Help Seeking For Children Research Articles

‘Use your words’: Vocalization and moral order in an oral preschool classroom for deaf or hard-of-hearing children

AbstractThis ethnographic study examines deaf or hard-of-hearing children's socialization in an oral classroom, a setting designed to promote spoken language as the primary mode of communication. Drawing from nine months of observations, I describe how the meanings assigned to children's vocalizations create a system of values and judgements that organizes and regulates classroom behavior. Specifically, vocalization itself is oriented to as a moral practice that is necessary for the mutual understanding and accomplishment of classroom activities. Informed by ethnomethodological and language-socialization perspectives, I illustrate how participants co-construct a local moral order wherein students are held accountable for ‘using their words’ to perform social actions. Analyses discuss three interactional contexts where moral issues are routinely constructed as contingent on and resolvable through vocalization—children's help-seeking, children's disputes, and negotiations of classroom participation—thereby shaping children's understanding of language use and reflecting broader institutional expectations and ideology regarding oral communication. (Moral order, preschool children, socialization)*

It’s a beautiful day in the neighborhood: Overcoming barriers regarding children’s mental health against help-seeking via community social capital

ABSTRACT One in five children suffers from mental illness, yet estimates suggest that for various reasons, 50%-70% of these children are not receiving sufficient care. This study examines how mental illness stigma and parents’ help-seeking for their children interact with community social capital and demographic factors. Parents (N = 104) of children ages three to eight in the Northeastern USA completed a questionnaire that included measures of social capital, mental illness stigma, help-seeking attitudes, and children’s current psychosocial symptoms. The lowest rate of mental illness was among children of high SES. Most children in need were not receiving treatment, which is likely a result of parents not recognizing the symptoms of mental illness. Greater social capital was associated with less stigma and more positive attitudes toward help-seeking. These findings suggest that interventions focused on increasing parents’ knowledge of mental health and increasing social capital within the community will increase effective parental help-seeking for children.

Children's and mothers' cardiovascular reactivity to a standardized laboratory stressor: Unique relations with maternal anxiety and overcontrol.

Research documents bidirectional associations between parental overcontrol (OC) and children's anxiety; OC may place children at risk for anxiety and also may occur in response to children's requests for help. However, to date no studies have examined children's or parents' in-the-moment emotional responses to OC. Using a community sample of mothers and school-age children, we examine the individual and interactive influences of maternal OC, maternal anxiety, children's help-seeking, and children's anxiety in predicting physiological reactivity in response to a stressor faced by children and observed by mothers, predicting that for children of higher anxiety mothers, higher OC will be associated with increases in reactivity (decreases in respiratory sinus arrhythmia [RSA]), whereas for higher anxiety mothers themselves, engaging in OC will be associated with reductions in physiological reactivity (decreases in heart rate). Multilevel modeling suggested that for children of higher anxiety mothers, greater peak OC is associated with greater reductions in RSA (increases in reactivity) after the onset of OC. In contrast, for higher anxiety mothers themselves, greater peak OC was linked with attenuations in heart rate. Effects held when controlling for children's anxiety and help-seeking, and no pattern of effects was observed with analyses in which children's help-seeking was the predictor or children's anxiety was the moderator, suggesting that in this case, physiological reactivity is uniquely associated with the interaction between maternal OC and anxiety. Among mothers with higher anxiety, OC may serve a regulatory function, reducing physiological reactivity, while exacerbating children's reactivity. (PsycINFO Database Record

Beliefs Regarding Development and Early Intervention Among Low-Income African American and Hispanic Mothers.

Understand the role of health beliefs in shaping maternal decisions regarding help-seeking for children with developmental delay (DD) and explore differences between African American and Hispanic mothers. Open-ended, semistructured interviews were conducted with African American and Hispanic mothers of children aged 0 to 36 months with DD. Interviews were recorded, transcribed, and analyzed by using inductive content analysis. Mothers (n = 22) were African American (36%) or Hispanic (64%), 25 to 34 years old (64%), had less than a high school education (59%), and had children receiving public insurance (95%). Five major themes emerged describing the role of maternal health beliefs in shaping key stages of the help-seeking pathway for children with DD: (1) "I can see" (observing other children and making comparisons); (2) "Children are different and develop in their own time" (perceiving that their child might be different, but not necessarily delayed); (3) "It's not that I don't trust the doctor" (relying on social networks rather than pediatricians to inform the help-seeking pathway); (4) "I got so much going on" (difficulty prioritizing early intervention [EI] because of competing stressors); and (5) limited and conflicting information (delaying or forgoing EI because of limited or conflicting information). Differences between African American and Hispanic mothers are also described. Understanding maternal health beliefs and expectations regarding DD and EI, acknowledging the influence of social networks on help-seeking, and addressing social and financial stressors are critical to ensuring that children with DD are identified and supported at an early age.

Young Children's Help-Seeking as Active Information Gathering.

Young children's social learning is a topic of great interest. Here, we examined preschoolers' (M=52.44months, SD=9.7months) help-seeking as a social information gathering activity that may optimize and support children's opportunities for learning. In a toy assembly task, we assessed each child's competency at assembling toys and the difficulty of each step of the task. We hypothesized that children's help-seeking would be a function of both initial competency and task difficulty. The results confirmed this prediction; all children were more likely to seek assistance on difficult steps and less competent children sought assistance more often. Moreover, the magnitude of the help-seeking requests (from asking for verbal confirmation to asking the adult to take over the task) similarly related to both competency and difficulty. The results provide support for viewing children's help-seeking as an information gathering activity, indicating that preschoolers flexibly adjust the level and amount of assistance to optimize their opportunities for learning.

Gender and age effects interact in preschoolers' help-seeking: evidence for differential responses to changes in task difficulty

This study explored preschool age and gender differences in help-seeking within the theoretical framework of scaffolded problem-solving and self-regulation (Bruner, 1986; Rogoff, 1990; Vygotsky, 1978; 1986). Within-subject analyses tracked changes in help-seeking among 62 preschoolers (34 boys, 28 girls, mean age 4.22 years) solving a challenging puzzle with an adult. The goal was to document whether age and gender interact with fluctuating difficulty to affect children's spontaneous help-seeking. ANOVAs indicated that girls used more help-seeking during difficult segments of the task, despite performance equal to the boys. This pattern was strongest among older girls, who outperformed all other children and used the most help-seeking. Partial correlations, controlling for solving time, indicated that age predicted children's help-seeking during the most difficult segments of the task, but only among girls. Gender differences in social-linguistic maturation and cognitive development are discussed within the framework of Vygotskian theory and related educational practice.

Help-Seeking for Children with Mental Health Problems: Parents’ Efforts and Experiences

Parents who contacted 1 of 15 children's mental health agencies in Ontario, Canada reported on where and why they were seeking mental health services for their 4- to 17-year-old children. Parents contacted an average of four agencies (± 1.7; range = 1-14) in the previous year. Approximately one-half of parents were looking for either multiple types of treatment, or help for different problems, across agencies. The complex pattern of help-seeking evidenced in our study likely increases the burden on the mental health care system and on families, and may reduce the likelihood that families will connect with the most appropriate treatment.

Factors Associated with Attributions About Child Health Conditions and Social Distance Preference

In order to better understand factors that account for the emergence and persistence of negative attitudes towards mental health problems, attributions about and stigma towards children's mental and physical illnesses were examined using National Stigma Study-Children data. Parent blame attributions were most strongly associated with attention deficit disorder, environmental causes with depression, and biology with asthma. Parent blame was more frequent for mental than physical health conditions. Child blame was associated with higher preferred social distance from the child, but no clear links were observed between social distance and attributions about genetic/biology, environment, or parent blame. Rurality was not significantly associated with attributions or social distance preference. Higher educational achievement was associated with increased endorsement of environmental stress factors and reduced odds of child blaming. The general public holds complex explanatory models of and nuanced responses to children's mental disorders that need further investigation, including effects on parents' and children's help-seeking.

Help-seeking patterns for children with epilepsy in rural India: implications for service delivery.

Most people in the world with epilepsy are untreated with antiepileptic drugs (AEDs). In some developing countries, this is because treatment facilities are unavailable or difficult to access. It has even been suggested that indigenous health systems threaten the prospect of the global control of epilepsy with AEDs. We have investigated patterns and costs of help seeking for children with epilepsy in a region of rural India where only 12% of children with epilepsy were in treatment. Our objective was to find out (a) whom families had consulted; (b) if nonconsulting families differed in demographic or child medical factors; (c) if indigenous treatment was taken, exclusive of allopathic treatment; and (d) the direct and indirect cost of various providers. We conducted a cross-sectional interview study in a community-based program for childhood epilepsy in rural West Bengal, India. We interviewed parents of 85 children aged 2 to 18 years with untreated epilepsy who had entered a clinical trial of AEDs during 1995 through 1996. Eighty percent of families had sought some help in the past: 62% with an allopathic practitioner, 44% with traditional practitioners. Primary health centres (PHCs) and quacks were not popular. Twenty-four percent of families never sought help of any kind, and this was unassociated with sex, income, maternal literacy, or medical variables. There was evidence of both exclusivity and pluralism: 42% of families first consulting allopathic practitioners also visited traditional practitioners, whereas 30% of families first consulting traditional practitioners also went to allopathic practitioners. One visit to a physician cost a median of 9-13% of monthly income and 5-12 person-hours; the cost of visiting indigenous providers was negligible. Most families sought some form of help and were motivated to spend large amounts of money and time for allopathic treatments from qualified practitioners. The typical cost of allopathic treatment was unsustainable in the long term. Medical pluralism is common and does not adversely influence use of allopathic treatment. The phenomenon of nonconsulting merits further study. Traditional practitioners play a complementary role and might become involved in community treatment programs. Low-cost, local treatment is essential to the public health control of epilepsy.

Multidimensional health locus of control beliefs and psychological health for a sample of mothers

Five multidimensional health locus of control (MHLC) types for 772 women whose children are enrolled in a longitudinal study of their health and development were identified. The MHLC is composed of an internal and two external dimensions (chance and powerful others). The five independent MHLC clusters were: pure internal; believer in control; pure chance; yea-sayer; and nay-sayer. Women with high scores on the three dimensions of the MHLC (yea-sayer) compared with the rest of the sample were significantly more likely to be from a lower socio-economics status, score lower on a general verbal intelligence test and higher on the Neuroticism and Lie Scales of the Eysenck Personality Inventory. They rated their overall health as significantly poorer, and reported more symptoms of depression compared with the other groups. A pure internal locus of control was strongly associated with the report of good health. Women with a strong belief in internal and powerful other loci of control were significantly more likely to have received treatment for their depression compared with other groups. Help-seeking for children's problem behaviour did not vary significantly with MHLC groups. The present study replicated five out of six MHLC types identified in an earlier study, and established the external validity of the MHLC types on measures of health status. The findings support the use of MHLC types in future research on health locus of control.

Perceived Gender Differences in Children's Help-Seeking

Abstract A total of 213 second-, fourth-, and sixth-grade students were asked to rate how likely a son or daughter would be to seek help from his or her mother or father in 20 different situations. Although few developmental differences were found, there were numerous situations in which the children expected (a) the mother or father to be the more likely target of help-seeking for both boys and girls or (b) a same-sex preference in help-seeking.

Children's help-seeking in the classroom: The role of motivational factors and attitudes.

Structural modeling was used to explain children's intentions to seek help with schoolwork. One hundred seventy-seven 3rd, 5th, and 7th graders were administered questionnaires assessing perceived academic competence, intrinsic orientation (preference for challenge and striving for independent mastery), and attitudes and intentions regarding help-seeking in math class

Children's help-seeking in the classroom: The role of motivational factors and attitudes.

Children's help-seeking in the classroom: The role of motivational factors and attitudes.