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Assessment of the Cost of Improving Quality
As we suggested, analyses that shed light on the developmental benefits of child care characteristics for children is an important element of the answer to our question. A related task involves determining the levels of investment necessary to achieve improved quality. Although this topic has not received the same level of attention in the literature as the overall relationship between quality of care and child outcomes, several studies consider the financial costs of ... Other efforts to improve quality might be to mandate certain minimum requirements. These can take the form of reducing child:adult ratios, reducing group sizes, establishing and enforcing safety regulations, and education and training. An example of such regulations is a model standard that applies to small family home caregivers. The National Health and Safety Performance Standard (American Public Health Association and American Academy of Pediatrics, 1992) states that one small family caregiver who does not have an assistant â??shall not care ... Other Outcomes
We now briefly review the findings from a small set of early childhood intervention studies that look at such long-term outcomes as criminal activity, earnings, and the use of cash welfare assistance. The Syracuse Family Development Research Program was a small program that enrolled slightly more than 200 children and followed them for 5 years. It was one of the earlier programs, beginning in 1969. The intervention included infant and preschool enrollment in Syracuse University’s preschool program as well as direct provision of information on raising chi... Associations between structural quality in the first 3 years and children’s later preschool and kindergarten adjustment were tested, controlling for a family socialization composite and a family demographic composite.
Children with a history of poor-quality child care during the first 3 years were rated by their preschool teachers as being more difficult and by their kindergarten teachers as being more hostile. The children also engaged in less social pretend play and displayed less positive affect in their preschool classroom.
Recent research from the Otitis Media Study has focused on specific structural and caregiver characteristics in relation to subsequent child developmental outcomes (Burchinal... A limitation with both of these reports is that children were studied only to age 3. Thus, it cannot be ascertained if early effects are harbingers of later differences or if these effects dissipate by the time that children enter grade school.
As additional findings from these ongoing investigations become available, they can be used to identify conditions under which early child care quality differences are maintained or dissipate.
In the meantime, the Cost, Quality, a... |
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