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While many standardized assessment measures exist to track child mental health treatment outcomes, the degree to which such tools have been adequately tested for reliability and validity across race, ethnicity, and class is uneven. This paper examines the corpus of published tests of psychometric properties for the ten standardized measures used in U.S. child outpatient care, with focus on breadth of testing across these domains. Our goal is to assist care providers, researchers, and legislators in understanding how cultural mismatch impacts measurement accuracy and how to select tools appropriate to the characteristics of their client populations. We also highlight avenues of needed research for measures that are in common use. The list of measures was compiled from (1) U.S. state Department of Mental Health websites; (2) a survey of California county behavioral health agency directors; and (3) exploratory literature scans of published research. Ten measures met inclusion criteria; for each one a systematic review of psychometrics literature was conducted. Diversity of participant research samples was examined as well as differences in reliability and validity by gender, race or ethnicity, and socio-economic class. All measures showed adequate reliability and validity, however half lacked diverse testing across all three domains and all lacked testing with Asian American/Pacific Islander and Native American children. ASEBA, PSC, and SDQ had the broadest testing.

This paper discusses the conceptual foundations for "Education for Sustainable Patterns of Living," the mission of the Center for Ecoliteracy in California. It offers an operational definition of ecological sustainability, and proposes study of living systems as a framework for understanding ecology. It considers key concepts for understanding living systems and their implications for educators. The paper addresses experiences that foster emotional connections with nature within a pedagogy for education for sustainable living. This paper is paired with Michael Stone's paper in this issue, "Rethinking School Lunch," which discusses practical applications of this conceptual grounding.

Unrest, crime, and poverty in Central America and other parts of the world have led to periodic migrations of unaccompanied children and young refugees into the United States. These children then enroll in U.S. schools--public education for all children, including undocumented children, is a right guaranteed by the 1982 "Plyler v. Doe" decision. Many of these young people have experienced intensive trauma and have legal, socio-economic, and other needs far beyond learning English, which must be met for them to advance academically. To help meet those needs, many schools have been reaching out to community partners who specialize in working with this population of unaccompanied minors. "VUE" guest editor Ruth López spoke with Nakachi Clark-Kasimu, former after-school coordinator at the San Francisco-based nonprofit Refugee Transitions, about the lessons and challenges of this work.

This paper will examine the DACA (Deferred Action for Childhood Arrivals) executive order by then President Obama in 2012. Special attention will be placed on the impact of this program on higher education as well as the lives of the individuals that it has impacted. Both supporting and opposing views will be presented through relevant court cases and scholarly articles on the matter. Additional emphasis will be placed on the uncertainty of the DACA program post-election (2016) and what it means for the people most affected by the program. The writer's views on the issue will be presented in the end with an example of how one community has come together to keep the dream alive by refusing to lose hope and embracing opportunity instead of fearing threats or challenges.

This study investigated the influence of gender, age, and camp type on outcome achievements for children (aged 6 to 10) at summer camp. The outcome achievements measured were affinity for exploration, affinity for nature, camp connectedness, friendship skills, independence, perceived competence, problem-solving confidence, responsibility, and teamwork skills. Three hundred thirteen campers were sampled from American Camp Association--accredited day and resident camps. Controlling for camper age, the study found an interaction effect between the type of camp attended and the gender of campers. Discriminant analysis indicated that differences were primarily due to achievements on the outcomes of affinity for nature and perceived competence. A discussion of implications of these findings for camp administrators concludes the paper.

One of every two children in the world lives in poverty, with no access to safe water, health services or adequate shelter to the extent that 25,000 children die every day. Thirty-seven million Americans, thirteen million of whom are children, live below the poverty level. Of the developed world, despite our wealth and sophistication, the United States has the most children who live in poverty. Rather than race, ethnicity or gender, it is poverty, socio-economic class and deprivation that account for poor performances in school, to the extent that young people from poor families are three times more likely to drop out of school. Alone, neither schools nor communities can adapt to or realize the overlapping and contextually interacting needs presented by students and their families. Collaboratively, where schools are beginning to offer quality, equitable education at the same site in which access to requisite health, social and human services for children and families are provided, both educational and psycho-social outcomes are enhanced. Using a holistic position and an ecological model of resilience, this paper would suggest that these community schools, serving as hubs of social justice, are mitigating the academic and nonacademic needs of vulnerable children and families. (Contains 64 footnotes and 2 tables.)

This paper is a content analysis of political flyers and messages developed by Religious Right campaigns between 1974 and 2013 to fight legislation supportive of lesbian, gay, bisexual, and transgender (LGBT) individuals. The analysis focuses on 16 campaigns in which Religious Right groups made claims about transgender adults and children. In these messages (n = 60), transgender children are presented as similar to adults; campaigns frame these children as immutably gendered, confused, and sexually predatory. This research advances the body of literature on the adultification of minority children. I argue that transgender girls are adultified and sexualized rather than framed as innocent or imperiled, which perpetuates cisgender domination of transgender people.

There is a drug crisis in the United States that is growing at an alarming rate. Its participants work in our businesses, government agencies, and schools. California leads the nation in drug use and until recently, Fresno County was the leader in methamphetamine production. This drug crisis is having a paralyzing effect causing loss of income, dysfunctional families, poverty, child abuse, increase in crime and death. California's Governor Schwarzenegger has supported various preventative initiatives and eradicating measures; however, the methamphetamine problem is well entrenched and keeps appearing in unsuspecting areas. This paper addressed how and where methamphetamine is produced, who participates in its use, ethical issues and decision making, and how we may prevent it from spreading.

The focus of the achievement gap seems to be less about racial and ethnic distinctions and more about disparities in socioeconomic status. Students from affluent and secure backgrounds have a running head start on students mired in poverty. Few young people in the United States live in more challenging conditions than the children of the eastern Coachella Valley in southern California. Many parents work hard to make ends meet by working the fields of vegetables and fruits, while others have nonskilled jobs in the hospitality industry. Despite their background and low standardized test scores, elementary school students of the valley display a positive attitude and a desire to learn. (Contains 6 figures.)

This paper will provide information on a recent Breakthrough Series Collaborative (BSC) conducted by the National Child Traumatic Stress Network on Using Trauma-Informed Child Welfare Practice to Improve Foster Care Placement Stability. Information on this particular BSC will be provided, followed by initial findings gathered from an evaluation of the BSC and metrics gathered by each of the nine participating teams throughout the BSC process. Specific trauma-informed promising strategies adopted by teams are presented along with recommendations for next steps. (Contains 1 table.)

Given the increasing rates of autism, identifying prompting procedures that can assist in the development of more optimal learning opportunities for this population is critical. Extensive empirical research exists supporting the effectiveness of various prompting strategies. Constant time delay (CTD) is a highly implemented prompting procedure that has been researched widely, and demonstrated as effective and efficient. A second approach, flexible prompt fading (FPF) has not been empirically tested but has been a part of numerous behavioral studies [Lovaas, O. I. (1987). Behavioral treatment and normal educational and intellectual functioning in young autistic children. "Journal of Clinical and Consulting Psychology, 55", 3-9; Soluaga, D., Papovich, S., Leaf, J., McEachin, J., Leaf, R., & Taubman, M. (2003). "Instruction in social competencies utilizing a social skills taxonomy for persons with autism (databased presentation)". Paper presented at the National Conference of the National Association for Behavior Analysis, San Francisco, CA]. The purpose of this study was to compare the effectiveness and efficiency of CTD and FPF in teaching receptive skills for five children with autism. A parallel treatment design demonstrated that, overall, the FPF procedure produced better results in terms of individual mastery of targets and global mastery of all targets and comparable results were seen in terms of efficiency for the two prompting procedures. (Contains 4 tables and 2 figures.)

Background: In this study, we describe a participatory design process to develop a technology-based intervention for sun protection for children and their parents. Our methodology embraces and leverages the expert knowledge of the target users, children and their parents, about their sun protection practices to directly influence the design of our mobile just-in-time adaptive intervention (JITAI). The objectives of this paper are to describe our research procedures and summarize primary findings incorporated into developing our JITAI modules. Methods: We conducted 3 rounds of iterative co-design workshops with design expert KidsTeam UW children (N: 11–12) and subject expert children and their parents from local communities in California (N: 22–48). Iteratively, we thematically coded the qualitative data generated by participants in the co-design sessions to directly inform design specifications. Results: Three themes emerged: (1) preference for non-linear educational format with less structure,; (2) situations not conducive for prioritizing sun protection; and (3) challenges, barriers, and ambiguity relating to sun protection to protect oneself and one's family. Based on the design ideas and iterative participant feedback, three categories of modules were developed: personalized and interactive data intake module, narrative-education module with augmented reality experiment, person/real-time tailored JITAI, and assessment modules. Conclusions: This is one of the first projects that maximally engage children and parents as co-designers to build a technology to improve sun protection with iterative and intentional design principles. Our scalable approach to design a mobile JITAI to improve sun protection will lay the foundation for future public health investigators with similar endeavors. [ABSTRACT FROM AUTHOR]

Problem: Children with chronic conditions often have difficulties with emotions, concentration, and behaviors (ECB) and are not recognized and treated adequately. In this paper, long‐term medication use (LTM) was adopted as a proxy for chronic illness due to the lack of consistent and standardized diagnostic criteria for chronic illnesses in children. Methods: Children (8–12 years) were selected from the California Health Interview Survey (2017) based on: (1) households with children (<12 years), (2) parent/adult caregivers report about child's health indicating "yes" to, (3) "does your child require prescription medicine for a health condition that has lasted or is expected to last at least 12 months or more," and (4) "difficulties with ECB in past 6 months." Findings: A total of 1600 children were included by the CHIS data set, and children whose parental report had met the selection criteria were children with LTM (n = 144; 7.4 ± 2.9 years), ECB (n = 233; 8.16 ± 2.14), and both LTM + ECB (n = 62; 8.61 ± 1.81). Children with LTM+ ECB were Caucasian (56.4%), Hispanic (19.3%), and males (64.5%). Children with both LTM + ECB had two to three (33.87%) or at least four (53.2%) physician visits, and/or receiving special therapy (45.1%). Children with LTM had prescription delays (n = 144; 5.6%) and were not able to get medical care due to lack of insurance (n = 144; 6.9%). The majority of the children with LTM (54.2%) and LTM + ECB (43.5%) had parental employment‐based insurance. More children that have both LTM and ECB (48.4%) than children with LTM, No ECB (32.9%) were on Medi‐Cal/Medicaid. Conclusion: Children with LTM need further evaluation for difficulties with ECB. Future studies are required to examine health status, healthcare use, and access for children with LTM and ECB. [ABSTRACT FROM AUTHOR]

Background: Parents play an important role in their children's oral health behaviors, provide oral health access, initiate prevention, and coping strategies for health care. Aim: This paper develops a short form (SF) to assist parents to evaluate their children's oral health status using Patient‐Reported Outcome Measurement Information System (PROMIS) framework that conceptualized health as physical, mental, and social components. Design: Surveys of parents were conducted at dental clinics in Los Angeles County, together with an on‐site clinical examination by dentists to determine clinical outcomes, Children's Oral Health Status Index (COHSI), and referral recommendations (RRs). Graded response models in item response theory were used to create the SF. A toolkit including SF, demographic information, and algorithms was developed to predict the COHSI and RRs. Results: The final SF questionnaire consists of eight items. The square root mean squared error for the prediction of COHSI is 7.6. The sensitivity and specificity of using SF to predict immediate treatment needs (binary RRs) are 85% and 31%. Conclusions: The parent SF is an additional component of the oral health evaluation toolkit that can be used for oral health screening, surveillance program, policy planning, and research of school‐aged children and adolescents from guardian perspectives. [ABSTRACT FROM AUTHOR]

BACKGROUND: We developed the Tobacco Prevention Toolkit (Toolkit) to enhance the impact of school‐based tobacco education. This study describes the process of developing the Toolkit, its contents, and reach. METHODS: Qualitative community‐based participatory research (CBPR), including focus group discussions (N = 152) and working groups with parents, educators, researchers, and youth (N = 87) were used to develop the Toolkit and design its implementation. Toolkit reach was assessed through number of trained educators using the Toolkit, estimated number of youth recipients of the Toolkit resources, and using Google Analytics for online engagement. RESULTS: The Toolkit is a free, online resource aimed at preventing tobacco use by middle and high school students. Toolkit content addresses varied forms of tobacco including electronic cigarettes, hookah, smokeless tobacco, and cigarettes; addiction; and positive youth development; and is available in multiple interactive formats such as real‐time quizzes, factsheets, activities, and presentations. The Toolkit is mainly delivered by trained educators, who adapt its content and duration to tailor their drug prevention teaching to student needs. As of April 2020, when data for this paper were collected, 4,750 educators have reached an estimated 1.3 million youth. The Toolkit website has 186,116 users and 802,602 page views, growing steadily since 2016. As of August 2021, additional students have been reached, for now a total of 1.85 million students reached. CONCLUSION: The Toolkit resources are evidence‐based, comprehensive, responsive, interactive, easily accessible, and flexible. Applying CBPR was instrumental in developing the Toolkit and expanding its reach. [ABSTRACT FROM AUTHOR]

Purpose: This paper describes the educational experiences of children and youth (aged 3–20) with disabilities during school closures resulting from the 2017 Northern California wildfires. Students with disabilities are particularly vulnerable to the adverse impacts of disaster, yet the effects of school closures on these children remains understudied. This study identifies considerations for students with disabilities and their families post-disaster. Design/methodology/approach: An inductive, qualitative approach was used for the study design, methodology and analysis. In-depth interviews were conducted with parents of 14 students with disabilities about their experiences during and following school closures. All of these children had missed between a week and over a month of school as a result of the wildfires. Thematic analysis was used to code data and identify four themes present across the data. Findings: Our findings indicate that children and youth with disabilities experienced disruptions in school-based services; lost previously acquired skills; exhibited negative health and behavioral issues; had difficulties adapting to new, unfamiliar routines and were saddened by lost social connections. Additionally, findings pinpoint the importance of social connections while schools were closed, the benefits of resuming school which included access to responsive school staff, as well as challenges faced by children with disabilities and their families once schools reopened. Originality/value: Families of children with disabilities, as illustrated in this study, often must transverse a different post-disaster landscape. Schools should assist them in navigating that landscape so students with disabilities can experience a more equitable return to education post-disaster. [ABSTRACT FROM AUTHOR]

Carpooling has potential as an alternative mode of school transportation along with other viable options, especially at a time when technology continues to increase our reliance upon shared mobility. Unfortunately, our knowledge of carpooling as a school travel mode is very limited. The purpose of this paper is to fill this gap. Using a multinomial logit model, this study presents an analysis of data from the 2012 California Household Travel Survey to assess the effects of various factors, such as trip characteristics, child characteristics, parental or caregiver's characteristics, household characteristics, and spatial variables on choosing carpooling as a school travel mode. The findings of the study indicate that travel distance is one of the major determinants of carpooling, suggesting that children are more likely to carpool to school as travel distance from home to school increases. The analysis shows that a higher income two-parent two-earner family with a 5–15-year-old female schoolchild is more likely to use carpooling for school trips when compared to other modes of transportation. Parental/caregiver characteristics are also found to be important, as children from households with young, female, higher educated heads are more likely to carpool to school. Results of spatial variables suggest that families living in neighborhoods with higher numbers of schoolchildren are also more likely to carpool. The empirical evidence presented in this study provides useful insight to school districts, policymakers, and other transportation related entities in identifying potential target groups to whom this travel mode could be presented. [ABSTRACT FROM AUTHOR]

This paper explores the way in which psychologists classified immigrant children as feebleminded through the use of intelligence testing and how state organisations consequently segregated them from public schools based on the scientific evidence. First, I show the way in which the psychologist Lewis Terman utilised intelligence testing to identify immigrant children deemed feebleminded. I focus closely on a survey and on his methodology and analysis. I then discuss the possibilities of education for the feebleminded and the segregation of immigrant children from regular classroom of public schools. Through his survey, Terman concluded that the exceptionally high ratio of feebleminded children in the tested region was caused by the large population of immigrant children, although the selection of the sample was often subjective, leading to “miscalculation” in his analysis. Terman’s survey was influential in terms of segregating feebleminded children by stating their incurability; possibilities of education for the feebleminded were thus denied. At his suggestion, special classes and schools, along with a home for the feebleminded, were established. Terman’s psychological survey was a cue for psychologists to enter the school system. The State Board of Education was not only attempting to discover the percentage of feebleminded children but also trying to apply psychology to school training. With the cooperation of the Board, the training of teachers for the feebleminded proceeded. [ABSTRACT FROM PUBLISHER]

Recently, the state of California enacted a law requiring radiologists to record the radiation dose that each patient receives for a CT scan. Failure to do so is penalized by law. This law becomes effective in July 2012. By July 2013, every facility that performs CT scans must become accredited by one of three professional groups. This report discusses the role that legislation is playing in the practice of medicine in regard to CT practice. Inherent in this discussion is the assumption that pediatric radiologists know the right dose that a child should receive for a specific clinical indication. But do we really know the answer to this? Compared to the European radiology community, the United States radiology community lags in this regard. This paper defines diagnostic reference levels (DRL) and reviews the history of DRL in the United States compared to that in the European community and the progress by the American College of Radiology's National Radiology Data Registry (NRDR) to establish national registries. The establishment of the first pediatric Quality Improvement Registry in CT Scans in Children (QuIRCC) and its progress to date will be discussed. [ABSTRACT FROM AUTHOR]

In 1994, Stanford University's Exposure Research Group (ERG) conducted its first pilot study to collect micro-level activity time series (MLATS) data for young children. The pilot study involved videotaping four children of farm workers in the Salinas Valley of California and converting their videotaped activities to valuable text files of contact behavior using video-translation techniques. These MLATS are especially useful for describing intermittent dermal (i.e., second-by-second account of surfaces and objects contacted) and non-dietary ingestion (second-by-second account of objects or hands placed in the mouth) contact behavior. Second-by-second records of children contact behavior are amenable to quantitative and statistical analysis and allow for more accurate model estimates of human exposure and dose to environmental contaminants. Activity patterns data for modeling inhalation exposure (i.e., accounts of microenvironments visited) can also be extracted from the MLATS data. Since the pilot study, ERG has collected an immense MLATS data set for 92 children using more developed and refined videotaping and video-translation methodologies. This paper describes all aspects required for the collection of MLATS including: subject recruitment techniques, videotaping and video-translation processes, and potential data analysis. This paper also describes the quality assurance steps employed for these new MLATS projects, including: training, data management, and the application of interobserver and intraobserver agreement during video translation. The discussion of these issues and ERG's experiences in dealing with them can assist other groups in the conduct of research that employs these more quantitative techniques.Journal of Exposure Science and Environmental Epidemiology (2006) 16, 287–298. doi:10.1038/sj.jea.7500459; published online 12 October 2005 [ABSTRACT FROM AUTHOR]

The role of diuretic renography has become central in cases of upper tract dilatation, and in the first paper in this section the difficulties in interpreting results in asymptomatic congenital hydronephrosis are examined. These difficulties and controversies exist despite the presence of guidelines and consensus protocols, probably because renography procedures differ among centres. The authors found that there is a need for renography to be standardized for the optimum value to be obtained from the procedure.There are three papers from Los Angeles which attempt to standardize the measurement of bladder compliance, from both the theoretical and clinical perspective, and which assess the detrusor pressure rise of a normal bladder when filled to capacity.To discuss the main steps of renographic technique and underline some pitfalls related to the acquisition, processing and interpretation of diuretic renography, an important method for guiding the management of asymptomatic congenital hydronephrosis.Despite guidelines and consensus protocols, renographic procedures differ among centres, causing difficulties in comparison and controversy in the interpretation of results. Thus we comprehensively assessed published papers on the subject of diuretic renography.Differential renal function (DRF) is a robust measure provided there is adequate background subtraction. Pitfalls are related to the drawing of regions of interest, particularly in infants, to estimating the interval during which DRF is calculated, and to an adequate signal-to-noise ratio. There is no definition of a‘significant’ reduction in DRF. The classical variables of the diuretic renogram may not allow an estimate of the best drainage. Poor pelvic emptying may be apparent because the bladder is full and because the effect of gravity on drainage is incomplete. Estimating the drainage as residual activity rather than any parameter on the slope might be more adequate, especially if the time of frusemide administration is changed. Renal function and pelvic volume can influence the quality of drainage. Drainage may be better estimated using new tools.Provided the investigation is standardized and potential pitfalls accounted for, the diuretic renogram provides valuable and reproducible quantitative information on DRF and drainage. [ABSTRACT FROM AUTHOR]

This paper is the third in a series of reports on preliminary empirical findings from replications of an integrated system of care for youth suffering from serious emotional disturbance. The development of the innovative .system of care was pioneered in Ventura County, California, and the replications in three other California counties were legislatively enabled through California legislation (Assembly Bill 377). This report presents results on the expenditure and utilization of foster homes, residential placements made through special education programs, and state hospitals. Evaluation results indicate that foster home and state hospital utilization and expenditures are lower for the counties replicating the innovative system of care than for the state of California as a whole. Expenditures for special education residential placements are either at the state rate or lower in one county. The cumulative evidence supports the conclusion that the replication counties are utilizing restrictive levels of care at lower rates than would be expected given state-wide patterns. The results, in conjunction with prior findings, are discussed in the context of questions about the possible fates of youth who no longer live in publicity funded residential facilities. [ABSTRACT FROM AUTHOR]