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ERIC Number: ED208960
Record Type: RIE
Publication Date: 1981-Aug
Pages: 15
Abstractor: N/A
Reference Count: 0
Family Centered Intervention with Infant Failure to Thrive.
Drotar, Dennis
The experience of consultants in a pediatric hospital indicates that infant failure to thrive is almost always associated with strain in the relationships of the infant's caregivers. Consequently, a nontraditional, long-term, home-based, and family-centered model of evaluation and treatment of failure to thrive has been developed which involves family members in assessing how family influences disrupt nurturance and which engages family members in ongoing therapeutic work. Intervention is directed toward containment of family relationship problems, employment of more adaptive stress management, and restructuring of the child's nurturing context. To assess the effectiveness of the family-centered intervention, comparisons are being made between outcomes of two alternate approaches to intervention: a parent-centered approach focusing on the major caretaker and an advocacy approach involving short-term support and indirect treatment. Infants are assessed at six-month intervals on intellectual development, play behavior, attachment, and language competence. Additionally, monthly home observations are being made of parent-child interaction. Preliminary follow-up data for small samples of predominantly low-income families with infants at 1 year of age reveal improved weight gain, maintenance of intellectual abilities, and, in comparison to prior studies, more positive attachment behavior. Analyses of data now being collected are expected to show that the family-centered approach to intervention results in longer lasting gains in infants' developmental and psychosocial competence. (Author/RH)
Publication Type: Reports - Research; Speeches/Meeting Papers; Reports - Descriptive
Education Level: N/A
Audience: N/A
Language: English
Sponsor: N/A
Authoring Institution: N/A
Identifiers: High Risk Infants
Note: Paper presented at the Annual Meeting of the American Psychological Association (89th, Los Angeles, CA, August 24-28, 1981).