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Item Developing the Role of Occupational Therapy to Address the Effects of Early Childhood Trauma: A Community Capacity Building Approach(2022-05-03) Nycz, Kimberly E.; Petrenchik, Terry; Department of Occupational Therapy, School of Health and Human Sciences; Carter, PatriciaResearch supports early childhood trauma significantly impacts a child’s development and growth into a successful adult. As childhood trauma continues to be a public health issue in Missouri, community organizations need ways to improve and expand their trauma-informed and trauma-specific services to the children and families across the state. One way to address this is through implementation of an educational program. This program aimed to develop the role of occupational therapy within these sites to integrate the ideas of occupational therapy and trauma-informed care to improve and expand the sites’ services and promote the development of trauma-exposed young children. A series of three trainings were created, with each one focusing on a different topic to enhance the occupational therapy and trauma-informed knowledge of the participants. Two separate sites, one with 5 participants and one with 4 participants, were provided the trainings. Data was collected using pre- and post-surveys prior to and after each training and through retrospective interviews to evaluate effectiveness of each training, assess participant satisfaction, and to further inform the project impact. Based on the participants post-survey responses, results show a positive trend in the participants’ confidence and understanding of the training topics. The results indicate the training program was effective in improving the participants’ understanding and ability to implement more occupation-based interventions with trauma-exposed young children. This study supports the continued role of occupational therapists collaborating with community organizations to provide education on occupational therapy and trauma-informed topics to reduce the effects of trauma on young children.Item The Relationship among Caregiver Depressive Symptoms, Parenting Behavior, and Familycenter Care All(Elsevier, 2016-03) Davis, Deborah Winders; Myers, John; Logsdon, M. Cynthia; Bauer, Nerissa S.; Department of Pediatrics, IU School of MedicineBackground Parental depression has been associated with adverse child outcomes. However, the specific parenting behaviors that may result in such child outcomes and the effect of family-centered care (FCC) on positive parenting behavior of depressed parents has not previously been examined. Methods Data from the National Survey of Early Childhood Health was used (n = 2,068). Groups were stratified by the presence of parental depression and compared with regard to demographics and the mean number of specific positive parenting behaviors. Generalized linear models were developed based on testing whether individuals performed more or less than the median number of positive behaviors. Lastly, we tested whether depression independently predicted each outcome after adjustment for FCC, coping, social support, and ethnicity to evaluate if depression independently predicted each outcome after adjustment. Results No difference was found in demographic variables between parents who were depressed and not depressed. Parents who were not depressed performed significantly more routines (p = .036); reported coping better with parenting (p < .001); performed significantly less punitive behaviors (p = .022); and needed/had less social support (p = .002) compared with parents who were depressed. Individual items and scale scores were associated in the expected directions. FCC was independently associated with study variables but did not moderate the effect of depression. Conclusions These data identify specific parenting behaviors that differ between parents who report depressive symptoms compared with parents who do not have depressive symptoms. More targeted interventions coordinated through a medical home are needed for parents with depressive symptoms to reduce the child health disparities often associated with parental depression.