2011 The Palm Beach County Family Study (Full Report)

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Table C- 24. Mothers’ Baseline and Year 4 Characteristics by Number of Services Reported at Year 5 a................................................................................................................................................................... 209Table C- 25. Linear Regression Analysis of Number of Services Used in Year 5 a .................................. 210Table C- 26. Baseline and Year 4 Characteristics of Mothers Who Changed/Did Not Change Service Usebetween Year 2 and Year 5 a ...................................................................................................................... 211Table C- 27. Baseline Characteristics of Mothers Who Changed/Did Not Change Service Use betweenYear 1 and Year 5 a .................................................................................................................................... 212Table C- 28. Changes in Circumstances between Year 3 and Year 4 and Number of Services Used at Year5 a ................................................................................................................................................................ 213Chapin Hall at the University of Chicagoxi
Executive SummaryThis is the fifth and final report of a longitudinal study examining the use of a comprehensive system ofprevention and early intervention services in Palm Beach County, and how its use relates to the outcomesof children and families living in four targeted geographic areas (TGAs) with high rates of poverty, teenpregnancy, crime, and child abuse and neglect. Parenting in any circumstance is challenging, but lowmothersface additional hurdles—including fewer economic and social resources, limited education,unstable living arrangements, and transportation difficulties, etc.—that place them and their children atrisk of poor outcomes. For more than a decade, the Children’s Service’s Council (CSC) of Palm BeachCounty has been engaged in an effort to strengthen the services offered to families in the TGAcommunities, in order to increase the number of healthy births, reduce the incidence of child abuse andneglect, and enhance parents’ abilities to raise socially, emotionally, and physically healthy children whoare eager to learn and ready for school.A fundamental goal of the emerging service system in Palm Beach County is to enhance the availabilityand coordination of services and supports to at-risk families and children. A fundamental assumption isthat improving service quality and increasing families’ access to services will have positive effects onmaternal functioning and parenting practices, which, in turn, will positively affect children’s behavior anddevelopment. At the same time, the underlying ecological model (e.g., Bronfenbrenner 1977, 1986) forthis study recognizes that a number of factors influence service use, including child, family, program, andcommunity characteristics, and including not only demographic characteristics but also individual beliefsand attitudes about services, perceptions of need and the costs of service use, the availability of socialsupport, and willingness to seek help.The primary goal of this study was to better understand families’ patterns of service use over time andhow service use was related to child and family outcomes. Consistent with the ecological model, wegathered a wide variety of information about family characteristics, health and healthcare, parentingChapin Hall at the University of Chicagoxii
Page 1 and 2: FifthMarciaGouvêa2011
Page 3: AcknowledgmentsThis fifth report of
Page 6 and 7: Chapin Hall at the University of Ch
Page 8 and 9: List of TablesTable 1. Components o
Page 10 and 11: Table 58. Logistic Regression of Mo
Page 16 and 17: • In addition, we observed a pote
Page 18 and 19: kind of out-of-home educational exp
Page 20 and 21: IntroductionOver the last three dec
Page 22 and 23: eadiness and school success and in
Page 24 and 25: The study’s comprehensive, longit
Page 26 and 27: Table 2. Characteristics of Mothers
Page 28 and 29: The Year 5 Study SampleTable 4 show
Page 30 and 31: Household Structure, Employment, an
Page 32 and 33: Although mothers continued to repor
Page 34 and 35: Table 6. Family Income and Economic
Page 36 and 37: Specifically, mothers living outsid
Page 38 and 39: at the birth of the focal child tha
Page 40 and 41: Table 10. Reasons for Transportatio
Page 42 and 43: Health, Healthcare, and ChildDevelo
Page 44 and 45: two years of the study. In year 1 1
Page 46 and 47: Subsequent Pregnancies and Prenatal
Page 48 and 49: Children’s HealthcareMost (80%) o
Page 50 and 51: private plans or HMOs increased sig
Page 52 and 53: outside the TGAs to report that all
Page 54 and 55: Children’s Behavior and Developme
Page 56 and 57: cultural norms regarding what sorts
Page 58 and 59: Table 21. Emerging Pre-academic Ski
Page 60 and 61: the year 5 interview, over three-qu
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various activities, mothers reporte
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Negative Parenting PracticesThere i
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Table 28. Fathers’ Negative Paren
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Table 30. Parent Involvement Activi
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Table 32. Mothers’ Positive Paren
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Table 34. Mothers’ Parent Involve
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The most frequent parent involvemen
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Figure 3. Primary Childcare Arrange
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for 6 months, but when the subsidy
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ecause it is of particular interest
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types of care between mothers whose
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Table 40. Characteristics of Mother
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Table 41). Of the 204 children, 91
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commented on their children’s nee
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nonparental childcare arrangement f
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Informal and Community SupportAn un
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Table 46. Frequency of Husband/Part
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We also asked the mothers about the
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Table 49. Type of Family/Friends Su
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Access to Support by TGAFigure 5 sh
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Use of Formal ServicesA central que
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Correlates of At-Risk StatusA large
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services after 6 months. Among the
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Enhanced ServicesEnhanced services
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Termination of MCHP ServicesAs prev
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services were fairly stable, althou
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languages. The fact that more mothe
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In interpreting these results, it s
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Overall, mothers reported seeking h
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We found that in years 2 and 3, aft
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We also found that mothers tended t
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variables that could potentially be
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significant levels of stress. Paren
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positive parenting items and 5 nega
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friend/neighbor/other), which were
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Table 60. Logistic Regression of Ch
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County in either fall 2009 or fall
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Figure 6. Percent of Focal Children
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Next, we conducted logistic regress
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Table 68. Selected Maternal and Chi
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R 2 .180*p < .05, **p < .01, or ***
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SummarySimilar to previous analyses
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less than a high school education,
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Parenting PracticesWhen surveyed in
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We also looked at the stability of
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Service Use, Maternal Functioning,
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Conclusions and ImplicationsMore th
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Meanwhile, our findings indicate th
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literacy skills, families who do no
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BibliographyAbidin, R. R. (1995). P
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Dinan, K. A. (2005a). Federal polic
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Leventhal, T., Brooks-Gunn, J., McC
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Weisner, T. S. (1984). A cross-cult
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What are pathways to service use? W
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Table A- 1. FOCiS Codes for MCHP Se
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Table A- 2. Interview Study Samplin
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Table A- 3. Household Survey Topics
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Table A- 5. Reasons for Sample Attr
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we sought to identify the ecologica
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Table B- 2. Characteritics of TGA M
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Figure B- 1. Characteristics of Mot
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Figure B- 5. Percentage of PBC Moth
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Table B- 5. Logistic Regression Pre
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Table B- 7. Characteristics of TGA
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Table B- 9. Logistic Regression Pre
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Type of Enhanced Service2009N% of M
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Table B- 12. Logistic Regression Pr
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Numberof BirthswithReferrals2009 TG
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Table B- 15. OLS Logistic Regressio
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Table C- 1. Selected Characteristic
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Table C- 4. Social and Emotional Be
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Table C- 7. Communication Skills of
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Table C- 11. Emerging Literacy and
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Table C- 14. Mothers’ Negative Pa
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Number of Different Arrangements ac
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Figure C- 1. Mean Days of MCHP Serv
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Table C- 19. Characteristics of Mot
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Table C- 22. Number of Service Area
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Table C- 23. Number of Services Use
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Table C- 25. Linear Regression Anal
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Table C- 27. Baseline Characteristi
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2011 The Palm Beach County Family Study (Full Report)

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