTB) is an attachment-based, interdisciplinary home visiting intervention for expecting families facing adversity. Implemented in 10 Danish municipalities as part of a quasi-cluster-randomized controlled trial, MTB supports families from pregnancy to the child’s second birthday. Thematic analysis of interviews with 15 mothers, 6 fathers, and 18 clinicians revealed predominately positive experiences. Parents highlighted the supportive and trusting relationship with the MTB team, while fathers appreciated the program’s emphasis on child development, although many viewed themselves as secondary caregivers. Clinicians noted improved parental mentalization and child development among motivated families, emphasizing the importance of interdisciplinary collaboration and the extended program duration. Participants across all groups underscored the importance of tailoring the intervention to meet diverse family needs. MTB was widely recognized as a meaningful and effective support for families navigating adversity within the Danish welfare system.
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