Discusses the structure, reliability, stability, validity and usefulness of the Brazelton Neonatal Behavioral Assessment Scale (NBAS) and the results of factor and regression analyses of data collected using the NBAS. (Author/BH)

Examined over 200 perinatal variables relating to mothers and to children's neurological, cognitive, and motor functions at 15 months and 4 and 7 years. Factor analysis identified latent variables that characterized covariations among perinatal variables. There were many correlations to children's outcomes, particularly for variables relating to…

Suggests that most bioethical decisions concerning children born with catastrophic illnesses should be made by parents with input from physicians and health care workers and guidance from hospital infant ethics committees. The child protective service system should have the final authority to assure that the decisions of caregivers do not…

Presents an account of the development and use of the Neonatal Behavioral Assessment Scale (NBAS). Discusses ways in which NBAS has increased understanding of development in the newborn, of states of consciousness in the infant, of prediction in development, and of a clinician's opportunities to share information with parents. (BC)

Regression analysis and principal components analysis, which can be used to create perinatal risk profiles of neighborhoods within cities, were compared. Using census tract level low birthweight as the outcome variable, both methods identified factors identifying neighborhoods at risk. Both methods can be used to identify community characteristics…

Objectives: To assess the impact of a home visiting program in reducing malleable parental risk factors for child abuse in families of newborns identified, through population-based screening, as at-risk of child abuse. Methods: This randomized trial focused on Healthy Start Program (HSP) sites operated by three community-based organizations on…

Objective: The aim was to construct and test the reliability (utility, internal consistency, interrater agreement) and the validity (internal validity, concurrent validity) of a scale for home visiting social nurses to identify risks of physical abuse and neglect in mothers with a newborn child. Method: A 71-item scale was constructed based on a…

This federally funded project was designed to achieve three goals: (1) to test the effectiveness of an individualized behaviorally based developmental approach to providing early intervention services to very low birthweight preterm infants (and their families) in the newborn intensive care unit (NICU); (2) to evaluate this approach with low-risk,…

The goal of this project was to increase by 50 percent the number of children with significant hearing impairment identified by 12 months of age. Attainment of this goal was attempted through activities in three major areas: (1) replication and documentation of the benefits of a birth certificate-based screening system; (2) investigation of the…

This paper describes the District of Columbia's system for tracking at-risk and disabled infants during their first 3 years of life. The project involves a computerized system for following the developmental progress of at-risk infants identified at birth or other times. The project monitors the activities of children within various service…

The book offers 14 papers presented at two conferences on assessment and intervention with handicapped infants, sponsored by the Western States Technical Assistance Resource. Titles and authors include: "Neonatal Diagnosis of the Neurologically Handicapped" (M. Coleman); "Principles of Infant Assessment" (J. Swanson); "Focus on the Parent-Infant…

This paper presents two studies which explored the manner in which the father interacts with his newborn infant and compared paternal and maternal interaction patterns. In contrast to earlier studies, a direct observational approach was employed that permitted a detailed specification of father behaviors in the presence of the newborn. In the…

Discusses the effect that fetal exposure to cocaine and other drugs is having on infants and small children. Disputes the most widely cited estimate of the numbers of crack babies. Calls for restructuring foster care, group home placement, adoption, and general social welfare provision. Termination of parental rights is difficult but probably…

Reviews recent actions by state legislatures and courts in response to the problems of drug-exposed newborns. Also discusses civil and criminal court decisions regarding women who use drugs during pregnancy. State policy responses cannot be developed without a detailed assessment of the state's resources. (SLD)

Background: This study provides an exploration of factors implicated in the intergenerational cycle of child maltreatment. Families with newborns where at least one of the parents was physically and/or sexually abused as a child (AP families) were compared in terms of risk factors to families where the parents had no childhood history of…