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Live Interactive Chat

Answers to Questions (Transcript)

June 19, 2003
Best Practices for Infant and Toddler Care
Debbie Trouth
Associate Director of the Child Development Laboratory at the University of Illinois at Urbana-Champaign

Chat ModeratorIELmoderator
Greetings, IEL Chat participants. Welcome to our IEL Chat on "Best Practices for Infant and Toddler Care." To get started, let me introduce our guest speaker, Debbie Trouth, Associate Director of the Child Development Laboratory at the University of Illinois at Urbana-Champaign.

Chat GuestDebbie Trouth
Greetings! I am so happy to be here! We are going to be discussing high-quality infant/toddler child care. I look forward to your questions!

Chat ModeratorIELmoderator
The procedure for the live Chat session is as follows. Participants can send questions to the Chat guest at any time. When you send your question, please note that it will not be visible to all Chat participants. The IEL Moderator receives the question first and will post it to the whole Chat group. If there's a long queue of questions, the Moderator will notify the questioner that the question was received. Then, at the next break in the discussion, the question will be posted for all to see and for our guest to answer.

Note that there will be a pause after a question is posted while the Chat guest speaker composes a response to the question. So please be patient! During these pauses, the Moderator will post occasional information about the IEL Web site. Because some Chat participants enter the Chat in the middle of the session, some of these messages may be posted more than once.

Questions will be posted in the order they're received, unless there's some obvious reason to group similar questions together. Participants may send follow-up questions. If you do send a follow-up question, please remind the Guest and other participants of the earlier question (something like "In my earlier question about the third-grader's reading difficulty") because it's easy to forget earlier questions in the long list of questions that occur during the Chat session.

If your question is not answered by the time the Chat session ends at 8 p.m., the question and its answer will be included in the Chat transcript that will be made available online approximately 3 weeks from today.

Now let's begin our Chat. Ms. Trouth, we have a question that we received in advance of the session.

What are some characteristics of a highly skilled infant caregiver?

Chat GuestDebbie Trouth
A caregiver must be respectful and responsive to the individuals, the group, and the families enrolled in the program. This is really the key to high quality. It sounds simple, but it is a lot of work.

Good caregivers are reflective regarding their own practices and policies. They are cognizant of the reasoning behind why they do things the way they do. They are always looking for ways to improve their interactions and responses.

A good caregiver has a strong background in development and an appreciation of all those stages children must go through.

A good caregiver recognizes each child's temperament and responds accordingly. He/she must be in tune with each child and provide the good fit/match with the child. One must never expect the child to make a temperamental adjustment. They are incapable of this. A sense of humor is invaluable and will get you through the toughest days.

Chat ModeratorIELmoderator
Here is another question that we received prior to the Chat.

Does a skilled toddler caregiver need to have some different characteristics?

Chat GuestDebbie Trouth
Yes. The stamina of a highly trained athlete! Those kids move! All kidding aside, the characteristics for both groups are pretty much the same. As teachers of toddlers and twos who are learning to assert their independence, caregivers need to recognize the stage of development for what it is. Children are not being deliberately noncompliant or defiant. "No" is part of who they are and what they do. They are finding and defining their own boundaries and limitations. You might as well sit back and enjoy the ride.

Chat ModeratorIELmoderator
The transcripts of the IEL Chat sessions from 2002 and earlier in 2003 are archived on the IEL Web site. Go to the IEL Chat page at http://illinoisearlylearning.org/Chat.htm, then scroll down the page to the section called "Past Chat Sessions." For each Chat in that section, you'll see a link for "Chat transcript." Click on that link to view the transcript for that particular ChaEditor's note: This url has changed:thttp://illinoisearlylearning.org/askanexpert.htm#pastchat.

Tonight's Chat session is the sixth session of 2003. The most recent Chat was on the topic of "Encouraging Literacy Development in Preschoolers" with Jodi Scott. The transcript of this Chat session is available from the IEL Chat page, or go directly to http://illinoisearlylearning.org/Chat/scott/trans.htm

Note that IEL Chat transcripts are also available in Spanish. To find IEL Spanish Chat transcripts (Trasuntos de Chateo), go to the Spanish Chat page at http://illinoisearlylearning.org/chat-sp.htm Editor's note: This url has changed: http://illinoisearlylearning.org/askanexpert.htm#pastchat.

Chat ModeratorIELmoderator
What are some appropriate and inappropriate practices related to toddlers?

Chat GuestDebbie Trouth
Here are some appropriate and inappropriate practices related to toddlers:

Appropriate: Adults engage in many one-to-one, face-to-face conversations with toddlers. Adults let toddlers initiate language, and wait for a response, even from children whose language skill is limited. Adults label or name objects, describe events, and reflect feelings to help children learn new words. Adults simplify their language for toddlers who are just beginning to talk (instead of "It's time to wash our hands and have a snack," the adult says, "Let's wash hands. Snacktime!") Then, as children acquire their own words, adults expand on the toddler's language (for example, if the toddler says, "Mary sock," the adult can say, "Oh, that's Mary's missing sock and you found it.").

Inappropriate: Adults talk at toddlers and do not wait for a response. Adult voices dominate or adults do not speak to children because they think they are too young to respond. Adults either talk "baby talk" or use language that is too complex for toddlers to understand.

Appropriate: Adults respect toddlers' desire to carry favored objects around with them, to move objects like household items from one place to another, and to roam around or sit and parallel play with toys and objects.

Inappropriate: Adults restrict objects to certain locations and do not tolerate hoarding, collecting, or carrying.

Chat ModeratorIELmoderator
Here is the next question that we received prior to our Chat session.

How can a parent tell if her infant or toddler is not doing well in a group care situation?

Chat GuestDebbie Trouth
First of all, remember that some children are temperamentally very slow to warm to new situations and new people, so give the child a chance to make the adjustment to child care.

What parents are looking for are signs of stress. Stress is most often demonstrated through physical responses. Some signs might be excessive crying, sleep disturbances or nightmares, sweating palms, and emotional withdrawal. Another indicator could be dramatic changes in behavior, like excessive clinging or shyness where those behaviors were not exhibited previously. Extreme stress would be manifested as a failure to thrive. This is a total withdrawal from human contact.

Chat ModeratorIELmoderator
You can find additional resources on "Best Practices for Infant and Toddler Care" in the supplement to this Chat session. This supplement is available on the IEL Web site at this URL: http://illinoisearlylearning.org/Chat/trouth/sup.htm.

Chat ModeratorIELmoderator
Ms. Trouth, here is a question from Soleil.

Chat ParticipantSoleil
I think IT [infant/toddler] caregivers should possess the same characteristics as others working with children ages birth through school age. What makes IT caregivers unique is their ability to foreground certain dispositions in their teaching -- responsiveness and relationships, for example -- for different periods of time. It could be argued that IT caregivers put much more energy into nonverbal communication strategies than those who work with older children.

Chat GuestDebbie Trouth
Soleil, well, certainly infant/toddler caregivers need to become adept at reading nonverbal communication, responding to nonverbal cues, and adapting their responses to meet the child's temperament.

Chat ModeratorIELmoderator
As mentioned earlier, Debbie Trouth is the Associate Director of the Child Development Laboratory, or CDL, at the University of Illinois at Urbana-Champaign. The CDL is a university-based preschool and child care program operated by the Department of Human and Community Development on the University of Illinois at Urbana-Champaign campus.

In January of 2003 the CDL expanded downward to provide full-day child care for children as young as six weeks of age. As part of this expansion, Ms. Trouth was sent to California to participate in the Program for Infant/Toddler Caregivers (PITC). PITC was developed jointly by the Far West Laboratory and the California Education Department's Child Development Division. It is a comprehensive training system for both center-based and home-based providers of group care to infants and toddlers.

Ms. Trouth has been working with children in some capacity since her graduation in 1973. Both her bachelor's and master's degrees are in special education. She completed her undergraduate work at Illinois State University and her graduate work at the University of Illinois at Urbana-Champaign.

You can visit the Web site of the Child Development Laboratory at http://cdl.uiuc.edu/.

Chat ParticipantDaisy
In the day care I work at, I have a 2-year-old who will hit and scratch the other children for no reason. Do you have any suggestions on how to address this issue? Talking with the child does not work; the child just hits the teacher instead of listening. When talking, we try to explain that it hurts the other children.

Chat GuestDebbie Trouth
Daisy, unfortunately the answer to any behavioral question is pretty much, "it depends." It is really important to make sure that you examine the cause of or reason for the behavior. You must do careful observations and think about everything you know about that child because your response will depend on the answer to "why" this child is behaving this way. Remember that all behaviors are a form of communication and you need to figure out what the message is.

Chat ParticipantNancy
You mentioned respect. What are the ways a caregiver of infants or toddlers shows respect to the child?

Chat GuestDebbie Trouth
Nancy, you show respect to children pretty much the same way as you show respect to adults. You "listen" to what they have to say. You give them a turn to "answer." Instead of doing things to them (like picking them up to go change their diaper with no warning) you explain to them what you are doing to them and why.

Chat Participantmaryz
I am a parent educator with a 0-3 model parental training program. Is there a policy about immunization records being kept for children who attend weekly playgroups with their parents?

Chat GuestDebbie Trouth
maryz, I don't know where you are from, but, yes, there will be regulations regarding immunization records. In group child care, we have to follow the Department of Children and Family Services (DCFS) regulations. You will need to follow the guidelines of whatever regulatory agency you are under.

Chat ModeratorIELmoderator
Concerning the topic of immunizations, IEL hosted a Chat on "Immunizations: What Parents and Caregivers Need to Know" in April 2002.

For resources on childhood immunizations related to this Chat, see this Web page: http://illinoisearlylearning.org/Chat/gilpin/sup.htm.

For the Chat transcript, see this Web page: http://illinoisearlylearning.org/Chat/gilpin/trans.htm.

Chat ParticipantNancy
Re: Debbie's question -- Don't you think that adults often think a child bites or hits "for no reason" when the truth is that the adult does not have any idea what the reason is but there IS a reason?

Chat GuestDebbie Trouth
Nancy, yes, that is exactly what I think.

Chat ModeratorIELmoderator
Remember that the IEL Web site is available not only in English but also in Spanish. The Spanish home page is at http://illinoisearlylearning.org/index-sp.htm.

Ms. Trouth, here's our next question:

What should a group care situation for infants and toddlers look and feel like to a parent?

Chat GuestDebbie Trouth
In two words, respectful and responsive. Care should be based on establishing a relationship between the caregiver, the child, and the family. This is the most important factor in determining the quality of infant care.

Magda Gerber provides the following seven principles to provide respect and responsive care: basic trust in the child to be an initiator, an explorer, and a self-learner; an environment for the child that is physically safe, cognitively challenging, and emotionally nurturing; time for uninterrupted play; freedom to explore and interact with others infants; involvement of the child in caregiving activities to allow the child to become an active participant rather than a passive recipient; sensitive observation of the child in order to understand her needs; consistency and clearly defined limits and expectations to develop discipline.

Chat ParticipantDaisy
In response to Nancy, what I am refering to is this: One child will be playing fine, and this child will just walk up to the other child and hit him when there has been no other interaction between them.

Chat ModeratorIELmoderator
Remember that you may send a question at any time to the IEL staff. Just email your question to iel@uiuc.edu or call us at (877) 275-3227 between 8 a.m. and 12 p.m. and 1 p.m. and 5 p.m. on business days.

Chat Participantglassgal
Daisy, it sounds to me like the child hitting does not know how to approach another child for interaction.

Chat GuestDebbie Trouth
Daisy, yes, but you need to look at what precedes the bite or the hit. Was that a favorite toy of the biter? Is there only one of those favorite toys so you can't redirect the biter to another of the same toy? Is this somehow the biter wanting to interact with the other child and not knowing another way to get that child's attention? There are lots of questions you can think about in order to determine the meaning of the biting behavior.

Chat ModeratorIELmoderator
Concerning biting, there is an FRI (Frequently Requested Information) page on the ECAP Web site. This text is called "Dealing with Biting Behaviors in Young Children" and is available at http://ecap.crc.uiuc.edu/info/pubs/fri/biting.html. Editor's note: This url has changed:http://ceep.crc.uiuc.edu/poptopics/biting.html

Chat ParticipantNancy
So the challenge is to find out what the reason is. What do you suggest that the adults do to find out?

Chat GuestDebbie Trouth
Nancy, this requires lots of observing. You need to observe the behavior prior to the bite. You need to observe the behavior after the bite. You need to record all the information you know about this child like how he or she relates to other children or adults. Depending upon the age of the child we are talking about, this behavior may be developmentally appropriate. You need to take a look at whether or not the child was in another center previously, and if so, what his or her relationships were like in the other center? Be objective in your observations. Do not infer intention. This will help you reason what might be happening.

Chat Participanttresa
Would you share some suggestions on how to encourage home-based caregivers with infants and toddlers as well as older children to "get in tune" with the infants in their care? For most caregivers, it is difficult to slow down and observe, or find one-on-one time outside of diaper change or feeding. I see a lot of caregiving that responds to biological needs, not social-emotional needs.

Chat GuestDebbie Trouth
tresa, routine times are great times to get to know the children on an individual basis. You also can gather lots of information from the child's family. Then you need to think about the nine different temperamental traits and where this child falls in the continuum. Also, think about your own temperament because it influences how you respond to the child.

Chat ModeratorIELmoderator
This fall, IEL is beginning a new type of interactive forum called WebTalks. In these forums, guest experts will be available for three days. An introduction to a topic will be posted on Sunday or Monday. Web site visitors can post questions and comments from the Web site beginning on Monday. The guest will respond to these questions. The series of questions, answers, and comments will be made available on the Web site. Watch the IEL Web site for details about this new feature.

Chat Participantegretoaks
What recommendations do you have for centers on working with parents to ease their guilt about leaving their babies in the care of others?

Chat GuestDebbie Trouth
egretoaks, not only is it important to build relationships with children, but one must develop close relationships with the families as well. The sharing that happens in that close relationship can be a big help to the families, knowing that they are able to trust you to take good care of their child. ERIC also has some research on helping families overcome guilt. These resources can be posted with the transcript at a later date.

Editor's note: Ellen Galinsky with the Family and Work Institute in New York has two books that could prove useful. They are entitled, Ask the Children: The Breakthrough Study That Reveals How to Succeed at Work and Parenting and Navigating Work and Family: Hands On Advice for Working Parents
http://www.familiesandwork.org/index.html

Other resources are:

Helping You Balance Work and Family
http://www.ag.ohio-state.edu/~lifework/lifetime/vol10is5.htmEditor's Note: this url is no longer active.

What Do I Expect From my Child Care Provider?
http://www.extension.umn.edu/distribution/familydevelopment/components/7268c.html

How To Prepare Your Child for Preschool/Child Care
http://www.illinoisearlylearning.org/chat/moore/sup.htm

Chat ModeratorIELmoderator
Ms. Trouth, here's our next question:

Is one setting (center vs. family child care) more suited to very young children?

Chat GuestDebbie Trouth
No. Each one has its advantages and disadvantages. What parents should be looking at is the quality of the care provided no matter what the setting. It is very important for the parents to trust the care providers. Young children will recognize the feelings and attitudes of the important adults in their lives and respond accordingly. If the parent does not trust the provider, neither will the child.

Chat ModeratorIELmoderator
Let me note that on the ERIC/EECE Web site, you can find some resources that relate to quality in infant and child care:

ERIC Digest. "Research on Quality in Infant-Toddler Programs" by Alice Sterling Honig. http://ecap.crc.uiuc.edu/eecearchive/digests/2002/honig02.html. Editor's note: This url has changed: http://ceep.crc.uiuc.edu/eecearchive/digests/2002/honig02.html

(The Honig Digest is also available in Spanish as "La investigación sobre la calidad de los programas para ninos de hasta dos anos de edad" at http://ecap.crc.uiuc.edu/eecearchive/digests/2003/honig03s.html.Editor's note: This url has changed:http://ceep.crc.uiuc.edu/eecearchive/digests/2003/honig03s.html

ERIC Digest. "Child Care Quality: An Overview for Parents" by Peggy Patten and Omar Benton Ricks. http://ecap.crc.uiuc.edu/eecearchive/digests/2000/patten00.html. Editor's note: This url has changed: http://ceep.crc.uiuc.edu/eecearchive/digests/2000/patten00.html

(The Patten and Ricks Digest is also available in Spanish as "La calidad del cuidado infantil: Un resumen para padres" at http://ecap.crc.uiuc.edu/eecearchive/digests/2002/patten02s.html.) Editor's note: This url has changed: http://ceep.crc.uiuc.edu/eecearchive/digests/2002/patten02s.html

ERIC Digest. "Child Care Consumer Education on the Internet" by Anne Goldstein. http://ecap.crc.uiuc.edu/eecearchive/digests/1998/goldst98.html. Editor's note: This url has changed: http://ceep.crc.uiuc.edu/eecearchive/digests/1998/goldst98.html

Ms. Trouth, here is the next question:
Are there accepted "best practices" for infant and toddler care?

Chat GuestDebbie Trouth
Of course. We have been discussing best practices this evening. One of the best sources for best practices, whether you are a provider or a parent, is the NAEYC accreditation guidelines. Another is the DAP standards established by the same organization.

Editor's note: You can find additional information at:
http://www.naeyc.org/ (NAEYC home)
http://www.naeyc.org/accreditation/default.asp (accreditation information)
http://www.naeyc.org/about/positions/daptoc.asp (DAP)

Chat ModeratorIELmoderator
Here's our next question, Ms. Trouth:

Does increasing training for care providers make a difference?

Chat GuestDebbie Trouth
Caregivers who have had specialized training in early childhood education engage in more appropriate caregiving and provide more social interaction and cognitive and language stimulation. Children whose caregivers have specialized training are more cooperative, more persistent, and less frequently uninvolved. Trained caregivers can take pride in their knowledge of best practices and present themselves as professionals rather than "just babysitters."

Chat ModeratorIELmoderator
Ms. Trouth, here's another question:

Does being in child care prevent an infant from bonding with parents?

Chat GuestDebbie Trouth
No. A national study sponsored by the National Institute of Child Health and Human Development found no link between a child spending time in infant care and their attachment security at home.

Just as you and I can bond with more than one person on more than one level, so can infants. The caregiver-child relationship becomes an extension of the primary parent-child relationship. Caregivers and parents have a common focus -- the child. The child is embedded in close relationships that are the framework for healthy development.

Chat ModeratorIELmoderator
Ms. Trouth, here's another question that we received by email prior to the Chat:

How can I help my infant with separation anxiety when I leave her?

Chat GuestDebbie Trouth
Stranger anxiety begins to show up by 7 to 8 months of age as the child becomes aware of the concept of a stranger. As the child learns to differentiate loved ones from others, a deeper sense of attachment takes place. By 8 to 9 months, the child shows distress when the mother (or another loved one) is absent.

The assumption is that the child retains an image of a loved one when absent, or a memory of a pleasant or contented feeling state when in the loved one's presence. This is a huge developmental milestone. It demonstrates a sense of self as separate from a loved one. So, in one sense, separation anxiety is a good thing. It is, however, not pleasant or easy to deal with for anyone.

Children should always be greeted warmly and enthusiastically. There should be time for adult-child contact. Hopefully the parent/guardian will arrive early enough to spend a few minutes acclimating the child to the environment and to you. When it is time to make the hand off, always include the child in the interaction, explaining what is happening and what you are doing.

If the child shows signs of distress, acknowledge for the child that it is okay to be sad that the loved one is leaving, but that the loved one will be back to get him or her. Never denigrate the child's right to have or express the feelings/emotions that they are experiencing.

And never let the parent sneak away saying that the child is busily engaged in an activity. Make goodbyes a ritual. Talk the child through the experience. The child must learn to trust that the parent/guardian will return to get them and they are not being completely abandoned. As with all other skills, it is time and practice that will eventually ease the pain of the separation.

Chat ModeratorIELmoderator
Ms. Trouth, here's another question that we received before the Chat:

What is most important in considering the best child care for infants and toddlers?

Chat GuestDebbie Trouth
Healthy social-emotional development in infancy underlies all other learning and is, to a great extent, dependent upon the child's close relationship with respectful, caring adults. As a significant adult in the child's early life, the infant/toddler caregiver has an important role. To create nurturing relationships with children, caregivers need to become aware of the feelings, expectations, and attitudes they bring with them from their own past experiences, particularly in childhood.

All children need a physically and emotionally secure environment that supports their developing self-knowledge, self-control, and self-esteem and encourages respect for the feelings and rights of others.

Caregivers can support an infant's growing sense of self by providing security, warm acceptance, and appreciation for the child's growing independence.

The caregiver promotes social development by helping the child feel accepted in the group and by supporting the child developing communication skills and feelings of empathy.

A caregiver's ability to promote social-emotional development in children is influenced by the caregiver's own feelings. Early experiences affect one's caregiving style.

Chat ModeratorIELmoderator
You can find additional resources on "Best Practices for Infant and Toddler Care" in the supplement to this Chat session. This supplement is available on the IEL Web site at this URL: http://illinoisearlylearning.org/Chat/trouth/sup.htm.

Chat ParticipantValentina
What can a child care provider do to keep kids from getting sick?

Chat GuestDebbie Trouth
Valentina, there are several things that you can do: The first thing is to follow universal precautions at all times. Wash the children's hands A LOT. Wash your hands A LOT. Sanitize...sanitize...sanitize... If possible, make sure that the square footage of your center or your child care area is larger than licensing recommendations. If children are not on top of each other, it is easier to prevent the spread of germs and illnesses.

Chat ModeratorIELmoderator
Ms. Trouth, here's the next question:

Does it make a difference how many hours a day an infant or toddler is in child care outside the home?

Chat GuestDebbie Trouth
Of course it does. Most people work an 8-hour day. At the end of that day, they come home tired and cranky. They have been surrounded by lots of stimuli, "strangers," and unfamiliar surroundings. The things there are not "mine" and they are not home. They have had to cope with demands from lots of different people and situations. But at least adults have the experience and skills to do that. We are asking very young children to do exactly the same thing. This is a lot to ask.

Don't misunderstand me. I am not saying this is wrong or trying to lay more guilt on moms and dads that already carry enough guilt. I simply want folks to think about what they are asking and expecting of someone who does not have lots of experience or coping skills.

Child care has its own set of advantages. Think about it. We will do those messy activities that you don't really want to do at your house—and we'll do the clean up as well. Besides, I love looking after your children. I wouldn't have a job if you didn't need me.

Chat ModeratorIELmoderator
Ms. Trouth, here's a last minute question.

Have there been long-term studies of the effects of child care outside the home for children under 3?

Chat GuestDebbie Trouth
There have been several studies on the long-term effects of child care for children under 3. A few of them are listed below. All of the studies have found that high-quality care is good for children, and that low-quality care is bad for children.

The NICHD Child Care Study Results: What Do They Mean for Parents, Child-Care Professionals, Employers and Decision Makers?
http://www.nncc.org/Research/NICHD.ECIresponse.html

Future of Children special issue: "Long-Term Outcomes of Early Childhood Programs"
http://www.futureofchildren.org/pubs-info2825/pubs-info.htm?doc_id=77657Editor's note: This url has changed: http://www.futureofchildren.org/pubs-info2825/pubs-info_show.htm?doc_id=77657

The Children of the Cost, Quality, and Outcomes Study Go to School: Executive Summary
http://www.fpg.unc.edu/%7Encedl/PDFs/CQO-es.pdf

Long-Term Consequences of Child Care.
http://www.fpg.unc.edu/~ncedl/PDFs/ed4_1.PDF

Quality in Child Care Centers.
http://www.fpg.unc.edu/%7Encedl/PDFs/briefI1.pdf

Child Care Quality: An Overview for Parents.
http://ecap.crc.uiuc.edu/eecearchive/digests/2000/patten00.html Editor's note: This url has changed: http://ceep.crc.uiuc.edu/eecearchive/digests/2000/patten00.html

Chat ModeratorIELmoderator
OK, now that it's 8:00, and since we have no more questions in the queue, we'll bring tonight's session to a close. (A few email questions will be added to the transcript.)

Thank you, Chat participants, for your interesting questions and also for your patience in waiting for responses. Please join us for IEL's next Chat.

Once again, this Chat will occur in September. The date and topic of that Chat will be made available on the Chat page of the IEL Web site: http://illinoisearlylearning.org/chat.htm Editor's note: This url has changed:http://illinoisearlylearning.org/askanexpert.htm#pastchat.

Chat GuestDebbie Trouth
I have very much enjoyed chatting with you all! Thank you for your thoughtful questions.

Chat ModeratorIELmoderator
Thanks, Debbie Trouth, for sharing your time tonight and for offering your insights on best practices in infant and toddler care. And thank you, Chat participants. Have a good evening and a pleasant summer, whether here in Illinois or elsewhere.

Additional questions

Chat ParticipantQuestion
Please give some examples of high- and low-quality adult-child interactions?

Chat GuestDebbie Trouth
There is a really good article entitled, "Respectful, Individual, and Responsive Caregiving for Infants: The Key to Successful Care in Group Settings" by Beverly A. Kovach and Denise A. Da Ros. The article outlines seven principles and gives inappropriate and appropriate caregiving situations to highlight each principle. That article is too long to quote in its entirety here, but I can share a few examples with you. The article can be found in Young Children, May 1998.

Adults should interact with -- not react to -- babies; we should not assume what is best for them at a given time.

Inappropriate: Two-month-old Brent begins to cry. The caregiver goes to the crib and puts a pacifier in his mouth.

Appropriate: The caregiver goes to Brent and says softly, "I hear you, but I don't know why you are crying. Let me pick you up and see about your diaper and check when you had your last feeding."

Rationale: Because it is hard for adults to listen to a baby cry, our immediate response is to stop the crying. But crying is a form of communication, and our role as caregivers is to try to understand what the baby is communicating. Is he hungry, tired, wet, thirsty, or startled? By reacting instead of interacting, we exclude the baby from the process of his care.

Babies in group care need opportunities to solve their own problems; they often are rescued too quickly from the struggles of life.

Inappropriate: Eight-month-old Kisha, who has crawled under a rocking chair, begins to cry. Her caregiver, noting her distress, bends down and lifts her up, saying, "You're all right. You're all right."

Appropriate: Kisha crawls under a child's table and begins to cry. Her caregiver drops to her hands and knees and calmly talks to Kisha, encouraging her to crawl out. She waits for the baby's reaction. Kisha, who appears afraid to move forward with her head, cries louder. The caregiver slowly reaches forward and gently places her hand on Kisha's head, while telling the baby what she is doing with her. By providing just enough help to move out from under the table, the caregiver is reinforcing the infant's involvement in helping to solve this problem.

Rationale: As adults, we do not like to see infants struggle. But by not allowing babies to use their natural competencies, we teach them to become victims. Caregivers need to provide just enough help for the baby to problem-solve his own dilemma (from: Honig, Alice S., and J. Ronald Lally. Infant Caregiving: A Design for Training. Syracuse , N.Y.: Syracuse University Press, 1981.). The baby then becomes a valued participant in his own care and develops positive self-esteem.

Another inappropriate example that I see happening all the time in infant rooms is adults conversing with adults. This takes two different forms. Frequently the conversation is adult oriented -- what each teacher will be doing this weekend or what happened at home with their children last night. At other times, the conversation is about the children under the teachers' care. They talk about the child in the third person, like she or he is not there. "Did you see the way Sarah just pulled-up to standing using the bye-bye buggy? Her parents will be so excited!"

In neither of these examples is the focus on the children. How can children develop a sense of worth or importance? How can they learn the "rules" of communication or develop language if they are not spoken to and given a chance to respond? And how would you like it if someone treated you that way? Adults do need to communicate with each other. There is important information that must be shared regarding children, for one thing. But adult conversation cannot be the primary thing happening in an infant/toddler classroom.

Chat ParticipantQuestion
What are common challenging behaviors among infants and toddlers in group care, and how do teachers respond to these appropriately?

Chat GuestDebbie Trouth
The number one response to this question is biting. Young children bite for a variety of reasons. The caregiver needs to first identify the reason for the bite in order to develop an appropriate discipline technique to eliminate the behavior. No matter what the reason for biting, you should remain calm and take a look at the experience from the child's point of view. Make the situation educational. Above all, do not resort to responding with violence yourself. This only reinforces that violence is an appropriate way to deal with emotional situations.

Experimental biters, those who take a nip of a mother's breast or a caregiver's shoulder, should be given a very clear message that it is not okay to bite. Provide the child with more appropriate sensory materials to experiment with or something to relieve the teething pain.

The frustrated biter, one who does not have the communication skills or coping skills to get an adult's attention in a more appropriate fashion, needs an explanation that biting hurts and is not allowed. Your first response should be to take care of the victim. Have the biter help you with this task. Then give the biter more appropriate language and help him or her understand the feelings/emotions he or she is experiencing. Positively reinforce effective, appropriate communications. Watch for signs of frustration so you can stop the bite before it happens.

The threatened biter bites in self-defense. This type of biter is overwhelmed by her or his surroundings or events going on in her or his life (divorcing parents, the death of a loved one, new jobs, physical violence at home, etc.). Make sure this child understands that her or his rights and possessions are safe, and give additional nurturing. Of course, you must still let the child know that it is not okay to bite and that it is your job to keep everyone safe.

The power biter has a very strong need for autonomy and control. This type of biter's reinforcement for biting behavior is the reaction that you give him or her when he or she bites. Make sure this child has lots of choices during the day. Reinforce appropriate positive social behaviors. The more attention you give when this child is behaving the way you want him or her to, the fewer times he or she will have to resort to inappropriate behavior to get the attention he or she craves. Parents and caregivers must work together to eliminate biting behaviors. Take the time to look for patterns in the child's behavior and responses.

The important thing to remember is that all behavior is a form of communication. What you need to do is figure out what the message really is. This is not an easy skill to develop and takes lots and lots of practice, patience, and perseverance.

Begin by watching for both verbal and nonverbal cues. Ask yourself, What is the message the child is sending? What are the emotional, social, intellectual, and physical parts to the message? Does the child want something from me at this moment? Then adapt your actions according to what you believe to be the child's desires. Watch how the child responds to your actions. Modify your actions according to the child's response and watch, ask, and adapt again.

There are five possible causes of behaviors. The first is the child's developmental stage. These behaviors are to be expected because all children do it. It will eventually evolve/end. The behavior is developmentally significant and useful. Tolerate the behavior. Channel it into certain times or places. For example, the infant who sits in the high chair and drops her spoon over the edge 25 times. Give this child a pail and something like blocks to drop into it.

The second probable cause is individual differences. Observe and identify the child's temperamental style. Adapt your expectations and interactions. When possible, offer options in your program that allow for and appreciate children's different ways of expressing themselves and responding to the world.

The third possible cause is the environment. If you decide the behavior is in response to the child care setting, do something. Change the length of circle time or make sure the children are getting enough protection/attention/stimulation/order or calm. If the behavior is due to a conflict between home and child care, get more information about other environment/cultures from parents/professionals. Don't focus on the individual child; the child is not in control of the conflict. When possible, change or adapt your expectations to reduce the conflict.

The fourth possible cause is that the child does not know something but is ready to learn. The child is young, or in a new/unfamiliar situation or is facing a new task or problem. Teach the child. Talk --explain over and over. Give reasons. Give encouragement for small successes. Be patient with failures. Always offer help. This last possible cause is the last place you look. It is not the common or most probable cause for behaviors you see most of the time.

The fifth possible cause is an unmet emotional need. The child has missed out on something that is/was developmentally and emotionally important. Instead of going away, the need or hunger has intensified. The child is searching for ways to meet the need. The behavior is the child's attempt to meet the need without being able to rely on adult assistance.

These behaviors are everywhere and always. Even when channeled or stopped, they keep popping up. The usual ways of handling and helping most children with this behavior do not seem to help this child. You will need to do something. This behavior will not pass. It will get worse. Respond to the child's need actively through deeds, not words, and through giving, not punishment. Meet the needs as much as possible with quiet firmness and patience. Remember the child can't stop/control the behavior. Get additional support for yourself, the child, and the family.

Chat ParticipantQuestion
How do you measure or assess quality in the care of infants and toddlers?

Chat GuestDebbie Trouth
Parents should look for the following indicators of high-quality care:

1) Group size and quality of the environment:

  • What is the size of the group and how is the environment structured? The National Day Care Study (1979) found that in groups of more than 7 infants, 11 toddlers, and 18 preschoolers, children displayed more crying, apathy, and aimless wandering, and less conversation, less interaction, and less-focused play. Caregivers engaged in more management behavior with children, and there was less cognitive and language stimulation. In smaller groups, children were more cooperative, more likely to engage in spontaneous verbalization, and more responsive to initiatives by adults and peers.

    Also, the smaller the number of children cared for by an adult, the more optimal the caregiving and teaching. Appropriate rations have been associated with increased verbal interaction and adult facilitation. With inappropriate ratios, caregivers have been found to be more prohibitive and controlling. Children were more apathetic, spent less time in intellectual activities, and had shorter conversations.

    According to NAEYC guidelines for children 0-2 years of age, the maximum group size should be 6-8, with the maximum child-adult ratio being 3:1 or 4:1. The quality of the physical space and materials provided affects the level of involvement of the children and the quality of interaction between adults and children. In more spacious centers, children spend less time observing and more time involved in focused play.
  • Is it easy or difficult for the child to form intimate relationships with caregivers and children because of the size of the group?
  • Is the environment safe and interesting, or does it lead to conflicts in which biting, pulling, dazed wandering, and the like take place?

2) Primary caregiving assignments:

Are there primary care assignments? Without primary care, infants often have no one person that they feel bonded with during long portions of the child care day. In other words, they are not intimately connected with anyone special in the care setting.

3) Continuity of care:

Is there continuity of care? Having one caregiver over an extended period of time rather than switching every 6 to 9 months or so is important to the expansion of a child's development. Without continuity of care, infants have to establish new primary relationships over and over again.

4) Cultural and familial continuity:

Is there cultural continuity between home and child care? If the childrearing values and beliefs of the family are not validated, the early development of self is threatened. Children should be able to hear their native language spoken, and thus validated, at least sometimes. High-quality child care includes the family.

"The relationship between parent and child is of utmost importance for the child's current and future development, and should be supported by caregivers." (This quote is from:
American Public Health Association (APHA) and American Academy of Pediatrics (AAP), 1992. Caring For Our Children. National Health and Safety Standards: Guidelines for Out of Home Care Programs. Washington, DC and Elk Grove, IL, p.xxv.)

"Parents should have input concerning their child's care and education. Teachers should have regular communications with families, which include the sharing of child development knowledge, insights and resources." (The practices listed are excerpted from Developmentally Appropriate Practice, edited by Sue Bredekamp, copyright 1986 by the National Association for the Education of Young Children [NAEYC].)

5) Meeting the needs of the individual within the group context:

How are individual differences handled in the group? How well does the caregiver know the child -- her or his stage of development and her or his temperament? Is the teacher able to scaffold the child's learning, challenging the child to make the next discovery without frustrating her or him? Are groups structured to insure that the needs of each individual within the group are honored and nurtured?


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