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Early Child Development - Adelaide Thinkers in Residence

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Public Lecture & A.W. Jones Oration<br />

<strong>Adelaide</strong>, South Australia<br />

<strong>Early</strong> <strong>Child</strong> <strong>Development</strong> – The<br />

Build<strong>in</strong>g Blocks for Successful<br />

Societies<br />

By J. Fraser Mustard<br />

Found<strong>in</strong>g President, CIAR<br />

<strong>Adelaide</strong> Th<strong>in</strong>ker <strong>in</strong> <strong>Residence</strong><br />

March 19, 2007


New<br />

<strong>Early</strong> <strong>Child</strong> <strong>Development</strong><br />

Clos<strong>in</strong>g the gap between<br />

what we know and what we do


04-131


04-132<br />

“One cannot emphasize too<br />

strongly the importance of those<br />

first years for the course that a<br />

child will follow throughout his<br />

entire life.”<br />

Erasmus (1529, p. 309)


04-133<br />

“Thank you for present<strong>in</strong>g<br />

conclusive evidence about<br />

what we <strong>in</strong>tuitively know.<br />

When we deal with<br />

dysfunctional families, we put<br />

the children <strong>in</strong> limbo, and<br />

damage them permanently.”<br />

Prov<strong>in</strong>cial Court Judges


04-152<br />

WHAT DO<br />

WE NOW KNOW?


03-080<br />

Experience-Based Bra<strong>in</strong> <strong>Development</strong> <strong>in</strong><br />

the early years of life sets neurological<br />

and biological pathways throughout life<br />

that affect:<br />

Health<br />

Learn<strong>in</strong>g<br />

Behaviour


03-013<br />

The Hostage Bra<strong>in</strong> , Bruce S. McEwen and Harold M. Schmeck, Jr., 1994.


04-039<br />

Two Neurons<br />

Axon<br />

RECIPIENT<br />

NEURON<br />

Synapse<br />

SIGNAL-<br />

SENDING<br />

NEURON<br />

Dendrite


04-212<br />

Sound<br />

Vision<br />

Smell<br />

Touch<br />

Proprioception<br />

Taste<br />

Neal Halfon


03-078<br />

Experience and Bra<strong>in</strong> <strong>Development</strong><br />

Stimuli switch on genetic pathways<br />

- differentiate neuron function<br />

Stimuli affect the formation of<br />

the trillion of connections (synapses)<br />

among the billions of neurons


04-042<br />

SENSING<br />

PATHWAYS


03-079<br />

Vision and Hear<strong>in</strong>g<br />

Critical Period<br />

Eye cataracts at birth prevent normal<br />

development of vision neurons <strong>in</strong> the<br />

occipital cortex<br />

(Hubel and Wiesel)<br />

Cochlear defects at birth impair<br />

hear<strong>in</strong>g development<br />

(Rauschecker and O’Donoghue)


New<br />

Bra<strong>in</strong> Pathways<br />

“Higher levels of bra<strong>in</strong> circuits depend on<br />

precise, reliable <strong>in</strong>formation from lower<br />

levels <strong>in</strong> order to accomplish their function.<br />

Sensitive periods for development of lower<br />

level circuits ends early <strong>in</strong> life.<br />

High level circuits rema<strong>in</strong> plastic for a<br />

longer period.”<br />

Knudsen 2004


01-003<br />

Human Bra<strong>in</strong> <strong>Development</strong> –<br />

Language and Cognition<br />

Sens<strong>in</strong>g<br />

Pathways<br />

(vision, hear<strong>in</strong>g)<br />

Language<br />

Higher<br />

Cognitive Function<br />

Conception<br />

-6<br />

-3 0 3 6 9 1 4 8 12 16<br />

Months<br />

Years<br />

AGE<br />

C. Nelson, <strong>in</strong> From Neurons to Neighborhoods, 2000.


New<br />

Allostasis & Allostatic Load<br />

(Stress)


03-002<br />

Sensory<br />

Stimulus<br />

Thalamus<br />

Cortex<br />

Amygdala<br />

Cortisol<br />

Hypothalamus<br />

PVN<br />

CRF<br />

ACTH<br />

PIT<br />

Hippocampus<br />

+ + - -<br />

Cortisol<br />

Adrenal<br />

Cortex<br />

LeDoux, Synaptic Self


05-212<br />

Limbic HPA Pathway - Stress<br />

Cortisol – Over Production<br />

Behaviour, Depression,<br />

Type II Diabetes, Malnutrition,<br />

Cardiovascular Disease, Memory,<br />

Immune System Disorders,<br />

Drug and Alcohol Addiction


05-213<br />

Sensory Pathways<br />

and the Limbic HPA Pathway<br />

Touch and Other Sensory<br />

Pathways <strong>in</strong> the <strong>Early</strong> Period are<br />

Critical Pathways<br />

Rats – Mothers lick<strong>in</strong>g pups<br />

Monkeys – Peer vs mother rear<strong>in</strong>g<br />

Humans – Attachment<br />

– Prematurity


05-056<br />

Individual differences <strong>in</strong> stress reactivity of the adult rat<br />

are determ<strong>in</strong>ed by maternal behaviour dur<strong>in</strong>g <strong>in</strong>fancy<br />

HIGH LG<br />

LOW LG<br />

<strong>Development</strong> of<br />

Stress Reactivity<br />

Modest Stress<br />

Reactivity<br />

Reduced Risk<br />

for Disease<br />

Increased Stress<br />

Reactivity<br />

Increased Risk for Heart<br />

Disease, Type II Diabetes,<br />

Alcoholism, Affective<br />

Disorders, Bra<strong>in</strong> Ag<strong>in</strong>g, etc.<br />

M. Szyf


05-042<br />

S. Suomi


06-028<br />

Rhesus Macaque Monkeys –<br />

Seroton<strong>in</strong> Transporter Gene<br />

Poor nurtur<strong>in</strong>g <strong>in</strong> <strong>in</strong>fancy<br />

Long allele, no behaviour problems<br />

Short allele, significant behaviour<br />

problems and alcohol addiction<br />

Probably Epigenetic Effect


04-144<br />

Epigenetics and Bra<strong>in</strong> Plasticity<br />

Experience and methylation of DNA<br />

Impr<strong>in</strong>ts dynamic environmental<br />

experiences on the fixed genome<br />

Maternal behaviour affects DNA<br />

methylation<br />

Can be transmitted to offspr<strong>in</strong>g


05-059<br />

Hippocampal GR(1 7 ) Region 16<br />

(5’ NGFI-A RE) Methylation Timel<strong>in</strong>e<br />

1.2<br />

Mean C-Methylation<br />

0.8<br />

0.4<br />

Low<br />

High<br />

0<br />

Embryo<br />

Day 20<br />

Birth<br />

Day 1<br />

Age<br />

Pup<br />

Day 6<br />

Wean<strong>in</strong>g<br />

Day 21<br />

Adult<br />

Day 90<br />

M. Szyf


06-105<br />

Epigenetics<br />

Accord<strong>in</strong>g to Dr. Szyf,<br />

epigenetic modifications <strong>in</strong><br />

response to maternal care<br />

occur dur<strong>in</strong>g the critical period<br />

early after birth.<br />

The effects are stable and<br />

persist <strong>in</strong>to adulthood.<br />

The Economist, p. 89, Sept 23, 2006


03-089<br />

Seroton<strong>in</strong> Transporter Gene<br />

Experience <strong>in</strong> <strong>Early</strong> Life - Depression<br />

Depression<br />

Risk<br />

.70<br />

.50<br />

Age 26<br />

S = Short Allele<br />

L = Long Allele<br />

SS<br />

SL<br />

.30<br />

LL<br />

No Abuse Moderate Abuse Severe Abuse<br />

<strong>Early</strong> <strong>Child</strong>hood<br />

A. Caspi, Science, 18 July 2003, Vol 301.


07-004<br />

Experience and Bra<strong>in</strong> Maturation<br />

After sensitive period has passed,<br />

critical mechanisms operate less<br />

effectively.<br />

Difficult for subsequent experience<br />

to change <strong>in</strong>itial structure and<br />

function.


New<br />

Human <strong>Early</strong><br />

Experience &<br />

<strong>Development</strong>


03-065<br />

Behaviour


06-085<br />

<strong>Early</strong> <strong>Development</strong> and Behaviour<br />

Attention-Deficit Hyperactivity Disorder<br />

(ADHD)<br />

Autism<br />

Antisocial<br />

Depression


02-011<br />

Behaviour<br />

“The aftermath … [of poor early child<br />

development] can appear as depression,<br />

anxiety, suicidal thoughts or posttraumatic<br />

stress – or as aggression,<br />

impulsiveness, del<strong>in</strong>quency, hyperactivity<br />

or substance abuse.”<br />

Mart<strong>in</strong> Teicher<br />

Scientific American, 2002


05-115<br />

Romanian Adoption Project<br />

Scores at 10.5 Years<br />

CB EA RO<br />

IQ 108 99 85<br />

Language<br />

Score 106 99 88<br />

Behaviour 13% 9% 43%<br />

CB - Canadian Born<br />

EA - <strong>Early</strong> Adopted<br />

RO - Romanian Orphanage<br />

L. Le Mare


Log10 Salivary Cortisol<br />

00-046<br />

Even<strong>in</strong>g Cortisol Levels Increase with<br />

Months of Orphanage Rear<strong>in</strong>g *<br />

-0.2<br />

-0.4<br />

-0.6<br />

-0.8<br />

-1<br />

-1.2<br />

0 10 20 30 40 50<br />

Months of Orphanage Rear<strong>in</strong>g<br />

*l<strong>in</strong>ear trendl<strong>in</strong>e


Healthy Bra<strong>in</strong><br />

Front<br />

Unhealthy Bra<strong>in</strong><br />

Normal <strong>Child</strong><br />

Back<br />

Romanian Orphan<br />

Most Active<br />

Least Active


06-137<br />

Language & Literacy


01-012<br />

<strong>Early</strong> Bra<strong>in</strong> <strong>Development</strong> and<br />

Crim<strong>in</strong>al Behaviour<br />

Significant correlation with registered<br />

crim<strong>in</strong>ality (teenage) appeared for language<br />

development at 6, 18, and 24 months<br />

Statt<strong>in</strong>, H. et al -Journal of Abnormal<br />

Psychology102;<br />

369, 1993


04-200<br />

<strong>Early</strong> <strong>Child</strong> <strong>Development</strong> and Language<br />

Bra<strong>in</strong> development for language<br />

starts early – largely completed by<br />

7 months<br />

Sets capability for master<strong>in</strong>g<br />

multiple languages<br />

Sets literacy and language trajectory


01-040<br />

Five Levels of Literacy<br />

Level 1:<br />

Level 2:<br />

Level 3:<br />

Level 4<br />

and 5:<br />

<strong>in</strong>dicates persons with very poor skills.<br />

people can deal with material that<br />

is simple<br />

is considered a suitable m<strong>in</strong>imum for<br />

cop<strong>in</strong>g with the demands of everyday life<br />

describe people who demonstrate<br />

command of higher-order process<strong>in</strong>g<br />

skills


00-085<br />

Socioeconomic<br />

Gradients for<br />

Document<br />

Literacy Scores<br />

Mean scores<br />

350<br />

330<br />

310<br />

Sweden<br />

Netherlands<br />

Canada<br />

290<br />

270<br />

250<br />

230<br />

210<br />

190<br />

International<br />

Mean<br />

Chile<br />

170<br />

0 5 10 15 20<br />

Parents’ Education (years)


06-114<br />

Socioeconomic Gradients for<br />

Document Literacy Scores<br />

Mean Scores<br />

350<br />

310<br />

270<br />

Intern’l Mean<br />

Canada<br />

Sweden<br />

F<strong>in</strong>land<br />

Australia<br />

U.S.<br />

U.S.<br />

Canada<br />

230<br />

Australia<br />

Sweden<br />

190<br />

F<strong>in</strong>land<br />

0<br />

3 5 7 9 11 13 15 17 19<br />

Parents’ Education (years)<br />

OECD, 2000


Language Score<br />

00-042<br />

Sociocultural<br />

Gradients for<br />

Language<br />

Scores<br />

By Country<br />

360<br />

320<br />

280<br />

Chile<br />

Cuba<br />

Argent<strong>in</strong>a<br />

Brazil<br />

Colombia<br />

240<br />

Mexico<br />

200<br />

1 4 8 12 16<br />

Parents' Education (Years)


05-066<br />

Grade 3 Language Scores<br />

Argent<strong>in</strong>a _ _ _ _ _ _ _ _<br />

Brazil _ _ _ _ _ _ _ _ _ _<br />

Chile _ _ _ _ _ _ _ _ _<br />

Cuba _ _ _ _ _ _ _ _ _ _ _ _ _ _ _<br />

Mexico _ _ _ _ _ _ _<br />

100 150 200 250 300 350 400<br />

UNESCO, 1998


New<br />

Cuba - 0 to 6 Program<br />

Starts at Birth – not compulsory<br />

Community Leader<br />

99% of Families now take part<br />

All Staff Educated for 4 Years<br />

Educated <strong>in</strong> <strong>Development</strong>al<br />

Neuroscience


03-063<br />

Health


01-010<br />

"Follow up through life of successive<br />

samples of birth has po<strong>in</strong>ted to the<br />

crucial <strong>in</strong>fluence of early life on<br />

subsequent mental and physical health<br />

and development."<br />

Acheson, Donald -Independent Inquiry <strong>in</strong>to<br />

Inequalities <strong>in</strong> Health,1998


00-069<br />

Health Problems Related<br />

to <strong>Early</strong> Life<br />

Coronary Heart Disease<br />

Non-<strong>in</strong>sul<strong>in</strong> Dependent Diabetes<br />

Obesity<br />

Blood Pressure<br />

Ag<strong>in</strong>g and Memory Loss<br />

Mental Health (depression)<br />

Drug and Alcohol Addiction


New<br />

<strong>Development</strong> Status<br />

of <strong>Child</strong>ren Aged 4 to 5<br />

Canada and Australia


03-018<br />

Vulnerable <strong>Child</strong>ren Aged 4 to 6 –<br />

40<br />

NLSCY 1998<br />

Prevalence of<br />

Vulnerable<br />

<strong>Child</strong>ren<br />

30<br />

20<br />

Ontario<br />

Rest of Canada<br />

10<br />

0<br />

-1.5 -1.0 -0.5 0.0 0.5 1.0 1.5<br />

Socioeconomic Status


07-026<br />

Vulnerability - Canada – EDI<br />

<strong>Child</strong>ren 5-6 yrs<br />

% Vulnerable<br />

30<br />

20<br />

10<br />

0<br />

Q1 Q2 Q3 Q4<br />

SES - Income<br />

Adapted from NLSCY/UEY 1999-2000;<br />

EDI 1999-2000


07-027<br />

% Vulnerable<br />

Australia – AEDI<br />

<strong>Child</strong>ren 5-6 yrs.<br />

40<br />

30<br />

20<br />

10<br />

Low<br />

1 2 3<br />

4<br />

5<br />

6<br />

SES - Income<br />

High


07-155<br />

AEDI Results - SA<br />

% Vulnerable on 1 or more Test<br />

Roxby Downs 15.6<br />

Port Augusta 43.1<br />

Ingle Farm 32.5<br />

Salisbury East 16.9<br />

Alberton 10.5<br />

Croydon Park 43.3<br />

Seaton 50.0


New<br />

In Ontario and South Australia,<br />

about 25% of children are<br />

vulnerable at Age 5<br />

In Ontario over 40,000<br />

children<br />

In South Australia, over<br />

5,000 children


New<br />

Parent<strong>in</strong>g


03-018<br />

Vulnerable <strong>Child</strong>ren Aged 4 to 6 –<br />

NLSCY 1998<br />

40<br />

Prevalence of<br />

Vulnerable<br />

<strong>Child</strong>ren<br />

30<br />

20<br />

Ontario<br />

Rest of Canada<br />

10<br />

0<br />

-1.5 -1.0 -0.5 0.0 0.5 1.0 1.5<br />

Socioeconomic Status


07-096<br />

07-080<br />

07-080<br />

Parent<strong>in</strong>g Style<br />

% of Population<br />

Authoritative 33%<br />

Authoritarian 25%<br />

Permissive 25%<br />

Irrational < 17%


% of children<br />

99-005<br />

The Prevalence of <strong>Child</strong>ren Vulnerable<br />

by Parent<strong>in</strong>g Style for Ontario<br />

45<br />

40<br />

35<br />

30<br />

25<br />

20<br />

15<br />

10<br />

5<br />

43.5<br />

30.0 29.1<br />

19.6<br />

0<br />

Permissive<br />

irrational<br />

authoritarian permissive authoritative


New<br />

Factors to be considered<br />

<strong>in</strong> clos<strong>in</strong>g the gap<br />

Role of women <strong>in</strong> society<br />

Mov<strong>in</strong>g to knowledge-based society<br />

Socio-economic circumstances<br />

Investment for the future


07-055<br />

What Provides the Best Results<br />

for <strong>Early</strong> <strong>Child</strong> <strong>Development</strong>?<br />

Full year Centre-based programs<br />

that:<br />

Start early<br />

Involve parents<br />

Home visit<strong>in</strong>g<br />

Qualified staff <strong>in</strong> neuroscience and<br />

development


05-029<br />

<strong>Early</strong> <strong>Child</strong> <strong>Development</strong><br />

and Parent<strong>in</strong>g Centres<br />

Offer from conception to school entry<br />

Provide support for parents<br />

Learn parent<strong>in</strong>g by do<strong>in</strong>g<br />

Provide full day/full year non-parental care<br />

Amalgamation of education and health<br />

programs based on primary schools sites<br />

L<strong>in</strong>k to <strong>Child</strong>ren’s Services as needed


Set<br />

Parental Leave<br />

Provide 18 months parental leave<br />

with <strong>in</strong>come support, followed by one<br />

day weekly leave for both parents<br />

until age three to be <strong>in</strong>volved <strong>in</strong> the<br />

<strong>Early</strong> <strong>Child</strong> <strong>Development</strong> & Parent<strong>in</strong>g<br />

Centre.


07-048<br />

Staff for ECD Centre<br />

Well educated and tra<strong>in</strong>ed<br />

Need to understand new knowledge<br />

from neuroscience and biological<br />

sciences<br />

Pay scale the same as for teachers


07-115<br />

ECD-P Centre &<br />

<strong>Child</strong> Protection<br />

Courts could refer child to the<br />

centre with care provider<br />

For homeless mothers –<br />

<strong>Residence</strong> and ECD-P Program


04-043<br />

<strong>Child</strong> <strong>Development</strong> & Parent<strong>in</strong>g Centres<br />

Age 0 to 6 (Includes JK & SK)<br />

Cost Per <strong>Child</strong><br />

Prov<strong>in</strong>ce of Ontario $7,500<br />

Federal Reserve Bank $9,500<br />

USA<br />

Estimates for SA<br />

$7,500<br />

(per <strong>in</strong>fant, toddler & young child 0-6 yrs old)


04-034<br />

Barriers to Implement<strong>in</strong>g<br />

ECD-P Programs<br />

1. Economics<br />

2. Lack of understand<strong>in</strong>g (public and<br />

professional)<br />

3. Lack of qualified staff<br />

4. The state as a nanny<br />

5. No commitment to equality of opportunity<br />

for all young children


97-044<br />

The Mismatch Between Opportunity<br />

and Investment<br />

Bra<strong>in</strong>'s "Malleability"<br />

Spend<strong>in</strong>g on Health,<br />

Education and Welfare<br />

0 3 10 70<br />

Age


02-056<br />

Policies to Foster Quality<br />

Human Capital<br />

"We cannot afford to postpone <strong>in</strong>vest<strong>in</strong>g <strong>in</strong><br />

children until they become adults nor can we<br />

wait until they reach school - a time when it<br />

may be too late to <strong>in</strong>tervene."<br />

Heckman, J., 2001<br />

(Nobel Prize Economics, 2000)


Public expenditures for children 0-17 years of<br />

age, Sweden 1995, by age of child<br />

200000<br />

160000<br />

SEK/year<br />

120000<br />

80000<br />

40000<br />

0<br />

0 2 4 6 8 10 12 14 16 18<br />

Year<br />

Transfers Preschool School Healthcare


01-050<br />

‘Give everybody a fair chance.<br />

This means <strong>in</strong>vest<strong>in</strong>g <strong>in</strong> childhood<br />

nutrition and preschool education.’<br />

The Economist, Oct 7, 2006


<strong>Early</strong> <strong>Child</strong> <strong>Development</strong>, Human<br />

Evolution and the Cont<strong>in</strong>u<strong>in</strong>g Evolution<br />

of Civilizations <strong>in</strong> the 21 st Century<br />

05-216<br />

Improve health and well-be<strong>in</strong>g of populations<br />

Improve ability and the competence and<br />

capability of populations<br />

Cont<strong>in</strong>ue evolution of democratic, tolerant,<br />

pluralistic, susta<strong>in</strong>able societies<br />

Improve equity <strong>in</strong> health, literacy and <strong>in</strong>come


07-039<br />

If the Government of South<br />

Australia can put <strong>in</strong> place quality,<br />

universal and accessible ECD-P<br />

Centres, they will be world leaders<br />

<strong>in</strong> provid<strong>in</strong>g equality of opportunity<br />

for all young children.


Pilot Projects<br />

Pt Augusta<br />

Kaurna Pla<strong>in</strong>s


07-018<br />

Council for <strong>Early</strong> <strong>Child</strong> <strong>Development</strong><br />

Putt<strong>in</strong>g Science Into Action<br />

“…What we envision will be a first "tier" program<br />

for early child development, as important as the<br />

elementary and secondary school system and<br />

the post-secondary education system. The<br />

system should consist of community-based<br />

centres operat<strong>in</strong>g at the local level with<strong>in</strong> a<br />

prov<strong>in</strong>cial framework…”<br />

<strong>Early</strong> Years Study<br />

McCa<strong>in</strong> & Mustard, 1999. p. 20


01-039<br />

www.founders.net<br />

To download this presentation, go to:<br />

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References<br />

References<br />

1. From <strong>Early</strong> <strong>Child</strong> <strong>Development</strong> to Human <strong>Development</strong>.<br />

Editor: Mary Em<strong>in</strong>g Young, World Bank, Wash<strong>in</strong>gton, 2000.<br />

2. Synaptic Self: How Our Bra<strong>in</strong>s Become Who We Are.<br />

Joseph LeDoux, Vik<strong>in</strong>g Pengu<strong>in</strong>, New York, 2003.<br />

3. The End of Stress As We Know It. Bruce McEwen, Joseph<br />

Henry Press, Wash<strong>in</strong>gton, 2002.<br />

4. <strong>Development</strong>al Health and the Wealth of Nations. Editors:<br />

Daniel P. Keat<strong>in</strong>g, Clyde Hertzman, The Guilford Press,<br />

New York, 1999.<br />

5. From Neurons to Neighborhoods. The Science of <strong>Early</strong><br />

<strong>Child</strong> <strong>Development</strong>. Editors: Jack P. Shonkoff and Deborah<br />

A. Phillips, National Academy Press, Wash<strong>in</strong>gton, 2000.<br />

6. <strong>Early</strong> Years Study, F<strong>in</strong>al Report Revers<strong>in</strong>g the Real Bra<strong>in</strong><br />

Dra<strong>in</strong>. Hon. Margaret Norrie McCa<strong>in</strong> and J. Fraser Mustard,<br />

Publications Ontario, Toronto,1999.


7. Vulnerable <strong>Child</strong>ren. Editor: J. Douglas Willms, University of<br />

Alberta Press, Edmonton, 2002.<br />

8. Read<strong>in</strong>ess to Learn at School. Magdalena Janus and Dan<br />

Offord, In: Isuma (Canadian Journal of Policy Research) Vol. 1,<br />

No. 2, 2000.<br />

9. Why are some people healthy and others not? Editors: Robert<br />

G. Evans et al, Ald<strong>in</strong>e De Gruyter, New York, 1994.<br />

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