In 2003, the Children's Bureau released a request for proposals (RFP) to build home - and community - based systems of care to improve outcomes for children, youth, and families
at risk of child maltreatment, children and youth who have been identified as victims of maltreatment but have not been removed from their home, or children and youth in State custody (foster care).
Pathways Triple P A 4 - 5 session intervention strategy for parents
at risk of child maltreatment, used in combination with either Triple P interventions.
Pathways Triple P An adjunctive intervention strategy for parents
at risk of child maltreatment used in combination with other Triple P interventions.
Not exact matches
Ofsted's new inspection framework makes clear that
children's services should pay attention to all parents and carers when
children have been maltreated or are
at risk of maltreatment or neglect.
The initiative is targeted
at improving
child and family outcomes, including decreasing rates
of child maltreatment and improving parenting practices that may decrease
risk for
maltreatment.
Courts around the country drive much
of the public's action on behalf
of children who may have been or who are
at risk of maltreatment.
Setting
At -
risk families in North Carolina followed up in a longitudinal study
of child maltreatment.
After controlling for these established
risk factors (Table 2, panel 1, multivariate analysis),
children who were maltreated (definite
maltreatment: RR, 1.69; 95 % CI, 1.13 - 2.55) and
children who were socially isolated (very high social isolation: 1.76; 1.12 - 2.77) were both
at greater
risk of becoming depressed in adulthood.
In departing from approaches that sought to identify and serve
at -
risk people, Essentials endorses the use
of frameworks that emphasize the development
of family strengths6 as the key to both preventing
maltreatment and promoting
child health.
Several have included families involved with
child maltreatment or
at high
risk of maltreatment, but hardly any have included families who were the subject
of child abuse and neglect reports.41 The Incredible Years (IY) is considered to be one
of the most effective interventions for reducing
child conduct problems.42 Jamila Reid, Carolyn Webster - Stratton, and Nazli Baydar examined IY, randomly assigning
children to the IY program or to a control group that received usual Head Start services.43 Children with significant conduct problems and children of mothers whose parenting was highly critical — arguably those dyads most at risk for child maltreatment — benefited most
children to the IY program or to a control group that received usual Head Start services.43
Children with significant conduct problems and children of mothers whose parenting was highly critical — arguably those dyads most at risk for child maltreatment — benefited most
Children with significant conduct problems and
children of mothers whose parenting was highly critical — arguably those dyads most at risk for child maltreatment — benefited most
children of mothers whose parenting was highly critical — arguably those dyads most
at risk for
child maltreatment — benefited most from IY.
In this context, that is,
of neurodevelopmental problems, parents theoretically can transmit to their
children an adverse environment and a genetic susceptibility to ADHD; on the other hand, a
child with a specific genotype (and
at risk of hyperactivity and impulsivity) may behave in ways that elicit
maltreatment.
Objective:
Maltreatment, family violence, and disruption in primary caregiver attachment in childhood may constitute a developmental form
of trauma that places
children at risk for multiple psychiatric and medical diagnoses that often are refractory to well - established evidence - based mental health treatments.
Primary Care Interventions to Prevent
Child Maltreatment: U.S. Preventive Services Task Force Recommendation Statement Moyer (2013) Annals of Internal Medicine, 159 (4) Analyzes a systematic review of interventions to prevent child maltreatment for children at risk, focusing on new studies and evidence gaps that were unresolved at the time of the 2004 recommendation by the U.S. Preventive Services Task F
Child Maltreatment: U.S. Preventive Services Task Force Recommendation Statement Moyer (2013) Annals of Internal Medicine, 159 (4) Analyzes a systematic review of interventions to prevent child maltreatment for children at risk, focusing on new studies and evidence gaps that were unresolved at the time of the 2004 recommendation by the U.S. Preventive Services
Maltreatment: U.S. Preventive Services Task Force Recommendation Statement Moyer (2013) Annals
of Internal Medicine, 159 (4) Analyzes a systematic review
of interventions to prevent
child maltreatment for children at risk, focusing on new studies and evidence gaps that were unresolved at the time of the 2004 recommendation by the U.S. Preventive Services Task F
child maltreatment for children at risk, focusing on new studies and evidence gaps that were unresolved at the time of the 2004 recommendation by the U.S. Preventive Services
maltreatment for
children at risk, focusing on new studies and evidence gaps that were unresolved
at the time
of the 2004 recommendation by the U.S. Preventive Services Task Force.
alternative response A formal response
of the agency that assesses the needs
of the
child or family without requiring a determination that
maltreatment has occurred or that the
child is
at risk of maltreatment.
Eligible clients include families with a history
of child maltreatment or families
at risk for
child maltreatment.
investigation A type
of Child Protective Services response that involves the gathering of objective information to determine whether a child was maltreated, or is at risk of maltreatment, and establishes if an intervention is ne
Child Protective Services response that involves the gathering
of objective information to determine whether a
child was maltreated, or is at risk of maltreatment, and establishes if an intervention is ne
child was maltreated, or is
at risk of maltreatment, and establishes if an intervention is needed.
If home visiting programs target the most
at -
risk families (i.e., young and poor parents, parents with a history
of child maltreatment), the research suggests that these programs may positively influence parents» support
of their
children's learning and reduce rates
of child maltreatment.
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
The samples were distinct and were meant to include
children in several categories, including those
at risk before any reports
of child maltreatment, those reported but whose investigations were not yet complete, those reported and substantiated and left in their homes with or without intervention, and those placed in foster care.
Has evidence to show that offering Triple P to an entire community (as opposed to targeting «
at risk» families) can reduce rates
of child maltreatment, foster care placements and hospitalizations from
child abuse injuries.
Multiple randomised controlled trials undertaken Maintenance
of improvements Generalisation
of outcomes for
children with disabilities;
children at risk of maltreatment; families
of an Aboriginal or Torres Strait Islander background.
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).
Realizing the Promise
of Home Visitation: Addressing Domestic Violence and
Child Maltreatment: A Guide for Policy Makers Family Violence Prevention Fund (2010) Presents recommendations for building a strong national policy framework to maximize the effectiveness and reach
of early childhood home visiting programs and to ensure that Federal home visiting policies directly address the needs
of mothers and
children who are experiencing or
at risk of experiencing domestic violence.
Effectiveness
of Home Visiting in Improving
Child Health and Reducing
Child Maltreatment Avellar & Supplee (2013) Pediatrics, 132 (2) Reviews the home - visiting research literature and provides an assessment
of the evidence
of effectiveness for program models that serve families with
at -
risk pregnant women and
children from birth to age 5.
For example, a
child who experiences
maltreatment may develop primary emotional responses such as anxiety or fear.5 Ever vigilant for signs
of threat, the
child may display aggressive or submissive behaviours as a means
of self - protection, and such behaviours may place the
child at risk for future status as a bully or victim.
A Comprehensive Framework for Nurturing the Well - Being
of Children and Adolescents (PDF - 676 KB) In Integrating Safety, Permanency and Well - Being Biglan (2014) Presents a framework to ensure successful youth development and well - being for children who have been maltreated, or are at risk of being maltreated, indicating that comprehensive family support from prenatal / birth through adolescence is necessary to aid children in recovering after abuse has occurred and to prevent future maltr
Children and Adolescents (PDF - 676 KB) In Integrating Safety, Permanency and Well - Being Biglan (2014) Presents a framework to ensure successful youth development and well - being for
children who have been maltreated, or are at risk of being maltreated, indicating that comprehensive family support from prenatal / birth through adolescence is necessary to aid children in recovering after abuse has occurred and to prevent future maltr
children who have been maltreated, or are
at risk of being maltreated, indicating that comprehensive family support from prenatal / birth through adolescence is necessary to aid
children in recovering after abuse has occurred and to prevent future maltr
children in recovering after abuse has occurred and to prevent future
maltreatment.
The aims
of this study were to examine how the quantity (i.e., the amount
of shared activities) and quality (i.e., perceived quality
of the father -
child relationship)
of father involvement are differently related to internalizing and externalizing behavior problems among preadolescents
at risk of maltreatment and test if these associations are moderated by father type and
child maltreatment.
Susan Janko Summers, Ph.D., is an educational ethnographer who has studied and written about
child maltreatment, infant mental health,
children with disabilities, and
children and families
at risk in the contexts
of culture, community, and educational settings.
Through governmental and public support
of successful interventions, prevention will progress and fewer
children will remain
at risk of maltreatment.
Uses,
at a minimum, screening criteria that indicate a
risk of maltreatment based on the original screening criteria or based on locally determined
risk factors
of child maltreatment
Parents with intellectual and / or significant learning disabilities (ID / LD) who are likely to have less developed abilities on a variety
of child care skills than parents without such disabilities and
at greater
risk of causing
child maltreatment
Target Population: Overburdened families who are
at -
risk for
child abuse and neglect and other adverse childhood experiences; families are determined eligible for services once they are screened and / or assessed for the presence
of factors that could contribute to increased
risk for
child maltreatment or other poor childhood outcomes, (e.g., social isolation, substance abuse, mental illness, parental history
of abuse in childhood, etc.); home visiting services must be initiated either prenatally or within three months after the birth
of the baby
The study evaluated the effectiveness
of the Healthy Families New York home visiting program in promoting parenting confidence and preventing maladaptive parenting behaviors in mothers
at risk for
child maltreatment.
Child FIRST (Child and Family Interagency Resource, Support, and Training) is a home visitation program for low - income families with children ages 6 - 36 months at high risk of emotional, behavioral, or developmental problems, or child maltreatment, based on child screening and / or family characteristics such as maternal depression.1 Families are visited in their homes by a trained clinical team consisting of (i) a master's level developmental / mental health clinician, and (ii) a bachelor's level care coordin
Child FIRST (
Child and Family Interagency Resource, Support, and Training) is a home visitation program for low - income families with children ages 6 - 36 months at high risk of emotional, behavioral, or developmental problems, or child maltreatment, based on child screening and / or family characteristics such as maternal depression.1 Families are visited in their homes by a trained clinical team consisting of (i) a master's level developmental / mental health clinician, and (ii) a bachelor's level care coordin
Child and Family Interagency Resource, Support, and Training) is a home visitation program for low - income families with
children ages 6 - 36 months
at high
risk of emotional, behavioral, or developmental problems, or
child maltreatment, based on child screening and / or family characteristics such as maternal depression.1 Families are visited in their homes by a trained clinical team consisting of (i) a master's level developmental / mental health clinician, and (ii) a bachelor's level care coordin
child maltreatment, based on
child screening and / or family characteristics such as maternal depression.1 Families are visited in their homes by a trained clinical team consisting of (i) a master's level developmental / mental health clinician, and (ii) a bachelor's level care coordin
child screening and / or family characteristics such as maternal depression.1 Families are visited in their homes by a trained clinical team consisting
of (i) a master's level developmental / mental health clinician, and (ii) a bachelor's level care coordinator.
Summary: (To include comparison groups, outcomes, measures, notable limitations) The study evaluated the effectiveness
of the Healthy Families Arizona [now called Healthy Families America] home visitation program for families
at risk for
child maltreatment.
The study evaluated the effectiveness
of the Healthy Families New York [now called Healthy Families America] home visiting program in promoting parenting confidence and preventing maladaptive parenting behaviors in mothers
at risk for
child maltreatment.
The goal
of this project is to implement SafeCare with a population
at high
risk for
child maltreatment, and to develop and test important adaptations
of SafeCare.
Victims
of child maltreatment are
at risk for other types
of violence later in life, including youth violence, suicide, and intimate partner violence.
SafeCare will be implemented with a group
of Latino parents
at high
risk for
child maltreatment.
Effects
of an evidence - based parenting program on biobehavioral stress among
at -
risk mothers for
child maltreatment: A pilot study.
The glaring rate
of history
of child sexual abuse, including the onset
of maltreatment, highlights those most
at risk for sex trafficking.
Our research confirms that infants who receive a diagnosis
of NWS are
at greater
risk for having a substantiated
child maltreatment allegation and for entering foster care.
The findings demonstrate that educators are in a unique position to intervene and support
children at risk of maltreatment.
[jounal] Bailey, H.N / 2007 /
Children maltreatment, complex trauma symptoms, and unresolved attachment in an
at -
risk sample
of adolescent mothers / Attachment & Human Development 9 (2): 139 ~ 161
There is evidence that maltreated
children are
at greater
risk for lifelong health and social problems, including mental illnesses, criminality, chronic diseases, disability1 and poorer quality
of life.2 A history
of child maltreatment is also associated with lower adult levels
of economic well - being across a wide range
of metrics, including higher levels
of economic inactivity, lower occupational status, lower earnings and lower expected earnings.3 Existing research suggests a ripple effect caused by lower educational achievement, higher levels
of truancy and expulsion reducing peak earning capacity by US$ 5000 a year4 or an average lifetime cost
of US$ 210012 per person1 when considering productivity losses and costs from healthcare,
child welfare, criminal justice and special education.
In specific, we included two types
of interventions: preventive interventions targeting the general population or targeting families
at risk for
child maltreatment and curative interventions targeting maltreating families aimed
at reducing
maltreatment or recurrence
of maltreatment.
Interventions may be aimed
at reducing the incidence
of child maltreatment in maltreating families or
at preventing the occurrence
of child maltreatment in
at -
risk, but non-maltreating families.
Previous research has investigated the deleterious effects
of child maltreatment on
child development; however, little research has examined the development
of children who live with caregivers who are
at risk of maltreatment on
child development outcomes.
We focused on families followed across early childhood, because infants and toddlers are
at the greatest
risk of exposure to neglect (the most prevalent type
of child maltreatment), and this period spanning the transition to parenthood presents heightened
risk for IPV.
The finding that curative interventions are more effective than preventive interventions may be explained by a lower prevalence
of child maltreatment in
at -
risk families / the general population than in maltreating families, making it «more difficult» to find significant differences between intervention and control groups (because
of lower statistical power) and consequently, to prove the effectiveness
of an intervention.