Type of Enhanced Service2009N% of Mothersreceiving treatmentnPrenatal bnPostnatal cTranslation 435 23 259 263Psychosocial/depression counseling 173 9 116 121Breastfeeding 78 4 39 46Parenting support and education 48 3 5 45Nutrition 29 2 18 18Childbirth education 10 1 5 6Male support services 7 0 4 4Interconceptional education/counseling 6 0 - 6Smoking cessation 5 0 3 22004–2009 Birth CohortTranslation 5,535 36 2,254 4,821Breastfeeding 594 4 190 489Psychosocial/depression counseling 889 6 390 714Parenting support and education 1,822 12 487 1,579Childbirth education 283 2 177 163Nutrition 428 3 230 323Interconceptional education/counseling 101 1 10 92Smoking cessation 40 0 24 18Male support services 138 1 59 116a Source: Vital Statistics and FOCiS (2003–2009). Data for the year 5 study sample were weighted to account for oversamplingof mothers “at risk” and mothers residing in the Glades TGA. This data reports Maternal Child Health Partnership activity that isslightly different than was reported in the year 3 report due to updated activity data. <strong>The</strong> birth of twins, triplets, and othermultiples are counted as one birth event. Enhanced services were defined through conversations with CSC and are defined byactivity codes 10, 11, 12, 13, 14, 17, 18, 19, 20, 21, 40, 41, 42, 43, 44, 47, 48, 49, 50, 51, 4501, 6515, 6516, 8002, 8004, 8006,8008, 8013, 8026, provided by any agency.bPrenatal activity includes any activity attributed to the child’s mother occurring 300 days or less before the child’s birth.cPostnatal activity includes any activity attributed to a child’s mother occurring from a child’s birth up to the birth of asubsequent sibling. It also includes any activity attributed to the child.Chapin Hall at the University of Chicago 183
Table B- 11. MCHP Prenatal and Postnatal Services and Referrals, 2004–2009 aCohort Yearand Service Type2004–2005 12,435TGA Population Prenatal Care b Postnatal Care cNMeanDays(SD) n %MeanDays(SD) n %Any treatment activity 5,030 16.3 24.0 3,230 64 5.0 8.0 4,413 88 9.9 16.8Care coordination only d 2,676 4.1 3.7 1,472 55 1.9 2.6 2,248 84 2.2 2.5Intensive care coordination e 2,354 30.1 29.2 1,759 75 8.6 10.2 2,166 92 21.5 24.6<strong>Family</strong> support planning 1,176 2.3 3.0 626 53 0.7 1.3 961 82 1.6 2.2Enhanced services f 1,830 4.5 6.9 587 32 0.7 1.7 1,639 90 3.8 6.52006 6,716Any treatment activity 2,762 14.9 21.6 1,762 64 4.9 8.4 2,403 87 10.0 16.5Care coordination only d 1,429 4.4 4.9 782 55 2.2 3.3 1,186 83 2.2 3.2Intensive care coordination e 1,333 26.4 26.4 981 74 7.9 10.8 1,220 92 18.5 20.4<strong>Family</strong> support planning 639 2.1 1.4 321 50 0.7 0.8 534 84 1.4 1.1Enhanced services f 1,559 4.7 6.7 659 42 1.3 3.0 1,395 89 3.4 5.12007 6,629Any treatment activity 2776 14.1 20.5 1,734 62 4.8 7.9 2,451 88 9.3 15.6Care coordination only d 1,488 4.1 3.9 855 57 2.2 2.9 1,224 82 1.9 2.2Intensive care coordination e 1,288 25.6 25.2 879 68 7.8 10.4 1,227 95 17.8 19.6<strong>Family</strong> support planning 633 1.9 1.4 383 61 0.8 0.8 477 75 1.2 1.1Enhanced services f 1,569 4.7 6.6 675 43 1.3 2.5 1,384 88 3.4 5.42008 6,365Any treatment activity 2,645 11.9 16.8 1,831 69 4.8 7.3 2,149 81 7.1 12.3Care coordination only d 596 4.7 3.8 551 92 3.6 2.9 349 59 1.1 1.9Intensive care coordination e 2,049 14.1 18.4 1,280 62 5.2 8.1 1,800 88 8.9 13.4<strong>Family</strong> support planning 453 1.8 1.3 263 58 0.7 0.8 332 73 1.1 1.1Enhanced services f 1,329 5.2 7.2 604 45 1.5 3.3 1,136 85 3.6 5.32009 5,844Any treatment activity 1,854 9.5 12.2 1,412 76 4.8 6.4 1,182 64 4.7 8.2Care coordination only d 639 5.1 4.3 611 96 4.2 3.4 266 42 0.9 1.7Intensive care coordination e 1,215 11.8 14.2 801 66 5.1 7.5 916 75 6.6 9.5<strong>Family</strong> support planning 283 1.5 0.8 129 46 0.5 0.6 201 71 1.0 0.8Enhanced services f 661 4.7 6.2 388 59 2.1 3.6 438 66 2.6 4.4All Years 37,989Any treatment activity 15,067 14.0 20.7 9,969 66 4.9 7.8 12,59 84 9.1 16.28Care coordination only d 6,828 4.3 4.1 4,271 63 2.4 3.0 5,273 77 1.9 2.5Intensive care coordination e 8,239 22.1 25.0 5,700 69 7.0 9.6 7,329 89 15.1 19.8<strong>Family</strong> support planning 3,184 2.0 2.1 1,722 54 0.7 1.0 2,505 79 1.4 1.6Enhanced services f 6,948 4.7 6.8 2,913 42 1.3 2.8 5,992 86 3.5 5.6a Source: Vital Statistics and FOCiS (2003–2009). Data for the year 5 study sample were weighted to account for oversampling of mothers “atrisk” and mothers in the Glades TGA. Results on MCHP services differ slightly from year 3 report due to updated activity data. Twin, triplet, andother multiple births are counted as one birth event. For readability, standard deviations for means are not included; these are available uponrequest.b Prenatal activity includes any activity attributed to the child’s mother occurring 300 days or less before the child’s birth.c Postnatal activity includes any activity attributed to a mother (or child) occurring from a child’s birth up to the birth of a subsequent sibling.d “Care coordination only” days are counts of treatment days for mothers who only receive care coordination not intensive care coordination.e “Days of service” for intensive care coordination births counts all days of treatment activity (whether intense or not) for births that receive atleast one day of intensive care coordinationf Enhanced services were defined through conversations with CSC and are defined by activity codes 10, 11, 12, 13, 14, 17, 18, 19, 20, 21, 40, 41,42, 43, 44, 47, 48, 49, 50, 51, 4501, 6515 , 6516, 8002, 8004, 8006, 8008, 8013, 8026, provided by any agency.MeanDaysChapin Hall at the University of Chicago 184(SD)
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FifthMarciaGouvêa2011
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AcknowledgmentsThis fifth report of
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Chapin Hall at the University of Ch
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List of TablesTable 1. Components o
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Table 58. Logistic Regression of Mo
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Table C- 24. Mothers’ Baseline an
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• In addition, we observed a pote
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kind of out-of-home educational exp
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IntroductionOver the last three dec
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eadiness and school success and in
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The study’s comprehensive, longit
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Table 2. Characteristics of Mothers
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The Year 5 Study SampleTable 4 show
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Household Structure, Employment, an
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Although mothers continued to repor
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Table 6. Family Income and Economic
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Specifically, mothers living outsid
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at the birth of the focal child tha
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Table 10. Reasons for Transportatio
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Health, Healthcare, and ChildDevelo
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two years of the study. In year 1 1
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Subsequent Pregnancies and Prenatal
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Children’s HealthcareMost (80%) o
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private plans or HMOs increased sig
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outside the TGAs to report that all
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Children’s Behavior and Developme
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cultural norms regarding what sorts
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Table 21. Emerging Pre-academic Ski
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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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Table 62. Logistic Regression of Ch
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Table 64. 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
- Page 152 and 153: less than a high school education,
- Page 154 and 155: Parenting PracticesWhen surveyed in
- Page 156 and 157: We also looked at the stability of
- Page 158 and 159: Service Use, Maternal Functioning,
- Page 160 and 161: Conclusions and ImplicationsMore th
- Page 162 and 163: Meanwhile, our findings indicate th
- Page 164 and 165: literacy skills, families who do no
- Page 166 and 167: BibliographyAbidin, R. R. (1995). P
- Page 168 and 169: Dinan, K. A. (2005a). Federal polic
- Page 170 and 171: Leventhal, T., Brooks-Gunn, J., McC
- Page 172 and 173: Weisner, T. S. (1984). A cross-cult
- Page 174 and 175: What are pathways to service use? W
- Page 176 and 177: Table A- 1. FOCiS Codes for MCHP Se
- Page 178 and 179: Table A- 2. Interview Study Samplin
- Page 180 and 181: Table A- 3. Household Survey Topics
- Page 182 and 183: Table A- 5. Reasons for Sample Attr
- Page 184 and 185: we sought to identify the ecologica
- Page 186 and 187: Table B- 2. Characteritics of TGA M
- Page 188 and 189: Figure B- 1. Characteristics of Mot
- Page 190 and 191: Figure B- 3. Characteristics of Mot
- Page 192 and 193: Figure B- 5. Percentage of PBC Moth
- Page 194 and 195: Table B- 5. Logistic Regression Pre
- Page 196 and 197: Figure B- 7. Characteristics of Mot
- Page 198 and 199: Table B- 7. Characteristics of TGA
- Page 200 and 201: Table B- 9. Logistic Regression Pre
- Page 204 and 205: Table B- 12. Logistic Regression Pr
- Page 206 and 207: Numberof BirthswithReferrals2009 TG
- Page 208 and 209: Table B- 15. OLS Logistic Regressio
- Page 210 and 211: Table C- 1. Selected Characteristic
- Page 212 and 213: Table C- 4. Social and Emotional Be
- Page 214 and 215: Table C- 7. Communication Skills of
- Page 216 and 217: Table C- 11. Emerging Literacy and
- Page 218 and 219: Table C- 14. Mothers’ Negative Pa
- Page 220 and 221: Number of Different Arrangements ac
- Page 222 and 223: Figure C- 1. Mean Days of MCHP Serv
- Page 224 and 225: Table C- 19. Characteristics of Mot
- Page 226 and 227: Table C- 22. Number of Service Area
- Page 228 and 229: Table C- 23. Number of Services Use
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- Page 232 and 233: Table C- 27. Baseline Characteristi