Neighborhood Context and Mental Health Over the Early Life Course


Book Description

A rapidly growing body of literature emphasize the importance of place in regards to mental health. Specifically, the "neighborhood effects" literature has consistently linked aspects of neighborhood context to mental health outcomes, above and beyond individual-level factors. With few exceptions, the majority of this research has involved limited time spans, which prevents a full understanding of mental health as it is affected by neighborhood conditions over time. This dissertation incorporates a life course framework into the analysis of neighborhood context and its impact on long-term trajectories of mental health. Using all four waves of data from the National Longitudinal Study of Adolescent to Adult Health (Add Health), I model changes in depression and heavy episodic drinking using multilevel growth curve models. I also consider how certain aspects of neighborhoods interact with stressful individual experience. Specifically, I test to see whether the effect of exposure to violence on both depression and heavy drinking is moderated by neighborhood disorder. Results demonstrate that neighborhood context in adolescence has implications for long term patterns of depression and heavy episodic drinking, both through the effect living in these neighborhoods as well as the proximate conditions associated with living in highly disadvantaged and disordered neighborhoods. I also find that in certain instances, highly disordered neighborhoods make the mental health implications for being exposed to violence worse.




Advances in the Conceptualization of the Stress Process


Book Description

In 1981, Leonard Pearlin and his colleagues published an article that would ra- cally shift the sociological study of mental health from an emphasis on psychiatric disorder to a focus on social structure and its consequences for stress and psyc- logical distress. Pearlin et al. (1981) proposed a deceptively simple conceptual model that has now influenced sociological inquiry for almost three decades. With his characteristic penchant for reconsidering and elaborating his own ideas, Pearlin has revisited the stress process model periodically over the years (Pearlin 1989, 1999; Pearlin et al. 2005; Pearlin and Skaff 1996). One of the consequences of this continued theoretical elaboration of the stress process has been the development of a sociological model of stress that embraces the complexity of social life. Another consequence is that the stress process has continued to stimulate a host of empirical investigations in the sociology of mental health. Indeed, it is no exaggeration to suggest that the stress process paradigm has been primarily responsible for the growth and sustenance of sociological research on stress and mental health. Pearlin et al. (1981) described the core elements of the stress process in a brief paragraph: The process of social stress can be seen as combining three major conceptual domains: the sources of stress, the mediators of stress, and the manifestations of stress. Each of these extended domains subsumes a variety of subparts that have been intensively studied in recent years.




The Effects of Neighborhood Environment on Adolescent Externalizing Behaviors


Book Description

Prior research has shown that neighborhood living environments and their impact on adolescent quality of life seem to have significant influence on adolescent global levels of functioning. Research is limited in the extent to which it has addressed the community factors, beyond formal mental health services, that affect the quality of life of the adolescents who are directly involved in systems of care, a network of community based resources. Understanding the relationship between neighborhood context and adolescent behavior is important because the ability to identify gaps in community resources will aid in guiding the system towards getting adolescents the help that they need to enhance the quality of their developmental outcomes. A sample of N=110 families who are involved with the MeckCARES System of Care National Evaluation were included in the study. Contrary to expectations, neighborhood characteristics did not generally predict youth symptomatology, and worse neighborhoods tended to be associated with improvements in symptomatology. Increased involvement in activities by youth was also found to be related to reductions in externalizing behaviors.




Parenting Matters


Book Description

Decades of research have demonstrated that the parent-child dyad and the environment of the familyâ€"which includes all primary caregiversâ€"are at the foundation of children's well- being and healthy development. From birth, children are learning and rely on parents and the other caregivers in their lives to protect and care for them. The impact of parents may never be greater than during the earliest years of life, when a child's brain is rapidly developing and when nearly all of her or his experiences are created and shaped by parents and the family environment. Parents help children build and refine their knowledge and skills, charting a trajectory for their health and well-being during childhood and beyond. The experience of parenting also impacts parents themselves. For instance, parenting can enrich and give focus to parents' lives; generate stress or calm; and create any number of emotions, including feelings of happiness, sadness, fulfillment, and anger. Parenting of young children today takes place in the context of significant ongoing developments. These include: a rapidly growing body of science on early childhood, increases in funding for programs and services for families, changing demographics of the U.S. population, and greater diversity of family structure. Additionally, parenting is increasingly being shaped by technology and increased access to information about parenting. Parenting Matters identifies parenting knowledge, attitudes, and practices associated with positive developmental outcomes in children ages 0-8; universal/preventive and targeted strategies used in a variety of settings that have been effective with parents of young children and that support the identified knowledge, attitudes, and practices; and barriers to and facilitators for parents' use of practices that lead to healthy child outcomes as well as their participation in effective programs and services. This report makes recommendations directed at an array of stakeholders, for promoting the wide-scale adoption of effective programs and services for parents and on areas that warrant further research to inform policy and practice. It is meant to serve as a roadmap for the future of parenting policy, research, and practice in the United States.




Handbook of Psychological Assessment in Primary Care Settings


Book Description

The second edition Handbook of Psychological Assessment in Primary Care Settings offers an overview of the application of psychological screening and assessment instruments in primary care settings. This indispensable reference addresses current psychological assessment needs and practices in primary care settings to inform psychologists, behavioral health clinicians, and primary care providers the clinical benefits that can result from utilizing psychological assessment and other behavioral health care services in primary care settings.




Neighborhood Poverty


Book Description

Perhaps the most alarming phenomenon in American cities has been the transformation of many neighborhoods into isolated ghettos where poverty is the norm and violent crime, drug use, out-of-wedlock births, and soaring school dropout rates are rampant. Public concern over these destitute areas has focused on their most vulnerable inhabitants—children and adolescents. How profoundly does neighborhood poverty endanger their well-being and development? Is the influence of neighborhood more powerful than that of the family? Neighborhood Poverty approaches these questions with an insightful and wide-ranging investigation into the effect of community poverty on children's physical health, cognitive and verbal abilities, educational attainment, and social adjustment. This two-volume set offers the most current research and analysis from experts in the fields of child development, social psychology, sociology and economics. Drawing from national and city-based sources, Volume I reports the empirical evidence concerning the relationship between children and community. As the essays demonstrate, poverty entails a host of problems that affects the quality of educational, recreational, and child care services.Poor neighborhoods usually share other negative features—particularly racial segregation and a preponderance of single mother families—that may adversely affect children. Yet children are not equally susceptible to the pitfalls of deprived communities. Neighborhood has different effects depending on a child's age, race, and gender, while parenting techniques and a family's degree of community involvement also serve as mitigating factors. Volume II incorporates empirical data on neighborhood poverty into discussions of policy and program development. The contributors point to promising community initiatives and suggest methods to strengthen neighborhood-based service programs for children. Several essays analyze the conceptual and methodological issues surrounding the measurement of neighborhood characteristics. These essays focus on the need to expand scientific insight into urban poverty by drawing on broader pools of ethnographic, epidemiological, and quantitative data. Volume II explores the possibilities for a richer and more well-rounded understanding of neighborhood and poverty issues. To grasp the human cost of poverty, we must clearly understand how living in distressed neighborhoods impairs children's ability to function at every level. Neighborhood Poverty explores the multiple and complex paths between community, family, and childhood development. These two volumes provide and indispensable guide for social policy and demonstrate the power of interdisciplinary social science to probe complex social issues.







Reforming Juvenile Justice


Book Description

Adolescence is a distinct, yet transient, period of development between childhood and adulthood characterized by increased experimentation and risk-taking, a tendency to discount long-term consequences, and heightened sensitivity to peers and other social influences. A key function of adolescence is developing an integrated sense of self, including individualization, separation from parents, and personal identity. Experimentation and novelty-seeking behavior, such as alcohol and drug use, unsafe sex, and reckless driving, are thought to serve a number of adaptive functions despite their risks. Research indicates that for most youth, the period of risky experimentation does not extend beyond adolescence, ceasing as identity becomes settled with maturity. Much adolescent involvement in criminal activity is part of the normal developmental process of identity formation and most adolescents will mature out of these tendencies. Evidence of significant changes in brain structure and function during adolescence strongly suggests that these cognitive tendencies characteristic of adolescents are associated with biological immaturity of the brain and with an imbalance among developing brain systems. This imbalance model implies dual systems: one involved in cognitive and behavioral control and one involved in socio-emotional processes. Accordingly adolescents lack mature capacity for self-regulations because the brain system that influences pleasure-seeking and emotional reactivity develops more rapidly than the brain system that supports self-control. This knowledge of adolescent development has underscored important differences between adults and adolescents with direct bearing on the design and operation of the justice system, raising doubts about the core assumptions driving the criminalization of juvenile justice policy in the late decades of the 20th century. It was in this context that the Office of Juvenile Justice and Delinquency Prevention (OJJDP) asked the National Research Council to convene a committee to conduct a study of juvenile justice reform. The goal of Reforming Juvenile Justice: A Developmental Approach was to review recent advances in behavioral and neuroscience research and draw out the implications of this knowledge for juvenile justice reform, to assess the new generation of reform activities occurring in the United States, and to assess the performance of OJJDP in carrying out its statutory mission as well as its potential role in supporting scientifically based reform efforts.




Fostering Healthy Mental, Emotional, and Behavioral Development in Children and Youth


Book Description

Healthy mental, emotional, and behavioral (MEB) development is a critical foundation for a productive adulthood. Much is known about strategies to support families and communities in strengthening the MEB development of children and youth, by promoting healthy development and also by preventing and mitigating disorder, so that young people reach adulthood ready to thrive and contribute to society. Over the last decade, a growing body of research has significantly strengthened understanding of healthy MEB development and the factors that influence it, as well as how it can be fostered. Yet, the United States has not taken full advantage of this growing knowledge base. Ten years later, the nation still is not effectively mitigating risks for poor MEB health outcomes; these risks remain prevalent, and available data show no significant reductions in their prevalence. Fostering Healthy Mental, Emotional, and Behavioral Development in Children and Youth: A National Agenda examines the gap between current research and achievable national goals for the next ten years. This report identifies the complexities of childhood influences and highlights the need for a tailored approach when implementing new policies and practices. This report provides a framework for a cohesive, multidisciplinary national approach to improving MEB health.