The Infant Health and Development Program was an eight-site randomized controlled trial of comprehensive early intervention for low birthweight, premature infants from birth to age three. Higher mental development and IQ were associated with high levels of intervention participation at 24 and 36 (but not 12) months. A dose-response relation…

This article reviews current research on the long-term outcomes of children exposed to alcohol, cocaine, heroin, marijuana, and multiple drugs in utero. Differential intervention efforts based primarily on knowledge of a child's intrauterine exposure to drugs were unsupported by available evidence. The use of an ecological model for assessment and…

Two students (ages 10-11) with learning disabilities exhibited improved on-task behavior and academic performance during self-monitoring procedures, with additional increases resulting from self-graphing procedures. However, little improvement in on-task behavior and academic productivity was noted with the introduction of self-reinforcement and…

A peer modeling procedure was shown to induce swallowing in a young child with dysphagia, and to increase food acceptance in a young child who consistently declined food. A peer-mediated procedure, consisting of rotated opportunities to consume food with a peer, increased consumption more than did modeling alone. (Author/JDD)

This study followed up on 19 children (ages 9-19) with autism who had received a very intensive behavioral preschool intervention. Results showed that the experimental group preserved their gains in regular class placement, in intelligence quotient, and in adaptive behavior. (JDD)

This commentary on EC 605 442, which indicated long-term gains for children with autism who experienced intensive behavioral intervention as preschoolers, emphasizes the need for replication. The replication study should use random assignment to experimental and control groups, a larger sample of cases, standard diagnostic instruments to delineate…

The six articles of this special section address the organizational context that shapes utilization of mental health services, the relevance of data elements and results to decision making, and assuring the validity of evaluation results. Theoretical and practical concerns are considered. (SLD)

Comments on a study that reported positive effects of a neurobehavioral-intervention approach on motor skills of young children with cerebral palsy. Discusses problems associated with contrived research situations and urges researchers and practitioners to join together to design and investigate the effects of new interventions. (CR)

Investigates the effects of an intervention program involving educational, vocational, and parenting classes; social and drug rehabilitation; and infant day care on polydrug-using adolescent mothers. Results show that mothers' and infants' interactions improved, mothers demonstrated a lower incidence of drug use and pregnancy, and a greater number…

This study assessed collateral effects during unstructured dinnertime family interactions of two different paradigms for training parents of 17 children with autism. One taught individual target behaviors serially, and the other taught the pivotal responses (PRT) of motivation and responsivity to multiple cues. Results suggested the PRT…

We received 38 controlled studies of marital and family therapy (MFT) in alcoholism treatment. We conclude that, when the alcoholic is unwilling to seek help, MFT is effective in helping the family cope better and motivating alcoholics to enter treatment. Specifically, (a) Al-Anon facilitation and referral help family members cope better; (b)…

High rates of dropping out from mental health services are documented for children and their families. These high rates exist at different treatment stages, in different service settings, and for different populations of children and families. Some researchers have developed and tested engagement interventions to address barriers to service access…

The current study assessed the effectiveness of a prison-based substance abuse treatment therapeutic community (TC) providing treatment to male inmates dually diagnosed with both substance abuse and mental health disorders. The findings show a short-term impact of the program on arrest after release, with program participants significantly less…

CARAT (Counselling, Assessment, Referral, Advice and Throughcare) schemes have been operational in prisons throughout England and Wales for three and a half years, designed to increase the support available to drug-using prisoners both during custody and on release. Specifically the CARAT service has a remit to "bridge the gap" between…

This study examined the effects on older adults' psychological health of participation in a volunteer role that afforded opportunities to form friendships with age peers and to express nurturance toward another person. Access to these important social provisions was expected, in turn, to contribute to greater self-esteem, less loneliness, and less…