The Influence of a Mother’s Attachment Representation on the Quality of Her Interactions with Each of Her Children

This study evaluated whether certain maternal states of mind, as assessed by the Adult Attachment Interview (AAI), would lead to more similarities/differences in maternal behaviors across multiple infants, as defined by the domains of the Maternal Behavior Q-Sort. Results indicated that “unresolved” maternal states of mind incline mothers to behave more similarly with their two infants than mothers with non-autonomous or autonomous states of mind in terms of responsiveness and affect sharing behaviors

Financing Project ECHO: Options for State Medicaid Programs

Project ECHO, a unique model for expanding access to specialty health care services, can bolster state Medicaid program efforts to improve care in underserved areas. With a handful of states using Medicaid funds to support Project ECHO, more states are interested in pursuing ECHO models to enhance services for at-risk populations.This brief outlines an array of financing options, including approaches currently in use as well as new options, and highlights how four states — California, Colorado, New Mexico, and Oregon — leveraged Medicaid support for ECHO. It outlines design considerations for specific delivery system environments as well as broad considerations for long-term sustainability of Project ECHO approaches. The brief was developed by the Center for Health Care Strategies as part of the Project ECHO Medicaid Learning Collaborative, a multi-state learning collaborative to promote long-term Medicaid policy and financing strategies for Project ECHO in states across the country

Examining Associations between Mothers\u27 Early Adversity, Depression and Maternal Sensitivity

This study tested two models for the indirect influence of mothers’ early adversity on maternal sensitivity: Model A: Mothers’ appraisal of infant temperament was hypothesized to mediate the influence of mothers’ early adversity and depression on maternal sensitivity There would be no direct influence of maternal depression Model B: Mothers’ depression was hypothesized to have a direct influence on maternal sensitivity Mothers’ perception of infant temperament would not mediate the influence of maternal depression on maternal sensitivit