An Invisible Division

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One of the largest subcultures in America is also one of the least visible. Military children and families are everywhere–not just on or near installations. To illustrate, only a handful of counties across the continental United States had not sent Guard and Reserve members to Iraq or Afghanistan by 2011. Even though these families are everywhere, they often do not stand out. Military children do not wear uniforms. We need to develop a community-based model, to increase resilience and minimize health risks among military children.

In the Future of Children, Harold Kudler and Colonel Rebecca I. Porter (U.S. Army) explain that communities of care “extend the responsibility for developing [an] environment of respect and positive expectations from the clinic to the community.” With a shortage of mental health professionals, especially in rural areas, it is imperative to intervene at the community level. In order to make communities of care happen, the first step is identification–every clinical program should routinely ask everyone who enters its system, “Have you or has someone close to you served in the military?”, and all clinical staff should be taught about military culture and deployment mental health. A next step is to flag military family status in education, employment, and medical records so that it is not overlooked and tailored support can be offered across time. Also, health-care programs and insurance companies could offer incentives to providers to take military history as a way to improve health outcomes and perhaps reduce costs through better treatment. Additionally, clinical programs competent in working with military families should register their names and basic information in the National Resource Directory to help increase accessibility to community resources.

As Kudler and Porter note, perhaps “the secret of creating communities of care for military children is creating communities that care about military children.” To learn more see the Future of Children issue on Military Children and Families.

Evidence-Based Programs for Military Children

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Given the sacrifices that military personnel make, children of military families deserve to have policies and support programs designed to fit their needs. Notable examples include subsidized childcare, deployment assistance, moving assistance, child development programs, and community awareness initiatives that train and support communities in their efforts to improve the lives of military infants and toddlers. Unfortunately, many current programs for military children were implemented quickly, at a time of pressing need; thus, few are based on scientific evidence of what works, and even fewer have been evaluated for their effectiveness.

In the newly released Military Children and Families issue of the Future of Children, an overarching theme is the need for better research about military families and the programs intended to help them. Despite the overall lack of evidence-based programs, there are important directions we can take to implement the principles of best practice to improve programming.

For example, Molly Clever and David R. Segal show that military families are diverse by factors such as age, race, ethnicity, and cultural background. Rather than compelling these families to fit into a fixed and rigidly structured set of programs, we should make support programs accessible to families of all backgrounds and at all stages of life. This is challenging, but programs designed for diverse non-military families have been well researched and evaluated, and this research should help in developing flexible and adaptive programs and policies.

We can also learn from the strengths of programs that appear to be working. Major Latosha Floyd and Deborah A. Phillips recount how the military’s child-care program went from a system in distress to a model for the nation, directly serving or subsidizing care for 200,000 children every day. They tell how the success of this program rests on four pillars–military certification, national accreditation, minimum standards in hiring, and a pay scale that reduces staff turnover.

As we learn from the strengths of good programs, and as we rigorously evaluate as many programs as we can, we will be able to better support military children and families by implementing the best services possible. For more information, see the Future of Children issue on Military Children and Families.

Resilience in Military Children

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It’s been over a decade since the tragic events of 9/11. Among those who continue to experience the effects of 9/11 are service members and their families. Recently, a teenager named Sophie Roth-Douquet reminded us in a USA Today opinion article that more than two million military kids have sent parents off to war in the past 12 years; while major deployments are coming to an end, the effects remain with them. For instance, 900,000 of these military children have seen a parent deployed multiple times, and 10,200 have experienced the death of an immediate family member. These children should also be remembered for their sacrifice.

While military families might face hardships such as frequent moves, deployments, posttraumatic stress disorder, or the loss of a parent, most children exhibit extraordinary resilience. In the newly published issue of the Future of Children, Military Children and Families, authors M. Ann Easterbrooks, Kenneth Ginsburg and Richard M. Lerner observe that most military children turn out just fine. Although research on the topic is surprisingly limited, military life can offer unique opportunities for children. For example, children whose parents are deployed may build their self-confidence by taking on new responsibilities in the family, and moving provides opportunities for adventure and personal growth.

One thing is certain, though: military children are children first. And “they must establish positive friendships and peer relationships, make their way through school, build on their talents, develop their own ‘moral compass’ and participate in their families and communities.” When they encounter adversity, they need social support from adults such as parents, committed mentors, and teachers or coaches. While there is much that needs to be done in research and program development to understand and increase resilience among military youth, first and foremost, we should reach out to the military families around us. We owe them an incalculable debt. For more information on resilience among military youth, see the Future of Children issue on Military Children and Families.

College for Students with Disabilities

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Future of Children authors Sandy Baum, Charles Kurose, and Michael McPherson write that as postsecondary enrollment expands in the US, student demand for academic and personal support services is increasing. Academic support programs such as developmental or remediation courses help older, returning students or high school graduates who need additional training to reach college-entry level. Personal support programs may provide services such as child care or transportation. All of these programs seek to improve student experiences and college outcomes.

Students with learning disabilities are a rapidly growing population that has received relatively little attention in terms of college preparation and support. Many of these children participate in special education programs before finishing high school. Authors Laudan Aron and Pamela Loprest explain that the special education system has helped to increase their access to and participation in public education, but there is room for improvement. An often challenging point for these children is in the transition into adulthood. Janet Currie and Robert Kahn report that high schools offer services to help students make the transition but no one is required to monitor the effectiveness of services for adults once they enter the community.

As college enrollment among students with learning disabilities increases, demand for personal and academic support services should also increase. Thus, a growing number of traditional universities are seeking to improve resources for students with disabilities, including supplemental support programs. For the latest research and policy recommendations on this topic, see the Future of Children issues on Postsecondary Education and Children with Disabilities.

Caregivers and Baby Boomers

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According to a new report by the AARP Public Policy Institute, in 2010, each person aged 80 or older had more than 7 potential family caregivers aged 45-64. However, as the oldest baby boomers begin to retire, America is entering a period of transition in which this ratio will decrease sharply, hitting 4.1 by 2030 and continuing downward to 2.9 by 2050. This projection is worrisome because family caregivers provide the majority of long-term care for older adults. Caregivers are usually women, and most are employed. They spend an average of 20 hours per week providing care, and over one-third have children or grandchildren under 18 living at home.

Indeed, the emotional, relational, financial, and time burdens can be difficult for caregivers to manage–especially employed caregivers. In the Future of Children, authors Ann Bookman and Delia Kimbrel say that adults may actually spend more time caring for their parents than they did caring for their children. Smaller families, and the fact that potential caregivers live further away than in the past, make it more challenging to care for older family members. To care for the growing elderly population and ease the burden on caregivers, Bookman and Kimbrel argue for better coordination among health-care providers, nongovernmental community-based service providers, employers, government, families, and the elderly themselves. They especially recommend that employers offer more flexible work arrangements for caregivers, such as part-time work, paid leave, paid sick days, and other “elder-friendly” benefits. They also remind us that “today’s children will be the workers, citizens, and family caregivers who will care for the growing U.S. elderly population tomorrow. Focusing on children’s healthy development and education will build their capacity to provide supportive care for the elders of future generations.” For more information see the Future of Children issue on Work and Family.

Reducing the Risk of Parental Incarceration

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To reduce children’s exposure to the negative effects of having a parent incarcerated (for example, family financial strain, health and social problems, housing insecurity, etc.), Future of Children authors Bruce Western and Christopher Wildeman urged policymakers to limit prison time and provide effective drug treatment for nonviolent drug offenders. In line with this call, Attorney General Eric Holder recently announced that the Justice Department would stop perusing mandatory minimum prison sentences for certain nonviolent offenders and promote drug-treatment alternatives to incarceration. The changes, effective immediately, should help to reduce the prison population and the number of children exposed to incarceration.

With about half the current prison population meeting the criteria for drug dependence or abuse, effective drug treatment for prisoners and parolees is a serious concern. As the incarceration rate begins to decline, thousands of men and women will be sent back into their communities, and many will need substance abuse treatment. Western and Wildeman report that prisoner reentry programs have been found to reduce recidivism by connecting ex-prisoners to substance abuse treatment services as well as education and employment opportunities.

Policymakers and practitioners should also focus on early contact with the criminal justice system. Laurie Chassin notes that substance abuse disorders are common among adolescents in the juvenile justice system and underscores the need for effective screening methods so that youth can be redirected away from the juvenile and criminal justice systems as early as possible. She highlights the role of the youth’s social environment and mental health and finds evidence in favor of family-based treatment models.

Limiting prison time, providing effective drug-treatment for offenders and ex-prisoners, and identifying and addressing substance-use disorders early on should help to lower the proportion of children exposed to parental incarceration. For more on this topic, see the Future of Children issues on Fragile Families and Juvenile Justice.

Obama’s Education Initiative

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President Obama recently proposed a set of measures to make college more affordable. Some experts have argued for more innovation to drive down education costs, and the President is suggesting drastic changes to how the federal government promotes postsecondary education. Pending Congressional approval, federal financial aid would be partly linked to college rankings on measures like tuition, graduation rates, the percentage of lower-income students attending, and how much money graduates make. Some of this information is already available through an online college scorecard released earlier this year. The motivation for this approach is to encourage institutional innovation and allow students attending highly ranked colleges to receive better financial aid.

The President has also proposed other ideas, including experimenting with competency-based degrees that reflect students’ knowledge more than the hours they’ve spent in the classroom, massive open online courses, three-year degree programs, performance-based financial aid, and more.

With changes likely coming to post-secondary education in the coming years, it is crucial to base policy decisions on the best research available. The Future of Children‘s issue on Postsecondary Education in the United States is a good place to start.

For example, while online learning is often believed to be an institutional cost-cutting measure, Bell and Federman explain that the evidence is inconclusive. There are significant start-up and recurrent technological support costs, yet implementation may result in savings in instructor compensation costs over time–particularly if institutions adopt more machine-guided courses. Research shows online learning can be effective for students, but we know little about how to do it right. One challenge colleges will likely face is a high dropout rate–especially among low income students without a fast Internet connection. In promoting innovation, the federal government will need to consider how to support technology delivery and use among disadvantaged students.

Obama has proposed performance-based financial aid. Dynarski and Scott-Clayton found that linking student financial aid to achievement can improve college performance and completion more than grants with no strings attached. This measure will likely be effective for enrolled students, but another issue is outreach to prospective students. For instance, many of them overestimate the cost of attending college by as much as three times, and a recent national survey of young adults found that fewer than three in ten individuals people without a college degree knew what the Free Application for Federal Student Aid (FAFSA) was. In revamping the financial aid program, policymakers should keep in mind that program complexity undermines aid’s effectiveness. Aid needs to have simple, easy-to-understand eligibility rules and application procedures. To find more research and policy recommendations see the Future of Children‘s issue on Postsecondary Education in the United States.

Family Relationships Following the Great Recession

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Research from the Fragile Families and Child Wellbeing Study suggests that stress or uncertainty about external circumstances can impact family relationships. One recent study by Dohoon Lee, Jeanne Brooks-Gunn, Sara McLanahan, Daniel Notterman, and Irwin Garfinkel finds that mothers used more harsh parenting practices, such as corporal punishment, following the Great Recession. Moreover, macroeconomic conditions like consumer sentiment (that is, how people feel generally about the economy), rather than actual conditions (for example, local unemployment rate), are associated with harsh parenting.

Findings from another study suggest that macroeconomic stress has caused couples to delay or forego separation or divorce, especially among those hardest hit by the recession. Based on research presented in the Future of Children suggesting positive outcomes of marriage for children, such a finding could have good implications for low-conflict families but serious consequences for families experiencing violence or abuse.

Future of Children authors Philip A. Cowan, Carolyn Pape Cowan, and Virginia Knox explain that some low-income family intervention programs have begun to address how parents and partners can cope with the stress and uncertainty caused by external circumstances such as a dragging economy. The authors highlight one such program that has had encouraging early results. Participants in the Supporting Healthy Marriage project, a yearlong marriage and relationship education program for couples with children, report less abuse, more positive communication, and greater marital happiness than control-group counterparts.

With the proportion of children born to unmarried mothers at more than 40 percent, similar programs for unmarried couples with children are being evaluated. One such project called Building Strong Families found little evidence of relationship quality improvement among participants, but Cowan and colleagues indicate that more analyses are needed to understand these findings. Research on the challenges that unmarried families face can be found in the Future of Children issue on Fragile Families. Also see our issue The Next Generation of Antipoverty Policies.

Decreases in Childhood Obesity

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Rates of childhood obesity have risen for decades in the U.S., and there are many reasons why its prevention and treatment ought to be a focus of public policy. For one, preschoolers who are overweight or obese are five times more likely than normal-weight preschoolers to have weight problems during adulthood. And one preschooler in eight is obese, with higher rates among some racial minorities.

Recently, the Centers for Disease Control and Prevention (CDC) found encouraging evidence that these trends might be improving. In a study of 11.6 million low-income preschoolers, the CDC found a small decrease in childhood obesity rates in 19 U.S. states and territories from 2008 to 2011. Experts attribute the good news partially to programs that encourage child exercise, an increase in breast-feeding, and improved nutrition in foods provided to low-income families through federal programs. This research suggests that the problem of childhood obesity can be ameliorated.

In the Future of Children, Ana C. Lindsay, Katarina M. Sussner, Juhee Kim, and Steven Gortmaker argue that successful interventions must involve parents from the earliest developmental stages to promote healthful practices in and outside the home. Regarding the racial and economic disparity in childhood obesity rates, Shiriki Kumanyika and Sonya Grier observe that low-income and minority children tend to watch more television than do white, non-poor children and are potentially exposed to more commercials advertising unhealthy foods. One strategy would be for Congress and the Federal Communications Commission to reduce or eliminate advertising time for non-nutritious foods aimed at children. For more recommendations on how to promote childhood health, see the Future of Children issue on Childhood Obesity.

Children and Immigration Reform

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Recently, the Senate passed an immigration reform bill and President Obama has urged the House to do the same. Such a measure would likely provide a path to citizenship for approximately 11 million undocumented immigrants. The House is debating whether the possibility of citizenship might apply only to those who were brought illegally as children and not to those who crossed the border as adults, meaning parents might face a greater risk of deportation than their children.

Immigration reform would certainly affect many families, especially the 5 million children who have at least one parent who is an undocumented immigrant. As Future of Children authors Nancy S. Landale, Kevin J. A. Thomas, and Jennifer Van Hook write, the number of unauthorized immigrants arrested at workplaces has increased, and the children related to those who are arrested often experience family separation and material hardship. If deportations increase, more children could find themselves in this situation.

Such experiences affect children’s psychological well-being. Children in families directly affected by immigration enforcement via workplace raids tend to feel abandonment, fear, social isolation, and anger. Children and parents may also experience chronic stress. To learn more about the challenges that immigrant children and their families face, along with pertinent policy recommendations, see the Future of Children issue on Immigrant Children.