It should be noted, however, that Joanne Klevens and Daniel Whittaker conclude that many child abuse prevention programs that address a broad range of risk factors have not been carefully evaluated and that those that have been evaluated have generally been found to have little
effect on child maltreatment or its risk factors.33
He cautions that many of the interventions have not been carefully evaluated and those that have been have shown little
effect on child maltreatment or its risk factors.
Not exact matches
Although an NFP study conducted when
children were 4 years old showed no
effect, 18 another study found reductions in substantiated reports of
child maltreatment 15 years after enrollment.19 Across a number of HFA studies there was no evidence of near - term
effects on substantiated reports, 20,21,22,23 and there were no longer - term follow - up studies.
In many instances, the quality of the research is not sufficient to draw conclusions about the
effects of a given model
on child maltreatment.8
Although there are studies of home visiting that report
effects of
child maltreatment on child and family outcomes, relatively few of them use rigorous methods that support drawing causal inferences about effectiveness.
Meta - analyses of studies evaluating these programs show positive
effects on the competence, efficacy and psychological health of the parents, as well as
on the behaviour of the
children.49, 50 A recent implementation study of a strategy for parenting and family support showed that families in the treatment group had far fewer cases of substantiated
child maltreatment, abuse injuries and out - of - home placements.51
Maltreatment can have enduring
effects on a
child's developing brain, diminishing growth and reducing activity in key areas
We focus
on this time period because young
children have significantly higher rates of exposure to
maltreatment compared with older
children and early
maltreatment is thought to have particularly harmful
effects on a
child's development.
In general, the research shows that home visiting programs have the greatest, albeit still modest,
effect on parents» support for
children's learning and in reducing the prevalence of
child maltreatment, but that these
effects are strongest for the most disadvantaged program participants.
This includes improved birth, health and
child development outcomes, and reductions in
child maltreatment.15 A number of SNHV programmes have also shown favourable
effects on healthcare usage, including rates of well -
child healthcare visits.15
That is to say, behaviors that are not severe enough to be considered abusive or neglectful by legal definitions may nonetheless have detrimental
effects on children's development.10 In this way, improving parenting practices may be an important way to prevent
child maltreatment.
A diagnosis of psychological
maltreatment is facilitated when a documented event or series of events has had a significant adverse
effect on the
child's psychological functioning.
Contextual factors, notably the family environment and wider community, are also important because they may moderate the developmental
effects of
child maltreatment, thereby accounting for some of the heterogeneity in the outcomes associated with abuse and neglect (Zielinski and Bradshaw, 2006; Berry, 2007); the extent to which
children who get hit experience impaired health or development depends
on its frequency and whether it occurs in a low - warmth / high - criticism environment (DoH, 1995).
Rutter & Quinton (1977) found that factors existing in
children's social environment were linked to health - risk behaviors later in life, and were the first researchers to describe neglect, abuse, and other forms of
maltreatment (what would later be considered adverse childhood experiences, or ACEs) in terms of their cumulative
effect, range of adversity, and wide - reaching impact
on both mental and physical health over the course of an individual's lifetime.
The
effect of the nurses and paraprofessionals
on responsive mother -
child interaction indicates that the program was operating as intended in helping parents provide more sensitive and responsive care for their
children, which is thought to promote secure attachment and healthy emotional and behavioral development.49 The reductions in subsequent pregnancies and increases in interpregnancy intervals are particularly important as short interpregnancy intervals increase the risk of
child maltreatment (including infant homicide among teen parents) 50 and compromise families» economic self - sufficiency.51
The concentration of beneficial nurse
effects on the emotional, language, and mental development of
children born to mothers with low psychological resources in the current trial is consistent with corresponding nurse
effects on child abuse, neglect, and injuries among
children born to low - resource mothers in earlier trials of this program.10, 17,19 The vulnerable and low - vitality emotion classifications are relevant to
child maltreatment.
This paper reviews the literature
on the psychological
effects of
child maltreatment.
Indeed, Jay Belsky incorporated all of these risk factors into his process model of parenting, 11 and data from multiple studies support links to
child well - being.12 In an experiment
on the effectiveness of a program for low - birth - weight infants, Lawrence Berger and Jeanne Brooks - Gunn examined the relative
effect of both socioeconomic status and parenting
on child abuse and neglect (as measured by ratings of health providers who saw
children in the treatment and control groups six times over the first three years of life, not by review of administrative data) and found that both factors contributed significantly and uniquely to the likelihood that a family was perceived to engage in some form of
child maltreatment.13 The link between parenting behaviors and
child maltreatment suggests that interventions that promote positive parenting behaviors would also contribute to lower rates of
child maltreatment among families served.
However, for both
child abuse and parent stress, the average
effect sizes were not different from zero, suggesting a lack of evidence for
effects in these areas.108 Earlier meta - analytic reviews have also noted the lack of sizable
effects in preventing
child maltreatment — again citing the different intensity of surveillance of families in the treatment versus control groups as an explanation (though the authors did report that home visiting was associated with an approximately 25 percent reduction in the rate of childhood injuries).109 Another review focusing
on the quality of the home environment also found evidence for a significant overall
effect of home - visiting programs.110 More recently, Harriet MacMillan and colleagues published a review of interventions to prevent
child maltreatment, and identified the Nurse - Family Partnership and Early Start programs as the most effective with regard to preventing
maltreatment and childhood injuries.
Studies of HFA, NFP, and PAT find
effects for certain subgroups of their samples, but show no overall impact of program participation
on reductions in
child maltreatment.
Although an NFP study conducted when
children were 4 years old showed no
effect, 18 another study found reductions in substantiated reports of
child maltreatment 15 years after enrollment.19 Across a number of HFA studies there was no evidence of near - term
effects on substantiated reports, 20,21,22,23 and there were no longer - term follow - up studies.
Results indicate that childhood
maltreatment has persistent
effects on the PTSD symptoms of IPV survivors, suggesting that
child maltreatment may need to be addressed in addition to IPV during PTSD treatment.
In many instances, the quality of the research is not sufficient to draw conclusions about the
effects of a given model
on child maltreatment.8
Although there are studies of home visiting that report
effects of
child maltreatment on child and family outcomes, relatively few of them use rigorous methods that support drawing causal inferences about effectiveness.
The program of prenatal and infancy home visiting by nurses, tested with a primarily white sample, produced a 48 percent treatment - control difference in the overall rates of substantiated rates of
child abuse and neglect (irrespective of risk) and an 80 percent difference for families in which the mothers were low - income and unmarried at registration.21 Corresponding rates of
child maltreatment were too low to serve as a viable outcome in a subsequent trial of the program in a large sample of urban African - Americans, 20 but program
effects on children's health - care encounters for serious injuries and ingestions at
child age 2 and reductions in childhood mortality from preventable causes at
child age 9 were consistent with the prevention of abuse and neglect.20, 22
Emotional
maltreatment includes caregiver actions that result in, or has the potential to result in adverse
effects on the
child's emotional health and development.
In general, the research shows that home visiting programs have the greatest, albeit modest,
effect on parents» support for
children's learning and in reducing the prevalence of
child maltreatment, but that these
effects are strongest for the most disadvantaged program participants.
Estimating the
Effects of Head Start
on Parenting and
Child Maltreatment Zhai, Waldfogel, & Brooks - Gunn (2013) Children and Youth Services Review, 35 (7) View Abstract Examines the effects of Head Start participation on parenting and child maltreatment in a large and diverse sample of low - income families in large U.S. cities using data from the Fragile Families and Child Well - Being S
Child Maltreatment Zhai, Waldfogel, & Brooks - Gunn (2013) Children and Youth Services Review, 35 (7) View Abstract Examines the effects of Head Start participation on parenting and child maltreatment in a large and diverse sample of low - income families in large U.S. cities using data from the Fragile Families and Child Well -
Maltreatment Zhai, Waldfogel, & Brooks - Gunn (2013)
Children and Youth Services Review, 35 (7) View Abstract Examines the
effects of Head Start participation
on parenting and
child maltreatment in a large and diverse sample of low - income families in large U.S. cities using data from the Fragile Families and Child Well - Being S
child maltreatment in a large and diverse sample of low - income families in large U.S. cities using data from the Fragile Families and Child Well -
maltreatment in a large and diverse sample of low - income families in large U.S. cities using data from the Fragile Families and
Child Well - Being S
Child Well - Being Study.
Research suggests that
children in households with domestic violence may be at an increased risk for
child maltreatment.13 - 16 Although some
child maltreatment may be caused directly by the male perpetrators of domestic violence, other incidents may result from the
effects of domestic violence
on the mothers» caregiving capacities (eg, through injury, mental distress, and restricted mobility).
A recent review offers ambiguous support for the relation between home visitation and reductions in
child maltreatment.2 The findings from several large - scale home - visitation efforts have shown disappointing short - term results in reducing family violence and
child maltreatment.4, 9 A 15 - year follow - up study of the Elmira trial families, however, provided the first evidence from a randomized trial for the long - term
effects of home visitation
on reducing
child maltreatment.10 Results from the follow - up showed that nurse - visited families had half as many
child maltreatment reports as families in the comparison group.
Five programs showed favorable
effects in some aspect of
child maltreatment reduction: (1) Child FIRST showed a favorable effect on family involvement with child protective services53; (2) Early Start on 2 measures, including the percentage who went to the hospital for accident, injury, or accidental poisoning, and parents» report of severe or very severe physical assault25, 26; (3) EHS had a favorable effect on physical punishment at 36 months66; (4) HFA showed 14 favorable impacts on measures of parenting behaviors, such as corporal punishment, self - reported serious physical abuse, and aggression, 30,50,67 — 69 and 1 measure of the biological mother as a confirmed subject of sexual abuse report by the child's seventh birthday50; and (5) NFP had favorable effects on 7 measures, including health care encounters for injuries or ingestions and substantiated abuse or neglect 15 years after program enrollment.34, 35,42,70,71 One program, Healthy Steps, showed no effect on 1 measure in this doma
child maltreatment reduction: (1)
Child FIRST showed a favorable effect on family involvement with child protective services53; (2) Early Start on 2 measures, including the percentage who went to the hospital for accident, injury, or accidental poisoning, and parents» report of severe or very severe physical assault25, 26; (3) EHS had a favorable effect on physical punishment at 36 months66; (4) HFA showed 14 favorable impacts on measures of parenting behaviors, such as corporal punishment, self - reported serious physical abuse, and aggression, 30,50,67 — 69 and 1 measure of the biological mother as a confirmed subject of sexual abuse report by the child's seventh birthday50; and (5) NFP had favorable effects on 7 measures, including health care encounters for injuries or ingestions and substantiated abuse or neglect 15 years after program enrollment.34, 35,42,70,71 One program, Healthy Steps, showed no effect on 1 measure in this doma
Child FIRST showed a favorable
effect on family involvement with
child protective services53; (2) Early Start on 2 measures, including the percentage who went to the hospital for accident, injury, or accidental poisoning, and parents» report of severe or very severe physical assault25, 26; (3) EHS had a favorable effect on physical punishment at 36 months66; (4) HFA showed 14 favorable impacts on measures of parenting behaviors, such as corporal punishment, self - reported serious physical abuse, and aggression, 30,50,67 — 69 and 1 measure of the biological mother as a confirmed subject of sexual abuse report by the child's seventh birthday50; and (5) NFP had favorable effects on 7 measures, including health care encounters for injuries or ingestions and substantiated abuse or neglect 15 years after program enrollment.34, 35,42,70,71 One program, Healthy Steps, showed no effect on 1 measure in this doma
child protective services53; (2) Early Start
on 2 measures, including the percentage who went to the hospital for accident, injury, or accidental poisoning, and parents» report of severe or very severe physical assault25, 26; (3) EHS had a favorable
effect on physical punishment at 36 months66; (4) HFA showed 14 favorable impacts
on measures of parenting behaviors, such as corporal punishment, self - reported serious physical abuse, and aggression, 30,50,67 — 69 and 1 measure of the biological mother as a confirmed subject of sexual abuse report by the
child's seventh birthday50; and (5) NFP had favorable effects on 7 measures, including health care encounters for injuries or ingestions and substantiated abuse or neglect 15 years after program enrollment.34, 35,42,70,71 One program, Healthy Steps, showed no effect on 1 measure in this doma
child's seventh birthday50; and (5) NFP had favorable
effects on 7 measures, including health care encounters for injuries or ingestions and substantiated abuse or neglect 15 years after program enrollment.34, 35,42,70,71 One program, Healthy Steps, showed no
effect on 1 measure in this domain.65
Boys Will Be Boys: Understanding the Impact of
Child Maltreatment and Family Violence on the Sexual, Reproductive, and Parenting Behaviors of Young Men (PDF - 793 KB) Kahn & Paluzzi (2006) Describes the long - term effects of child maltreatment and family violence on males, and discusses the roles of practitioners, policymakers, advocates, and educators in addressing these is
Child Maltreatment and Family Violence on the Sexual, Reproductive, and Parenting Behaviors of Young Men (PDF - 793 KB) Kahn & Paluzzi (2006) Describes the long - term effects of child maltreatment and family violence on males, and discusses the roles of practitioners, policymakers, advocates, and educators in addressing t
Maltreatment and Family Violence
on the Sexual, Reproductive, and Parenting Behaviors of Young Men (PDF - 793 KB) Kahn & Paluzzi (2006) Describes the long - term
effects of
child maltreatment and family violence on males, and discusses the roles of practitioners, policymakers, advocates, and educators in addressing these is
child maltreatment and family violence on males, and discusses the roles of practitioners, policymakers, advocates, and educators in addressing t
maltreatment and family violence
on males, and discusses the roles of practitioners, policymakers, advocates, and educators in addressing these issues.
Finding a significant interaction
effect when the
maltreatment outcome focused
on reports involving only mothers as perpetrators rules out the possibility that the
effects observed were the result of the same partners committing violence against both the mothers and the
children.
In addition, many of the early intervention programs that have been shown to have positive treatment
effects are resource intensive and target high - risk families,
on the basis of socioeconomic status, childhood disabilities, parental substance use, or
child maltreatment.1
Edleson (2004) In Protecting
Children From Domestic Violence: Strategies for Community Intervention Describes the effect of domestic violence on children and debates the policy of defining exposure to domestic violence as a form of child maltr
Children From Domestic Violence: Strategies for Community Intervention Describes the
effect of domestic violence
on children and debates the policy of defining exposure to domestic violence as a form of child maltr
children and debates the policy of defining exposure to domestic violence as a form of
child maltreatment.
Topics include the
child protection team; the
effects of
maltreatment on child development; attachment, separation, and care; behavioral interventions; cultural competence; and permanency.
Mobility as a mediator of the
effects of
child maltreatment on academic performance.
Faucetta currently works
on the Mother and Infant Home Visiting Evaluation (MIHOPE) project, which aims to assess the implementation and
effects of home visiting programs intended to prevent
child maltreatment, improve maternal and
child health outcomes, and increase school readiness.
She currently works
on MIHOPE, a large - scale evaluation that assesses the
effects of home visiting programs
on maternal and
child health outcomes,
child maltreatment, and school readiness.
The site contains a host of articles
on child development,
maltreatment, and the
effects of trauma.
Research overwhelmingly points to the benefits of supporting
children and families at an early age to prevent
maltreatment and its negative
effects on brain development before they occur.
«As home visiting programs go to scale, states should consider replicating this study using their administrative data and appropriate statistical methods to create a robust comparison group capable of generating rigorous findings regarding the
effects of early intervention efforts
on child maltreatment rates,» said Dr. Deborah Daro, Senior Research Fellow at Chapin Hall at the University of Chicago.
Faucetta currently works
on the Mother and Infant Home Visiting Evaluation (MIHOPE) project, which aims to assess the implementation and
effects of home visiting programs intended to prevent
child maltreatment, improve maternal and
child health outcomes, and increase sch
(NBER Working Paper No. 12171), authors Janet Currie and Erdal Tekin focus
on the
effect of
child maltreatment on crime using data from the National Longitudinal Study of Adolescent Health (Add Health).
This article describes the
effects on the brain and later
child development of chronic early
maltreatment.
Specifically, she is interested in the
effects of early adverse circumstances (including
maltreatment and poverty)
on children's social and academic development.
Green, B.L., Ayoub, C., Bartlett, J.D., Von Ende, A., Furrer, C., Chazan - Cohen, R., Vallotton, C. & Klevens, J. (2014) The
Effect of Early Head Start
on Child Welfare System Involvement: A First Look at Longitudinal
Child Maltreatment Outcomes,
Children and Youth Services Review.
His efforts resulted in the establishment of Trauma Center, that consist of a well - trained clinical team specializing in the treatment of
children and adults with histories of
child maltreatment, that applies treatment models that are widely taught and implemented nationwide, a research lab that studies the
effects of neurofeedback and MDMA
on behavior, mood, and executive functioning, and numerous trainings nationwide to a variety of mental health professional, educators, parent groups, policy makers, and law enforcement personnel.
For a better understanding of the
effects of
maltreatment on child development, it is important according to van IJzendoorn and Bakermans - Kranenburg1 to examine the mechanisms involved in the development of disorganized attachments and the capacity for resilience so unexpectedly displayed in some maltreated
children.
Evidence suggests that early intervention can mitigate the negative consequences of
child maltreatment, exerting long - term positive
effects on the health of maltreated
children entering foster care.