Infant Mental Health Journal最新文献

{"title":"Current approaches and future directions for addressing ethics in infant and early childhood mental health","authors":"Paula D. Zeanah,&nbsp;Alison Steier,&nbsp;Izaak Lim,&nbsp;Jon Korfmacher,&nbsp;Charles H. Zeanah","doi":"10.1002/imhj.22077","DOIUrl":"10.1002/imhj.22077","url":null,"abstract":"<p>In this paper, we consider whether the field of infant and early childhood mental health (IECMH) needs its own code of ethics. We begin by describing unique features of infant and early childhood mental health (IECMH) and the diverse strategies that the field has developed to address complex clinical dilemmas, among them workforce development, clinical supports, policy statements, and statements of ethical values. Because of the field's interdisciplinary nature, we also consider how various contributing professions and organizations address ethical issues. While these are important resources that can inform ethical decision-making, we identify some of the limitations of the current approaches. We argue that it is time for the field of IECMH to take an intentional, systematic approach to directly address the complex and unique ethical dilemmas faced by infant and early childhood mental health practitioners, and we grapple with some of the challenges developing such a code might entail. We suggest several avenues for better understanding the scope of ethical issues and ethical decision-making processes in IECMH that could be used to support developing an ethics code that is responsive to the unique and challenging world of infant and early childhood mental health.</p>","PeriodicalId":48026,"journal":{"name":"Infant Mental Health Journal","volume":null,"pages":null},"PeriodicalIF":2.4,"publicationDate":"2023-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/imhj.22077","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10305016","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Mental health and sleep quality of low-income mothers of one-year-olds during the COVID-19 pandemic","authors":"Elizabeth M. Premo,&nbsp;Katherine A. Magnuson,&nbsp;Nicole E. Lorenzo,&nbsp;Nathan A. Fox,&nbsp;Kimberly G. Noble","doi":"10.1002/imhj.22074","DOIUrl":"10.1002/imhj.22074","url":null,"abstract":"<p>The COVID-19 pandemic and subsequent social restrictions created an unprecedented context for families raising young children. Although studies have documented detrimental effects of the pandemic on maternal well-being, less is known about how the pandemic specifically impacted low-income mothers. We examined depression, anxiety, and sleep quality among low-income mothers of one-year-olds during the early months of the pandemic using data from the Baby's First Years study. Focusing on the control group (<i>n</i> = 547), we compared mothers interviewed before March 14th, 2020 (<i>n</i> = 342) to mothers interviewed between March 14th and June 30th, 2020 (<i>n</i> = 205) to determine whether the pandemic was associated with differences in mental health and sleep quality. Mothers were recruited from four cities in the United States, and most of the sample identified as Hispanic (42.2%) or Black, non-Hispanic (38.6%). We found that mothers interviewed during the pandemic reported better mental health and sleep quality. While we cannot speak to longer-term impacts of the pandemic, it is possible low-income mothers experienced relief from daily stressors during the initial shelter-in-place orders, which may have led to improvements in well-being. These results have implications for understanding how complex life stressors influence mental health and sleep quality among low-income mothers raising young children.</p>","PeriodicalId":48026,"journal":{"name":"Infant Mental Health Journal","volume":null,"pages":null},"PeriodicalIF":2.4,"publicationDate":"2023-07-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/imhj.22074","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10318433","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Patient navigation models for mental health of parents expecting or caring for an infant or young child: A systematic review","authors":"Sophia A. Harris,&nbsp;Michelle Harrison,&nbsp;Karen Hazell-Raine,&nbsp;Catherine Wade,&nbsp;Valsamma Eapen,&nbsp;Jane Kohlhoff","doi":"10.1002/imhj.22075","DOIUrl":"10.1002/imhj.22075","url":null,"abstract":"<p>Patient navigation (PN) aims to improve timely access to healthcare by helping patients to “navigate” complex service provision landscapes. PN models have been applied in diverse healthcare settings including perinatal mental health (PMH). However, the practice models and implementation of PN programs vary widely, and their impact on engagement with PMH services has not been systematically investigated. This systematic narrative review study aimed to (1) identify and describe existing PMH PN models, (2) understand their effectiveness in improving service engagement and clinical outcomes, (3) review patient and provider perceptions, and (4) explore facilitators and barriers to program success. A systematic search of published articles/reports describing PMH PN programs/service delivery models targeting parents in the period from conception to 5 years postpartum was conducted. In total, 19 articles describing 13 programs were identified. The analysis yielded a number of commonalities and differences across program settings, target populations, and the scope of the navigator role. While there was promising evidence to support the clinical efficacy and impact on service utilization of PN programs for PMH, the current evidence base is sparse. Further research evaluating the efficacy of such services, and facilitators and barriers to their success, is warranted.</p>","PeriodicalId":48026,"journal":{"name":"Infant Mental Health Journal","volume":null,"pages":null},"PeriodicalIF":2.4,"publicationDate":"2023-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/imhj.22075","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9838692","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Introduction to special section doing the “right” thing: Ethical issues in infant and early childhood mental health","authors":"Paula D. Zeanah,&nbsp;Jon Korfmacher,&nbsp;Izaak Lim,&nbsp;Alison Steier,&nbsp;Charles H. Zeanah","doi":"10.1002/imhj.22076","DOIUrl":"10.1002/imhj.22076","url":null,"abstract":"<p>Over the past several decades, the field of infant and early childhood mental (IECMH) has experienced rapid growth in clinical knowledge, awareness, and services. The importance of safe, nurturing, responsive care to the well-being of infants and young children is generally accepted as the most fundamental principle of infant and early childhood mental health, and the emphasis on infant-caregiver relationships is the hallmark of the field. Infant-caregiver relationships are affected by the health and well-being of the infant and the caregiver; the bi-directional relationships occur within the contexts of family, social, cultural, and historical factors that shape the dyad's interpersonal perceptions, expectations, experiences, and caregiving practices. Research demonstrating how experience—and in particular, caregiving relationship experiences—affects the rapidly developing brain and the short- and long-term development of infants and young children underscores the urgency to ensure that young children are cared for within an environment of caring, consistent, and protective relationships.</p><p>Clinical practice in IECMH spans promotion, prevention, early identification and intervention, and psychotherapeutic services. Identifying and addressing the individual, interpersonal, and social contexts that impact the relationships of caregivers and infants across this spectrum presents unique challenges. First, the relational focus of IECMH demands attention to the needs of both the caregiver and the infant, which can present difficulties when these needs do not align. Second, IECMH practice includes clinicians from varied professional groups, each with specific professional knowledge and skills, orientation, and priorities; these perspectives enrich our understanding of IECMH, but also may create discrepancies in how problems are identified, defined, and addressed. Third, IECMH practice occurs in myriad settings beyond “the office,” where most professionals are trained and interventions are developed, and working within these environments can lead to feelings of being untethered from the practitioner's professional signifiers and support. Fourth, infant-caregiver relationships occur within social, cultural, and historical contexts that may be unfamiliar to the provider and/or may not be accounted for in service provision models or theories. Finally, working with infants and caregivers can be motivated by and often tap into the personal experiences and values of the provider; teasing out professional and personal boundaries is an ongoing challenge. While the field has developed many approaches to help manage the complex clinical issues that arise (e.g., provider and public education, specialized training tracks, reflective supervision, IECMH consultation), there has been relatively little explicit attention given to how ethical frameworks might inform clinical practice and decision-making.</p><p>Although there are different definitions of ethics, t","PeriodicalId":48026,"journal":{"name":"Infant Mental Health Journal","volume":null,"pages":null},"PeriodicalIF":2.4,"publicationDate":"2023-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/imhj.22076","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10647423","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Observing and interpreting clinical process: Methods and findings from ‘Layered analysis’ of parent–infant psychotherapy","authors":"Tessa Baradon,&nbsp;Evrinomy Avdi,&nbsp;Michelle Sleed,&nbsp;Björn Salomonsson,&nbsp;Keren Amiran","doi":"10.1002/imhj.22073","DOIUrl":"10.1002/imhj.22073","url":null,"abstract":"<p>This paper describes a method for investigating clinical process, Layered Analysis, which combines therapist countertransference reports and multi-faceted microanalytic research approaches. Findings from the application of Layered Analysis to video-recorded micro-events of rupture and repair in four psychoanalytic parent–infant psychotherapy sessions are presented. Layered analysis showed that countertransference and observation are complementary perspectives, which enable concomitant study of interactive events, conscious internal experiences, as well as nonconscious and unconscious elements of therapeutic interaction. Interactional rupture and repair were found to constitute co-constructed micro-events that occurred fleetingly and often implicitly, and differed in the structure, coherence and flow of interactions and in the relationship between verbal and nonverbal communication. Furthermore, interactional ruptures were found to sometimes ‘get into’ the therapist and transiently disrupt their self-organization, such that the therapist became a locus of disruption for the patient(s), actively contributing to the rupture, which thus became embedded in the therapeutic system. Interactive repair was found to be most often initiated by the therapist and to be underpinned by the therapist re-establishing self-regulation, through metabolizing embodied and verbal aspects of the rupture. Studying such processes can enhance our understanding of clinical process, inform therapist training and clinical supervision, and contribute to clinical outcomes.</p>","PeriodicalId":48026,"journal":{"name":"Infant Mental Health Journal","volume":null,"pages":null},"PeriodicalIF":2.4,"publicationDate":"2023-06-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/imhj.22073","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10299416","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Using the candidacy framework to conceptualize systems and gaps when developing infant mental health (IMH) services: A qualitative study","authors":"Fifi T. H. Phang,&nbsp;Alicia Weaver,&nbsp;David N. Blane,&nbsp;Fionnghuala Murphy,&nbsp;Andrew Dawson,&nbsp;Sophie Hall,&nbsp;Anna De Natale,&nbsp;Helen Minnis,&nbsp;Anne McFadyen","doi":"10.1002/imhj.22072","DOIUrl":"10.1002/imhj.22072","url":null,"abstract":"<p>The development of infant mental health (IMH) services globally is still in its early stages. This qualitative study aims to understand the challenges of setting up IMH services and explores the views and experiences of 14 multi-disciplinary stakeholders who are part of the IMH implementation group in a large Scottish health board. Six major themes were identified through thematic analysis. This paper examines the most prominent theme “Systems” alongside the theme “Gaps in Current Service”. The theoretical framework of “candidacy” is found to be a valuable way to conceptualize the complex systemic layers of micro, meso, and macro factors that contribute to the challenges of setting up services. At the micro level, key themes included the view that services must be accessible, individualized, and involve families. At the meso level, in line with the aims of the service, multiagency integration, aspects of early intervention, and clear operating conditions were all seen as important. Finally, at the macro level, perhaps the biggest challenge perceived by stakeholders is delivering a service that is entirely infant-focused. These findings will help inform policy makers about factors considered by professionals to be vital in the establishment of IMH services in Scotland and across the globe.</p>","PeriodicalId":48026,"journal":{"name":"Infant Mental Health Journal","volume":null,"pages":null},"PeriodicalIF":2.4,"publicationDate":"2023-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/imhj.22072","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9890062","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"An intensive longitudinal investigation of maternal and infant touching patterns across context and throughout the first 9-months of life","authors":"Marisa Mercuri,&nbsp;Dale M. Stack,&nbsp;Kalee De France,&nbsp;Amélie D. L. Jean,&nbsp;Alan Fogel","doi":"10.1002/imhj.22070","DOIUrl":"10.1002/imhj.22070","url":null,"abstract":"<p>Touch is a central component of mothers’ and infants’ everyday interactions and the formation of a healthy mother-infant relationship. Twelve mothers and their full-term infants from the Midwest, USA participated in the present study, which examined the quality and quantity of their touching behaviors longitudinally at 1-, 3-, 5-, 7-, and 9-months postpartum and within two normative interaction contexts (face-to-face, floor play). Findings revealed that mothers’ and infants’ individual touch patterns, varied according to context, infant age (time), and the specific type of touch examined. At 1-month postpartum, dyads coordinated their touch via behavioral matching and were especially reliant on rudimentary types of touch with soothing and regulatory properties (static/motionless touch, stroking). As infants aged to 9-months, dyads transitioned to a more complex form of tactile synchrony characterized by the parallel use of complementary types of touch (grasp, poke, pull). This evolution of tactile synchrony may reflect infants’ growing behavioral repertoire and increased capacity to use more refined forms of touch. To our knowledge, this study was the first of its kind, uniquely contributing to the scant knowledge about the development of mother-infant touch and synchrony and offering direct implications for early care practices and infant health and well-being.</p>","PeriodicalId":48026,"journal":{"name":"Infant Mental Health Journal","volume":null,"pages":null},"PeriodicalIF":2.4,"publicationDate":"2023-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9825719","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Reflective functioning and mother–infant relationships among mothers with Borderline Personality Disorder post-therapy","authors":"Jo Osborne,&nbsp;Julie Mattiske,&nbsp;Amelia Winter,&nbsp;Anne Sved Williams","doi":"10.1002/imhj.22071","DOIUrl":"10.1002/imhj.22071","url":null,"abstract":"<p>The stressful nature of parenting infants exacerbates the characteristics of Borderline Personality Disorder (BPD). Consequently, mothers with BPD tend to be emotionally dysregulated, respond impulsively to their infants, and have poorer mother–infant relationships. Few parenting interventions target the specific skill deficits observed in mothers with BPD. This study explored the differences in parental reflective functioning (PRF) and mother–infant relationship quality at baseline and following a 24-week, group parenting intervention for mothers with BPD. PRF and mother-infant relationship quality were assessed from quantitative (<i>N</i> = 23) and qualitative (<i>N</i> = 32) perspectives. Quantitative data (Parental Reflective Functioning Questionnaire) showed a significant improvement in one of the three subscales, Interest and Curiosity, between baseline and post-intervention, and a significant moderate positive association between the subscale Certainty of Mental States and maternal-infant interaction quality post-intervention. Improvements in mother-infant relationship quality were not evident from the observational measure, Nursing Child Assessment Satellite Teaching scale. In contrast, semi-structured interview qualitative data found maternal improvements in parental reflection, coping strategies implemented post-intervention, and quality of mother–infant relationships. Overwhelmingly positive intervention feedback suggested perceived maternal benefits of group format and skills taught. Future studies with larger sample sizes would allow further clarification of such parenting interventions for mothers with BPD.</p>","PeriodicalId":48026,"journal":{"name":"Infant Mental Health Journal","volume":null,"pages":null},"PeriodicalIF":2.4,"publicationDate":"2023-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10351438","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Facilitating caregiver-child interactions in home visiting: A qualitative observational study","authors":"Luke Timothy Huber,&nbsp;Faith Molthen,&nbsp;Gina Cook,&nbsp;Kere Hughes-Belding","doi":"10.1002/imhj.22063","DOIUrl":"10.1002/imhj.22063","url":null,"abstract":"<p>Facilitating parent-child interactions is a key component of evidence-based early childhood home visiting programs. Several observational measures have been created to effectively capture home visiting activities from an operationalized perspective. While the field has a reasonable understanding of what home visitors can do to facilitate developmentally supportive interactions, and why, the how remains elusive for many home visitors. This qualitative study used a modified grounded theory approach to examine the facilitation of caregiver-child interactions during home visits. Home visit video recordings previously coded using the Home Visit Rating Scale (HOVRS) A+ were selected based on facilitation quality. Sixteen home visits (8 lower- and 8 higher-quality facilitation scores) were examined for differences in home visitor behaviors that support parent-child interactions during visits. We identified contextual and specific behaviors that home visitors used to actively engage caregivers and children together in developmentally supportive interactions. Results revealed 11 home visitor behaviors that discriminated higher quality facilitation. These behaviors were categorized into four domains: environmental conditions, executing the activity, strengths-based focus, and caregiver responses. This qualitative study highlights specific behaviors and professional development areas to support more effective home visiting services for a diverse population of families with young children.</p>","PeriodicalId":48026,"journal":{"name":"Infant Mental Health Journal","volume":null,"pages":null},"PeriodicalIF":2.4,"publicationDate":"2023-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/imhj.22063","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10211484","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Ethical dilemmas in infant mental health: Examples from child protection, home visiting, and medical contexts","authors":"Charles H. Zeanah,&nbsp;Jon Korfmacher,&nbsp;Issak Lim,&nbsp;Alison Steier,&nbsp;Paula D. Zeanah","doi":"10.1002/imhj.22062","DOIUrl":"10.1002/imhj.22062","url":null,"abstract":"<p>Infant mental health is explicitly relational and strengths based as a field. Ethical dilemmas in infant mental health have received insufficient attention at the level of infant mental health professionals (IMHP) and other professionals caring for infants who must grapple with questions of when caregivers and infants have conflicting interests. We present composite cases drawn from North American and Australian contexts, using three systems in which such conflicts may commonly manifest: child protection, home visiting, and medical settings. The field of infant and early childhood mental health (IECMH) should begin to discuss such dilemmas and how best to balance the needs of caregivers and infants when they are not well aligned.</p>","PeriodicalId":48026,"journal":{"name":"Infant Mental Health Journal","volume":null,"pages":null},"PeriodicalIF":2.4,"publicationDate":"2023-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/imhj.22062","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10298400","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}