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July 2003

Canadians smoking less than ever before
(CNW) — According to the latest results released today from the Canadian Tobacco Use Monitoring Survey (CTUMS), the prevalence of smoking continues to decline in Canada. The data were collected between February and December 2002.
The survey reveals that 5.4 million Canadians, representing roughly 21 percent of the population aged 15 years and over, were current smokers. This is a slight decrease from the 2001 rate (22%). These most recent findings demonstrate that recent tobacco control initiatives have been instrumental in helping bring Canada even closer to the government's target to reduce overall smoking prevalence to 20 percent by 2011. Not only are fewer Canadians smoking, but they are also smoking fewer cigarettes on a daily basis. In 2002, the number of cigarettes smoked was 16.4 cigarettes per day. This is a decrease from the 1985 average of 20.6 cigarettes smoked per day. In 2002, men continued to smoke more cigarettes than women: 18.0 cigarettes per day for males as compared to 14.8 for females. CTUMS is conducted by Statistics Canada on behalf of Health Canada. Over the course of a year, CTUMS collects information over the telephone from over 20,000 respondents. Since its creation in 1999, CTUMS has provided up-to-date, reliable, and consistent data on tobacco use in Canada. The survey is especially helpful in providing smoking data on groups at risk, such as youth and young adults aged 15-24.
Surveillance, such as CTUMS, is a key component in monitoring the impact of the Federal Tobacco Control Strategy announced in April 2001. The strategy's diversified measures to reduce tobacco consumption also include regulation and compliance, public education, policy development, partnerships with provinces and territories, municipal governments and non governmental organizations, taxation, and mass media campaigns.
Smoking is the most preventable cause of death and disease in Canada. More than 45,000 people will die prematurely this year due to tobacco use and at least 1000 of them will be non-smokers.
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Rural black teens have riskier sex than urban counterparts
(Becky Ham — Health Behavior News Service) A new nationwide study of black teens concludes that those living in rural areas engage in more risky sexual behaviors than their counterparts in urban areas.
Based on responses to a nationwide survey of high school students, rural black teens are more likely to have sex and to not use condoms, according to Robin R. Millhausen, M.Sc. of the Rural Center for AIDS/STD Prevention and colleagues.
Compared with their city counterparts, rural black girls and boys are 46 percent and 65 percent more likely, respectively, to report ever having sex. Rural black girls are 34 percent more likely to say that they did not use a condom the last time they had sex, while boys are 96 percent more likely to have unprotected sex.
Rural black girls were also more likely than urban girls to report other risky sexual behaviors, including having more than three sexual partners in their life and more than one sex partner in the past three months. The study was published in the American Journal of Health Behavior.
The researchers acknowledge that their study may not be representative of all black teens living in rural areas, since it included only those enrolled in school and did not consider differences in income or social status.
In areas where sexually transmitted diseases and HIV prevalence is high, risky sexual behavior “may easily foster STD/HIV outbreaks and epidemics,” Milhausen says.
The survey was conducted among more than 4,000 teenagers. They were considered to be rural residents if they lived in a county with less than 50,000 people.
Milhausen and colleagues suggest that rural teens may not be as aware of the risks of sexually transmitted disease as urban teens or may even think that diseases like HIV/AIDS are urban problems only.
“If rural youth deny the possibility of HIV risk, they may be less likely to engage in protective behaviors,” Milhausen says.
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Loud headphones today may mean a hearing aid tomorrow
(Donna Halvorsen — Star Tribune) Andy Uzendoski has 3,000 songs in his MP3 player — including all the work of Bruce Springsteen and U2 — and he listens with headphones whenever he's not in class at the University of Minnesota. He also used to play drums in rock bands and still goes to clubs to hear others play. "I can't imagine a week without the music," he says.
For him — and many others of his generation — technology now allows an immersion in music: headphones, high-end car stereos and loud nightclubs. Health experts increasingly are concerned that music played at excessive volume, over time, could steal the hearing of an entire generation. Uzendoski, 21, of Minneapolis, recognizes the health risks. He knows he should try to avoid or reduce damage to his ears. That's why he wears ear plugs when he knows a concert will be loud. "It's ironic," he said. "If I listen to it too much now, I won't be able to listen to it in the future."
Experts say the louder the music, the longer someone listens to it, the closer it is to the ear, the more likely some hearing will be lost. Yet many parents and children don't recognize that loss is occurring. Hearing degenerates without pain or other warning, so some high frequencies could be lost before the kids or their parents know they're gone.
Everyone starts life with thousands of hair cells in the inner ears, and loud sounds can destroy them permanently. When loud music is piled on top of the everyday noises that kids are exposed to, the accumulated exposure can lead to significant damage.
Unfortunately, warnings from parents probably don't count for much. If parents tell their children to turn the music down or off, it's unwanted advice that will "go in one ear and out the other," said Janet Hansen, an audiologist at the Hennepin County Medical Center in Minneapolis.
"Will they stop listening to loud music?" she asked. "Probably not, because when you're young, your body is healthy and strong, and why worry about it now? That's for old people to worry about."
The federal government requires employers to protect their workers from noise at 85 decibels or higher if the sound will be at that level for 8 hours.
Headphones and nightclubs can deliver music at 110 to 120 decibels — about the same level as an ambulance siren — or higher without restrictions or warnings. Digital technology has aggravated the problem by making it possible to increase volume without distortion.
"Noise isn't so much of an issue for teenagers," said Dr. Samuel Levine, an otolaryngologist and professor at the University of Minnesota Medical School. "They haven't had time to destroy their ears yet."
Research has documented the risk for young people.
German researcher Henning Wiegels found that teens' hearing was damaged when they listened to loud music over headphones two hours a day or went to clubs at least once a week for several years. A British study of 15-to 23-year-olds found that those who regularly used headphones and went to concerts had twice the hearing loss of those who didn't have such exposure.
In the United States, people are losing their hearing nearly 20 years earlier than would have been expected in the normal aging process, and noise likely is the cause, according to the National Institute on Deafness and Other Communications Disorders.
About 10 million Americans have irreversible ear damage caused by noise, the institute said, and 30 million are exposed to dangerously loud noise every day.
Studies by the National Center for Health Statistics found that 15 percent of people ages 3 to 19 have signs of hearing loss. In addition, between 1971 and 1990, the number of people aged 45 to 64 with hearing losses increased 26 percent while losses among 18-to 44-year-olds increased 17 percent.
Rock music isn't alone in creating loud sounds.
Noise is everywhere. Vacuum cleaners average 81 decibels, a coffee grinder 80, a hair dryer 75, vehicle traffic 90 or more, airplane cabin noise 95 to 105, airplane takeoff 115 or more. Motorcycles, firecrackers and firearms can range from 120 to 140; a rocket launch is 180. A whisper is 10 decibels, normal conversation about 60.
How does noise affect hearing? The ear drum transmits sound vibrations through three middle ear bones to the cochlea of the inner ear. Tiny hair cells in the cochlea move the vibrations along, and they eventually reach the brain. Excessively loud sounds cause some of the hairs to die, and some hearing will be lost. The high frequency cells are the most sensitive, so hearing loss tends to begin with them.
Some hearing loss is genetic; some is caused by ear infections or trauma (such as a car accident) or aging. Baby boomers are losing their hearing earlier than would be expected, and some of them blame loud rock concerts they attended in their youth.
Noise has long been recognized as dangerous in industrial workplaces, but other sounds have only recently been seen as potential dangers. Loud noise also can cause tinnitus, a ringing, clicking or hissing sound in the ears that can be permanent.
"People are starting to see that there's something to this," said Julee Sylvester, spokeswoman for the Sight and Hearing Association, an advocacy group based in St. Paul that has organized hearing screenings. But, she said, "it's something they really don't think about until it happens to them." Yet hearing loss from loud music and noise can be prevented. "All you've got to do is stick some ear plugs in your ears," Hansen said.
Reaching teens
Teenagers may not get the message. They seldom show up at clinics and doctor's offices to have their hearing tested. "It's rare that we see a teenager to test their hearing unless there's some kind of medical problem," Hansen said. "We don't want to scare them, but impress upon them that when hearing is gone, it's not coming back."
Dr. Stuart Cox, a St. Paul ear, nose and throat specialist, said he hasn't yet seen many young people with hearing loss from noise, but "I think it's only a matter of time before we start seeing that."
One way to reach kids, Cox said, is to show them the results of their hearing tests. "If they can see that there's a loss, and that it's permanent, some of them will change their habits," he said. That can be a simple as changing the volume dial. If headphones have a 1 to 10 scale, 4 or 5 is where listeners should be, Sylvester said. "Anything above that is probably too loud."
She offers this guidance for parents:

  • If you can hear music from your child's headphones while standing 3 feet away, they are too loud.
  • If your child is wearing headphones and can't hear your voice, they are too loud.

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Headaches alter lives of kids
(Health Day News) — For children and teens, migraines can affect their quality of life as much as having arthritis or even cancer, a new study finds. Researchers from Cincinnati Children's Hospital Headache Center evaluated 572 youths between 2 and 18 years of age who had come to the center for treatment, asking them and their parents how their headaches affected their daily life. Of this group, 99 percent had a migraine diagnosis and 40 percent of those had migraines termed "chronic daily headaches," says study author Scott W. Powers, co-director of the headache center. The findings are published in the July issue of Pediatrics.
Powers and his colleagues then compared the children with headaches to groups of 730 healthy children, 339 children with cancer such as leukemia and 271 children with rheumatologic diseases such as rheumatoid arthritis. All youngsters and their parents (or just the parents in the case of the 2- to 4-year-olds) were asked about their quality of life in four areas of functioning: physical, emotional, social and educational.
"Compared to the normal children, they had a lower quality of life, both based on their own report and their parents' report of their perception of the child," Powers says of those with headaches. Overall, the total score for healthy children was 83 (of 100 possible), but just 73 for headache sufferers.
When compared with children with cancer and rheumatologic disease, the children with migraines had more problems with school and emotional functioning. But they had higher physical and social functioning, the researchers found.
Parents of the children with headaches reported lower educational and emotional functioning compared with the parents of children with rheumatologic disease, but not when compared with the parents of children with cancer.
Social functioning was the least different, Powers says. "Social activities engage the brain [and] are distracting," Powers says. "In general, a kid having a migraine might try to engage in social activities; it's easier than sitting in an algebra class."
While some might argue there's no comparison in the quality of life of a child with cancer to one who suffers migraines, Powers explains they decided to compare children with cancer, rheumatoid conditions and migraine headaches because all are chronic illnesses.
"Migraine can be debilitating," says Sharon Wells, a Mesa, Ariz., resident whose son, Tony, died of non-Hodgkin's lymphoma. Comparing the quality of life of children with migraines to those who have cancer or rheumatoid conditions makes a little more sense to her, she says, than previous research which compared the quality of life of obese children with that of children with cancer. But, she adds, "I don't put migraines on the same level as cancer."
To Powers, the study results provide some insight into a childhood condition that he says is prevalent and under-recognized. Published studies have shown that about one in 10 children and one in four teens have headaches, he says.
Sometimes, children are seen by several doctors who suspect other diagnoses before the correct one is made, Powers says. At the center, he says, doctors see about 400 new patients a year. "Their average age is 11, and many of them have had headaches since they were 8," he says.
Dr. Seymour Diamond, director of the Diamond Headache Clinic in Chicago and a professor of family medicine at Chicago Medical School, praises the new research. "It's a good study," he says. "It really stresses the importance of the disability and the effects and how it alters the lives of these kids."
"The finding that really surprised me," he adds, "was the comparison of kids with cancer and with rheumatoid arthritis." That finding proves that youngsters with headache are really suffering, he says, "and it really emphasizes what I have known for years: That there is a lot of disability and a lot of quality-of-life factors in children having migraines." At the Cincinnati Headache Center, Powers says, everyone gets suggestions on how to manage their lifestyle to minimize attacks. Among the suggestions: Drink plenty of water, get enough sleep, eat regularly and get regular exercise.
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Have TV and radio gone too far?
These days it seems anything goes on TV and radio and many parents are not happy. But is it simply a reflection of the world we live in? Graham Kennedy, the king of Australian television, once needed written permission to say "bloody" on air. That was a few years before his infamous crow call, which saw him banned from broadcasting his tonight show live.
It was the era when I Dream of Jeannie's Barbara Eden had to obscure her belly button with make-up. When an obviously expectant Lucille Ball couldn't be called pregnant but rather "in the family way". Couples couldn't be shown in a double bed. If they embraced on a bed at all, they had to have at least one foot on the floor.
Even in the permissive '70s, the ABC's youth radio station Double J outraged parents when it launched with Skyhooks' You Just Like Me 'Cos I'm Good in Bed. Not long after, Bob Rogers was sacked twice from Sydney radio for letting the f-word go to air.
Flash forward to broadcasting in contemporary Australia and we're on a different planet. In the post-punk world, it's difficult to shock anyone. C--- has become the new magic word. Triple J had a talkback discussion about its use and Channel Nine's Sex and the City devoted an entire episode to it.
In the '70s America thought The Brady Bunch was daring because it showed a couple in their second marriage lying rather chastely in a double bed. Now in the same sitcom timeslot we have a lead gay character in Will & Grace and the bed-hopping antics of Friends.
In Australia, an episode of the Sunday night family show Always Greener featured a teenage boy emerging from the toilet in agony after his sister sprinkled his Penthouse magazine with chilli powder. A few weeks ago at 9pm, ABC viewers of the UK drama The Book Club saw a man ejaculate.
On Ten's Big Brother Uncut almost anything goes — from full-frontal nudity to simulated oral sex to the most explicit conversations and revelations. In a recent episode Kim, waggling her backside at Saxon in the next bed, said: "This is what I'm going to do to you in the morning" and made loud farting noises. Saxon replied: "Kim, when you open your eyes, you'll see two round things and a long thing down your nose and then you'll feel a warm trickle in your mouth and you'll know I got there first." On Sydney breakfast radio, 2Day FM's Wendy Harmer hired a private detective to catch a listener's husband with a prostitute. Several years ago on her late-night Triple M sex show, Ruth Ostrow interviewed a brothel client during intercourse and featured a woman climaxing on air during oral sex with her partner.
Are there no limits anymore? And is broadcasting being led by community standards or vice versa? TV and radio have developed their own codes of practice in line with the Broadcasting Services Act. For TV, the level of language, sexual references, violence and drug use is graded according to viewing times. Between 4pm and 7.30pm, the mostly young TV audience might hear such mild expletives as "bloody" or "bum". Between 7.30 and 8.30pm, "shit", "piss off" and some blaspheming is allowed, with parental guidance recommended. "F---" can be aired from 8.30pm with an M classification, but "motherf---er" and "c---sucker" are usually reserved until 9pm with an MA classification. AV, a sub-category of MA , restricts particularly violent films such as Chopper to the 9.30pm slot. In practice, it's a bit of a juggling act for network censors, determining community standards, avoiding the wrath of politicians and keeping the audience both onside and entertained.
Channel Nine's chief classification officer Richard Lyle believes it is essentially a good system that has allowed television over the years to accurately reflect the way society really is. "Coarse language is just a reflection of the fact that viewers now hear realistic dialogue," he says. "For a long time language in movies was very formal; then Australian cop shows like Homicide and Division Four started using real Australian accents with the slang, lingo and natural speech patterns you hear on the street."
Social researcher Hugh Mackay says it's a dilemma parents have been struggling with since the days of the nickelodeon. Entertainers and program-makers have always pushed the boundaries and each technological development has altered the landscape for the next generation. "Some people do argue society is in a long process of being corrupted," Mackay says, "but I think it's just social conventions changing."
Lyle says: "The power of the f-word has certainly diminished enormously over the past 15 years in society and on television and I can't see why c--- wouldn't go the same way. It's just a slang word and in contemporary society words like nigger, kike or fag are far more offensive." Guidelines for reality shows are less clear, says Lyle, and are sure to create debate among industry and community groups when the code of practice is next updated. "The guidelines we work by are designed for sitcoms, dramas and movies. There's nothing about how to judge a reality piece like Big Brother or Survivor."
Channel Ten faced this dilemma a few weeks ago when one of the housemates in Big Brother told a racist joke. Responding to public pressure, Ten issued an apology. Lyle thinks that was an overreaction. "Of course it's not good to tell a racist joke but it's supposed to be reality TV and Australians do tell racist jokes, so why do a mea culpa?"
Lyle himself was busy fielding calls earlier this month when Nine launched The Block, a reality home-improvement program. A number of viewers, including 2UE's Steve Price, expressed dismay that two gay men were among the couples vying for prize money. Some of the complaints amounted to straight-out homophobia, but Lyle said most calls came from concerned parents worried their children would ask awkward questions about homosexuality.
Price says he is not a homophobe but 6.30 on a Sunday night is the traditional family hour and no parents want to have to explain to their youngsters why two gay men are cavorting in their underwear as they renovate their flat.
Lyle is unapologetic. "How wonderful if the kids are coming to ask questions about sexual matters. But, really, most prepubescent children watching the show would just interpret Gavin and Warren as two men who are affectionate and supportive sharing a flat. Parents see it from their own perspective rather than the child's. The innuendo goes over the heads of children, like Gav's remark about Warren: 'He's got a great back deck for entertaining."
Mike McColl Jones has been skirting such sensibilities for nearly 40 years. One of Australia's leading gag writers, he produced much of the material delivered by Graham Kennedy, Don Lane, Steve Vizard and Bert Newton on their night-time shows. "In the early days, management rationed Graham to about five or six bloodys a year and one night he was really on a roll and blew about 60 years. There were always complaints and the whole point was to shock."
When the f-word was first used on British TV in the 1960s, comedian Tony Hancock is alleged to have said, "That's fine, but where do we go from here?" McColl Jones believes Hancock's comments are even more relevant now. "With bloody, you still had the quarter finals, semi-finals and finals to go. Now c--- is the new magic word and there's nowhere else to go. Women do on television what they used to do off television to get on television."
McColl Jones believes today's entertainers shorten their on-air life if they rely too heavily on coarse language to get laughs. "Graham did the crow calls to liven up those boring commercials. He was clearly saying 'Aark, aark' but it was the suggestion that he might be saying the f-word that made it funny. It's like that old joke about two nudists wolf-whistling at a girl in a miniskirt - the suggestion is always much funnier than being obvious or blatant. It's important to push the edges but using coarse language to shock is an easy cop out."
Interestingly, under-40 radio stations have turned away from shock tactics, favouring humour and slice-of-life material instead. Ostrow's Triple M sex show didn't rate and research suggests women in particular will turn the dial if they hear coarse language or material unsuitable for their children. "We tell our presenters using coarse language is a cheap way to get laughs," Austereo's network programmer, Jeff Allis, says. "It shouldn't be necessary to swear. It doesn't add any value to a joke and there's no longer any shock value."
Even so, when parents hear what their teenagers are listening to, particularly at night, many are concerned about the explicit song lyrics and buffoonery of some presenters. Mackay believes parents do themselves a disservice by being too anxious about how the media affects their children's behaviour. "The primary influence on kids is their parents and, later, their peers," he says. "There's a superficial cosmetic influence, where kids learn bits of language and information, but in terms of their developing values, standards and behaviour they are not media copycats at a deep level." Mackay agrees children are accessing adult information at a much earlier age than previous generations. "So what," he says. "There have always been precocious kids who know more than their parents realise. The fact kids know stuff before they are emotionally equipped to understand it is a relatively trivial phenomenon. A lot of people who object to their nine-year-old saying f--- use the word themselves. If it's on television, it's a good opportunity for them to explain when it is appropriate to use such words and when it isn't.
"Parents often do feel powerless in the face of the media and I think it's an important message to them that they are in control. If parental guidance is recommended the parent should be there and it's a great opportunity to talk about the morality of certain issues. And there is always the switch."
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Fatherless boys 'more likely' to rape
(By Sharon Labi)  Boys from a fatherless home are more likely to rape, drop out of school and end up in jail, fatherhood advocates said today. The Fatherhood Foundation today released a 12-point plan to reverse the trend of fatherless boys in Australia.
The plan received bipartisan support at its launch in Canberra today, a day after Prime Minister John Howard bemoaned the lack of male role models for young boys.
Mr Howard this week announced a parliamentary inquiry into child custody laws, saying a major social problem was the lack of male role models. Moves were already underway to try to boost the number of male teachers in primary schools, and fathers were today encouraged to spend more quality time with their children. The document contained research that boys from fatherless homes were more likely to abuse drugs, commit rape and commit suicide.
Labor frontbencher and father of two young boys, Mark Latham, said boys who had no father in their lives and no mentor often suffered throughout their youth. "Those boys lose that sense of normality, that sort of anchor in their life; looking up to someone who's sending hopefully positive messages about right and wrong, how you be a good man," Mr Latham said. "If boys haven't got those messages we shouldn't be too surprised if later in life some problems emerge."
With the changing role of women in the last 30 years, men were confused in dealing with their new role and relationships, Mr Latham said.
"We don't want a men's movement that blames women; we want a men's movement that works with men and women to develop better identity, better relationships, a stronger fathering role in our society and to develop win-win outcomes," he said.
Under the 12-point plan released by the National Fathering Forum, government should address inequity in funding for men's issues, and establish a minister or office for fatherhood.
It also says after divorce or separation, all children have a right to equal contact with their mother and father unless there are proven mitigating circumstances.
Fathering Forum convenor Warwick Marsh said rather than letting work crowd their life, fathers should attempt to spend more time with children to provide a positive role model.
Children's Minister Larry Anthony said 55,000 Australian children each year were affected by divorce or separation, and kids did better when they had more contact with their dads.
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Michigan Mentoring programs reap many benefits
(By Cynthia L. Miller) They are "good kids," youths who might have family problems or are going through the juvenile court for minor offenses. They are at a crossroads and need love and support to make smart decisions about the future directions of their lives. The Journey Program attempts to provide that support by pairing a youth with an adult mentor who offers an encouraging word, an ear to listen and a shoulder to lean on when necessary.
Adult support and consistency are key components for a youth's success, said Lisa Bottomley, 4-H Youth Mentoring Agent with the Journey Program, which is run through the Michigan State University Extension office. Before the program was established in the Tri-Cities about eight years ago, there were few options for youngsters in need of positive role models, Bottomley said.
The voluntary program matches a youngster, who may be referred by a probation officer, therapist or other community organization or agency, with a positive adult role model. Studies show mentored youth are more likely to improve grades, avoid alcohol, drugs and delinquent behavior and graduate from high school, she said.
The Journey Program is funded by MSU and Ottawa County and the program's mission is to reduce the frequency and severity of delinquent behavior by Ottawa County youth, Bottomley said.
Currently the program hosts 26 mentor and mentee matches as well as six active youth visitors at the Ottawa County Juvenile Detention Center's Fillmore Complex. Volunteer mentors who do not become part of the Journey Program may be matched with members of the Ottawa County Mentoring Collaborative, like the Big Brothers/Big Sisters program, Bottomley said. "It's just a very new, innovative 4-H (program). ... Our county commissioners realize the value and fund it," she said.
Bottomley said the county pays $40,000 in funding annually, which can help up to 30 youngsters through the mentoring program. Compare that to the $55,000 it costs to keep one child in juvenile detention for a year and it's easy to see the cost effectiveness, Bottomley said.
"The Journey Program is such a good use of money ... (and) it creates smiles. I've seen a lot of kids really grow," Bottomley said.
Bottomley said priority is placed on youth currently in the court system, but others may also be included. Occasionally, young people are recommended for the program from counselors.
Bottomley said MSU proposed the Journey Program and provides training, program supervision and support. While each Michigan county has MSU Extension offices, officials said there are only two similar programs in conjunction with Juvenile Courts in Macomb and Washtenaw counties.
Which ever way a youth becomes involved with the Journey Program "the earlier you grab a kid, the better chance you have to make an impact," Bottomley said. "All youngsters in the program are "good kids." "When you meet them they could be your niece or nephew and there at that critical point where they need some help so they don't go the wrong way. We want to give them that support," she said.
Betty Claar, program supervisor for Ottawa County Family Court, Juvenile Services Division, said youngsters come to the department for a variety of reasons, which include running away from home, truancy or school and family problems. Others are referred by the court. "Our feeling is that this is a prevention program and we do believe that kids who have mentors generally get out of the system quicker and have less new charges ... because there is that positive influence in their lives." Bottomley said there is a critical need for mentors. All applicants are carefully screened and interviewed before being matched with a youngster.
"Because it's a relationship-based program, I'm definitely in it for the quality volunteer rather than the quantity," Bottomley said. "I'm very careful with who I match with the one-on-one visits because (kids) really look forward to (visits) and you don't want to break their hearts."
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Offering youth a hope in life
(By Lorraine Chandler) Ashington Hirst High School pupils Karl Peart, 16, and Gemma Dimmick, 15, both died from suspected suicides in the past month. Here, Lorraine Chandler, company director of Professional and Community Training (PACT), explains the series of workshops she has put together for schools and youth organisations — entitled Life Stinks About a year ago I was contacted by a school where a child had committed suicide and was asked to put a programme together for the school. This inspired the Life Stinks workshops. It has been revealed that teenage suicides do not happen individually. They happen in clusters.
The youngsters see the attention one person gets after he or she has died and the emotions such actions provoked and they want to do the same — except they are not around to see it.
Youngsters have to be very depressed and feel they have nowhere to turn for them to commit suicide. Surprisingly, it is not mainly girls who commit suicide; about 80 per cent of all suicides are by young men.
We want to go into schools and tell children where they can turn to for help, and we want to get to them well before they have thought about self-harm or suicide. Forty-one per cent of those intent on self-harm seek help from friends, but their friends often do not know what advice to give.
I decided to set up the Life Stinks courses with Christine Cross who studied with me at Teesside University. I work on it from the social aspect — how I can help the teenagers — and Christine looks at everything from a psychological perspective, so we get a good balance.
We started with a course in Hartlepool on pregnancy and parenting, which was so successful it reduced the number of teenage pregnancies by 28 per cent. But it was the number of children self-harming and committing suicide in the region which really worried us. There are a lot of organisations out there that can help these people, and through our courses we point the teenagers in the right direction.
However, we have found that children will not go to adults for help so we want to have children in every school who can act as mentors. The types of children who would be perfect are popular, approachable and trustworthy. Teachers usually know who to put forward for the schemes.
We tell the mentors to never offer advice or interfere in the conversation; we want the mentor to put them in the right direction and be the link between the adult and the child.
You will never stop bullying in schools. Schools often think they have a good bullying scheme in place, but is it right for the children? And do youngsters really feel comfortable with the schemes at their school?
Samaritans and researchers from Oxford University's Centre for Suicide Research recently conducted the UK's first large-scale study of self-harm among school children. They found reasons given for self-harm or suicidal thoughts included schoolwork, problems with parents, friends who self-harm, being unable to cope by talking, and having few people to talk to.
The self-harm and depression course which is being backed by the chief executive of the Samaritans, Simon Armison, who is on a national steering group for the provision of services for young people. If this scheme takes off in the North East it could be used nationally, which would be fantastic for children throughout the country who are not getting the right help or advice.
I work for social services and I met a young girl called Clare who self-harmed but felt that she was not getting help from anyone; people wanted to treat the symptoms rather than the person.
We wanted to have an impact on young people in the region. We didn't want to just hand out leaflets because teenagers take a quick look at them and throw them away.
Children are very good at hiding their feelings. It is up to everyone, not just one person or agency, to help them — it is everyone's responsibility.
The courses are for teachers, carers, parents — anyone who has involvement with children. We also go into school and teach children about mentoring. We are then in contact with the school and mentors to ensure everything is being implemented properly and the children are happy with it. The programme is endorsed by Samaritans, and supported by Teesside University and Bellingham Community Middle School.
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What to do if your child grunts back
(By Elizabeth Davidson) They walk into the classroom emitting strange grunting noises, fail to make conversation and are often barely able to talk. That's the picture emerging from our primary schools. Step forward, the grunting generation.
In a recent survey by Government advisory body, the Basic Skills Agency, teachers warned as many as half of all reception class children — aged four — have insufficient language skills for their age and communicate in monosyllables. This means these children are not yet ready for learning when they start school - a major problem in primary schools, say overworked teachers.
So what should you do if you ask your child a question and your child grunts back? And is it the fault of parents, teachers, wishy-washy educational programmes or our paranoid, over-protective culture?
Taking your child on excursions outside the home instead of parking them in front of the television is important, says Basic Skills Agency director, Alan Wells.
Wells, who coined the term "the daily grunt" to describe the pitiful conversation within many family homes, says: ".
"Conversation has died a bit — people are very busy now and trying to create time for playing, reading with, and talking to their children is more difficult. Extended families are not as extended as they were and so other generations of the family are not around to help out.
"We need to promote the importance of parents reading and playing with their children, and if parents can't prise their children away from the screen then they should find other things that they want to do — seeing an animal in a zoo is more interesting than seeing it on television."
He says language skills have deteriorated during the last five years, and recommends more schools run "Language through Play" workshops where parents learn to communicate with their children using games and songs.
Campaign organisation Family and Youth Concern director Robert Whelan, on the other hand, disparages the use of workshops and claims old-fashioned meals round the family table are the answer. He says: "If parents have forgotten how to bring up their children, then God help us!
"It's not just television, it's parents not being there, being out at work, families not eating meals together. If we need to attend classes with two social workers telling us how to talk to our children, then something's really gone wrong." Whelan claims the answer is to spend more time with your child.
He says: "It's an uphill job being a parent these days, but families should make time for being together and, if they can't, then the parents must reorganise their working lives. Once you have brought children into the world then you must accept responsibility, otherwise they will be suffering all their lives." But Frank Furedi, professor of sociology at Kent University, leapt to the defence of parents. He claims a dumbed-down culture is failing to tap the potential of children. There is a tendency to blame parents for everything and, in this case, it is nonsense," he says.
"Parents are no better or worse now than in previous generations. It is a complete myth that parents spend less time with their children. In fact several surveys have shown the reverse and that working mothers spend more time with them than those who don't work."
"The problem is our culture devalues language skills, and our educational resources place less emphasis on spelling and grammar, and pay less attention to words. The signal that is coming out is children can use any word as long as they don't swear - they can use 'wicked' every second word and nobody will correct them. "When you hear the word 'awesome' for the 100th time, you have to ask whether that word has any meaning any more." Correct your child's speech wherever necessary, and encourage them to extend their vocabulary from as early as nursery stage, advises Furedi. And he blasts the makers of educational games and programmes for not stretching children enough.
"It would be useful if the makers of programmes like Teletubbies didn't just have them grunting and making noises. They could be more creative with words — children of three, four and five-years-old love playing with words and rhythmic sounds, and having their curiosities engaged. It's not expensive just, for example, to ask what rhymes with 'table'. "We should expect more of our children."
Eric Wilkinson, Professor of Education at Glasgow University, warns we should avoid being too protective if we want our children to develop good social skills. He says: "I would suspect that over-protection is the main reason for this failing. "There's a propensity for parents to want to protect their children from perceived dangers, which means they are not interacting with people on the way to school, or in shops or at bus-stops." He adds: "Children are choosing to spend a lot of time in front of a screen, whether it's a television or computer. "It would help if children were allowed to follow their need to explore, and schools might also engage with parents on an informal basis to encourage them to read to children and talk with them."
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Youths warn parents of troubles
(By Jill Taylor) Parents wear blinders when it comes to their own kids, and sometimes what they don't want to see grows into a nightmare.
"It's unbelievable how much parents trust their kids," said 17-year-old Chad McComas, who is growing up with an asterisk next to his name identifying him as the kid who killed four of his friends in a car crash in December 2000.
"I thought maybe after I messed up, maybe everybody would learn," but they haven't, McComas said Tuesday as he prepared for a forum tonight at South Fork High School. |
The session, starting at 7 p.m., will include McComas, 16-year-old Patrick Alloe and perhaps one or two other teenagers who will talk about drugs and alcohol, reckless driving and other potentially life-altering choices kids are making.
The event is scheduled by a network of parents calling themselves YES!, for Youth Encouragement & Support. Last month, they sponsored a forum at Martin County High School in which parents who had lost their children to accidents or overdoses spoke of how their lives had changed and their hopes for the community. "This is not a sleepy little town like we all thought it was," said Judi Kaufman, whose daughter died from a drug overdose.
Two years ago, Alloe nearly died after drinking and taking pills. Unconscious and sick, he was left behind while his friends continued partying. "My friends that I thought were my friends just left me on the beach," Alloe said.
Someone found him and got him to a hospital; he spent some time in a rehabilitation program. He's been clean and sober since then, although not entirely trouble free. He was arrested for shooting a BB gun at a car and spent a week in the juvenile detention center in Fort Pierce. That was an eye opener, and Alloe will talk about it tonight.
McComas was charged with vehicular homicide and served a sentence in a program for high-risk juveniles. "It didn't cross my mind at all that anything bad could happen," McComas said of the late-night joy ride. Even after the crash, he could not force himself to recognize it was real. "At first I wouldn't believe that anyone was hurt," he said. "It was a dream for a couple of weeks." In a letter he and the only surviving passenger, Robert Marks, wrote to the mother of one of the girls who died that night, McComas said it was planned as a "perfect night" until he reached to adjust the CD player and he ran into a line of mailboxes, setting off the car's air bags. "I couldn't see anything," he wrote. "I couldn't reach the steering wheel. I couldn't reach the gearshift. I panicked."
Alicia Brennan, 14; Karen Victoria "Tori" Morris, 13; Josh Michaels, 12; and Josh's 10-year-old brother, Sam, died after McComas crashed into a small stand of trees. McComas said he wants to speak to other kids and their parents to warn them. "Even if you are a good kid... you can make a big mistake," he said.
He and Alloe said they are saddened every time they hear another teenager has died from drugs or alcohol or recklessness. And they despair every time they hear a parent deny the truth that their child is experimenting, making bad choices, building to more bad choices and leading to truly awful results. "I know what their kids are doing. I see them," Alloe said. "There are so many people that are blind out there, it's just ridiculous," McComas said.
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Children may grow out of nut allergy
(By Jeremy Laurance, Health Editor) Children who have peanut allergy should be tested every two years to check whether they have outgrown the potentially life-threatening reaction, doctors say today.
Allergy cases have trebled in the past four years and the affliction is among the commonest causes of anaphylactic shock, which can be fatal. But research suggests the condition may last for only a few years. Doctors at Johns Hopkins Children's Centre, Baltimore, and Arkansas Children's Hospital in the US, who studied 80 youngsters aged from four to 14 with peanut allergy, found more than half lost their sensitivity and were able to eat the nuts without provoking a reaction.
The finding, in the Journal of Allergy and Clinical Immunology, suggests parents could be suffering unnecessary anxiety as they try to protect their children from contact with peanuts when they are not at risk.
Robert Wood, a consultant paediatric allergist, said: "Although we once thought peanut allergy was a lifelong problem we now believe certain children ... may outgrow it. I recommend that children with peanut allergy be tested on a regular basis every one or two years."
A recurrence of peanut allergy was rare, the researchers found, but it was more likely to occur in those who avoided peanuts altogether, after their allergy had disappeared.

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Pivotal role of father in family stressed
(by Huda Fawzi – Dubai)  A low educational level, lack of parental supervision and bad company are the main factors behind drug addiction among the youth, according to a recent field study prepared by Samiha Hashem and Dr Mohammed Murad Abdullah of Dubai Police. Focusing on the causes of drugs addiction, the study surveyed 52 addicts from Rashidiya which has a large number of addicts compared to other districts.
The survey shows that the majority of addicts are in the age group of 28-33. The study also shows that they tried drugs for the first time when they were aged between 13 and 22, the average being 17. Seventy-five per cent of the addicts do not have a secondary certificate. They quit school to work and earn money to buy drugs.
When they started taking drugs, 67 per cent of the respondents worked in the government, 17 per cent were students, 10 per cent unemployed and four per cent worked in the private sector. The majority now are unemployed.
Also 60 per cent of the respondents received a monthly salary of less than Dh3,000, 19 per cent received Dh3,000-5,900, 13 per cent Dh6,000-9,900 and eight per cent Dh10,000. It is important to note that the largest group that gets below Dh 3,000 consists of those who are unemployed and receive money from the family or the government. The majority of the respondents — 71 per cent — are unmarried, 25 per cent divorced and two per cent separated. Also with respect to the order of the respondents in the family, 67 per cent comprise the middle child, 17 per cent the eldest child, 12 per cent the youngest and four per cent the only child.
Most of the respondents' parents are alive while 17 per cent had a deceased father and 10 per cent a deceased mother. Also, most of the respondents' parents are happily married whereas 29 per cent of them have divorced parents and six per cent separated parents.
Only 30 per cent of the respondents' mothers have married after getting divorced. This shows that the role of a single mother in bringing up children is limited and that the father's role is extremely important. Polygamy had no effect on the addicts as 65 per cent of the respondent's fathers did not have multiple wives.
In addition, 55 per cent of the respondents said they received their parents' love and compassion, 19 per cent received great care, 12 per cent were pampered, eight per cent received cruel treatment and six per cent were neglected.
However, 77 per cent of the respondents said their parents treated them equally as their brothers and sisters.
Only 54 per cent of the respondents discussed their problems with their families. The majority said their families allowed them to sleep outside their homes. Of them, 50 per cent used to spend the night in camps, 23 per cent at their friends' homes, 17 per cent with their relatives and 10 per cent in hotels. Most parents knew their children's friends since they live in the same district. Although most of the respondents' families noticed the changes in their children's behaviour, they were not aware of the reasons or the fact that those who seek treatment will not be punished. Most of the respondents' families do not drink alcohol. However, about 11 per cent of the respondents' brothers take drugs. An analysis of the respondents' answers about their families indicate that the problem is mainly lack of parental supervision.
The study focused on the relation between the respondents and their friends. It was found that most of the respondents had daily contact with their friends from the same district and spent their free time with them within the district. They met mostly in the evenings and mainly at the playground with the majority of them spending together two to five hours daily.
In addition, 62 per cent of the respondents' friends broke the law in one way or another and 67 per cent committed crimes related to drugs. This means that the influence of friends is the main factor that led the respondents to take drugs.
About the respondents' behaviour in general and with respect to taking drugs, the researchers found that the majority took mainly hashish, tried drugs for the first time in the UAE and were aware of the harms associated with the habit.
Also half the respondents preferred to take drugs with a friend or a relative, 33 per cent preferred taking drugs alone and 17 per cent in a group.
The majority of the respondents — 57 per cent - paid for the drugs from their salaries, 25 per cent from their families' money, six per cent by selling drugs, six per cent through stealing and two per cent by borrowing while four per cent did not reveal the source. Furthermore, 44 per cent of the respondents tried drugs out of curiosity, 25 per cent to forget their problems and 23 per cent to keep up with their friends.
Also 55 per cent obtained drugs for the first time from their friends, 17 per cent from drug dealers, 10 per cent from different sources such as foreign girlfriends, friends who don't live in the same district and some members of the police force, six per cent from a doctor, six per cent from colleagues at work, four per cent from relatives and two per cent from a pharmacy. This confirms that the influence of friends and the lack of parental supervision are the main causes behind this bad habit.
The study recommends that parents encourage their children to complete their education, tell their children about the risks of the habit and closely supervise their children, thereby not leaving them to bad company who lead them towards this path.
Jobs should be created for the unemployed and programmes planned to increase people's awareness about the perils of drug addiction. Besides, smoking must be combated and security in remote areas increased.
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My Child Is Shoplifting
(Kids Health) Children steal for many reasons. And kids of different ages — preschoolers, 6- or 7-year-olds, and teens — can be tempted to steal for different reasons:
Very young children sometimes take things they want without knowing or understanding that things cost money and that it's wrong to take something without paying for it.
Elementary school children usually know they're not supposed to take something without paying, but they may take it anyway because they lack enough self-control.
Preteens and teens know they're not supposed to steal, but they may steal for the thrill of it or because their friends are shoplifting. Some might believe they can get away with it. As they are given more control over their lives, some teens may become rebellious and act out by stealing.
And there may be more complex reasons why some children steal. They may be angry or want attention. Their behavior may reflect stressful problems they're having at home, at school, or with friends. Some may steal as a cry for help because of emotional or physical abuse they're enduring at home.
"They might steal if they're mad, or if there's a bad marriage, to try to pull their parents together. And sometimes they steal because they just want it," says Mary C. Gentile, a psychotherapist in Pasadena, Maryland, who works with adolescents and families.
Some kids might steal because they can't afford to pay for what they need or want. In some cases, kids and teens may steal to get popular name-brand items or to support drug habits. Parents need to find out the root of the behavior and address problems that surface, like drug abuse.
A parent's reaction when a child has been caught stealing should depend on whether it's the first time or there's a pattern of stealing.
"If it's a one-time deal and [the child seems] remorseful or upset by the consequences, then it stops," Gentile says. "If it happens again, then there could be problems."
With very young children, parents need to help them understand that stealing is wrong — that when you take something without asking or paying for it, it hurts someone else. If a preschooler takes a piece of candy, for instance, parents can help the child return the item. If she's already eaten the candy, parents can take the child back to the store and help her apologize and pay for it.
With school-age children, too, it's important to return the item that was stolen. By the first and second grades, children should know stealing is wrong. They may need a lesson in the consequences, however. Having to return a stolen item can provide the embarrassment that makes for an everlasting lesson on why stealing is wrong. It's important for parents to support their kids and let them know that they understand the whole experience is embarrassing. Further punishment, particularly physical punishment, of the child is unnecessary and can be counterproductive. It can make the child angry and lead to even worse behavior.
If a preteen comes home with a friend's bracelet in her backpack and it's clear she took it without her friend's permission, the parent should talk to the child about how she would feel if a friend took something of hers. The parent should encourage the daughter to call her friend to apologize and explain what happened and that she'll return it.
When teens steal, Gentile recommends that parents follow through with stricter consequences. For example, when a teen was caught stealing from a store, she recommended the parent take the child back to the store and meet with the security department to explain and apologize for what happened. The experience worked. The teen hasn't had any more problems with stealing.
If it's a first-time offense, stores and businesses may accept a teen's apology and won't necessarily press charges. However, there's little sympathy for repeat offenders.
Children of all ages need to know that shoplifting affects how people run their businesses and how it raises prices for other consumers. They should know that stealing is a crime and can lead to consequences far worse than being grounded, including juvenile detention centers and prison.
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Two studies link child care to behavior problems
(By Susan Gilbert) With findings that are bound to rekindle the debate over its effects on children, two studies being published today build on evidence that those who spend long hours in child care may experience more stress and are at increased risk of becoming overly aggressive and developing other behavior problems.
One of the studies found that the more time children spent in child care, the more likely they were to be disobedient and have trouble getting along with others, though it suggested that factors like a mother's sensitivity to the child's needs could moderate that outcome.
This report is from the Study of Early Child Care and Youth Development, the largest long-term study of child care in the United States, which was undertaken by the National Institute of Child Health and Human Development, a branch of the National Institutes of Health. The findings elaborate on preliminary research that created a storm of debate when presented by the study's investigators at a child development meeting two years ago.
The other study found that in children younger than 3, levels of cortisol, a hormone associated with stress, rose in the afternoon during full days they spent in day care, but fell as the hours passed on days they spent at home. This study's researchers, from the Institute of Child Development of the University of Minnesota, had earlier found the same pattern in 3- and 4-year-olds.
Cortisol levels in the saliva of day care children were highest and rose most steeply in those judged by day care center personnel to be the shyest. "These children struggle in group situations and find them stressful," said the study's lead author, Dr. Megan R. Gunnar.
Dr. Gunnar said that while none of the cortisol levels measured were high enough to be considered signs of psychological trauma, they were nonetheless a cause for concern.
In a measure of how sensitive the topic of child care has become, the studies, appearing in the journal Child Development, are accompanied by nine commentaries from researchers around the world that put the findings into perspective and, in some cases, rebut them. The editors of the journal delayed publication of the studies for several months while they circulated the manuscripts to more than 1,000 child development experts and invited them to write commentaries.
"I think it was worth holding up publication of the research so that we could put it in context," said Dr. Lynn S. Liben, editor in chief of Child Development. "Child care is a controversial issue."
Unlike the University of Minnesota research, which dealt only with children in day care, the study by the National Institute of Child Health and Human Development followed more than 1,000 children in 10 cities who were in the full range of child care arrangements, including day care centers, preschools, care with nannies and care with relatives other than their mothers. The children's behavior was evaluated by their mothers, caregivers and kindergarten teachers.
The study, which began in 1991, found that the more hours the children spent in child care, the higher the incidence of problem behavior and the greater its severity.
Over all, about 17 percent of the children had above-average levels of problem behavior like disobedience and overassertiveness. Though their behavior fell within normal limits, children exhibiting such traits would be at risk of developing behavioral abnormalities, said the study's scientific coordinator, Dr. Sarah L. Friedman.
Most of the children in the study spent 10 or more hours a week in child care, and 10 percent spent more than 45 hours a week there. The correlation between quantity of child care and behavior problems remained even when other variables were taken into account, including the quality and type of the child care, the mother's sensitivity to her child's needs and the family's socioeconomic status. Indeed, the study found that the time spent in child care was linked more strongly with children's behavior than was the quality of care.
But while none of those variables entirely offset the negative effects that the study found, the mother's sensitivity and the family's socioeconomic status had a greater influence on children's behavior than did the amount of time spent in child care. Greater maternal sensitivity and higher level of family income and education correlated with better behavior in the children, the study found.
The commentaries published along with the two studies elaborated on some of the findings and challenged others. Susan C. Crockenberg, a professor of psychology at the University of Vermont, cited other research concluding that boys were more vulnerable than girls to negative effects of child care.
A few of the commentators argued that contrary to the findings of the National Institute study, the quality of child care mattered a great deal in fostering young children's social and emotional development. A commentary by several researchers led by John M. Love, a senior fellow at Mathematica Policy Research of Princeton, N.J., noted that the more time that infants and toddlers spent in Head Start programs, considered to be of high quality, the fewer their behavior problems and the greater their intellectual and language development.
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UW report shows worrisome link between child and parental mental health problems
(U.S. Newswire) New research from the UW's Washington Kids Count project shows the emotional well-being of Washington children is strongly linked to their parents' mental health. In turn, parents' mental health is profoundly sensitive to their children's emotions and behavior.
According to the "Family Matters: Mental Health of Children and Parents" report, elementary school children whose parents experienced symptoms of poor mental health or high parental aggravation (parents who feel stressed or angry toward their children) were almost five times as likely to have severe emotional and behavioral problems as children whose parents reported better mental health or only moderate aggravation. For adolescents, the risk of having severe emotional and behavioral problems was almost three times greater if a parent experienced symptoms of poor mental health or high levels of aggravation.
Similarly, parents were about five times more likely to report mental health challenges if they had a child with severe emotional and behavioral problems. Researchers also found that economic hardship, single parenting, unemployment, not completing high school, having a teenager in the house, and latchkey child care were associated with poor parental mental health and high parental aggravation.
"Parents experiencing economic hardship are almost three and a half times more likely to report symptoms of poor mental health," explained Dr. Sheri L. Hill, assistant director of Washington Kids Count. "With Washington's sustained high rate of unemployment and poor economy, many parents in our state are at increased risk for mental health problems. It is important to recognize that their children share this risk."
In Washington, an estimated 30,000 children ages 6 to 11 and more than 40,000 adolescents ages 12 to 17 have symptoms of severe emotional and behavioral problems. Hill said a total family approach to mental health treatment is necessary to effectively address the needs of both children and parents. An increase in general support services for families and better coordination among providers is also in order, she said.
"This research confirms what we know from working with children and families on a daily basis: that treating the family as a unit is critical in treating mental health problems," said Scott Hanauer, director of Children's Home Society of Washington's Cobb Center for Youth. "For children and families to succeed, we need a two-generation approach that addresses the needs of both children and adults instead of the current approach of focusing on one or the other. We help kids by helping their parents, and vice versa."
Washington Kids Count suggests the following policy changes to improve mental health resources for children and families:

  • Improve mental health delivery
    Identify and treat emotional and behavioral problems promptly, and consider how one person's problems affect others in the family. Support community mental health programs that serve both children and adults and provide integrated, family-centered care. Expand communications among services systems such as allowing schools and employers to refer families to mental health services. Train educational, social service, and all health professionals to recognize depression and other risks for mental health problems; make sure they are familiar with referral resources.
  • Improve community services
    Offer accessible support services such as adult education and vocational training to single parents, families undergoing economic hardship, and parents who are unemployed or have not graduated from high school. Reduce the number of young children left to care for themselves by creating flexible child care options and before- and after-school programs.
  • Improve payment and insurance systems
    Make family counseling and therapy a reimbursable insurance expense. Encourage health care providers and insurers to address mental health problems with the same seriousness as other physical problems. Encourage employers to support family counseling.

The report findings are based on data from the National Survey of American Families (NSAF) conducted by The Urban Institute in 1997 and 1999.
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Violence in childhood begets spousal abuse
(HealthDayNews — by Amanda Gardner)  A new study has identified several factors that seem to independently predict which people will end up in abusive relationships as adults. Not surprisingly, children who had behavior problems or witnessed their parents being violent toward one another were likelier to be involved in an abusive relationship later. But the study also found that, to a lesser degree, kids who were harshly punished were also headed down the path to abuse in adulthood.
About 20 percent of men and 20 percent of women report that they have abused their partner, with about the same percentage reporting being on the receiving end. For more serious violence (for instance, which might result in an injury and come to the attention of a medical professional), about 5 percent of women and 5 percent of men report being on each side — victim and perpetrator.
Despite the prevalence of the problem, existing treatment programs for domestic violence do not seem to be working, says Miriam Ehrensaft, lead author of the new study, appearing in the August issue of the Journal of Consulting and Clinical Psychology. The current findings, Ehrensaft says, argue for early preventive measures in childhood.
Others take issue with the fact that the study only looked at the mother's parenting styles. "We have had concerns with studies that look just at the mother's parenting," says Maria Jose Angelelli, program policy coordinator for the Texas Council on Family Violence in Austin. "We're not disputing that that's not true, but how the father fits into that cannot be omitted. It can't."
Researchers already knew that three factors were likely to increase the risk that someone would end up in an abusive relationship as an adult: conduct disorder (a group of behavioral and emotional problems in children), exposure to parental violence, and "power assertive parenting" (which involves controlling, forceful tactics, including physical punishment).
"Each was assumed to be important in the development of partner violence, but we didn't know how each of these things might contribute independently," says Ehrensaft, who is an assistant professor of clinical psychology at Columbia University College of Physicians and Surgeons in New York City. Now researchers have some insight into which factors may be more important.
"Conduct disorder is the most serious risk factor for partner violence, and that's closely followed by exposure to domestic violence," Ehrensaft says.
The risk from power-assertive parenting is much lower than the risk from the other two factors. What's surprising, Ehrensaft says, is that "you don't actually need a history of physical abuse or exposure to actual physical violence between parents [to end up in an abusive relationship]."
The study authors followed 543 children from two upstate New York counties for 20 years, from childhood into adulthood. The youths and their mothers were first contacted in 1975 and were interviewed again on three additional occasions: in 1983, 1985-86, and 1991-93. In 1999, the participants were asked to fill out a questionnaire on recent life changes, work history, aggressive behavior, intimate partner history, and partner violence.
Children with conduct disorder were four times more likely to perpetrate violence against a partner and more than twice as likely to be on the receiving end.
Children who had witnessed violence between their parents were more than two times as likely to perpetrate and almost three times as likely to receive it.
Child abuse seemed to be a strong predictor of who might end up injuring a partner, but not who would end up receiving violence. That was another surprise, Ehrensaft says.
In fact, though, the two are highly related. Most people who perpetrate domestic violence are also recipients. "Most cases of aggression are going both ways," Ehrensaft says.
Another important piece of the puzzle — and one that has implications for prevention and treatment programs — is that the predictors for men and women are largely the same.
Angelelli is concerned with some of these findings. In her experience, witnessing abuse has not been a link among victims of domestic violence. And childhood behavior disorders may be an issue but not at the top of the list.
"We would argue that a major factor in preventing partner violence would be prevention programs and providing safety to the victims and community resources to the victim and the perpetrator," she says. "Treating the child with a disorder we do not believe is a major factor. It's one of the factors." Angelelli does agree that programs should be geared to girls and boys.
"We need to be addressing girls' risk factors as well," Ehrensaft says. "People have shied away from that because it will look like women blaming. For me, it's really a matter of protecting girls more thoroughly. If there is a risk factor for girls, it doesn't behoove us politically to ignore it."
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