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This paper aims to fill a gap in the existing literature by shedding the light on four main issues. First, the relationship between child-at-risk protection and sustainable development and the key factors contributing to the failure or success of child-at-risk protection systems. Second, the main characteristics and limitations of the current institutional arrangements of the child-at-risk protection system in Egypt. Third, the budget allocations to child protection-relevant entities in Egypt. Fourth, the way forward to enhance the effectiveness of the child-at-risk protection system in Egypt.

The methodology used in this paper is of a qualitative nature. The authors relied on desk review of the international and national reports (including the un-published ones) and the relevant literature on the topic. Additionally, the authors reviewed the relevant laws and regulations and analyzed the fiscal data extracted from Egypt’s State budget. Also, semi-structured interviews were conducted with some officials from the different governmental entities covered by the study.

From the institutional perspective, the authors find that the current child-at-risk protection system in Egypt needs effective institutional arrangements, as it is attributed with the limited activation of the child protection committees, lack of coordination mechanisms and overlapping mandates with regards to case management. Hence, the authors propose two institutional approaches that could help in enhancing the performance of the current system. While the first approach has decentralized nature, the other is centralized. From the fiscal perspective, the authors analyze the trend and composition of the budget allocations to the child protection-relevant entities in Egypt. They show that such allocations are relatively small especially when items not related to child protection are excluded.

The paper analyzes the main characteristics and limitations of the current institutional arrangements of the child-at-risk protection system in Egypt. Moreover, it proposes two alternative institutional approaches to deal with such limitations and enhance the effectiveness of the current system. The paper also provides an analysis of the budget allocations to the child protection-relevant entities in Egypt. These issues have not been addressed sufficiently in the Egyptian context.

The purpose of this paper is to report on the initial validation of a new method, called the “Meaning of the Child Interview” (MotC), to assess the psychological meaning all children have for their parents, but which in cases of risk, submerge or distort the child’s identity. The MotC analyses parental discourse using a method developed from the discourse analysis used to classify the Adult Attachment Interview together with patterns derived from the infant CARE-Index, a procedure that evaluates face-to-face parent-child interaction. This allows the MotC to illuminate how the parent’s thinking influences the developing relationship between parent and child.

Parents are interviewed using the Parent Development Interview (PDI), or an equivalent, and then the interview transcript is classified using the MotC system. The coding method was developed from interviews drawn from the first author’s work with children and families in the family court system, and then tested with a sample of 85 mothers and fathers, 62 of whom were parents drawn from an “at risk” context. The parents were also videoed in a short free play interaction, using the CARE-Index.

The study found a strong correspondence between the levels of risk as assessed by the MotC patterns of parental representation of care giving, the risk to the parent-child relationship observed using the CARE-Index. There was also corroboration of the patterns of interaction identified by the MotC.

The results of the study provide good evidence for the Meaning of the Child as an identifiable construct, and as an assessment tool to identify and assess the nature of “at risk” parent-child relationships. MotC was developed in a clinical setting within the Family Court justice system, and is designed to offer assistance to child protection and mental health practitioners deciding how to intervene in particular parent-child relationships.

Much of the discussion surrounding the antivaccine movement focuses on the decision of parents to not vaccinate their children and the resulting danger posed to others. However, the primary risk is borne by the child left unvaccinated. Although living in a developed country with high vaccination rates provides a certain amount of protection through population immunity, the unvaccinated child is still exposed to a considerably greater risk of preventable diseases than one who is vaccinated. I explore the tension between parental choice and the child’s right to be free of preventable diseases. The chapter’s goal is twofold: to advocate for moving from a dyadic framework – considering the interests of the parents against those of the state – to a triadic one, in which the interests of the child are given as much weight as those of the parent and the state; and to discuss which protections are available, and how they can be improved. Specific legal tools available to protect that child are examined, including tort liability of the parents to the child, whether and to what degree criminal law has a role, under what circumstances parental choice should be overridden, and the role of school immunization requirements in protecting the individual child.

To compare the characteristics of parents and children recruited for two randomised-controlled trials (RCTs) of parenting support in disadvantaged communities in Wales in order to explore the effects of community-based vs individual-based targeting in early prevention.

Parents from high-risk disadvantaged communities in Wales, where additional early intervention services were targeted as part of a Welsh Government early intervention strategy, were recruited to two RCTs of parenting interventions. In the first study parents of targeted three- and four-year-old children, who were screened, and deemed at risk of long-term problems, were recruited from Sure Start (SS) areas in Wales. In the second study parents of one- and two-year-old children living in disadvantaged Flying Start (FS) areas were recruited, with residence within the FS area being the only recruitment criterion.

FS areas are more strategically targeted as communities with a greater percentage of families with high levels of socio-economic disadvantage and associated risk than SS areas. Families in the toddler parenting trial based in FS areas, recruited without any additional screening, were experiencing higher levels of socio-economic deprivation, mental health problems and parenting stress as well as other known risks to child outcomes than the general population. However, when compared with the individually targeted population recruited for the SS study, they were shown to be experiencing significantly lower levels of these and other risks factors for poor child outcomes than the sample recruited for the SS trial where recruitment was based on known child risk factors. The paper discusses these findings and explores the implications of targeting by geographical area (community level targeting) alone vs targeting individual families by known risk factors. The findings suggest that screening measures would identify children at greatest risk of poor outcomes and whose families might benefit from additional targeted services. Suggestions for possible screening measures are also made.

This paper contributes to discussion about effective ways of allocating limited resources to best effect.

Early onset of behavioral disorders is predictive of long term adverse outcomes. There are some indicated and selective early prevention programs for attention deficit/hyperactivity disorder (ADHD), one of the most common behavioral disorders in childhood and adolescence. The purpose of this paper is to present a universal preschool program for preventing the development of ADHD related symptoms for children aged three to six.

A total of 413 preschool children (experimental group (EG)=193; control group (CG)=220), and their teachers participated in the study. Children in the EG were randomized to two conditions: universal intervention (behavior modification (BM)=99) vs additional ADHD specific elements (BM+attention training; BM+AT=94) to evaluate effects of a universal intervention vs additional ADHD specific elements. The universal intervention trained general behavior modification (BM) techniques to enhance start behavior (i.e. following color based rules, positive participation in activities, enhancement of skills related to attentional function), and to extinguish stop behavior (i.e. hyperactive behavior such as uncontrolled running around, disturbing others, quarreling, etc.). These techniques were based on published intervention programs (Phelan and Schonour, 2004). The AT consisted of thirteen teacher led 45 minute based sessions in a small group format with an introductory play activity, 15 minutes picture based AT tasks (task analysis, action planning, action, reappraisal), a social interaction game, and a game to enhance perception of visual, auditory, olfactory, haptic, and gustatory senses. To determine effects, the Strength and Difficulties Questionnaire (SDQ) and the Behavior Rating for Preschoolers (VBV) were used. A high risk group with high scores on those measures was analyzed separately.

Children in all three groups did not differ significantly at baseline in all relevant variables (ADHD symptoms measured with the SDQ and VBV, socio-economic status (SES), gender, age: MANCOVA: F _10,796=1.732, p=0.07) and none of the children had a diagnosis of ADHD. After training participation, children in the EG showed significantly less ADHD related problem behavior compared to children in the CG (F _8,1,506=2.717, p=0.006); this was especially so for the high risk group (F _4,754=2.60, p=0.035). Multi-level analyses revealed significant influences of age, gender, and SES on post-training symptom ratings (SDQ: t-statistic=3.03, p=0.003; VBV 3-6: t-statistic=4.151, p < 0.001).

This is a quasi-experimental study, since due to time restriction half the preschools did not want to participate in the experimental study. Thus, participating children were not randomly assigned to the experimental and control conditions, though children were randomly assigned to two different treatments within the intervention group (EG1/EG2). Due to the design of the study and to ensure high participation rates, only preschool teachers rated children’s behavior, though the predictive value of teacher ADHD symptoms exceeds parental ones. Finally, inclusion of parent training elements would most probably enhance effects.

General BM techniques are easily taught and seem to positively influence children’s ADHD related symptoms while not harming children without such symptoms. Since studies showed that after a bogus instruction teacher expected children to exhibit ADHD symptoms and rated them as more disturbed (Rosenthal effect), a universal approach is less stigmatizing and possibly more effective, especially when interventions start early in life before symptoms result in full diagnoses.

This study established positive universal effects, and moderate to large effects for the subgroup of high risk children with ADHD related symptoms. General behavior management in preschools might thus be a possible strategy for preventive interventions of ADHD related symptoms.

The is one of the first studies on a preventive ADHD preschool program. General BM techniques of this study were easily taught and implemented, and showed positive effects. Since selective and indicated interventions depend on high program fidelity, are harder to implement, and related to higher costs, general BM techniques as introduced in this study, might be an option for universal prevention strategies for ADHD related symptoms in preschool settings.

Students’ antisocial behavior can often lead to violence in school. Longitudinal studies pertaining to antisocial behavior have contributed considerably to the development of knowledge in this field of research. This knowledge now enables us to identify the different developmental stages of aggressive and antisocial behavior during childhood and adolescence. Consequently, we are better able to identify antisocial behavior in the classroom, to describe the developmental pathways leading to antisocial behavior, to identify the risk factors relating to this issue and finally, to predict who might be at‐risk of developing antisocial behavior. In the past, antisocial behavior was conceived as following a single developmental pathway encompassing several categories of behavioral problems. Now, on the other hand, many studies demonstrate how the development of these behaviors can be explained through different pathways.

Both the government and local service providers in the UK are becoming increasingly aware of the possibility of improving child outcomes through the delivery of parenting programmes. Government initiatives, such as Sure Start, Pathfinders and Flying Start are a positive step forward, yet programmes sometimes fail to work in service settings. This article describes the components necessary to deliver effective interventions, exploring the need to choose an evidence‐based parent programme, implement it with fidelity and evaluate the outcome. It describes the steps taken in North and Mid Wales to do this and reports briefly on the successful outcomes achieved by delivering the Incredible Years Basic Parenting Programme to the parents of high‐risk children in Sure Start areas.

This research study aims to examine: whether preschoolers at risk form a homogenous or a heterogeneous group of high‐risk children; and in case preschoolers form a heterogeneous group, what are the distinctive characteristics of specific language impairment and mild intellectual disabilities groups in language acquisition and social competence that make differential early intervention necessary.

A total of 143 Greek preschoolers aged 4.5 through 5.5 participated in the study. Among them, according to DTLA‐P:3, 42 with mild intellectual disabilities and 41 with specific language impairments were detected. A total of 60 typically developed children were also detected. Children's categorization to the above groups was verified by the Λ‐α‐T‐ω Language Competence Test Level I, which was used to estimate intra‐individual differences in language competence. To assess peer relations, a peer relation checklist was developed and standardized.

The findings of this study support the approach of the two distinct groups of high‐risk preschoolers in terms of their language and social characteristics.

Research findings highlight the different educational needs of high‐risk preschoolers, which make necessary the differential use of preschool curricula.

Purpose – Using Foucault's concepts of biopolitics and governmentality along with sociological constructions of risk, this chapter asks, “What definitions and procedures have states used in their legislation about FAS to justify state intervention? What are the social and policy implications?”

Methodology/approach – Qualitative content analysis of state legislation enacted into law.

Findings – Against a backdrop of child abuse which justifies intervention, states use different techniques of biopolitics to secure governance over pregnant women and their developing fetuses, including (a) a social history of prenatal alcohol consumption; (b) a diagnosis of FAS in the child; and/or (c) a visible or measurable physiological characteristic of the newborn/child associated with FAS.

Social implications – This chapter extends the analysis of alcohol consumption by pregnant women to a policy level and examines central questions about the government's role in the biopolitical framing of prenatal alcohol use and the differential assignment of risk and responsibility.

Originality/value of chapter – This chapter contributes to work on maternal–fetal conflict, risk, and governmentality in women's reproductive health.