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Myriam Miedzian

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What Part of Prevention Do Americans Not Understand: A Case Study

Posted: 09/30/11 01:09 PM ET

It costs approximately $130,000 to keep one teenager in a Pennsylvania juvenile detention center for one year. It would cost less than $200 per child per year to fund Educating Children for Parenting (ECP), a violence prevention program started in Philadelphia in 1979. The ECP program adopted in Canada in 1996 and renamed Roots of Empathy (ROE) has since been introduced to several other countries, and has by now reached 373,000 children worldwide. Several Canadian university and government studies have found the program to be effective in decreasing aggressive and violent behavior, and increasing pro-social behavior.

Educating Children for Parenting has been defunded in Pennsylvania. The contrast between what has happened to ECP and ROE captures the sad story of our nation's lack of commitment to preventive programs.

I first heard about the Educating Children for Parenting program (initially known as Education for Parenting) back in the late 1980's when I was doing research on decreasing violent behavior in boys, and looking for school programs that could play a role in achieving that goal. I went to Philadelphia and sat in on ECP classes at the Germantown Friends school where it had been introduced in 1979, and at one of the nine inner city public schools where it was offered by the late 80's. The program's goal was to teach children -- as early as kindergarten -- how to be caring, empathic, responsible future parents; and by doing so reinforce that behavior in the children's daily lives, leading to decreases in bullying, school fights, and attacks on teachers. Its curriculum was created in 1978, by an interdisciplinary team of local professionals -- physicians, social workers, teachers -- led by Henri Parens, director of the Early Child Development Program and Research Professor of Psychiatry of the Eastern Pennsylvania Psychiatric Institute. Sally Scattergood, a teacher on the Parents team started Education for Parenting in 1979. It was dedicated to propagating the curriculum beyond the Germantown Friends school where she taught. The program grew to include most Philadelphia, suburban, and rural Pennsylvania elementary schools.

The program's central component was the baby visits -- once a month a parent brought a baby or toddler to class. In my 1991 book, Boys Will Be Boys, in a chapter entitled, "When Boys and Babies Meet," I described the extraordinary metamorphoses I witnessed in an inner city school where boys who looked angry, bored, slouched over their desks half asleep, came alive when a twenty one month toddler was brought in. They asked questions, exhibited caring behavior toward the child, and deep disappointment at his departure. The use of baby visits as a springboard for an ongoing program focused on developing empathy and child care skills was nothing short of brilliant, and I became a strong proponent of the program in my book, in my lectures, and through an organization -- Prepare Tomorrow's Parents -- that I co-founded.

In 1995 I gave a lecture in Toronto and showed a film about Educating Children for Parenting. Much to my delight the president of the Toronto-based Maytree Foundation emerged from the audience, to tell me that she wanted to fund ECP in Canada. The following school year the program, renamed Roots of Empathy, was introduced to Toronto schools.

The program's success in promoting empathy and preventing anti-social behavior has led to international praise, prestigious awards, enthusiastic articles, and interviews for President Mary Gordon, a graduate of Educating Children for Parenting's training program. In 2008 ROE was one of three winners -- out of 362 entries from 39 countries -- of a Changemakers competition for programs that help youth at risk. Gordon has met with the Dalai Lama who wholeheartedly endorses Roots of Empathy, as does Emotional Intelligence author, Daniel Goleman.

Unlike Mary Gordon, Sally Scattergood enjoys no international acclaim, nor has the Dalai Lama sung her praises and endorsed ECP. Quite to the contrary, as Anita Kulick, now president of the organization renamed Educating Communities for Parenting, explains, a combination of teaching to the test -- a result of the Leave No Child Behind program -- and the U.S. reluctance to fund preventive programs led to the defunding of Educating Children for Parenting. While its curriculum, renamed Baby Watch, is still used in a small number of schools, the organization's primary focus has become educating pregnant teens to become responsible, caring parents.

While she takes pride in her program which helps pregnant teens and delinquent youth throughout the region, Kulick comments on the drying up of Educating Children for Parenting funding, "In the U.S. most social service funding is for intervention and not prevention -- which is shortsighted and far, far less cost effective. We could run a Baby Watch program for a fraction of the cost of intervention remedies. "

In the meantime, school violence is rampant in Philadelphia. A March 3, 2011 Philadelphia Inquirer article, based on a yearlong investigation, revealed that "more than 30,000 serious incidents -- from assaults to robberies to rapes -- [were] reported" in the Philadelphia school district in the last five years. Many Philadelphia schools are war zones; students and teachers live in fear, with a hindered ability to learn. The article points out that "when anti-violence programs do work... they aren't implemented on a wider basis."
In September 2010, Philadelphia Superintendent of schools, Arlene C. Ackerman authorized spending $7.5 million on security cameras for 19 "persistently dangerous" schools. But, as teachers and Inquirer reporters point out, many violent incidents take place in schools with security cameras; often in the presence of terrified teachers and pupils.

In our country, we always seem to come up with after-the-fact funding for programs such as security cameras and weapon detectors in schools, programs for pregnant teens, child-rearing classes for parents whose severely battered children were taken away from them -- taking such a class is a standard condition of returning their children to them. And then the final after-the-fact program -- the juvenile detention centers, and prisons. None of this is to deny that some effective violence prevention programs including child-rearing/empathy programs, conflict resolution programs, and anti-bullying programs exist in the U.S. But given our population, they are very small in numbers, rarely receive the resources needed to make them fully effective, and are scattered here and there around the country.

Is it surprising that the United States incarcerates more of its young people than any other country in the world? Approximately 65,000 are brought to juvenile detention centers in a given year -- the American Correctional Association estimates the average annual cost at $88,000 per year per youth. Is it surprising that at 2.3 million, our prison population is the highest in the world, or that in spite of these huge incarceration rates, our homicide rates are approximately three times those of Canada?

When will we, like the Canadians and others, realize that $200 a year for prevention is worth so much more than $88,000 a year for a "cure"?

 
 
 
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01:25 PM on 10/24/2011
The genius in all this is the baby visit. A charming baby and its parent(s) are adopted by a class for a year of monthly classroom visits.

During a guided visit, the students engage with the parent(s) and child, observing, asking questions, and predicting changes in the baby’s development. In the process they are learning to solve problems and make decisions. They learn to iidentify their own feelings and the feelings of others and to act competently on behalf of the needs of others.

Talk about a small investment that just keeps on giving more dividends each year and each generation. It’s a multi-generational jackpot of benefits we get to get over and over again.
Students in these programs learn to be more kind and giving right now in their classrooms and at home. This means the teacher can actually spend less time addressing bad behavior and more time teaching students.

Students learn about how to nurture the growth of fellow human beings and they carry these skills with them to adulthood.

These evidence-based programs also curb violence, abuse, neglect and bullying in the classroom and at home. They seek to lower teen pregnancy rates, involve more fathers and improve the mental health of future generations.

These programs should be in every school in the land.

Carol Lewke, Preparetomorrowsparents.org
03:52 PM on 10/03/2011
There are other studies about how baby visits to schools can increase empathy in a school. Developing empathy is critical to antibullying efforts. I talk about this in my anti-bullying program that involves a live chicken, Mooey, who has been bullied by other chickens and has become a bully. See www.fowlbehavior.net.

When I take Mooey to schools, I ask students from k to 12 if they feel more empathy for Mooey as a victim or a bully. I feel more empathy towards her when she became a bully. That's what she knows, much like the inner-city students described in the article.

Prevention through positive parenting is 100 times more effective and cheaper than post-traumatic clean up of a child raised in a violent environment.
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CateManhattan
Common sense is way too uncommon.
05:20 PM on 10/08/2011
It is excellent that you, but few others, realize that bullying is usually an over-reaction to having been bullied. Children and adults who bully are not improving their lives or their experiences, they usually are simply locked into a futile effort of aggressive self-protection.
10:18 AM on 10/03/2011
A big piece of the problem is privatized prisons. When a good or service is in the private profit making part of the economy, more of it is better. Year over year growth is mandatory to remain viable and attract capital. Over time share prices become embedded in our economic measures. Share price growth becomes important to our sense of wealth and financial security. Dividends fund retirements, endowments, etc. On the other hand, the public sector is a cost to society. Less is better. Less crime means less cost to control or mediate it and citizens experience a "peace dividend." In the end, there isn't much difference between the private prison industry and the hospitality industry (Marriott, Hyatt, etc.) except who makes your reservation. The object of the game is to fill every bed every night.
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GlennWatson
Two million fans
08:59 AM on 10/02/2011
There are maybe 50,000 kids that will cost us $130,000 to keep in a detention center for one year. That's $6.5 billion.

There are about 60 million kids under 18. If we send them all to this class that's $12 billion.
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CateManhattan
Common sense is way too uncommon.
04:32 PM on 10/08/2011
Oooohhh, you must be so proud of your Excel monetary-fixated mind. Sending "them all to this class" is a straw man argument. Which either you know, or you are a dry drunk thinker. And you have 999,984 fans to gain before you reach your inflated self image. LMAO
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GlennWatson
Two million fans
08:05 PM on 10/08/2011
Where did that hostility come from?
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lenguss
02:03 PM on 10/01/2011
Where do you get these statistics? Please quote a reliable source. Otherwise it is bs. If it costs $130,000 a year to keep a child in juveline detention in PA, then $100,000 of that is graft, pure and simple. Isn't this the state that sent a judge to jail for jailing kids for money?
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CateManhattan
Common sense is way too uncommon.
04:38 PM on 10/08/2011
You need to look up the information yourself because, with your expressed lack of knowledge, you'd never believe any information we supply on the costs we are paying for our lack of prevention. You don't get to designate Dr. Miedzian as your free personal research assistant.
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lenguss
03:52 PM on 10/09/2011
In other words, you don't know where these fictitious numbers came from.
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01:20 PM on 10/01/2011
Myriam, here is the terrifying correlation that no person of conscience would want to admit; we are privatizing our prisons/correctional systems at an alarming rate. For that industry, there is no PROFIT in prevention.
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lrobb
Southern Rational
01:20 PM on 10/01/2011
It is difficult to quantify the number of negative outcomes a preventative program actually prevents as opposed to the number of actual interventions. When it comes to funding, most taxpayers and their representatives are looking for hard and verifiable numbers.
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P Alan Greene
10:02 AM on 10/01/2011
There are a couple of assumptions here that could be part of the problem.

One assumption, apparently, is that the program works. Its goals are admirable, and its methods are not shady, but that doesn't mean it accomplishes anything. The DARE anti-drug program remains popular in many communities, but the only data on its effectiveness suggests that it has negative impact-- that it makes things worse. Nevertheless, because its goals are admirable and its methods seem common-sensical, people keep using it.

Second is that Philadelphia is Pennsylvania. Any Philly-based program runs into the standard PA dynamic, which is that the rest of us in the rest of the state get tired of having our pockets picked every time the greater Philly area wants to address one of its problems.

Everything that you say you want to do is worth doing, but the fact that the state of PA doesn't want to fund your program does not mean that the state opposes your goals.
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Whistlejackett
Niki Ashton for NDP
02:40 AM on 10/01/2011
Great article. I am not so sure as to why so few comments, other than a signal of a nations apathy towards a familiar and important issue. In the early 80's I attended a workshop given by "John Bradshaw", it was in relation to his book, "The Family". The destruction of the family, as the basic unit for a successful, and healthy society, has much to be considered. This massive breakdown of the family unit has many causes, but it surely requires someone to lead your nation in a direction to confront this issue.

As a Canadian, I can walk through school yards and classrooms, where I will experience all manner of what you so diligently apply yourself to, regarding this issue. It isn't that Canada is lucky, but it is the efforts of our governments that do get seriously involved, in the day to day application of a well rounded early education for our children.
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Grogger
Nothing is guarded more fiercely than unfair gain
02:52 PM on 09/30/2011
At one point, we have to realize that results like this ARE NOT accidental, the cold, harsh truth is that "the children" are more valuable as inmates than they are students. When we keep getting the same results for decades, we have to conclude that the systems and institutions which govern our country do EXACTLY as they are intended and designed to do. Ignore the propaganda and spin, the folks at the helm want it this way, we have to stop pretending that they are honest and honorable people with good intentions, they are not and do not deserve our trust or cooperation.
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CateManhattan
Common sense is way too uncommon.
04:41 PM on 10/08/2011
Great bio - f&f