CALIFORNIA STATE UNIVERSITY, NORTHRIDGE THE USE OF VIDEO AS A MEDIUM IN A PARENT EDUCATION PROGRAM FOR TEENAGERS A graduate project submitted in partial satisfaction of the requirements for the degree of Master of Arts in Education, Early Childhood/Special Education by Sharon Joy Fiden May 1985 The Graduate Project of Sharon J. Fiden is approved: California State University, Northridge ii This project is dedicated to all those teenagers who are faced with the challenging task of raising children, and of course, to their children. iii ACKNOWLEDGEMENTS: To the YMCA Youth & Family Center of Lawndale, California, the setting for this project. Gayle Nathanson, Executive Director Stephanie Vendig, Director of Children's Programs for their valuable input. Special thanks to Valerie Copelan who collaborated with me on The Guidelines. To Bruce & Matt, for their love and support, iv TABLE OF CONTENTS PAGE CHAPTER Dedication iii iv Acknowledgements Table of Contents. v viii Abstract I. II. THE PROBLEM AND BACKGROUND 1 The Problem . . . 1 The Background. 2 REVIEW OF THE LITERATURE . 6 At Risk Characteristics for Mother . • 7 Physical . • . • Psychological. Social . Economic . At Risk Characteristics for Child . . 9 Physical . Cognitive. Behavioral . III. Child Development Knowledge • . 11 Interactional Behavior • . . 12 The Use of Video in Teaching Child Development and Parenting. 15 To Teach Child Development 15 To Teach Parenting Skills • . 15 THE NARRATIVE . • 18 v PAGE CHAPTER VI. I. II. III. IV. 24 Introduction A. Uses of Video. B. Use of Guidelines . . Uses of Video . . . . • A. Goals/Suggested Tapes . . B. Observation of Child . . C. Observation of Parent/Child Interactions . D. Fundraising . . E. Public Relations . 26 32 Taping . . A. Ethical Considerations • . B. Legal Considerations • . C. Psychological Considerations . D. Technical Considerations . Previewing 34 V. Viewing. 35 VI. Record . 36 VII. Budget . 37 Equipment. 38 VIII. IX. V. 23 THE GUIDELINES . • . . • The Guidelines: In Summary. 40 42 CONCLUSION. Summary • 43 Next Steps for the YMCA Youth & Family Center . . . . • . • • 43 vi CHAPTER PAGE VI. REFERENCES . . 44 VII. BIBLIOGRAPHY. 46 APPENDIX . • . . 47 VIII. vii ABSTRACT THE USE OF VIDEO AS A MEDIUM IN A PARENT EDUCATION PROGRAM FOR TEENAGERS by Sharon Joy Fiden Master of Arts in Education, Early Childhood/Special Education This project describes why and how video can be used as an educational tool to teach parenting skills to school-age parents. The project was developed as part of a grant from the State Department of Education and the Office of Child Abuse Prevention to the YMCA Youth & Family Center in Lawndale, California. The paper relates how the recognition that adolescent pregnancy and childbearing incur a series of high-risk conditions for mother and child was translated into practical application. That application was the development of a parent education program which used video to teach parenting skills. The paper includes a chapter reviewing pertinent literature which discusses first, the problems that occur when adolescents have viii children and, second, the use of video in parent education. A narrative chapter describes the advantages of video as they become apparent to the writer through her experience. The fourth section is a set of guidelines for other professionals to consider when instituting video as an educational tool for parent education in their own program. ix The Use of Video as a Medium in a Parent Education Program for Teenagers The Problem The purpose of this paper is to describe why and how video can be used as an educational intervention tool in order to teach parenting skills to high-risk adolescent parents. This project grows out of my experience as the Parent Educator/ Child Development Specialist for the YMCA Youth & Family Center in Lawndale, California. The Center is a comprehensive service agency for pregnant teenagers and school-age parents. The Guidelines, Chapter III, were developed as part of a grant awarded to the YMCA Youth & Family Center by the State Department of Education and the Office of Child Abuse Prevention. As the project progressed, it became clear that it was also desirable to include in the Guidelines some considerations describing the process of implementing and then integrating video into a program for school-age parents. They are written for use by professionals in the field; the Guidelines supplement videotape examples and workshops. The original intent of the grant was expanded as we discovered that video was useful not only for training of parents but also as a tool for staff members and the community. The problem was finding, first, how most effectively to use video to teach teenage parents parenting strategies and, second, how to transmit what we learned to other professionals so that they could use video in their programs. 1 2 The Background It is reported that one million American Teenagers become pregnant each year. 600,000 girls end up giving birth with 90% of them choosing to keep their.babies (Cannon-Bon Ventre, 1979). Of six countries studied by The Alan Guttmacher Institute, the United States is the only one in which the incidence of teenage pregnancy has, over the past decade, been rising, despite the fact that the six countries are equally matched in the amount of sexual activity in their adolescent populations. The United States is the only country where the average age of the teenage mother is declining. More than five out of every one thousand girls aged fourteen are becoming pregnant (Jones, 1985). Canada. This percentage is four times the rate in Our northern neighbor is the only other country with as much as one birth per 1,000 girls of comparable age according to the Guttmacher Study. Adolescent pregnancy and childbearing incurs a high risk for both the mother and the child. long term in nature. Adverse conditions are both short and For the mother, there are potential prenatal and postnatal medical complications: marital instability, shortened educational achievements, limited employment possibilities, isolation and the increased chance of subsequent pregnancy. For the infant, there are prenatal medical risks and after birth, potential developmental delays, possible behavioral disorders and the high likelihood of a childhood of poverty, abuse and neglect. The need has been recognized by various social and governmental agencies for intervention programs to help teenage families 3 overcome these risks. The YMCA Youth and Family Center of the Centinela Valley was established in 1981 to help school-age parents; the following services are offered at one site: - medical monitoring of the pregnant girl and then the infant - child care counseling services for the teenager and his/her family - vocational counseling - parent education The Center is located adjacent to Lloyde School, a Los Angeles County classroom for pregnant girls. Each enrolled student is assigned a counselor and, through an intake process, is evaluated for needed services which are then provided. My role at the Center is that of the Parent Educator. It is my job to teach child development information to the pregnant girls. conduct a group once a week. I Each session focuses on a separate topic such as feeding or infant development. hours a week working in the Infant Room. The girls spend two While they are at the Center, we informally discuss their observations. Child development information and specific parenting strategies are also taught to the school-age parents. This occurs through discussions in the Infant Center, individual meetings and a weekly "Mommy and Me Group." Providing parent education to adolescents presents a unique set of problems for educators. Curriculum and techniques of teaching geared for the older parent do not always meet the needs of the 4 younger parent. Specific information is not always appropriate. For instance, parent education materials often reflect an intact household - Mother, Father and Baby when in fact, many teenage mothers and their infants live with the mother's family. A typical household for the mothers and babies might include mother, baby, grandmother, aunts and uncles. Reading materials are written above the reading level of many teenage mothers and therefore are not understandable. Thus, a parent education program geared towards school-age parents must be modified so as to be responsive to the various social, psychological and cognitive aspects of this publication. The use of video as a tool for teaching child development information and parenting skills was conceived of as a way to meet these special needs. Video has already been used successfully for: individual and group therapy; teaching child development; social skills training and parent education for older parents (Dowrick, 1983). There are numerous advantages to using video as a teaching tool. It is convenient and easy to use. With the advent of lightweight, portable home equipment for purchase, educators can purchase video for less than $3,000.00. No special training is needed in order to use the equipment; and an in-house videotaping crew can be developed with sufficient practice on the equipment. It is a great advantage to have an in-house production crew already sensitized to the issues and pecularities of the population to be served. Their tapes may not be technically as good as professionals' but the content may be more appropriate. 5 Video is cost-effective; one can use videotapes repeatedly. With two video cassette recorders, simple editing can be done without.the use of professional editing equipment. The greatest advantage of video is the fact that one has instant feedback. After one has filmed, one can immediately replay the tape to closely observe details of action. Video is a natural medium for work with teenagers •. They are committed television watchers and their narcissistic emotional level make them eager to see themselves on screen. II. REVIEW OF THE LITERATURE This chapter will address the problems that occur when adolescents have children. the mother and on the child. This includes the specific effects on The final section of the Review of Literature covers the use of media in parent education. The birthrate among American teenagers is on the increase. early childbearing comes a set of high-risk adverse conditions. With The literature supports the following effects that adolescent childbearing and childrearing have on the mother and on the child: Effects on Mother - physical, prenatal and postpartum - social - economic Effects on Child - physical - cognitive - behavioral Effects on Mother/Child Interaction - expectations of developmental milestones - behavioral characteristics of interaction There is little written on the use of media in parent education and even less on its use in parent education programs specifically designed for teenagers. 6 7 At Risk Characteristics for Mother Physical Teenagers tend to be susceptible to conditions which place them at medical risk during pregnancy. Anemia, toxemia, uterine dysfunction, abruptio placenta and premature delivery are more common in this population (Phipps-Yonas, 1980). The chronological age of the mother is sometimes blamed for this. It is felt that perhaps these girls get pregnant too soon after menarche or that their reproductive system is physiologically not mature enough yet to withstand the physical demands of pregnancy. An overuse of drugs, drinking or smoking by the teenagers are blamed as strong contributing factors. Poor nutrition before and during pregnancy - the co.mmon teenage hamburger, fries and coke syndrome- is also listed as a possible cause (Phipps-Yonas, 1980). Many young mothers-to-be do not seek out prenatal care until late in their pregnancy. Pregnancy symptoms might be attributed to other causes such as a stomach virus. It has been found that the medically at-risk factors can be greatly reduced if quality prenatal care is provided for through an intervention program (Phipps-Yonas, 1980). The adolescent girl is just beginning to get comfortable with her changing and maturing body. Pregnancy, labor ar,d delivery bring about new bodily transformations (Catrone & Sadler, 1984) that require adjustment. 8 Psychological During early parenthood teenagers face the developmental crises of adolescence and the demands of parenthood simultaneously. The specific psychological tasks of adolescence may run into direct conflict with those of parenthood. narcissistic and egocentric. towards her/his child. Teenagers are typically A parent must be able to be empathic There should exist a relationship of mutuality between mother/father and child, but the teenager's narcissism and egocentrism impede this development. The teen parent is in the process of forming her/his own identity. Parenting imposes its own roles and tasks that are not very flexible (Catrone & Sadler, 1984). Social Early parenthood often shortens the educational attainment for teens who have babies. Women having their first child at age 15 completed two years less schooling than women who were still childless at age 24. Over half of all teen mothers, in a study by Furstenberg (1976), never graduated from high school (Stevens, 1980). Marital instability, if marriage occurs, is very high. 60% of fifteen to nineteen year old mothers will marry their child's father, (Cudaback, 1984), but these marriages are three times as likely as ones' of the over 18 year old population to end up in divorce (Cudaback, 1984). Teen wives are also more likely to be subjected to abuse (Cudaback, 1984) than women who marry later on. The teen years are a time for separating from one's parents 9 and family. Having a child at this time prolongs the dependence, as the maternal family is needed to help financially and to provide support. Instead of a successful separation from home and a development of a feeling of self-sufficiency, the mother continues living with her family. Economic Adolescent mothers have significantly lower incomes and work in less prestigious jobs than women who delay childbearing. Early parenthood also increases the likelihood that one will be on welfare for a portion of one's life (Stevens, 1980). Closely correlated to the future economic status of a teen mother is the issue of subsequent pregnancies. Furstenberg (1976) reported in his study that one-quarter of the teen mothers became pregnant again within one year and over 40% became pregnant again in two years. At-Risk Characteristics for Child Physical The first risk the infant faces because she is born to a teenager is medical. Premature birth, low weight for date and low Apgar scores are not uncommon to newborns whose young mothers have not sought out good prenatal care (Broman, 1981). In addition, conditions due to the use of toxic substances during pregnancy such as fetal alcohol syndrome or due to nutritional deficits appear frequently in this population (Phipps-Yonas, 1980). Given adequate prenatal care, a teenager in purely physical terms can produce an infant with little physical risk to herself and 10 to the infant. But the risk to the infant has not ended with a healthy birth. In fact, the real risk is just beginning. Cognitive Broman (1981) in a study of the longterm development of children born to teenagers found that while these infants at eight months showed performance scores slightly superior on the Bayley motor to those of infants of older .mothers, by the age of four, these children had lower IQ scores, less advanced motor development and a higher frequency of deviant behavior. Broman's work is cited repeatedly in other peoples' writings, but caution must be exercised in using these results because the effects of SES were not identified. Oppel and Royston (1971) did a study of the offspring of eightysix mothers, half of whom were under the age of eighteen. In this study, socio-economic level, race and birthweight were carefully matched. Results showed that while IQ tests at age eight showed no significant differences, only 29% of the children of teens were reading at grade level while 50% of the children of the older mothers were. The children of the teenagers also had more behavioral problems and tended to be underweight and shorter (Field, 1981). Other studies have also found that by age five, the offspring of teenagers scored lower on vocabularly tests and by the ages nine through eleven these same children were also more likely to have reading problems than children of older mothers (Honig, 1984). British studies which were controlled for socioeconomic status linked lower maternal age with a lowered IQ and Furstenberg in the early 1970's found a marked deficit in the cognitive performance of teenage offspring (Field, 1981). Behavioral Behavioral differences between children born to adolescent parents and children born to older parents have been discovered. Chilman (1980) reported that children of teenage parents have more difficulty adjusting to school and by their own adolescence, exhibit more severe behavioral problems than the children of older parents. Phipps-Yonas (1980) found that the children of teenagers are more dependent, more distractible and are low in responsiveness and affective expression. Child Development Knowledge Literature on teenage parents consistently states that young parents have an unrealistic time table for the attainment of developmental milestones in their children. In an often cited study, de Lissovoy, (1973) found that on a questionnaire about developmental milestones, adolescent parents overestimated the speed of development for walking, talking, toilet training, sitting alone and recognizing wrong doing by several months. De Lissovoy (1973) stated, "In general, I found the young parents in this study to be, with a few notable exceptions, an intolerant group - impatient, insensitive, irritable and prone to use physical punishment with their children" (p 0 22). Tiffany Field (1981) in her study of the preterm offspring of teenage mothers, found conflicting data. Her results showed that while mothers of preterm infants thought that their children would achieve developmental milestones earlier, mothers of full term 12 infants thought that these achievements would occur much later than the norm. Interactional Behavior It is the interactional behavior or parenting ability of the adolescent mother that is of particular concern. I have already quoted de Lissovoy's reaction to teenage parents; in 1957, Sears found young mothers to be irritable, quick to punish and more likely to express a feeling of hostility towards their children (Granger, 1982). Teenagers frequently begin motherhood with the feeling that their newborn is more like a doll or toy than a responsive, needing person. Teen mothers are overly concerned with Grossman, 1980). ''spoiling~' their babies (Wise & I hear over and over again from mothers with children ranging from newborn to preschoolers that their children are "spoiled brats." Host pregnant teenagers upon questioning, believe that you can spoil a young baby. The mother's behavior is affected by this attitude because she feels that being "too responsive" to her child will merely reinforce spoiling. Landy et al. (1983) in a review of studies on the mother/infant interaction of teenage mothers found nine characteristics which typify the relationship. 1. He reported that teenage mothers: Interact less adequately with their infants than older mothers 2. Experience severe frustration 3. Are less verbal to their children 4. Lack knowledge and experience in child rearing 13 5. Have unrealistic expectations of child development 6. Have a low threshold of frustration tolerance 7. Have difficulty responding to the infant's cues and instead, enforce their own demands for certain behaviors on their babies 8. In face-to-face interactions, speak less, play less and are less contingently responsive 9. While feeding, hold their infants in less optimal positions and gazed less (Landy, et al 1983). Landy et al. (1983) conducted an extensive study of teenage mothers with their infants. They observed the mothers with their children when the infants were sixteen weeks, twenty weeks, twentyfour weeks and fifty-two weeks old. The Brazelton was done on the children when they were three days old. At twelve months of age, the HOME, the Bayley and the Ainsworth Strange Situation procedure were administered to the children. Results found a deterioration in the quality of the face-to-face interaction of the young mothers while the control group of older mothers demonstrated an improvement. Observations and maternal communication suggested that the younger mothers became more disillusioned with motherhood and exhibited more and more signs of regret. The teenage mothers did exhibit a higher degree of affectional behavior such as kissing, hugging or rocking and engaged in more caregiving behaviors but they were less contingently responsive to their infants. All the teenage mothers were eager for the observers to continue coming to visit them after twelve months and they did maintain contact with the researchers. The researchers felt the observers represented 14 a noncritical, nonjudgmental person who showed concern for their infants and that even this brief amount of nourishment helped the girls to respect themselves as mothers more and to value their infants more (Landy et al, 1983). Le Resche et al. (1983) did a study of forty-five teenage mothers, ages fourteen through eighteen and their infants. After repeated observations of the mothers with their infants in an infant center room, it was found that physical contact was high, but en face positioning, smiling and vocalizing were not. The amount of physical contact did decrease with age, while looking, smiling and vocalizing increased with the infant's age. A high score on the General Health Questionnaire, assessing mother's mental health, correlated significantly with a high quality interaction - "looking while in contact." These findings agree with other studies but there is a flaw in the observational procedure. The mothers were viewed in a room where from five to ten other mothers were present at the same time. In my observations of mothers and infants in the infant care room at Lawndale, I find that the girls are always, understandedly, much more interested in relating to the other teenagers in the room than to their own infants. They hold their infants but their attention is focused on socializing rather than being with their children. Observations done in the home where peer contact is limited could possibly yield different results. Tiffany Field, (1980) reports data from the infant's perspective. Infants who at birth received optimal Brazelton scores and were more developed motorically on the Brazelton at birth and the Denver at 15 three months of age, engaged in less eye contact and emitted fewer vocalizations at three months of age. who were relatively inactive. Their mothers were teenagers Thus, already at the age of three months, the infants' behavior is reflecting their mothers' interactive skills. The Use of Video in Teaching Child Development & Parenting Video has been successfully used for various types of educational and training purposes such as academic instruction, social skills training and therapy. It has become an increasingly popular tool to use with parents and those who use it feel that video is "almost a necessity." One study reported that, of the several techniques used in their parent training group, parents felt that video was the most beneficial (Heilveil, 1984). To Teach Child Development Videotapes have been used to teach child development to undergraduate students at Kennesaw College in North Carolina. (1984) taped infants from 18 days old to 16.5 months old. P. Trnavsky By editing segments, she made five videotapes, each pertaining to a separate aspect of development: sensorimotor thinking; gross motor; fine motor; social and early language. The tapes are reported to be lacking in technical quality but they were useful in educating students about infant development. To Teach Parenting Skills Heilveil (1984) describes a program for training parents individually that was developed in 1968 by Dr. M. Bernal and her colleagues at U.C.L.A. Video was used to first assess the parent/ 16 child interaction. Tapes were then shown to parents in order to demonstrate areas where certain skills need to be used. Taping was then done of an interaction in which the parent uses the newly acquired skills. Parents were shown these tapes immediately to reinforce their behavior. The tape then could be used by the therapist to review and to plan for the next session. It was felt that this training program was highly successfully in increasing the degree of mutual affection between parent and child and in decreasing undesirable "brat behaviors" from the child. The San Fernando Valley Child Guidance Clinic uses videotaped vignettes in their parent education classes; typical would be a fairly common but problematic situation such as a child disrupting a parent while the parent is trying to clean. After discussion of possible strategies which parents might employ, tape segments of possible interventions are viewed (Heilveil, 1984). These tapes are professionally produced and use actors to depict the parents and children. Heilveil (1984) has employed actors as role models in tapes used for his "confident parent" program. Tape viewing is combined with roleplaying, rehearsal and homework in highly structured workshops. It has been reported that Alex Grey has used videotapes to train aborigine parents in child development in Australia almost fifteen years ago. The use of video for parent education specifically aimed at young mothers was reported by T. Williams (1974). She worked with 17 Q young mothers who were living in group homes with their children. During the day the mothers went out to work and caregivers came and took care of the children. with the children. tapes. Taping was done of the caregivers playing The mothers were not interested in seeing the The authors concluded that this reflected a lack of self- confidence concerning motherhood as the adolescents would think that the caregivers would appear on tape to be better mothers than themselves. The Williams' study illustrates the importance of sensitivity when working with school-age parents. The low self-esteem of teen parents must always be kept in mind so that the educator working with video tape does not end up exacerbating the teen's feeling of inadequacy. • III. THE NARRATIVE The Early Parenting Project Grant evolved into a two-fold program. The first was the production of a formal film on parent education specifically designed for adolescent parents. This was made by the YMCA Youth & Family Center in collaboration with Churchill Films. The second aspect of the grant was the development of a set of guidelines describing the use of video as an educational intervention tool in a program for school-age parents. The original intent was to use video solely for the purpose of teaching parent education but the more familiar we become with the medium, the more uses we found for it. It was our experience in working with the teen population that they were particularly resistant to the more common teaching and intervention methods employed with older parents such as lectures and reading materials. We hoped that by appealing to the adolescent's developmentally normal narcissism and their desire to see their own children on the television screen, we could keep the parents interested long enough to do some productive interventive and educational work. The rest of this chapter describes the ways in which video was employed at the YMCA Youth & Family Center over the past ten months. Some of the problems and the ways in which we handled them are included. The Parent Educator/Child Development Specialist and a Counselor/M.S.W. were selected as the two staff members who would 18 19 actually be using the video equipment. We assumed that a multi- disciplinary team would be more effective than just the Parent Educator or the Counselor alone. The informal use of video at the Center began by first desensitizing the staff and clients to the process of filming. This was done by explaining carefully our purpose in filming, who would be viewing the tapes, informing people that they had a choice as to whether or not they wanted to be filmed and assuring everyone that -they would always know when they were being filmed. We randomly filmed and played the tapes back for staff and clients to see. There was very little resistance to being filmed. Those who were resistant felt comfortable after seeing some footage of themselves. Care was taken to maintain confidentiality of the material at all times. The tapes were literally kept under lock and key. Initially we feared that the presence of the camera would alter behaviors. We were particularly concerned about this because we wanted to tape mother/child dyads which were identified as high-risk for abuse and neglect. The interactions between the two appeared to be extremely poor and in some instances actually physically abusive. We found that behavioral patterns were not altered. The camera was able to capture even those interactions which we judged to be the most detrimental to the child's physical and mental health. Staff members, especially the caregivers in the Infant Room, rather than the teens, were the most self-conscious. vfuen the camera 20 was on, caregiving acquired a frantic quality. Other staff members would suddenly appear in the room where we were filming. We learned to be more assertive in controlling the environment for unwanted visitors, sound,-and lighting. After filming for several months, everyone got used to having the camera around and these problems lessened. Our next concern was how to present the material on tape to the school-age parents. not difficult. Interactions that were felt to be positive were We watched the tape with the parent and reinforced positive behavior by commenting upon it. We would always play the tape first without any critizing and gave comments only during the second viewing. This gave the parent an opportunity to reflect on what she was observing without interruption. The question of whether or not to playback negative sequences to the parents was one which we agonized over for several months. Consultants gave us mixed opinions. We finally decided to show one parent a tape of herself diapering and washing the face of her eleven month old daughter. In this sequence, the mother handles the baby very roughly and has been observed to be abusive in the same situation. There is no verbalization between the dyad except for one instance where the mother says "Stop it" when the baby tries turning away from the rough cloth on her face. made by either the mother or baby. No attempt at eye contact is The affect of the sequence is anger and impatience from the mother and sadness and withdrawal from the baby. Our decision to show this tape was based not on the desire to critizise the mother, but on the need to try and get her to see the 21 interaction from her baby's point of view. The mother of this sequence had a reputation at the Center for being very resistant to any encounter with the staff. But when we asked her if she would like to see the tape with us, she eagerly and immediately agreed to do so. interruption. The tape was shown once without During the second viewing the mother made her own observations about what we were seeing without any prompting from staff. She spoke about how she remembered having her face washed as a child and how much she dislike it. She then was able to transfer that piece of reflection into a behavioral change as we all problemsolved together as to how she could alter the daily routine of washing her daughter's face into a pleasurable activity. solution was to play peek-a-boo with the washcloth. The The next time we saw this parent wash her daughter's face, we observed a change in the interaction. It has been noted that viewers who see themselves on tape have immediate access to their personal history and feelings which a therapist does not have (Biggs, 1984). This intervention certainly was an example of this. Our hesitation and fear of showing negative examples to the parents was alleviated and we successfully went on using what we deemed as poor interactions for instructional or interventive purposes. Repeatedly, parents screened out what they did not wish or were not ready to see but did observe enough to make our sessions productive. A side benefit of staff and clients filming and then viewing 22_ tapes together was that it became a time of pleasure. seeing the babies on screen. Both enjoyed Even the room in which viewing took place was initially decorated to feel more like a livingroom than an office. Much needed rapport between parents and staff was built from these relaxed sessions. It was found that parents sought staff out more for advice and counseling than they had previously. Concurrently with our informal video taping at the Center, the Churchill Film was made. This gave us a first-hand opportunity to compare the two mediums: film and video. Film can be shown to a larger audience and technically is of a higher quality. The advantage of video over film for our purposes became quite clear. Video is cheaper and the equipment is easier to use. is that video provides immediate feedback. But the real advantage With video one can create a staged scene with a parent and use it for self-modelling. can also be used for modelling. with the role model on screen. Peers This insures maximum identification Many of the commercially produced films depicted middle-class, white, intact families which made them unsuitable as examples for our teen population. p • IV. THE GUIDELINES The next section constitutes The Guidelines. They were developed as part of the Early Parenting Project Grant awarded to the YMCA Youth & Family Center so that other school-age parent programs would be able to incorporate video into their parent education component. While The Guidelines were designed to stand on their own, it is hoped that readers will also attend one of several workshops which will be given by the Center staff. 23 24 THE GUIDELINES I. INTRODUCTION A. Uses of Video Vieleo is an eff ec t-ive-±rrterverrtton-tool-f-or-use-in-we-r-k-ing--------with high-risk adolescents and young adult parents. Today's youth are already expert TV watchers and are comfortable with this medium. TV is more intimate than film, and is simpler and more cost-effective to reproduce. Adolescents are normally narcissistic, self-centered, and closely involved with their peers. They also have difficulty achieving perspective on how they present themselves. These normal developmental patterns are usually not altered through the onset of having a child. If anything, parenting becomes an additional burden to the teen who is already confronting the challenges of developing a positive sense of self. Video provides the opportunity for teens to see themselves or other teens with whom they can identify. Interactions viewed on tape speak for themselves. Finally, the tapes can serve as a voice for the child. By focusing on the responses of the infant to parent-infant interactions, the parent can begin to develop an awareness of the child as a unique entity, and become sensitized to the cues and needs important to the child. Frequent and informal tapings of parent-child interactions assist young parents in making self-assessments of their 25 functioning as a parent, and enhance their ability to assess and respond to the needs of their children. B. Use of Guidelines This guide was developed as part of an Interagency Agreement between the Department of Education (DOE) and the Office of Child Abuse Prevention and the YMCA Youth and Family Center. It is intended to be used to assist professionals who wish to incorporate video into their programs. The focus of the guide is on the process of implementing and integrating video rather than on the technical aspects of the equipment. He have found this medium to be a valuable intervention tool that can be used by a wide range of professionals, such as: social workers, counselors, teachers, child development specialists, nurses, vocational counselors, and caregivers. Our initial goal was to use video as a deterrent to child abuse by teaching parenting skills to teenage parents. However, the more familiar we became with this medium, the more uses we found for it. We anticipate that as you discover the power of video, you too will do the same. 26 II. USES OF VIDEO We have found video to be a medium useful in the training and education of staff, students, teen parents, volunteers and community members. The following list delineates expressed goals of our Center and tapes that could be developed to accomplish them. They are intended to stimulate ideas of how video might be used in other programs. A. GOALS/SUGGESTED TAPES 1. Goal: To develop an awareness of behavior and attitudes of the population being served. Suggested Tape: A group of teen parents discussing spanking as their method of discipline - alternatives could then be discussed. 2. Goal: To demonstrate appropriate caregiving behaviors. Suggested Tape: Show examples of how to bathe a baby or comfort a crying child. 3. Goal: To raise the level of competency of staff through self-observation. Suggested Tape: Caregivers engaged in routine activities with child 27 and play back for them. 4. Goal: To impart child development information. Suggested Tape: Topics might include: 1. Bonding - Tape of mother nursing her baby or bottle feeding in nursing position. Stress should be on mutual gazing, reciprocity, touching, singing. 2. Attachment Behavior - Tape of 8 month old baby showing preference for mother as primary caregiver. 10 month old infant checking in with mother during solitary play. 3. Separation - Tape of drop-off of baby. Show baby at peak ages for separation anxiety, i.e., 7 - 12 months old, 15 - 18 months old, in order to illustrate baby's reaction. 4. Discipline - Tape of potential areas of conflict, i.e., supermarket shopping, exploration of objects, and strategies for intervention, particularly alternatives to spanking. 5. Oppositional Behavior - Tape illustrating baby saying NO or not listening to parent, 28 i.e., toddler dawdling while mother is in a hurry to leave. 6. Temper Tantrums/Child's Anger- Tape of child decompensating during a tantrum. Demonstrate various methods of handling. 7. Toilet Training- Tape discussing appropriate age range to begin training; signs of readiness in the child and methods of training. 8. Caregiving Tapes of routine caregiving activities such as diapering, bathing, feeding, stressing the importance of the quality of the interaction. 9. Feeding - Tape discussing infant nutrition along with an understanding of self-feeding and potential areas of conflict between mother and child such as mother force feeding infant. Tapes on bottle or breastfeeding. 10. Safety - Tape on child-proofing the environment. Show a kitchen with all the potentially dangerous areas. 11. Health - Tape on common illnesses, when to call a doctor, how to take temperature, how to administer medicine. 12. Play - Tape on the importance of play and 29 and age-appropriate play. 13. How to Choose Child Care - List of different types of child care available and questions you might want to ask. 14. Developmental Growth - Tape stressing sequences of motor skills rather than individual milestones. 5. Goal: Vocational guidance. Suggested Tape: Teens role playing job interview. B. OBSERVATION OF CHILD 1. Purpose: To assess the following areas: o Psycho-social (behavior, interactions) o Hotor o Cognitive o Communication Process: To establish initial baseline and then use ongoing taping for follow-up. Techniques: Tape formal assessment, i.e., Baby or Brigance Scale. Tape the same situation replicated over time, i.e., child at play. 30 Random tapings~ i.e.~ a child taped at different routines or at different time of the day. 2. Pu-rpose: To develop Intervention Strategies. Techniques: Viewing of tapes. C. OBSERVATION OF PARENT/CHILD INTERACTIONS 1. Purpose: To access the dyad, i.e.: o Bonding o Attachment o Mutuality of Interaction o Appropriateness of Caregiving Behavior Techniques: Tape mother and child during a variety of routines, i.e., caregiving~ separation and reunions~ parent/ child at play. D. FUNDRAISING 1. Purpose: To explain program to potential contractors. Techniques: Show a tape explaining different aspects of program. E. PUBLIC RELATIONS 1. Purpose: To market the program. Techniques: 31 Show a tape explaining different aspects of the program. 32 III. TAPING A.· ETHICAL CONSIDERATIONS Informed Consent The person being taped should be informed of the purpose of the taping~ what exactly will be taped and the potential viewing audience. People should always be told when they are being filmed. B. LEGAL CONSIDERATIONS 1. Always get a signed consent form before taping. (See Appendix of Forms for an example of a consent form.) 2. Anyone under 18 years of age (except if they are married) must have a signed consent form from parent. A minor parent signs for his/her own child. C. PSYCHOLOGICAL CONSIDERATIONS The presence of video taping may alter behavior or make people feel self-conscious. However, in our experience~ we have found that one is still able to capture the essence of behavior. Behavioral patterns are so ingrained and un- conscious that they are not markedly altered by the presence of the camera. 1. Suggested methods to reduce anxiety: a. Meet in advance and discuss the process to elicit concerns and feelings. b. Acquaint client with equipment. Client may use camera. c. Tape client, playback immediately, and then erase tape. 33 D. TECHNICAL CONSIDERATIONS 1. Pre-Production: Check out location considering safety of people, -position of equipment, availability of outlets, lighting, and background. Evaluate any potential disruptions such as unwanted visitors or sound. 2. Production: Make decisions regarding role of camera person, i.e., will they be using camera only or will they also be interviewing and/or directing. It is more practical to have a second person who can carry equipment and be able to observe what is happening beyond the lens of the camera. It is also suggested that film crew develop a set of hand signals to silently communicate with one another. 3. Post-Production: a. Review tapes, catalogue. b. Edit if needed. This can be done on premises by using two VCR machines or it can be done professionally in a studio. Cost is a major factor in decision. Professional studio will cost much more but will save you time and finished tape will be technically of a higher quality. 34 IV. PREVIEWING A. Make a decision regarding who should view tape with client. That person should have an established relationship with client and be sensitive to the potential impact of the client. B. Professional should review tapes first time without client and make assessments of potential areas for intervention. C. Make a decision as to which segments will be shown to client. Edit when necessary. negative behavior. Do not be afraid to show Clients tend to act as screens and will self-select what they are ready to discuss. D. Make a decision as to the purpose of the viewing. This may be instruction in appropriate caregiving skills or helping the parent see an interaction from the infant's point of view. 35 V. VIEWING A. Limit segment shown to a maximum of 10 minutes. tape once uninterrupted. Show the Then show the tape a second time, allowing the client to make his/her own observations. Reinforce any positive behavior by pointing out any time that the child responds to parent because of something the parent has elicited. B. lVhen making an intervention, take the lead from the client. Be respectful and empathetic, and beware of a tendency to be critical and judgemental when viewing negative behaviors on screen. Help the client find alternative techniques through problem-solving rather than professional just giving suggestions. 36 VI. RECORD KEEPING A. Listed are the forms which have been used at our Center in order to make record keeping more efficient. Examples of each form can be found in the Appendix. 1. Consent Forms a. for Teen Parents and Children b. for Staff, Visitors, Consultants 2. Individual Client Forms 3. Individual Tape Forms - Should be cross-referenced with Individual Client Form. 4. Consultant Form 5. Blank Budget Form 37 VII. BUDGET A. B. c. Sources of Funds 1. Grants 2. Donations a. Retailers b. Hanufacturers c. Private sources Initial Costs 1. Equipment 2. Staff Time 3. Consultants Operational Cost 1. Tapes 2. Service Contracts 3. Office Supplies 4. Updating Equipment/Accessories 5. Consultants 38 VIII. EQUIPMENT A. Use of Consultants 1. Make liberal use of consultants to assist you in your decision-making process. 2. Training on the use of equipment can be obtained at various sources such as local colleges, cable stations, and manufacturers of equipment. B. Consideration in Purchasing Equipment 1. Industrial vs. Home/Consumer Quality Industrial equipment will produce a more professional finished product than home equipment. But it is heavier, more expensive, not as readily available and requires specialized training to operate. 2. Format a. 3/4" vs. 1/2" tape 3/4" tape is compatible with industrial equipment while 1/2" tape is compatible with home/consumer equipment. b. VHS vs. Beta You need to make a choice between these two types. They are not compatible with one another. Choice is based on individual preference, price and availability. c. Monitor vs. Television A professional monitor can be used only for viewing tapes. It is more expensive than a television but 39 the picture quality will be superior. A television can be used to view tapes as well as to record television programs and is less expensive. d. Portable vs. Non-Portable Video Cassette Recorder A portable VCR is more expensive but is an absolute necessity for flexibility in choosing filming locations. e. Camera 1. f. Options to Consider: o weight o size o low lighting capacity o automatic focus o built-in microphone o date and time function o graphics capability o mini-cam Accessories (See Budget Insert) Technology in video equipment is constantly changing, making new equipment obsolete six months from purchase. We advise you not to worry about this and just purchase what you will need. 40 IX. THE GUIDELINES: IN SUMMARY The video component to our program was developed in response to the frustration that we as a staff experienced when trying to use the more traditional methods of intervention in our work with teenage parents. We hoped that, by appealing to the adolescents' developmentally normal narcissism and their desire to see their own children on the television screen, we could keep the parents long enough in our offices to improve their parenting skills. We believe that we were successful. We lowered resistance. After an initial self-consciousness, the process of filming and viewing the tapes became a pleasurable time and opened up communication between the staff and teen parents. Many of the teens looked forward to being filmed, often requesting it themselves. They were able to use the tapes to reflect on their own behavior (and their infants) in order to institute some changes in their interactional patterns. We strongly urge that programs use teens as role models to teach parenting skills to other teens. the ethnicity of your population. Be sure to consider When making educational tapes on a particular subject such as diapering, use the teens in your program. Learning occurs through the process of film- ing and not just through the viewing. One last word, although we have shared our enthusiasm for video as an intervention tool, we do not mean to suggest that it be used as the only tool. We believe it to be a 41 particularly useful supplement to the traditional tools of parent education. V. CONCLUSION Summary We have found video to be a successful therapeutic and educational intervention tool for school-age parents. what they might otherwise never see. Video enables people to see By replaying a scene, parents can observe not only their own actions and responses but also those of their child. Subtle but important details such as gestures, facial expressions or eye contact can be emphasized with a change of camera angle, close-ups or slow motion. One tape lends itself to many levels of understanding. used by different people for different reasons. It can be For instance, while viewing our early footage, we noticed that one toddler was constantly isolated in a given activity in the infant room. already was identified as withdrawn and depressed. He was a child who The caregivers were shown this tape and were able to make observations about the child; observations about their own behavior and then develop strategies for intervention. The Parent Educator used the tape to help the mother develop techniques to elicit more responses from the child. Video enables people to see what they otherwise might not see in real life (Betts, 1983). The caregivers, in the above example, involved in their daily routines, did not see that the boy was always alone. After viewing the tape, the caregivers made a point of staying with the child. A formal evaluation procedure should be developed for assessing video's effectiveness. We have observed behavioral changes, but we do 42 43 not know how lasting they are. We need to explore whether or not the adolescent's self-esteem increases as she becomes more confident as a parent. Finally, an evaluation of the effects on the infant must be made. Next Steps for the YMCA Youth & Family Center This past year was spent on the development of The Guidelines and in informal tapings. We hope to be awarded a new grant so that we can make our own tapes on specific child development topics, using our teen clients. VI. REFERENCES Betts, T. (1983). Developing a videotape library. In P.W. Dowrick & S.J. Biggs (Eds.), Using video: Psychological and social applications (pp 61-71). Chichester: John Wiley. Biggs, S.J. (1983). Introduction (practice). In P.W. Dowrick & S.J. Biggs (Eds.), Using video: Psychological and social applications (pp. 91-93). Chichester: John Wiley. Broman, S.H. (1981). Longterm development of children born to teenagers. In K.G. Scott, T. Field, & E. Robertson (Eds.), Teenage parents and their offspring (pp. 195-224). New York: Grune & Stratton. Cannon-Bon Ventre, K., & Kahn, J. (1979). Interviews with adolescent parents: Looking at their needs. Children Today, 17-19, 41. ~(5), Catrone, C., & Sadler, L.S. (1984). A developmental model for teenage parent education. Journal of School Health, 54(2), 63-67. Chilman, C.S. (1980). Social and psychological research concerning adolescent child-bearing: 1970-1980. Journal of Marriage and the Family, 42(4), 793-805. Cudaback, D. (1984). Helping the teenage parent: From childhood to parenthood. Paper presented at the meeting of the California Association for the Education of Young Children, Santa Barbara. de Lissovoy, V. (1973). Today, 2(4), 22-25. Child care by adolescent parents. Children Dowrick, P.W. (1983). Introduction (research). In P.W. Dowrick & S.J. Biggs (Eds.), Using video: Psychological and social applications (pp. 1-2). Chichester: John Wiley. Field, T.M. (1980). Interactions of high-risk infants: Quantitative and qualitative differences. In D.G. Sawin, R.C. Hawkins II, L.O. Walker, J.H. Penticuff (Eds.), Exceptional infant: Psychosocial risks in infant-environment transactions (pp. 120-143). New York: Bronner/Mazel. Field, T.M. (1981). Early development of the preterm offspring of teenage mothers. In K.G. Scott, T. Field, & E. Robertson (Eds.), Teenage parents and their offspring (pp. 145-175). New York: Grune & Stratton. Furstenberg, F., Lincoln, R., & Menken, J. (Eds.). (1981). Teenage sexuality, pregnancy and childbearing. Philadelphia: University of Pennsylvania Press. 44 45 REFERENCES (continued) Granger, C. (1982). Maternal and infant deficits related to early pregnancy and parenthood. In N.J. Anastasiow (Ed.), The adolescent parent (pp. 33-45). Baltimore: Paul H. Brookes. Heilveil, I. (1983). Video in mental health: handbook. New York: Springer. An activities Honig, A.S. (1984). Risk factors in infants and young children. Young Children, 39(4), 60-73. Jones, E.F., Forrest, J.D., Goldman, N., Henshaw, S.K., Lincoln, R., Rosoff, J.I., Westoff, C.F., & Wulf, D. (1985). Teenage pregnancy in developed countries: Determinants and Policy Implications. Family Planning Perspectives,l7(2), 53-63. Landy, S., Montgomery, J.S., Schubert, J., Cleland, J.F., & Clark, C. (1983). Mother-infant interaction of teenage mothers and the effect of experience in the observational sessions on the development of their infants. Early Child Development and Care, 10(2,3). 165-186. LeResche, L., Strobino, D., Parks, P., Fischer, P., & Smeriglio, V. (1983). The relationship of observed maternal behavior to questionnaire measures of parenting knowledge, attitudes, and emotional state in adolescent mothers. Journal of Youth and Adolescence, 12(1), Oppel, W.C., & Royston, A.B. (1971). Teen-age births: Some social, psychological, and physical sequelae. American Journal of Public Health, 61, 751-756. Phipps-Yonas, S. (1980). Teenage pregnancy and motherhood: A review of the literature. American Journal of Orthopsychiatry, 50, 403-431. Sears, R.R. (1957). Peterson. Patterns of childrearing. Evanston: Row, Stevens, J.H. (1980). The consequences of early childbearing. Young Children, 35(2), 45-55. Trnavsky, P., & Willey, D.L. (1984). Developing instructional videotapes. Teaching of Psychology, 11(3), 169-170. Wise, S., & Grossman, F.K. (1980). Adolescent mothers and their infants: Psychological factors in early attachment and interaction. American Journal of Orthopsychiatry, 50, 454-468. VII. BIBLIOGRAPHY Anastasiow, M. & Lehrer, R. (1982). Adolescent development: Systems and their interactions. In N.J. Anastasiow (Ed.), The adolescent parent (pp. 13-32). Baltimore: Paul H. Brookes. Anderson, R.H. (1976). Selecting and developing media for instruction. New York: Van Nostrand. Barth, R.P., Schinke, S.P., & Maxwell, J.S. (1983). Coping strategies of counselors and school-age mothers. Journal of _C_o_u_n_s_e_l_i_n""""g'--P_s..... y_ch_o_lo-"""gy"-, 30 ( 3) , 34 6-354. Garret, C.J. (1982). Programs designed to respond to adolescent pregnancies. In N.J. Anastasiow (Ed.), The adolescent parent (pp. 67-82). Baltimore: Paul H. Brookes. Hardy, J.B., King, T.M., Shipp, D.A., & Welcher, D.W. (1981). A comprehensive approach to adolescent pregnancy. In K.G. Scott, T. Field, & E. Robertson (Eds.), Teenage parents and their offspring (pp. 265-282). New York: Grune & Stratton. Levenson, P., Atkinson, B., Hale, J., & Hollier, M. (1978) Adolescent parent education: A maturational model. Child Psychiatry and Human Development, 2(2), 104-118. Nadaner, D. (1983). Toward an analysis of the educational value of film and television, Interchange, 14(1), 43-55. Quay, H.C. (1981). Psychological factors in teenage pregnancy. In K.G. Scott, T. Field, & E. Robertson (Eds.), Teenage parents and their offspring (pp. 73-90). New York: Grune & Stratton. Roosa, M.W. (1983). A comparative study of pregnant teenagers' parenting attitudes and knowledge of sexuality and child development. Journal of Youth and Adolescence, 12(3). 213-223. Shwedel, A. (1982). Preparing adolescents for parenthood: Does it make a difference? In N.J. Anastasiow (Ed.), The adolescent parent (pp. 83-98). Baltimore: Paul H. Brookes. Sugar, M. (1976). At~risk factors for the adolescent mother and her infant. Journal of Youth and Adolescence, 2(3), 251-270. Summerfield, A.B. (1983). Recording social interaction. In P.W. Dowrick & S.J. Biggs (Eds.), Using video: Psychological and social applications (pp. 3-11). Chichester: John Wiley. 46 VIII. APPENDIX PARENT/GUARDIAN RELEASE FORM FOR PHOTOGRAPHS, FILMS, SLIDES, VIDEO AND AUDIO TAPE RECORDINGS We request permission to photograph and/or tape record activities related to the Youth and Family Center. Permission is required of our School-Aged Parents for their children to be photographed or taped. If the Lloyde Students or our School-Aged Parents are under age eighteen (18), then their parent or guardian must give signed permission for them to be included in photos or tape sessions. Please sign your initials to grant approval for both (or either one) of the following uses of photography or video taping. If you do not want your child to be included, do not initial the paragraph. GRANTING OF PERMISSION IS VOLUNTARY AND MAY BE REVOKED AT ANY Tilffi FOR TEENAGERS ENROLLED IN ANY OF OUR LAWNDALE YHCA YOUTH & FAHILY CENTER PROGRAHS. Any client under age eighteen (18) must have the signed permission of their parent or guardian. (1) My teenager may be photographed for use in video and audio materials evaluating and documenting the Family Center's programs. The materials may be used to increase public awareness of our programs through mass media (newspapers, television, etc.), displays, brochures, audio-visual presentations.) (2) My child may be photographed for curriculum use in the instructional program. ------- NO, MY CHILD MAY NOT BE PHOTOGRAPHED OR VIDEO TAPED FOR EITHER EDUCATIONAL OR PUBLIC AWARENESS USE. NAME OF TEENAGER (Under age 18) HER/HIS BIRTHDATE - - - - - - - - - - - - - - - - - - - - SIGNATURE OF PARENT/GUARDIAN ----------------------------------------- DATE SIGNED: 47 48 PARENT/GUARDIAN RELEASE FORM FOR PHOTOGRAPHS, FILMS, SLIDES, VIDEO AND AUDIO TAPE RECORDINGS We request permission to photograph and/or tape record activities related to the Youth and Family Center. Permission is required of our School-Aged Parents for their children to be photographed or taped. If the Lloyde Students or our School-Aged Parents are under age eighteen (18), then their parent or guardian must give signed permission for them to be included in photos or tape sessions. Please sign your initials to grant approval for both (or either one) of the following uses of photography or video taping. If you do not want your child to be included, do not initial the paragraph. Instead, sign the section which indicates that approval is not given. GRANTING OF PERMISSION IS VOLUNTARY AND MAY BE REVOKED AT ANY TIME. FOR CHILDREN ENROLLED IN THE CENTER (Permission is legally granted here by the mother of the child, regardless of her age.) (1) My child may be photographed for use in video and audio materials evaluating and documenting the Family Center's programs. The materials may be used to increase public awareness of our programs through mass media (newspapers, television, etc.), displays, brochures, audio-visual presentations. (2) My child may be photographed for curriculum use in the instructional program. NO, MY CHILD MAY NOT BE PHOTOGRAPHED OR VIDEO TAPED FOR EITHER EDUCATIONAL OR PUBLIC AWARENESS USE. NAME OF CHILD ---------------------------- SIGNATURE OF CHILD'S PARENT/GUARDIAN DATE SIGNED: CHILD'S BIRTHDATE - - - - - 49 LAWNDALE YMCA YOUTH & FAMILY CENTER RELEASE FORM PHOTOGRAPHS, FILMS, SLIDES, VIDEO AND AUDIO TAPE RECORDINGS NAME -------------------------- ADDRESS ------------------------------ZIP PHONE ---------------------POSITION ------------------- DATE SIGNED -------------------------- The Lawndale Y}ICA Youth & Family Center requests your permission to reproduce through audio or visual means activities related to our Family Center. Your signature and initials on the appropriate lines will enable us to use specially prepared materials for teaching and training purposes. PERMISSION IS HEREBY GRANTED FOR AUDIO AND/OR VISUAL RECORDINGS: Initial Initial Initial To be used as part of the curriculum within the instructional program only. Use of audio or visual materials to evaluate and document the YMCA Family Center's programs, and to increase public awareness of our programs through the mass media, displays, brochures, audio-visual presentations. Permission is NOT GRANTED for either educational or public awareness photographs. GRANTING OF THESE PEfu~ISSION(S) IS VOLUNTARY AND MAY BE REVOKED AT ANY TIME. Signature Date of Signature 50 VIDEOTAPE FORM __ ____ INTAKE DATE NAME OF CLIENT Counselor Birthdate NAME OF CHILD --.,....,---,---:--__.;_ Primary Care Giver Birthdate Breastfed C=:J Bottlefed c=J Video Consent Yes No r==J c=J Birth Information Vaginal Weight------- c=J C Section [=:J Complications ---------------------------------------------- Baseline Observations: SCHEDULE OF VIDEOTAPING DATE TAPE/COUNTER TYPE OF INTERACTION .. NOTES 51 TAPE NO.: DATE COUNTER NO. 1 S SCENE ... AGE OF HOTHER/CHILD 52 CONSULTANTS DATE NAME/DISCIPLINE OR PROFESSIONS PURPOSE OF MEETING SUBJECTS DISCUSSED DECISIONS/SUGGESTIONS ACTION FOLLOW-UP 53 BUDGET COST EQUIPMENT ESSENTIAL: Camera Monitor/TV Video Cassette Recorder Tapes Battery Pack (for portable VCR) OPTIONAL: Tripod Battery Pack Carrying Bags: Recorder Camera Additional Microphone Additional Lighting Security Cabinet Storage for Tapes PRODUCTION COSTS Editing Duplication of Tapes Graphics PERSONNEL Video/Technical Consultant p/hr. Clinical Consultant p/hr TOTAL
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