The Prevention Of Anxiety And Related Disorders: Long Term Follow-up Of Temperamentally At-risk Preschoolers.
Funder
National Health and Medical Research Council
Funding Amount
$391,476.00
Summary
Anxiety and related disorders such as depression provide a tremendous cost to the individual sufferer and to Australian society. While previous research has focussed on treatment of these conditions, little work has addressed the possibility of preventing these disorders before they interfere with an individual's life. There is growing evidence that children who are shy, withdrawn and inhibited at a very young age are more likely than other children to develop anxiety disorders in later childhoo ....Anxiety and related disorders such as depression provide a tremendous cost to the individual sufferer and to Australian society. While previous research has focussed on treatment of these conditions, little work has addressed the possibility of preventing these disorders before they interfere with an individual's life. There is growing evidence that children who are shy, withdrawn and inhibited at a very young age are more likely than other children to develop anxiety disorders in later childhood and a variety of related disorders in adulthood. In a previous NHMRC-funded grant, we have developed a brief parent education program to modify this personality style in young children. Early results are very promising and it appears that we have been able to help these withdrawn children to become more outgoing. This next proposal aims to follow these children over the coming years to see whether they are also less likely to develop mental health problems than children whose parents have not received the educational program are. We will be observing the children in a laboratory setting and at school at three, yearly intervals. At each point, we will compare withdrawn children whose parents have gone through the education program with those who haven't.Read moreRead less
Reducing Maternal Depression Two Years After Birth: Follow-up Of A Cohort Within A Community Randomised Trial
Funder
National Health and Medical Research Council
Funding Amount
$359,920.00
Summary
Maternal depression following childbirth is a significant public health issue. Previous Victorian research has found that 15-17% of women experience depression 6-9 months after birth, and of those depressed then, 30% are likely still to be depressed or depressed again two years after the birth. In 1998 16 Victorian municipalities began participating in the first ever community randomised trial of prevention and early intervention in depression - PRISM (Program of Resources, Information and Suppo ....Maternal depression following childbirth is a significant public health issue. Previous Victorian research has found that 15-17% of women experience depression 6-9 months after birth, and of those depressed then, 30% are likely still to be depressed or depressed again two years after the birth. In 1998 16 Victorian municipalities began participating in the first ever community randomised trial of prevention and early intervention in depression - PRISM (Program of Resources, Information and Support for Mothers). PRISM involves eight areas participating in a range of primary care and community based strategies designed to mobilise appropriate community support for mothers and children with a view to reducing maternal depression and improving maternal physical health and recovery after birth. The other eight areas are participating as comparison communities. Evaluation in PRISM is assessing major health outcomes for mothers and wider community benefits (flow-on effects) of the intervention program. Process and impact evaluation has also been undertaken to document and assess the different program elements and enhance the reproducibility of the program if successful. All women giving birth in the 16 areas are currently being surveyed six months after birth (from August 2000-February 2002). Within PRISM it is now proposed to follow-up women again two years after birth, to assess the impact of the intervention program on: *recovery from depression among the group of mothers in both intervention and comparison areas who were depressed six months after birth; and *the overall prevalence of depression and physical ill-health in all mothers. This follow-up study has the capacity to provide infromation on the poorly documented natural history of maternal depression from birth through the next two years in a large sample, including both urban and rural residents.Read moreRead less
Achieving Better Mental Health For Maltreated Children: Translating Population Data Into Policy
Funder
National Health and Medical Research Council
Funding Amount
$522,706.00
Summary
This project uses linked population data to determine (a) the earliest indicators of risk of harm, and (b) mental health outcomes and health-care costs associated with children receiving child protection services, in partnership with the NSW department of Family and Community Services. The findings will ensure timely and effective responses to the most vulnerable children to mitigate adverse mental health and other outcomes associated with early life adversity.
Improving The Developmental Outcomes Of Northern Territory Children: A Datalinkage Study To Inform Policy And Practice In Health, Family Services And Education
Funder
National Health and Medical Research Council
Funding Amount
$952,358.00
Summary
The project uses linked de-identified administrative data sets to study the developmental trajectories of NT children. It investigates the complex interplay of life circumstances including health status, early developmental assessments and demographic data - both individual and community level - all of which influence outcomes including school attendance, performance and retention.
The Development, Assessment And Treatment Of Early Indicators Of Psychopathy In Children
Funder
National Health and Medical Research Council
Funding Amount
$271,130.00
Summary
2.7 Significance - Lay description Conduct problems and antisocial behaviour cost Australian society millions of dollars every year directly through the mental health and criminal justice systems, indirectly through their association with substance abuse and other mental health problems, and associated disruptions to health, relationships, and personal and occupational functioning. Remediation is not effective once a chronic pattern has been established. Recently, research has shown that early s ....2.7 Significance - Lay description Conduct problems and antisocial behaviour cost Australian society millions of dollars every year directly through the mental health and criminal justice systems, indirectly through their association with substance abuse and other mental health problems, and associated disruptions to health, relationships, and personal and occupational functioning. Remediation is not effective once a chronic pattern has been established. Recently, research has shown that early signs of psychopathy in children predict chronic antisocial behaviour and lack of responsiveness to traditional treatments. The current research uses a combination of experimental, longitudinal, and treatment outcome studies to examine: the effectiveness with which early signs of a callous-unemotional temperamental style, hypothesised to be an early indicator of psychopathy, can be measured in children, causal factors and correlates of callous-unemotional traits, whether such traits pose a risk for chronic antisocial behaviour, the effects of callous-unemotional traits on responsiveness to traditional family-school based treatments, and the effectiveness of an innovative method for treating it in the early years. The project leads directly to a range of clinical assessment and treatment strategies for children at risk for chronic antisocial behaviour. The project has the potential to substantially improve the effectiveness of current treatment approaches to conduct problems in children that focus on family and school management.Read moreRead less
Sleep Health And Sleep Problems In Early Childhood: What Role Does Childcare Play?
Funder
National Health and Medical Research Council
Funding Amount
$314,644.00
Summary
Sleep is significant for young children’s health and development and impacts on family functioning. Increasingly childcare is part of the young child’s sleep environment. This study focuses on the role of childcare in supporting sleep health and identifying sleep, and associated behavioural problems, in the early years of life. The study responds to the policy, practice and legislative demand for evidence to guide appropriate provision for sleep and rest in the childcare context.
Testing A Transgenerational Cycles Of Violence Model In Timor-Leste: Impact Of Maternal Anger On Childhood Aggression.
Funder
National Health and Medical Research Council
Funding Amount
$881,002.00
Summary
We will examine ways in which war trauma can cause mental disorder and behavioural disturbances in the next generation. We will examine the problem of extreme anger amongst mothers caused by war trauma, domestic violence and other stresses. Mothers with anger may have difficulties parenting their children, resulting in behavioural disturbances in the next generation. In the longer term, these children may show aggressive behaviour that leads to ongoing family and social instability.
Closing The Gap: Early Childhood Sustained Home Visiting For Families Of Aboriginal Infants In An Urban Community
Funder
National Health and Medical Research Council
Funding Amount
$2,244,402.00
Summary
The study aims to determine whether a sustained structured nurse home visiting (SSNVH) program is effective for Aboriginal families. In the context of increased government investment in home visiting programs for Indigenous children, this study will help to answer three critical questions: (1) Does SSNHV result in improved outcomes for Aboriginal infants? (2) Is SSNHV equally effective for Aboriginal and non-Aboriginal infants?(3) What are the issues in adaptation and implementation?