Rachel Chazan-Cohen

The Effectiveness of Early Head Start for 3-Year-Old Children and Their Parents: Lessons for Policy and Programs

Early Head Start, a federal program begun in 1995 for low-income pregnant women and families with infants and toddlers, was evaluated through a randomized trial of 3,001 families in 17 programs. Interviews with primary caregivers, child assessments, and observations of parent-child interactions were completed when children were 3 years old. Caregivers were diverse in race-ethnicity, language, and other characteristics. Regression-adjusted impact analyses showed that 3-year-old program children performed better than did control children in cognitive and language development, displayed higher emotional engagement of the parent and sustained attention with play objects, and were lower in aggressive behavior. Compared with controls, Early Head Start parents were more emotionally supportive, provided more language and learning stimulation, read to their children more, and spanked less. The strongest and most numerous impacts were for programs that offered a mix of home-visiting and center-based services and that fully implemented the performance standards early.

Child Care quality matters: How conclusions may vary with context

Three studies examined associations between early child care and child outcomes among families different from those in the National Institute of Child Health and Human Development (NICHD) Early Child Care Research Network study. Results suggest that quality is an important influence on childrens development and may be an important moderator of the amount of time in care. Thus, the generalizability of the NICHD findings may hinge on the context in which those results were obtained. These studies, conducted in three national contexts, with different regulatory climates, ranges of child care quality, and a diversity of family characteristics, suggest a need for more complete estimates of how both quality and quantity of child care may influence a range of young childrens developmental outcomes.

Low-Income Children's School Readiness: Parent Contributions Over the First Five Years

Early development is likely influenced by quality of early parenting and improvements or declines in quality over time. Little is known about how changes in different dimensions of parenting influence child outcomes, nor the relative sizes of associations when considering several aspects simultaneously. These questions are addressed in the Early Head Start Research and Evaluation Project (N = 1273). Assessments occurred when children were 1, 2, 3, and 5 years old. Parent supportiveness (videotaped play interactions), home learning environment (observed), and depressive symptoms and parenting stress (self-report) were assessed. Childrens school readiness at age 5 was assessed via receptive vocabulary, letter–word knowledge, observed emotion regulation, approaches toward learning, and behavior problems. In this low-income sample, early parenting as well as change over time predicted school readiness. Associations mostly followed predictions from the family stress model and cognitive stimulation models; learning environment and maternal supportiveness were most strongly associated with child vocabulary and letter–word knowledge, although supportiveness was also linked with observed emotion regulation, and learning environment early on was also linked with emotion regulation, and early learning environment was also linked with emotion regulation, and early learning environment was also linked with behavior problems and approaches toward learning. Depressive symptoms and parenting stress were more strongly associated with behavior problems, although early parenting stress was also associated with approaches toward learning and emotion regulation.

It Takes Time: Impacts of Early Head Start that Lead to Reductions in Maternal Depression Two Years Later

The Early Head Start Research and Evaluation Project, a random-assignment evaluation, found a broad pattern of positive impacts for children and families. However, there were no program impacts on depression or use of mental health services by the time children reached age 3, at the end of the Early Head Start (EHS) program. This paper presents recent findings from the follow-up study in the spring prior to the children entering kindergarten, when a positive program impact emerged for reducing maternal depression. Results show that earlier program impacts on children and parents (when children were 2 and 3 years of age) mediated, or led to, the delayed impact on maternal depression. The combination of the most promising child factors accounted for over 57% of the later impact on depression, while the most promising parent factors accounted for over 35% of the later impact on depression. Implications for EHS programs are discussed.

Risk for maternal depression and child aggression in Early Head Start families: A test of ecological models

Current literature indicates that risk for maternal depression is substantial in low-income families. A large body of research also indicates that when mothers are depressed, children are at risk for a number of developmental difficulties. While mutual influence between child and parental difficulties has been noted, few studies examine risk factors for both depression and child aggression within ecological models. The present cross-site study examined the unique and additive contributions of contextual factors, including SES and family functioning, on maternal depression and child aggression in Early Head Start families. A multiethnic sample of parents and their children, between the ages of 12 and 43 months, participated in this study. Families came from five Early Head Start programs across the United States, representing both urban and rural areas. Structural equation models (SEM) demonstrate mutual links between depression and aggression, mediated at least in part by ecological factors. SEM indicated that 36.4% of the variance in child aggression is accounted for in a model linking aggressive behavior to parent depression, stress, and couple-level functioning, as well as other family interaction variables. A second model focusing on maternal depression revealed that 44.5% of the variance in maternal depression was accounted for through family factors, including couple-related support and satisfaction and parenting stress. In this second model, child aggression was indirectly linked to maternal depression. These data have important implications for programs serving at-risk families.

What Makes a Difference: Early Head Start Evaluation Findings in a Developmental Context.

The federal Early Head Start (EHS) program began in 1995, and a randomized trial was conducted to evaluate the efficacy of 17 EHS programs. In all, 3,001 low-income families (35% African American, 24% Hispanic, and 37% White) with a pregnant women or an infant under the age of 12 months were randomly assigned to a treatment or control group (with 91% of the treatment group receiving some services). Data were collected when the children were about 1, 2, and 3 years of age, and at age 5 (2 years after leaving EHS). Research questions examined (1) impacts of EHS at ages 2 and 3 (when services were being offered) and at age 5, and (2) contributions of early education experiences across childrens first 5 years of life. Child outcomes included cognition, language, attention, behavior problems, and health; maternal outcomes included parenting, mental health, and employment. Overall impact analyses at ages 2 and 3 indicated that EHS benefited children and families: impacts were seen in all domains, with effect sizes of significant impacts ranging from .10 to .20. At age 5, EHS children had better attention and approaches toward learning as well as fewer behavior problems than the control group, although they did not differ on early school achievement. Subgroup analyses indicated that cognitive impacts were sustained 2 years after the program ended for African American children and language impacts for Hispanic children who spoke Spanish. Some significant family benefits were seen at age 5. Mediated analyses identified which child and family impacts at ages 2 and 3 contributed to the child impacts at age 5 (most relevant were earlier treatment effects on child cognition and on engagement with the parent). Growth curve analyses were also conducted. Although fewer than half the children enrolled in center-based preschool programs between ages 3 and 4, almost 90% participated in the year preceding kindergarten. A higher percentage of EHS than control children were enrolled. Nonexperimental analyses suggested that formal program participation enhanced childrens readiness for school while also increasing parent-reported aggression. At age 5, those children and families who experienced EHS followed by formal programs fared best overall. However, the benefits of the two experiences were associated with outcomes in different ways. Benefits in language, behavior, and parenting were associated primarily with EHS; benefits in early school achievement were associated primarily with preschool attendance.

The early promotion and intervention research consortium (E‐PIRC): Five approaches to improving infant/toddler mental health in Early Head Start

One planned consequence of the national Infant Mental Health Forum held in the United States in 2000 was the funding of five research projects conducted in Early Head Start (EHS) programs. Each project strengthened existing programs by integrating infant/toddler mental health approaches and testing the outcomes on infant/toddler development, behavior, and parent-child interactions. In two of the projects, the effect of offering enrichment for EHS staff was tested. The other three projects tested the effect of services offered directly to parents and children. This article describes the five projects and the theories, methods, and outcome measures used. In order to understand more fully the elevated risk factors in these families and the consequences for mental health in their infants and toddlers, a common set of measures was developed. Data have been used to explore the common threats to mental health and the factors that moderate the impact on infants and toddlers.

Mother–Infant Interactions in Early Head Start: A Person-Oriented Within-Ethnic Group Approach

SYNOPSIS Objective . This article identifies patterns of mothering in low-income families from three ethnic groups and explores whether those patterns yield similar associations with child outcomes. Design . A person-centered within-group approach was used to examine observed patterns of mothering among European American (n = 740), African American (n = 604), and Mexican American (n = 322) low-income mothers and their 1-year-olds who were participating in the Early Head Start Research and Evaluation Project. Cluster analytic techniques were employed using four dimensions of mothering coded from videotapes: supportiveness, directiveness/intrusiveness, negative regard, and detachment. Results . Three similar mothering patterns were seen within each ethnic group: Supportive (48%–52%), Directive (29%–30%), and Detached (14%–19%). Although the patterns of mothering were similar, mean scores on discrete mothering behaviors differed across ethnic groups. A fourth pattern—Harsh—was found among European American and African American mothers and was characterized by high levels of negativity (5%–7%). Associations between mothering patterns and three child outcomes at ages 2 and 3 years (cognitive test score, emotional regulation, and engagement of mother) validated cluster solutions and revealed some variation in prediction across ethnic groups. However, Supportive mothering was optimal in all three ethnic groups. Conclusions . Within-group analyses permitted identification of ethnically meaningful mothering patterns. Across the ethnic groups, within-group structures of mothering were similar with comparable predictive power for child outcomes despite group differences in the magnitudes of mean scores for constructs such as supportiveness and directiveness.

The effect of Early Head Start on child welfare system involvement: A first look at longitudinal child maltreatment outcomes☆

The high societal and personal costs of child maltreatment make identification of effective early prevention programs a high research priority. Early Head Start (EHS), a dual generational program serving low-income families with children prenatally through age three years, is one of the largest federally funded programs for infants and toddlers in the United States. A national randomized trial found EHS to be effective in improving parent and child outcomes, but its effectiveness in reducing child maltreatment was not assessed. The current study used administrative data from state child welfare agencies to examine the impact of EHS on documented abuse and neglect among children from seven of the original seventeen programs in the national EHS randomized controlled trial. Results indicated that children in EHS had significantly fewer child welfare encounters between the ages of five and nine years than did children in the control group, and that EHS slowed the rate of subsequent encounters. Additionally, compared to children in the control group, children in EHS were less likely to have a substantiated report of physical or sexual abuse, but more likely to have a substantiated report of neglect. These findings suggest that EHS may be effective in reducing child maltreatment among low-income children, in particular, physical and sexual abuse.

The impact of early head start on school readiness: New looks

This special issue includes new analyses of data from the Early Head Start Research and Evaluation (EHSRE) study. The goal of the issue is to further delineate how aspects of programs as well as family and contextual factors are implicated in the impact of Early Head Start on school readiness and parenting. The 4 sets of authors address the complex interplay of program, child, and family factors in quite divergent ways, with results offering new vantage points on how best to ensure that low-income children enter school ready to learn and on a trajectory of lifelong adaptive functioning.