Resilience through family programs (EE)This is a featured page

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Author: Tina Daniels, Ph.D. Psychology Dept. Carleton University
Editor: Doug McCall (dmccall@internationalschoolhealth.org)
Contributors:
First Draft Posted: March 6, 2009
Most Recent Major Update: January 20-2010
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Related Summaries in this Web Site: Resilience & Schools (GT) Resilience as an Emerging Concept (EE), Fostering Resilience through Transitions (EE), Fostering Resilience through Family Programs (EE), After School Programs, Healthy Development & Resilience (HS) Resilience & School Programs (HS) and Resilience & Schools (BT)
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Promoting Resilience Among Youth Through Families

Tina Daniels, Ph.D. Psychology Dept. Carleton University

This paper focuses on supporting parents and caregivers in their efforts to foster resilience capacity in their children. Resilience is a process or phenomena reflecting relatively positive adaptation despite experiences of significant risk or trauma (Luthar, 2005). Research suggests that although many children are exposed to high-risk conditions a substantial proportion show good social-emotional development. Understanding the developmental trajectory of those children who do “better than expected” is important as such information can help to identify how to foster positive change so that the odds for favorable development can be improved.

Family strengthening approaches have been shown to have the greatest impact on increasing resilience (Kumpfer and Summerhays 2007). This approach is based on the belief that family is the most fundamental factor influencing the lives and outcomes of children, and families are strong when safe and thriving neighbourhoods support them. Family Strengthening approaches to resilience focus on: strengthening family capacity to master adversity, increasing family resources, building significant relationships and focusing on family strengths under stress.

Resilience represents positive adaptation and functioning despite exposure to risk. It is not a personal attribute of the child rather children can do well despite risk because of various assets –many external to the child such as supportive parents, families and communities. In order to achieve and sustain resilient adaptation children must receive support from the adults in their lives, in particular families make an important contribution to resilience capacity especially in the early years.

At a fundamental level, resilience capacity is not a characteristic of a few, but of all youth. In the words of Anne Masten (2001) resilience is about “everyday magic”. What competent, caring parents do on a daily basis. By extension, it is the responsibility of caring adults, in particular parents, to nurture these biological protective factors (Ryan and Hoover, 2005).

In this paper I will avoid using the word “resilient” as it implicitly suggests an innate personal capacity to evade risk (i.e. some super human ability that lies within the individual child). Rather I will refer to “resilience capacity” because children who make it in the face of adversity do so because they have access to more resources in mind, body, families and community than those that do not.
The single most influential factor before children go to school is their family and much development happens before children enter school. Early childhood is an important window of opportunity for fostering resilience capacity. It is not the only window but it is an important one and has been shown to be a highly effective opportunity for intervention. The roots of children’s competence are established early in development and important protective systems for human development are activated during this time. The greatest threats to children in these early years are those that undermine basic human protective factors.

A variety of protective systems for human development have been identified by Masten (2007). They include: 1.Positive attachment relationships that consist of a sensitive, responsive primary caregiver who is able to provide consistent, predictable care giving; 2. A learning & problem-solving system that is based on healthy brain development and cognitive competence; 3. A self-control system of attention and action which includes the capacity to control and direct one’s own behaviour, good attention skills, self-control of emotion & behaviour and self-regulation skills; 4. Self-efficacy & mastery motivation, which includes positive expectations for success, belief in ones capabilities and a sense of control; and 5. Social capacity including social intelligence and social skill development. The greatest threat to resilience capacity is when one or more of these key protective systems are harmed or disrupted. This includes: threats to the attachment relationship, poor parenting skills, lack of stimulation or nutrition for brain development, lack of opportunities to learn and experience the pleasures of mastering a new skill, lack of limit setting or structure needed to develop self-control and lack of opportunities for social interaction and the development of social intelligence.
In this paper I have given consideration to these five protective systems that can facilitate resilience capacity and I have reviewed intervention programmes designed to facilitate resilience in each of these areas. For the most part I have reviewed Canadian programmes or those accessible in Canada where possible unless no such programme existed. I have tried to select programmes that fit within the developmental framework established by Masten and I have tried to focus as much as possible on programmes that have research evidence to support their effectiveness.

Positive Attachment Relationships

There are many pathways to building resilience capacity but one theme that appears to transcend diverse risk conditions is the presence of a strong, supportive relationship with at least one adult (Luthar, 2005). Most commonly this is the child’s mother or primary caregiver. Research suggests that a child’s attachment relationship is reflected in all their subsequent relationships including peer relationships as well as later romantic relationships and marital relationships.

Facilitating a secure attachment relationship can be achieved in several ways. One is to ensure that mothers have sufficient resources to sustain the provision of warmth and consistency needed by children especially if the child’s temperament leads to challenges in this regard. A second is to increase the mother’s assets by increasing the resources she has available to her and the third is by fostering or engaging the human adaptation systems of the child to seek out such a relationship.

Effective care giving requires resources on the part of the primary caregiver usually the mother. This includes financial resources such as food, shelter, and health care but even more importantly psychological resources. Depressed mothers for example are very challenged in attending to their infants cues in a responsive, sensitive manner. Recent research also suggests that mothers need to respond in a timely fashion, something that is not easy to do if mother’s resources are spread too thin. If the ultimate goal is to maximize young children’s capacity for resilience through the building of a strong attachment relationship with the primary caregiver then first priority must be given to attending to that care-giver’s, usually but not always the mother’s, mental health and parenting needs in order to help her facilitate a secure attachment relationship with her infant.

There is substantial evidence that increasing parenting capacity for appropriate and responsive parenting through the life of children into adulthood helps to increase children’s and young people’s resilience and positive outcomes. While improving parenting capacity alone will not overcome the negative effects of broader social inequality, it is nonetheless a critical factor in young people’s likelihood of increasing their resilience capacity.

A child with a difficult temperament can have good adjustment if the primary care giver can be responsive and sensitive to her infant’s cues. If the mother is limited in her resources (i.e. mental health concerns, marital conflict etc.) she may not have the ability to provide the warmth and consistency needed by her child and the attachment relationship may be disrupted. Thus interventions designed to facilitate resilience capacity through the building of a secure mother-child attachment relationship need to focus on supporting parents’ capacity to provide optimal care, ensuring parents have the psychological resources necessary to be able to response to their infants cues in a sensitive and responsive manner, having the emotional resources available to cope with the challenges of difficult temperament, having social support and the physical resources (housing, food etc.) available to allow the mother to focus on her infant.

Research findings suggest that a secure attachment in infancy, good quality parenting, emotionally responsive care giving, and good quality parent-child relationship in the toddler and preschool period serve as major protective factors against the negative effects of various childhood adversities. Such findings suggest that future prevention/intervention efforts with young children should have as a primary focus the emotional aspects of parenting young children.

Attachment-Based Programmes

Positive long-term developmental outcomes have been shown to be associated with a secure parent-infant attachment relationship. Resilience develops over time and even with a bad beginning, later support can bring positive change. As such, a strong argument can be made for implementing attachment- based prevention programs early in life. Despite the strong evidence provided by research this has not resulted in a large number of attachment-based interventions. Very few parent education or home visitation programmes have as their primary goal facilitating the development of a secure attachment relationship between mother and child in the first year of life. Below is a review of three attachment-based programmes that do endeavour to foster resilience through the development of secure mother-child attachment relationships. They include:
  • Watch, Wait and Wonder, The Hincks-Dellcrest Centre and University of Toronto, (Muir, Lojkasek & Cohen),
  • Circle of Security, University of Virginia (Marvin, Cooper, Kent, Hoffman & Powel, 2002), and
  • The Connect Parent Group (Moretti, M, Holland, R., Moore, K. and McKay, S. 2004, Simon Fraser University and The Maples Adolescent Treatment Centre, Burnaby, BC).
The first two programmes focus on fostering resilience in infancy by attending to the mother-infant bond. The third is designed for adolescents who are at risk and already involved in the criminal justice system and focuses on parents responding to their child in a way that can ameliorate the earlier effects of having an insecure attachment relationship.

Watch, Wait and Wonder, The Hincks-Dellcrest Centre and University of Toronto, (Muir, Lojkasek & Cohen)
Watch, Wait and Wonder (WWW) is a child-led psychotherapeutic approach, which uses the child/infant’s activity in free play to enhance maternal sensitivity and responsiveness to her infant. The goal is to facilitate mothers and infants in developing secure attachment relationships by teaching mothers to be sensitive to their infant’s cues. Parents are encouraged to gain an understanding of their own emotional response to their child. Therapists work directly with the mother-infant relationship to support the fragile connection that characterizes the relationships of mothers and infants who need help in this area. This programme is designed to reset the protective system of the mother/child relationship when it has gone awry.

Results from a evaluation study (Cohen, Muir, Lojkaseki, Muir, Parker, Barwick & Brown (2000) indicate that over a 5 month period those mothers and infants receiving WWW showed a greater shift toward more organized, secure attachment relationship and a greater improvement in cognitive development and emotion regulation than a control group of infants and mothers. Mothers in the WWW group reported a larger increase in parenting satisfaction and a decrease in depression compared to the control mothers.


This programme is based on premise that mother’s can be successfully taught to attend to their infants cues and to respond in a sensitive, responsive manner. The programme emphasizes the mother “watching” the infant and letting the infant lead.


Circle of Security, University of Virginia (Marvin, Cooper, Kent, Hoffman & Powel, 2002)
The Circle of Security, an international intervention program, is a 20 week, group-based, parent education and psychotherapy intervention designed to shift patterns of attachment care-giving interactions in high-risk caregiver-child dyads to a more appropriate developmental pathway. The program has been developed based on attachment theory, current research on early relationships and objects relation theory. Using videotapes of their interactions with their children caregivers are encouraged to increase their sensitivity and responsiveness to their child’s cues and signals, increase their ability to reflect on their own and their child’s behaviour, thoughts and feelings regarding their attachment care-giving interactions and to reflect on their own histories that affect their current care-giving patterns.

An evaluation of 75 mothers and their infants who completed the program suggests that a significant shift occurred from disordered to ordered child attachment patterns (from 55% to 20%), an increase (from 32% to 40%) in the number of children classified as Secure, and a decrease in the number of caregivers classified as Disordered (from 60% to 15%). Training for this program has recently been made available in Canada. The Calgary Family Services Training Institute sponsored a 3-day training workshop in May 2008.


The Connect Parent Group (Moretti, M, Holland, R., Moore, K. and McKay, S. 2004, Simon Fraser University and The Maples Adolescent Treatment Centre, Burnaby, BC).
The Connect Parent Group program is an attachment-based parenting program for the parents of severely conduct disordered adolescents. It is a structured, brief program (10 weeks) for parents/caregivers based on attachment principles & directed at
reducing aggression and violence, and promoting healthy relationships. This brief psycho-educational program focuses on promoting enhanced parental-reflective capacity, attunement, and empathy.

Each session begins with the presentation of an attachment principle that helps parents understand attachment issues underlying challenging interactions with their adolescent. Parents learn, for example, that conflict is part of attachment and is particularly acute during times of transition in the relationship, such as the transition through adolescence. Parents also learn to ‘step back’ in emotionally charged situations, recognize and modulate their own feelings, and consider the possible meanings behind their adolescent’s behaviour. Helping parents be (and feel) more competent in these areas helps them ‘reframe’ their adolescent’s behaviours and needs allowing them to keep their emotions in check when dealing with difficult situations, while clearly setting limits and expectations but in a way that maintains the relationship.


Preliminary findings (Moretti, Holland, Morre and McKay, 2004) based on parent reports of child behaviour as assessed by the Child Behavior Checklist (CBCL)
showed a significant reductions in adolescents externalizing behaviours and total behaviour problems as well as high parental acceptance of the intervention. The majority of parents rated the educational focus on attachment in the group as helpful (46%) or very helpful (38%). Parents also rated the group as helpful (50%) or very helpful (38%) in enhancing their understanding of their child, and helpful (33%) or very helpful (46%) in enhancing their understanding of themselves as parents.

Because of the many positive outcomes associated with a secure attachment the implications of programmes such as those described above is clear. Prevention and intervention programmes designed to promote a secure parent-infant attachment relationship or improve the parent-child attachment relationship later on in development can improve the developmental outcomes of children and youth who are at risk for poor developmental outcomes and prevent later problem behaviour and psychopathology. Despite the strong theoretical and empirical evidence of the importance of secure attachment relationships to the promotion of resilience capacity, to date, these types of programmes are not commonly made available across Canada to those families in need.


Parenting-Based Programmes

Parenting has a profound impact on children’s well being. Positive parent-child relationships promote children’s brain development, academic functioning, social competence, mental health and self-esteem. Responsive care giving buffers children from the negative impacts of adversity and stress. Abusive parenting is one of the most significant risk factors for negative child outcomes. Below are reviews of three exemplar programmes designed to foster or facilitate resilience through improved parenting. These programmes include
  • The Nurse Family Partnership Program (Olds, 1998, 2002, Pediatrics, Psychiatry & Preventative Medicine, University of Colorado),
  • SAFEChildren- Schools and Families Educating Children (Tolan, Gorman-Smith & Henry, Families and Communities Research Group, Institute for Juvenile Research, Department of Psychiatry, the University of Illinois at Chicago, established 1997) and
  • Caring Dads: Helping Fathers Value their Children (Crooks, Francis, Kelly and Scott. 2004, University of Western Ontario, London, ON).
The Nurse Family Partnership Program (Olds, 1998, 2002, Pediatrics, Psychiatry & Preventative Medicine, University of Colorado) This program represents the most successful example of an evidence-based home visiting program, the goal of which is to strengthen family capacity. This is achieved by hiring trained nurses who visit young low-income, single, adolescents pregnant for the first time. These women are visited in their homes 9 times during their pregnancy and 23 times during their child’s first 2 years of life. These visits focus on three areas: 1. improving the young women’s prenatal health and pregnancy outcomes, 2. improving the quality of childcare provided to the infants once they are born in order to promote better child health and development and 3. improving the women’s personal development in such areas as educational achievement, career development, and future family planning.

Early research has indicated that compared to high-risk women who had not received visits, program participants had 79% fewer verified reports of child abuse or neglect, spent less time on public assistance, had 44% fewer maternal alcohol and drug abuse problems, and had 69% fewer arrests. A 15-year follow-up of these women’s children showed that, compared to the children of high-risk women who had not received visits, there were 60% fewer instances of running away, 56% fewer arrests, and 56% fewer days of alcohol consumption (Olds, Henderson, Cole, et al., 1998). Subsequent research (Olds, 2000) has indicated reduced low birth weight, reduction in preterm delivery, reduction in emergency room visits and child abuse. By age 4 reduced punishment used by mothers, increased mother employment, delay of second child by more than 12 months, and higher child IQ scores. By age 15 years they found decreased likelihood of child alcohol and drugs, fewer arrests, fewer convictions, reduction in sexual partners, and improvement in families’ financial sustainability. Research also indicates that the use of nurses compared to paraprofessionals is critical to programme success. A 2005 evaluation of the programme found that the rate of infant mortality among mothers is less than half the rate among other first-time mothers in spite of the fact that mothers in the nurse-home visiting programme were younger, poorer and more likely to be unmarried.


This program was initially implemented in Elmira, New York, and replicated in Memphis, Tennessee, and Denver, Colorado. It is presently operating in 20 states across the United States, addressing the needs of 20,000 families with plans by 2010 to be in 38 states. The costs of the program are recovered by the first child’s fourth birthday (Karoly et al., 1998). In 1998 it was estimated that over time the Elmira programme would save as much as $4 in government spending for every $1 in programme costs. In 2008 the City of Hamilton Health Services in partnership with the Offord Centre for Child Studies at McMaster University implemented the Nurse Family Partnership programme in Canada.


SAFEChildren- Schools and Families Educating Children (Tolan, Gorman-Smith & Henry, Families and Communities Research Group, Institute for Juvenile
Research, Department of Psychiatry, the University of Illinois at Chicago, established 1997)
Schools and Families Educating Children (SAFEChildren) is a family-based preventive intervention programme for children who live in inner city neighborhoods and are entering first grade. The goal of the program is to help families gain or increase parenting and family management skills that would facilitate successful child academic and social adjustment and, therefore, to promote social and academic competence and to lower risk for later antisocial behavior. In addition, the intervention concentrates on promoting initial academic success.

This intervention is based on a developmental–ecological perspective regarding risk and prevention efforts that views normal developmental transitions as a time when intervention may be particularly useful. This approach emphasizes the interdependence among multiple risk factors in explaining the development of antisocial behavior. There is also the recognition that the necessity and salience of a given risk factor can vary as a function of the social ecology in which the child develops.

SAFEChildren combines two components: multiple family groups and individual reading tutoring. The multiple family groups component consists of weekly multiple family group meetings and addresses parenting, family relations, and parents’ involvement and investment in their children’s schooling. The intervention consists of 20 weekly sessions and deals with the family’s role in their child’s schooling and with helping the family focus on their identity and responsibility to each other, the relation of home to school and the structure needed in the home to help children succeed in school as well as family relations.

The one-on-one reading tutoring program is based on teaching the basic skills of reading. The purpose of this component is to increase children’s opportunities to apply reading skills; to reinforce the skills, values, and beliefs taught as part of the family-based intervention; and to use this opportunity to address ethnic identity. Trained tutors spend a portion of each session reading with the child.


The SAFEChildren program was evaluated by taking 424 families residing in inner city neighborhoods whose children were entering first grade in one of seven schools and, after baseline assessments were made, randomly assigning the families to the intervention group or the control group. Data was obtained from parents and children at four points including a 6-month follow-up. Individual interviews were conducted with the primary and secondary caregivers and the target child over the course of the study. The study targeted four major effects for the intervention: a) child’s school functioning b) child’s behavior c) child’s social competence (BASC), and d) parenting and family relationships.


The results indicate that 6 months after the intervention the program had produced an overall effect of increased academic performance and better parental involvement in school. Intervention families remained engaged in school and their children progressed academically at a rate comparable with the national rate. The program also produced additional benefits for parental monitoring, child problem behaviors, and children’s social competence. Among families with less adequate parenting skills and family relationship quality there was a decrease over time in aggression. In addition, SAFEChildren showed an improvement in concentration relative to those who did not receive the intervention. Among children with the highest levels of problem behaviors at pretest SAFEChildren participants showed a decrease in aggression, while those who did not receive the intervention had a slight increase in aggression. This programme has been listed on the National Registry of Evidence-based Programs and Practices (NREPP), a service of the Substance Abuse and Mental Health Services Administration (SAMHSA).


Caring Dads: Helping Fathers Value their Children (Crooks, Francis, Kelly and Scott. 2004, University of Western Ontario, London, ON) The Caring Dads programme is one of the first group intervention programmes designed specifically for men who have maltreated their children and /or exposed them to domestic violence. This 15-week group intervention aims to increase men's awareness of the impact of coercive, shaming and under-involved behaviour on children, enhance fathers' motivation to change, reduce attitudes and perceptions that support maltreatment of children, and improve father-child relationships. It was also designed to reduce men's involvement in child-focused marital conflict and increase fathers’ cooperation and problem solving around childcare issues. The programme is organized around four goals: engaging men; building positive parenting; recognizing and countering abuse; and rebuilding trust with children. The strategies used to achieve these goals include a range of approaches, such as motivational interviewing, psycho education, cognitive-behavioral techniques, confrontation, and shame work.

This programme is still in its infancy. Two pilot projects were conducted in London, ON in 2002. The results of these pilot studies (Scott, Kelly, Crooks and Francis, n.d.) suggest some promise of the Caring Dads program as a whole. In a qualitative report, fathers reported being satisfied with the program and as having gained a valuable perspective on their style of parenting. Moreover, men reported that they were continuing to make changes in the way they dealt with their children even after treatment. The biggest challenge was dropout of participants before the end of the programme. This is not surprising since this is a difficult group to work with.

These three programmes all focus on the development of effective parenting skills as a means to facilitate resilience capacity in groups of high-risk children. Although these programmes differ substantially in the age group targeted (infants versus school entry), the population targeted and the strategies they utilize, all three are focused on the development of the parent’s ability to provide consistent, predictable care giving. In general, this type of focus is a more common approach among intervention programmes for high-risk groups.

Self-Regulation Focused Programmes

A growing body of research indicates that many children start school not ready to learn not because they do not know their letters or numbers but because they lack one critical ability: the ability to regulate their social, emotional, and cognitive behaviors. Current research shows that self-regulation – often called executive function -- has a stronger association with academic achievement than IQ or entry-level reading or math skills.

Today's children come to school with lower levels of self-regulation and early childhood teachers report that they are ill equipped to deal with these problems. Research suggests that interventions at the early childhood level can have a positive influence on self-regulation and the development of executive function in the early years and beyond.

Recent changes in our understanding of the development of antisocial behaviour have lead to the development of intervention programmes designed to foster higher levels of self-regulation as a protective factor for subsequent development. For example, in contrast to earlier thinking we now have strong research evidence that children do not learn to be aggressive (Tremblay, 2002), rather they learn how to not be aggressive and that this usually occurs between 18-24 months of age, much earlier than we had previously thought. Most children learn to regulate their use of physical aggression by the time they go to school, however a small group (5-10%) does not and those that don’t have a poor prognosis for later development. To prevent early-occurring juvenile delinquency requires starting early to alter harsh and inconsistent parenting. Longitudinal studies show that preschool is a sensitive period for learning to regulate physical aggression. So much so that children who continue to show high levels of physical aggression into middle elementary school are at greatest risk of engaging in physically violent behaviour during adolescence.

This research suggests that in facilitating resilience capacity we want to encourage the development of inhibitory processes. Research indicates that interventions during early childhood can have a positive influence on self-regulation and the development of executive function in the early years and beyond. Below are two exemplar programmes designed to facilitate the development of self-regulatory processes to foster resilience capacity:
  • The Preventive Treatment Program (also known as the Montreal Longitudinal Study and the Montreal Prevention Experiment) (Tremblay, GRIP, Université de Montréal), and
  • Tools of the Mind (Bodrova & Leong, 1993, 1996, 2001, Metropolitan State College of Denver).
The Preventive Treatment Program (also known as the Montreal Longitudinal Study and the Montreal Prevention Experiment) (Tremblay, GRIP, Université de Montréal) This program was designed for disruptive kindergarten boys and their parents, with the goal of reducing short- and long-term antisocial behaviour. The focus is on providing parent management training to prevent antisocial behavioural problems and delinquent behaviour and child social skills training to foster abilities to interact in prosocial ways as well as self-control. Intensive support is provided to high-risk families with the goal of helping young children learn to regulate physical aggression. The program provides training for both parents and boys. The parent-training component is based on a model developed at the Oregon Social Learning Center (Patterson, 1974). Parents received an average of 17 sessions (some received as many as 42) that concentrated on monitoring their children’s behaviour, giving positive reinforcement for prosocial behaviour, using punishment effectively, and managing family crises. Caseworkers helped parents generalize what they learned through home visits, and teachers were encouraged to cooperate with the intervention. The school-based component emphasized promoting social competence and emotional regulation by stressing problem-solving skills, life skills, conflict resolution, and self-control.

Results of evaluations of this programme (Tremblay et al. 1992, 1995) have demonstrated both short- and long-term gains for youth. After 2 years the boys were less physically aggressive at school, were more age appropriate in regular classrooms, showed less serious school adjustment problems and demonstrated fewer delinquent behaviors. At age 12, 3 years after the intervention, treated boys were less likely to report the following offenses: trespassing, taking objects worth less than $10, taking objects worth more than $10, and stealing bicycles. They were rated by teachers as fighting less often, were more well-adjusted, displayed less serious difficulties in school, and fewer were held back or placed in special education classes. At age 15, those receiving the intervention were less likely to report gang involvement, having been drunk or taken drugs in the past 12 months, having committed delinquent acts (stealing, vandalism, drug use), and having friends arrested by the police.

Based on these findings this programme is listed on the Canadian Best Practices Portal for Health Promotion and Chronic Disease Prevention – Public Health Agency of Canada (http://cbpp-pcpe.phac-aspc.gc.ca/intervention/243/view-eng.html) and the National Registry of Evidence-based Programs and Practices (NREPP), a service of the Substance Abuse and Mental Health Services Administration) (http://mentalhealth.samhsa.gov/publications/allpubs/SVP-0054/appendix.asp)

Tools of the Mind (Bodrova & Leong, 1993, 1996, 2001, Metropolitan State College of Denver) The Tools of the Mind (TOM) curriculum is a Vygotskian-based early childhood education curriculum (preschool through 2nd grade) that provides teachers with a series of tools and strategies to support the development of early literacy, self-regulation, and foundational cognitive skills (Bodrova and Leong, 2001). The curriculum has two main goals that are viewed as inseparable: (1) the development of underlying cognitive skills such as self-regulation (of behavior, emotions and cognition), deliberate memory and focused attention; and, (2) the development of specific academic skills such as symbolic thought, literacy, and an understanding of mathematics (Leong & Hensen, 2003).

Tools of the Mind is a research-based early childhood program that builds strong foundations for school success in preschool and kindergarten children by promoting intentional and self-regulated learning. Teachers systematically scaffold children's moving along the continuum of self-regulation from being regulated by others to engaging in "shared" regulation to eventually becoming "masters of their own behavior." Children gain control of their social, emotional, and cognitive behaviors by learning how to use a variety of "mental tools." Teaching of early literacy and mathematics emphasizes building underlying cognitive competencies such as reflective thinking and metacognition. Children practice self-regulated learning throughout the day by engaging in a variety of specifically designed developmentally appropriate self-regulation activities.


Teaching self-regulation means revamping the classroom and how activities are implemented. The Tools of the Mind programme focuses on eliminating preschool classroom activities that promote unregulated behavior such as waiting in line with nothing to do, wandering around the classroom during center time, being unclear about what to do during an activity and not being able to get help. It requires teachers to create a consistent classroom where teacher expectations are clear and enforced fairly. It means having activities where children have the responsibility for deciding and following through with this responsibility. Research shows that this approach of embedding self-regulation in all classroom activities works better than teaching self-regulation as a separate stand alone activity.


Diamond, Barnett, Thomas, & Munroe, (2007) have shown that children who attended Tools classrooms have higher rates of self-regulation than closely matched pairs and that the level of self-regulation correlated with child achievement in literacy and mathematics. In a double-randomized design study of preschool children (Barnett et al. 2006) Tools was compared to a control group using a high-quality ECE program with no emphasis on self-regulation. Children in Tools were found to have higher rates of self-regulation and teachers trained in Tools scored higher in classroom management measures, used classroom time more productively, and had a higher rate of appropriate and cognitively challenging interactions. At-risk 5-year-old children in Tools showed markedly better executive function performance compared with closely matched peers.

Currently the Tools of the Mind program is being implemented in Colorado, Massachusetts, New Jersey, New Mexico, and Oregon. Adele Diamond of the University of British Columbia has been conducting research on the effectiveness of this programme. Most current interventions addressing executive functions target the consequences of poor self-control rather than seeking prevention at an early age, as the Tools programme does. Diamond et al.( 2007) believes that "Early intervention (heading off problems before they develop) costs far less and achieves far better results than trying to correct problems once they have developed".

These two programmes designed to foster resilience capacity through the development of self-regulation and executive function take very different approaches. The Preventive Treatment Program focuses on teaching parents to facilitate the development of self-regulation in high-risk boys while Tools of the Mind is a preschool classroom-based programme designed to focus on the development of self-regulation. For all children. Approaching the fostering of self-regulation and executive functioning from both parents and teachers perspective might serve to better facilitate the development of resilience capacity.

Self-Efficacy and Mastery Motivation

A person’s resilience increases as one continually applies resilient thinking and behaviours in their everyday lives. The mastery motivation system is powerful but can be extinguished by experiences that teach children they have no control over what happens in the world. Children can develop “learned helplessness”. Child neglect, maltreatment, and multiple foster care placements are some examples of life experiences that can lead to the suppression of this system.

Self-efficacy refers to an individual's believes about his/her agency or capacity to successful perform various tasks. Substantial research has suggested that alterations in self-efficacy beliefs are closely associated with changes in actual behavior/competence.
To foster resilience capacity we need to provide children with enough support to guarantee success and still allow them to be convinced that they did it on their own. Programs are classified as fostering self-efficacy if their strategies included personal goal setting, coping and mastery skills, or techniques to change negative self-efficacy expectancies or self-defeating cognitions.
Self-efficacy is the perception that one can achieve desired goals through one's own action. Researchers have argued that self-efficacy beliefs function as an important set of proximal determinants of human motivation, affect, and action. They operate on action through motivational, cognitive, and affective intervening processes.

The Reaching In Reaching Reaching Out Programme (RIRO) (Sponsored by the Child and Family Partnership, a group of four organizations committed to promoting resilience in children and families. They include the YMCA of Greater Toronto , the Child Development Institute, George Brown College, and the University of Guelph) is Canada's only evidence-based program for teaching resiliency thinking and coping skills to young children to foster self-efficacy and mastery motivation.

Founded as a pilot project in 2002, RIRO is a resilience and strengths-based approach designed to reach young children from birth to seven years by laying a strong foundation of thinking and coping skills that support resilience in the adults who care for and work with them. RIRO teaches "3Rs of Resilience"– skills to help Relax, Reflect and Respond effectively to life's challenges. The resiliency skills help adults and children develop several critical abilities associated with resilience: being in charge of our emotions, controlling our impulses, analyzing the cause of problems, empathizing with others, believing in our competence, maintaining realistic optimism and reaching out to others and opportunities.

Consisting of 12 hours of content in two parts, Part 1 helps adults build a foundation of critical resiliency abilities they can model with children and families. Specifically, they learn to: identify and strengthen critical abilities associated with resilience, use strategies to stay calm and focused in stressful times, identify how their thoughts can affect their ability to cope with stress and challenges, challenge thinking habits that hinder resilience, generate alternative ways to handle conflict, problems and stress.

In Part 2 of the program, participants learn to apply the skills with children. They learn to: model the skills and foster resilience in the children around them, use their own resiliency skills to increase their understanding of children's behaviour, incorporate resiliency skills into their work setting by using child-friendly approaches such as children's literature, puppets, and play-based activities.

An evaluation of 27 ECE trained teachers and 225 preschool children reported that sixty-five percent of teachers reported changes in children’s impulse control and 61% in emotional regulation that they believed was related to the teachers’ resiliency training. “Calming/ focusing” activities, which impacted on resilience through emotional regulation, were viewed as the top resiliency skill area for preschool children to learn. For kindergarten children, teachers rated learning to “put things into perspective” as the most important new skill after “calming/focusing” skills were in place.

RIRO has trained more than 3,000 professionals and paraprofessionals, benefiting an estimated 30,000 children in Canada. More than 150 training professionals and educators across Canada have already completed RIRO's 5-day trainer "intensive."
Future training plans include development of a resiliency skills training program for parents so children are exposed to the skills at home. RIRO's unique delivery model is very cost effective. By engaging established networks of professionals who work with children, RIRO-trained professionals can transfer resiliency skills to children for less than $7.00 per child.

Social Capacity Building

Research shows that differences in levels of emotional literacy and emotional competence stand out as one of the most compelling reasons why some “children at risk” fail to thrive. Those children who succeed in the face of risk factors such as poverty, family dysfunction, and discrimination, those who have more capacity for resilience are those who have managed to find, in themselves and with the help of others, the essential attributes of emotional intelligence (Glossop and Mitchell, 2006). There are several good books for parents, currently on the market, that focus on the role parents can play in supporting the development of their child’s emotional intelligence. These include Linda Lantieri’s (2008) “Building Emotional Intelligence: Techniques to Cultivate Inner Strength in Children and John Gottman’s (1998) How to Raise an Emotionally Intelligent Child. Both of these books focus on how parent’s can build resilience capacity by coaching their children in the expression of emotions. Although as yet there are no parent-based programmes designed to foster resilience capacity by facilitating the development of emotional intelligence these programmes are needed as part of a comprehensive approach to building resilience capacity. The only programme to date that takes this approach is the Canadian school-based “Roots of Empathy Programme” developed by Mary Gordon (1996).

  • Roots of Empathy is an evidence-based classroom program that has shown dramatic effects in reducing levels of aggression among school-aged children by raising social/emotional competence and increasing empathy. Children are more competent in understanding their own feelings and the feelings of others (empathy) and are therefore less likely to physically, psychologically and emotionally hurt each other. Messages of social inclusion and activities that are consensus building contribute to a culture of caring. There is also a “Seeds of Empathy” Programme directed towards children in early childhood settings that fosters social and emotional competencies in children three to five years of age.
Since 2000, there have been nine independent evaluations of the effectiveness of Roots of Empathy, as well as two reviews of the program as a whole. Results have shown that compared to comparison groups, Roots of Empathy children demonstrated: increased social and emotional knowledge, decreased aggression, increased prosocial behaviour, increased perceptions of the classroom as a caring environment and increased understanding of infants and parenting. In 2001, the Government of Manitoba commissioned a three-year follow-up study of Roots of Empathy, measuring prosocial behaviour, physical aggression, and indirect aggression. Results showed a significant improvement in all three behaviours immediately after the program, with improvements in behaviours maintained three years later. Curriculum Services Canada has reviewed and recommended the Roots of Empathy curriculum "as a valid program for use with students in Kindergarten to grade 8 to promote understanding of human development, diversity, and the uniqueness of individuals."

Further development of a programme with the same goals as Roots of Empathy that focused on the development of parents’ emotion coaching skills is warranted if we are to take a comprehensive approach to resilience capacity building.

Comprehensive Programs

Up until this point this paper has only discussed programmes that are designed to facilitate resilience in one of the areas identified by Anne Masten as critical to development but there are also some comprehensive programmes that address a variety of areas simultaneously. Comprehensive programmes focus on: reducing exposure to risky situations, fostering capacity building and facilitating the development of a variety of fundamental protective systems simultaneously. These programs can vary in format and structure but they all utilize multiple strategies to reduce risk and increase protection in children’s lives. An example of a comprehensive programme would be The Incredible Years Program, Webster-Stratton, Parenting Clinic, University of Washington.

The Incredible Years (Webster-Stratton Programme)
The Incredible Years Parent, Teacher, and Child Training Series is a set of curricula designed to promote social competence and prevent, reduce, and treat aggression and related conduct problems in babies, toddlers, young children, and school-aged children. This programme consists of parent training, teacher training, and child training programs guided by developmental theory concerning the role of multiple interacting risk and protective factors (child, family, and school) in the development of conduct problems. The Incredible Years parent training intervention is a series of programs focused on strengthening parenting competencies (monitoring, positive discipline, confidence) and fostering parents' involvement in children's school experiences in order to promote children's academic, social and emotional competencies and reduce conduct problems. The Parents & Babies program focuses on helping parents learn to observe and read their babies' cues and learning ways to provide nurturing and responsive care including physical, tactile, and visual stimulation as well as verbal communication. The Incredible Years Parents and Toddlers Program supports parents and focuses on strengthening positive and nurturing parenting skills. At ages 3-6 the program focuses on strengthening parenting skills and consists of components that build upon one another. At ages 6-12 the programme focuses on the importance of promoting positive behaviors, interpersonal issues such as building social skills, and effective praise.

Webster-Stratton & Reid (2008) report that extensive research evaluating the Incredible Years Parenting Programs in numerous randomized control group trials indicates that the program is an effective treatment approach for reducing early onset-conduct disorder and producing significant changes in parents' behavior and reductions in children’s levels of aggression.


Despite the success of this programme Carolyn Webster-Stratton warns that there are key elements that need to be put in place to enable programmes of this type to succeed in their impact. Particularly, she notes the critical role that a consistent agency supervisor plays in providing support and approval, the need for the active participation of both the case worker and parent, the need for attendance incentives such as food, childcare, and transportation to ensure that the neediest and most challenged families are motivated to continue their participation, and the need for staff stability and adaptability of timetables and scheduling. Finally she noted that parents expressed a strong desire for a high degree of parental involvement in selecting appropriate behavioural goals for themselves rather than being dictated to.


Conclusions

Although these programmes are all very different in their focus and scope they share some common best practices: each focuses on a relationship and this is key. Early childhood is an important window for intervention. Intensive support to high-risk families should start in infancy or before. Children typically experience multiple risks in multiple social contexts and thus effective interventions need to target multiple rather than single sources of resilience for capacity building. Interventions need to be dynamic, flexible and culturally specific. Interventions must consider the broad range of ecological factors within which children and their families are embedded and interventions must be tailored to critical developmental tasks. Support groups for parents provide an important avenue for participants to practice healthy ways of processing and communicating the emotions of parenting. It is critical to recognize that unless parents are willing to participate it does not matter how good the programme is. Research evidence suggests that parents prefer leaders who are also parents themselves and that they preferred to select from ideas put forward rather than be told what to do. Finding effective ways to work with the most ‘challenging’ families with the greatest problems, who may need intensive support and one on one approaches is critical.

Finally, it is important to realize that there is no “magic bullet”. Resilience capacity in children arises out of ordinary circumstance. Resilience capacity building is what competent parents do on a daily basis. It does not come from rare or special qualities. Every parent can be supported in their efforts to foster adaptive systems that protect and promote positive child development for their children regardless of their circumstance. We need to focus on building strong healthy support systems to sustain these families in their efforts.

Links to Key Research References and Reports:


References

  • Bodrova, E. & Leong, D.J. (2001). International Bureau of Education. Tools of the Mind: A Case Study of Implementing the Vygotskian Approach in American Early Childhood and Primary Classrooms. Retrieved April 21, 2009 from http://www.ibe.unesco.org/fileadmin/user_upload/archive/publications/innodata/inno07.pdf
  • Bodrova, E.: Leong, D. J. (1996). Tools of the mind: The Vygotskian approach to early childhood education. Upper Saddle River, NJ: Prentice-Hall.
  • Diamond, A., Barnett, S., Thomas, J., Munro, S. (2007), Preschool Program Improves Cognitive Control. Science, vol. 317
  • Gottman J. (1998) How to Raise an Emotionally Intelligent Child, Fireside Publishing, New York:NY.
  • Lantieri, L. (2008) Building Emotional Intelligence: Techniques to Cultivate Inner Strength in Children, Sounds True Inc.: Boulder CO.
  • Luthar, S. and Cicchetti, D. (2000). The construct of resilience: Implications for interventions and social policy. Development and Psychopathology, 12(4), 857-885.
  • Masten, A. (2001). Ordinary magic: Resilience processes in development. American Psychologist, 56, 1–12.
  • Masten, A. S. (2007). Resilience in developing systems: Progress and promise as the fourth wave rises. Development and Psychopathology, 19, 921-930.
  • Moretti, M, Holland, R., Moore, K. and McKay, S (2004) An attachment-based parenting program for caregivers of severely conduct disordered adolescents: Preliminary findings. Journal of Child and Youth Care Work, Vol.19, 170-178.
  • Patterson, G. R. (1974) Intervention for boys with conduct problems: Multiple settings, treatments, and criteria. Journal of Consulting and Clinical Psychology, 42, 471–481.
  • Scott
, K. (200 ) Fathers Prepared for: The Centre for Research on Violence Against Women and Children London, Ontario, CANADA
  • Scott, K., Kelly, T., Crooks, C. & Francis, K., Final Report: Pilot Implementation of the Caring Dads Program for Abusive and At-Risk Fathers. Retrieved July 16, 2009 from http://www.caringdadsprogram.com/agency/pdfs/final_report.pdf
  • Tolan, P.H., Gorman-Smith, D., & Henry, D. ( 2004). Supporting families in a high-risk setting: Proximal effects of the SAFEChildren Prevention Program. Journal of Consulting and Clinical Psychology, 72, 855-869.
  • Tremblay, R.E., Vitaro, F., Bertrand, L., LeBlanc, M., Beauchesne, H., Boileau, H. and David, L. (1992). Parent and Child Training to Prevent Early Onset of Delinquency: The Montreal Longitudinal Study in J. McCord and R.E. Tremblay (eds.), Preventing Antisocial Behaviour: Interventions from Birth through Adolescence, New York: Guilford Press (p. 117-138).
  • Tremblay, Richard E., Louise Masse, Linda Pagani, and Frank Vitaro. (1996.) “From Childhood Physical Aggression to Adolescent Maladjustment: The Montreal Prevention Experiment.” In R.D. Peters and R.J. McMahon (eds.). Preventing Childhood Disorders, Substance Abuse, and Delinquency. Thousand Oaks, Calif.: Sage Publications.
  • Webster-Stratton, C., & Reid, M. J. (2008) A School-Family Partnership: Addressing Multiple Risk Factors to Improve School Readiness and Prevent Conduct Problems in Young Children, University of Washington. Retrieved July 16, 2009 from http://www.incredibleyears.com/library/paper.asp?nMode=1&nLibraryID=562



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