Marte Meo Counselling given to African caregivers of institutionalised infants a three-case study

BACKGROUND

Studies from Western countries state that video interaction guidance programmes can support caregiver sensitivity in infant-caregiver dyads.

OBJECTIVES

The aim of this study was to investigate if Marte Meo, which is such a programme, could contribute to increasing emotional and social support towards motherless infants at an institution for motherless infants in rural Africa.

METHOD

Three caregivers participated in five Marte Meo Counselling sessions. The first guidance naïve film and the last film were analysed qualitatively and quantitatively and organised according to two supportive categories: 1) caregiver responds to infants' initiative, 2) caregiver takes initiative to supportive interaction, and two non-supportive: 3) caregiver behaves in an intrusive manner and 4) caregiver does not respond to the infants' initiative.

RESULTS

After receiving Marte Meo Counselling, all three caregivers showed impressive augmentation of awareness and sensitivity in their care towards the infants' emotional and social needs.

CONCLUSION

We found indications that professional caregivers of institutionalised infants in an African country can profit on Marte Meo Counselling, showing positive effects on augmenting caregivers' sensitivity towards the infants, and thereby meet the infants' need of emotional and social support.

Infancy and Caring

Caregivers at an institution for motherless infants in rural Tanzania participated in focus group interviews and participant observations. This paper aims at describing how they perceive infancy, caring and sensitivity in their everyday context. It adds knowledge from Tanzania about institutional infant care and the concept of sensitivity in caregiving, based on an approach sensitive to culture and context. The main result is that the caregivers are most concerned with fulfilling the infants’ physical needs. They defined infants’ social and emotional needs in a variety of ways and gave accounts about what sensitivity in caring for infants meant in their context. They also described their workload, their burdens and their strengths, and demonstrated shortcomings in fulfilling the infants’ social and emotional needs. Interventions to promote emotional and social support in addition to fulfilling physical needs are crucial.

CAREGIVER-CHILD INTERACTION, CAREGIVER TRANSITIONS, AND GROUP SIZE AS MEDIATORS BETWEEN INTERVENTION CONDITION AND ATTACHMENT AND PHYSICAL GROWTH OUTCOMES IN INSTITUTIONALIZED CHILDREN

This report describes a secondary analysis of data from a comprehensive intervention project which included training and structural changes in three Baby Homes in St. Petersburg, Russian Federation. Multiple mediator models were tested according to the R.M. Baron and D.A. Kenny () causal-steps approach to examine whether caregiver-child interaction quality, number of caregiver transitions, and group size mediated the effects of the intervention on children's attachment behaviors and physical growth. The study utilized a subsample of 163 children from the original Russian Baby Home project, who were between 11 and 19 months at the time of assessment. Results from comparisons of the training and structural changes versus no intervention conditions are presented. Caregiver-child interaction quality and number of caregiver transitions fully mediated the association between intervention condition and attachment behavior. No other mediation was found. Results suggest that the quality of interaction between caregivers and children in institutional care is of primary importance to children's development, but relationship context may play a less direct mediational role, supporting caregiver-child interactions.

Adolescent perceptions of resiliencepromoting resources: the South African Pathways to Resilience Study

Resilience, or being well-adjusted despite facing adversity that predicts negative life outcomes, is a process that is scaffolded by resilience-enabling supports. How well resilience-enabling resources support positive adjustment depends, in part, on adolescents’ perceptions of the availability and usefulness of such resources. Currently, there is limited quantitative, generalisable evidence of the aforementioned. Accordingly, the purpose of this study was to document how two groups of Sesotho-speaking adolescents perceived available social-ecological resources and how significantly varied perceptions related to these adolescents’ use of formal supports. The advisory panel to the Pathways to Resilience Study clustered participating adolescents into a resilient group ( n = 221) and vulnerable, or service-using, group ( n = 186). In comparison with the service-using adolescents, resilient adolescents reported significantly higher perceptions of physical and psychological caregiving. Analyses of variance revealed that higher perceptions of caregiving were associated with higher voluntary and lower mandatory service usage. We concluded that relationship-building was a crucial resilience mechanism and would, therefore, encourage psychologists to both prioritise and facilitate caregiving.

The Development of Children Placed into Different Types of Russian Families Following an Institutional Intervention

This study examined whether interventions in Russian Baby Homes promoting warm, sensitive, and responsive caregiver-child interactions and relationships would be associated with advantages in those children's behavior years after they transitioned to family care. Children (N = 135) who had resided for at least 3 months (M = 13.8 months) in one of three intervention institutions were subsequently placed in Russian families (relatives or non-relatives) for at least 1 year (M = 33.5 months). When children were 1.5-10.8 years of age, parents provided ratings of attachment, indiscriminate friendliness, executive functioning, social-emotional development, and behavior problems. Despite very substantial differences in the developmental status of children at departure from the three institutions, there were fewer than expected significant differences between children from the three institutions at follow-up or as a function of being placed with relatives or non-relatives. Specifically, children reared in the most improved institution displayed less indiscriminate friendliness, were less aggressive/defiant, and had less externalizing behavior. Children from all three institutions who were placed into families at older ages tended to be rated more poorly on some measures. These results suggest that previously institutionalized children adjust well to family life, but improved institutional caregiving can have some persistent benefits over several years in children transitioned to families.

Research on Institutionalized Children: Implications for International Child Welfare Practitioners and Policymakers

This paper reviews the empirical literature on the effects of institutionalization on young children’s development from the perspective of global child welfare practice and policy. It considers the characteristics of typical institutions, how to assess the quality of care in institutions, the level of physical and behavioral/mental development of infants and young children while residing in institutions, the crucial role of caregiver–child interactions in children’s development, the potential of children to developmentally improve when institutional caregiver–child interactions improve or children are transferred to families, and the influence of the quality of care on children’s development regardless of context. Several controversies are considered in a balanced fashion and from the standpoint of the nature of the evidence, such as care as typically practiced versus more ideal care, intercountry adoptions, improving institutions, and volunteers in institutions. Implications for practice and policy are identified throughout, especially factors that characterize successful large-scale attempts to transition from institutionalization to a system of family alternatives.