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Study Aims to Bolster California’s Safe-Water Efforts at Child Care Facilities Luskin Center for Innovation analysis offers wide-ranging guidance on state mandate to test drinking water for lead

By Michelle Einstein

Efforts to ensure safe drinking water for children need further support to reach their intended audience, according to an analysis of California’s mandate requiring child care facilities to test their water for lead, known as AB 2370.

The finding from the UCLA Luskin Center for Innovation is part of a new report and policy brief that examine strategies for developing and implementing the state’s testing and remediation program for those sites. Among its recommendations, the report stresses the need for a dedicated funding stream to ensure the program’s success.

“We’ve learned from a similar program in California’s schools that if robust monitoring and funding doesn’t exist, much of the needed testing and remediation won’t be implemented,” said Gregory Pierce, associate director of the center and lead author of the study.

In order to be successful, Pierce predicts, the program will require five to 10 times more funding than the $5 million currently budgeted by the state.

To determine how to best implement the program, the researchers synthesized feedback from a variety of stakeholders, including child care providers, environmental justice advocates and water utilities. They found several current shortcomings, including the fact that many child care providers have not received directives to test their water and that the program’s messaging is only available in English and Spanish.

The study recommends that stakeholders at all levels have a voice in helping to design the program to correct problems. A co-design process that includes parents, day care centers, utilities and state agencies will result in higher compliance rates and confirm that all centers have their facilities tested in a timely manner, the researchers say.

It is also important that the program not increase mistrust of tap water in settings where such concern is unmerited, according to the report. For instance, after hearing about the lead testing program, some day care centers and parents began using bottled beverages, even though their drinking water was clean. Bottled water can be expensive and has a negative environmental impact.

Lead exposure poses an acute threat to young children and their families. Even low-level exposure has been connected to loss in IQ, hearing impairments and learning disabilities. Recognizing this threat, California passed Assembly Bill 2370 in 2018, which mandates the testing of drinking water for lead at licensed child care facilities built before 2010. These sites must complete the tests before 2023 and, if elevated levels are found, remedy the problem or find alternative sources of water.

AB 2370 represents a meaningful step toward further protecting children’s health, the researchers say, but implementing the law remains a huge feat. Thousands of day care centers must test and clean up their plumbing systems, and many of these facilities are experiencing funding and staffing shortages, especially during the coronavirus pandemic.

Overall, the researchers view the program as an important step toward ensuring the human right to clean water for all Californians. A more streamlined and supported implementation process, they say, would help officials better deliver on-the-ground results statewide.

The study was funded by First 5 LA, an independent public agency working to strengthen systems, parents and communities so that by 2028, all children in Los Angeles County will enter kindergarten ready to succeed in school and life.

Abrams Explains Increase in Online Child Sex Abuse

Social Welfare Professor Laura Abrams spoke to the Los Angeles Times about the growing threat of child sex abuse as children spend more time on home computers during lockdown. With schools closed and children staying home under COVID-19 shelter-in-place orders, law enforcement officials have been overwhelmed by a surge in tips about online child sex abuse. Sexual predators lurk on chat sites, social media and gaming platforms, often coercing children into sending inappropriate pictures, then blackmailing them for more explicit content. “In this time of shelter in place, unfortunately children don’t have a lot of contacts with mandated reporters: teachers, mental health providers, coaches, mentors,” Abrams said. Sexual exploitation can cause stress and suicidal feelings in children, and make it more difficult to focus or stick to normal sleeping patterns, she explained. However, huge disruptions to routine — which many kids have experienced recently — can lead to similar behavior or thoughts, Abrams added.


Shah on Improving Sanitation in Rural Indonesia

Public Policy Professor Manisha Shah was featured in a Vox Dev video discussing a community health and sanitation project across 160 villages in East Java, Indonesia. “Poor sanitation and hygiene are leading causes of high mortality rates among children under 5 in developing countries,” said Shah, director of the Global Lab for Research in Action at UCLA Luskin. The project aimed to improve health and sanitation practices by promoting the construction of latrines in rural villages. However, it did not provide financial assistance to the communities, limiting the impact on children’s health, Shah said. “If we’re serious about getting some of these poorer households to build toilets, coupling the demand-side intervention with things like subsidies or financial incentives could get us to much higher rates of latrine construction” and improve the general health of individuals in rural communities, she said.


Abrams Pioneers Juvenile Justice Research

An article in EBP Society highlighted Social Welfare Professor Laura Abrams’ research contributions to a growing international discussion about the minimum age of criminal responsibility. The term refers to the youngest age at which an individual can be processed formally in the justice system, and is often determined by factors such as brain development, competency and childhood experiences. In the United States, separate juvenile justice systems have been created to emphasize rehabilitation over punishment, but the article points out that very few studies have been conducted on the appropriate minimum age of criminal responsibility. The article summarizes the findings of three studies conducted by Abrams to better understand the effectiveness of minimum age boundaries in the United States and the rest of the world. Abrams’ research highlights the variations and complications among different national and international juvenile justice systems and illustrates the importance of establishing age parameters into and out of the justice system.


UCLA Luskin to Welcome 3 New Social Welfare Scholars

Three new additions will join UCLA Luskin Social Welfare’s world-class faculty in the fall, Dean Gary Segura has announced. Judith Perrigo, Margaret “Maggie” Thomas and Brian TaeHyuk Keum will become members of the teaching and research roster as assistant professors. Perrigo’s work focuses on the determinants of well-being, experience of abuse or neglect, and readiness for kindergarten among children from birth to age 5. She holds an MSW from USC, and, after several years of practice, is completing her doctorate there. Thomas, who earned an MSW at the University of Illinois, is a scholar of family and child well-being. She is completing her Ph.D. in social work at Boston University. Thomas’ work focuses on young children in families facing serious economic hardship, as well as children and youths from minority communities or with an LGBTQ identity. Keum is finishing his Ph.D. in counseling psychology at the University of Maryland, having previously completed an MA in counseling psychology at Teacher’s College, Columbia University. His work examines interracial dynamics, cyberbullying behaviors, and measurement issues in the study of bias and racism online. “I am beyond pleased to welcome Maggie, Brian and Judith to the Luskin Public Affairs faculty and the Department of Social Welfare,” Segura wrote in a memo to staff and faculty.

Taking the Border Crisis to Heart Team from UCLA Luskin Social Welfare counsels mothers and children seeking asylum in the United States

Team from UCLA Luskin Social Welfare travels to immigrant detention center in Texas to counsel mothers and children seeking asylum in the U.S.

Abrams Publishes Research on Child Incarceration, Adult Health

Professor Laura Abrams, chair of Social Welfare, recently co-authored an article in Academic Pediatrics investigating the relationship between child incarceration and subsequent adult health outcomes. The United States is the world leader in youth incarceration, and research by Abrams and co-principal investigator Elizabeth Barnert, an assistant professor of pediatrics at the David Geffen School of Medicine at UCLA, aimed to bridge the data gap on repercussions from child incarceration. The study used data from the National Longitudinal Study of Adolescent to Adult Health to compare adult health outcomes in individuals grouped by age of first incarceration. The study compared individuals first incarcerated before age 14 with those first incarcerated at 15-17 years old, 18-20 years old and 21-24 years old. Among the adult health outcomes analyzed were physical health, such as mobility limitations, and mental health, including depressive symptoms and suicidal thoughts. After controlling for sociodemographic and ecological factors, the study found that “child incarceration independently predicted adult mobility limitations, adult depression and adult suicidal thoughts,” confirming the link between younger age at first incarceration and worse adult health. The research also identified sociodemographic disparities in child incarceration, finding that “individuals first incarcerated as children were disproportionately of color, more likely to be from lower socioeconomic backgrounds, and more likely to have been raised in a single-parent household.” The findings will likely have repercussions in the health arena. The report concluded, “Child incarceration displays even wider sociodemographic disparities than incarceration generally and is associated with even worse adult physical and mental health outcomes.”


Bill to Deem Children Under 12 Too Young for Court Is Backed by Abrams’ Research

Research by Professor Laura Abrams of UCLA Luskin Social Welfare is mentioned in a story that originated with the Chronicle of Social Change and has been picked up by other media outlets, including the Appeal and the Press-Telegram. Senate Bill (SB) 439 would prevent the juvenile justice system from hearing most cases of children younger than age 12. “I think people have an assumption that juvenile court is potentially a helpful intervention for young children,” Abrams says in the story, which notes her analysis of state juvenile justice data. “But in most cases, the charges aren’t sustained or they’re dismissed, so the family doesn’t get any help at all.”


 

Policy Practice in Field Education Grant Received

Laura Abrams, professor and chair of UCLA Luskin Social Welfare, and Sergio Serna of the field education faculty received a one-year policy practice in field education grant from the Council on Social Work Education totaling $18,500. This grant will enable Social Welfare students and faculty to make closer ties with local child welfare agencies to advocate for youth aging out of foster care, to learn more about the policymaking process and to forge lasting community relationships.

 

Early Childhood Incarceration Linked to High Rates of Physical, Mental Health Issues Half of those admitted to juvenile justice facilities before their teen years reported suicidal thoughts as adults

By Ryan Hatoum

Elizabeth Barnert, left, and Laura Abrams. Photo by George Foulsham

When children are placed in juvenile detention centers, jails or prisons before their teenage years, they are much more likely to experience serious physical and mental health issues as adults, according to a new study by UCLA researchers.

The UCLA researchers reported that more than 21 percent of people who had been incarcerated as children reported poor general health in adulthood, compared with 13 percent for those incarcerated later in life and 8 percent for those never incarcerated. The study appears in the International Journal of Prisoner Health.

“Those at risk for imprisonment during childhood need special attention from the health care sector,” said Elizabeth Barnert, principal investigator of the study and an assistant professor of pediatrics at the David Geffen School of Medicine at UCLA. “The rates of poor health outcomes among people who’ve been incarcerated tell us there’s a huge need for us to take better care of them — both as kids and as adults.”

There has been a growing international movement to find alternatives to juvenile incarceration — or the detainment of minors in juvenile halls, probation camps and other juvenile justice facilities — for the youngest offenders. Many countries are raising the minimum age at which adolescents can be incarcerated and are deferring children to other programs for rehabilitation.

Researchers from the Geffen School, UCLA Luskin School of Public Affairs and UCLA Mattel Children’s Hospital analyzed data from 14,689 adult participants in the National Longitudinal Study of Adolescent to Adult Health. Their analysis considered three groups: adults who had been incarcerated during the ages of 7 to 13; adults who had been incarcerated during the ages of 14 to 32; and adults who had never been incarcerated.

“From the data we have available, it’s hard to pinpoint exactly why those who enter the juvenile justice system at a young age face greater health challenges,” said Laura Abrams, also a principal investigator of the study and a professor and chair of Social Welfare at the Luskin School. “It’s likely a combination of trauma, which can lead to troubled behavior and long-term health problems, and the lasting effects of the conditions of early imprisonment.”

A key study finding were the differences among the groups’ mental health symptoms. Thirty-eight percent of the people who had been incarcerated before age 14 experienced symptoms of depression in adulthood, contrasted with 24 percent of those who were incarcerated at age 14 to 32 and 15 percent of the never-incarcerated group.

In other findings, more than one in four of those incarcerated before age 14 reported suicidal thoughts as adults, contrasted with about one in 10 of the group incarcerated at later ages and one in 15 of the group who had never been incarcerated.

Among the respondents who had been incarcerated at the youngest ages — seven to 12 — the rate was even higher; half experienced suicidal thoughts and ideation in adulthood.

“Incarceration has human costs at all ages, but with children, it’s particularly problematic,” Abrams said. “Children need spaces to grow and thrive — not to be confined in jail-like settings.”

While this new analysis does not prove a cause-and-effect relationship between early incarceration and poor health later in life, mounting research gives experts a sense of the factors involved.

One such factor is who gets incarcerated in the first place — for which research has shown there is bias. A study in the journal Criminal Justice and Behavior found that of children with psychiatric disorders, those of a racial or ethnic minority are more likely than those who are white to be incarcerated rather than diverted to the community for treatment. As such children are placed into juvenile justice facilities, their health issues may be left untreated or worsen.

The UCLA study found disproportionate racial, ethnic and socioeconomic patterns in those incarcerated as young children. People incarcerated at the youngest ages were significantly more likely to be male, black or Hispanic than those incarcerated at older ages and those never incarcerated. They were also much more likely to have been raised in the lowest income group and in a single-parent household.

“We’re only now starting to understand the full effects of juvenile incarceration on the person, and from a health perspective, the needs of this population are largely going unmet,” Barnert said. “We need a system that effectively addresses their health challenges as early as possible — ideally preventing adolescents from ever reaching juvenile hall.”

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