SafeCare will be implemented with a group of Latino parents at
high 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.
Expectant or new parents screened and / or assessed as moderate to
high risk for child maltreatment and / or poor early childhood outcomes (e.g., mental health issues, domestic violence, substance abuse, poverty, housing, lack of education, lack of social support, etc.).
Level 5 interventions offer further support for parents with specific risk factors (e.g., families at
high risk for child maltreatment, families going through a divorce or separation, or families with overweight or obese children) or for parents with continuing needs following a Level 4 intervention.
Not exact matches
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.
Being able to measure positive
child health outcomes becomes especially important when assessing the benefits of participation
for families considered to be
high -
risk for the experience of trauma or patterns of
maltreatment.
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.
It includes a series of public seminars that provide general tips on everyday parenting issues; one - off discussion groups addressing the most common parenting problems; brief and short - term primary care consultations
for specific problems; group or online courses
for a comprehensive understanding of Triple P strategies; a one - on - one personal support program
for tackling serious behavior problems; and two
high intensity programs that deal with complex family and / or mental health issues, including the
risk of
child maltreatment.
Home - Based Intervention
for High -
Risk Rural Families: A Randomized Clinical Trial Lwin (2012) McGill University, School of Social Work, Centre for Research on Children and Families, Canadian Child Welfare Research Portal View Abstract Illustrates the effectiveness of using a home - based child maltreatment prevention program for families in rural communities struggling with substance use, intimate partner violence, and depression, factors that increase the risk of child abuse and negl
Risk Rural Families: A Randomized Clinical Trial Lwin (2012) McGill University, School of Social Work, Centre
for Research on
Children and Families, Canadian
Child Welfare Research Portal View Abstract Illustrates the effectiveness of using a home - based child maltreatment prevention program for families in rural communities struggling with substance use, intimate partner violence, and depression, factors that increase the risk of child abuse and neg
Child Welfare Research Portal View Abstract Illustrates the effectiveness of using a home - based
child maltreatment prevention program for families in rural communities struggling with substance use, intimate partner violence, and depression, factors that increase the risk of child abuse and neg
child maltreatment prevention program
for families in rural communities struggling with substance use, intimate partner violence, and depression, factors that increase the
risk of child abuse and negl
risk of
child abuse and neg
child abuse and neglect.
Child Well - Being Spotlight:
Children Placed Outside the Home and Children Who Remain In - Home After a Maltreatment Investigation Have Similar and Extensive Service Needs (PDF - 211 KB) U.S. Department of Health and Human Services, Office of Planning, Research and Evaluation (2012) Summarizes recent research from the National Survey of Child and Adolescent Well - Being (NSCAW) that indicates children reported for maltreatment have a high risk of experiencing developmental problems, cognitive problems, behavioral / emotional problems, or substance use disorders, regardless of whether they were placed in out - of - home care or remained in - home with or without receiving s
Children Placed Outside the Home and
Children Who Remain In - Home After a Maltreatment Investigation Have Similar and Extensive Service Needs (PDF - 211 KB) U.S. Department of Health and Human Services, Office of Planning, Research and Evaluation (2012) Summarizes recent research from the National Survey of Child and Adolescent Well - Being (NSCAW) that indicates children reported for maltreatment have a high risk of experiencing developmental problems, cognitive problems, behavioral / emotional problems, or substance use disorders, regardless of whether they were placed in out - of - home care or remained in - home with or without receiving s
Children Who Remain In - Home After a
Maltreatment Investigation Have Similar and Extensive Service Needs (PDF - 211 KB) U.S. Department of Health and Human Services, Office of Planning, Research and Evaluation (2012) Summarizes recent research from the National Survey of Child and Adolescent Well - Being (NSCAW) that indicates children reported for maltreatment have a high risk of experiencing developmental problems, cognitive problems, behavioral / emotional problems, or substance use disorders, regardless of whether they were placed in out - of - home care or remained in - home with or without receivi
Maltreatment Investigation Have Similar and Extensive Service Needs (PDF - 211 KB) U.S. Department of Health and Human Services, Office of Planning, Research and Evaluation (2012) Summarizes recent research from the National Survey of
Child and Adolescent Well - Being (NSCAW) that indicates
children reported for maltreatment have a high risk of experiencing developmental problems, cognitive problems, behavioral / emotional problems, or substance use disorders, regardless of whether they were placed in out - of - home care or remained in - home with or without receiving s
children reported
for maltreatment have a high risk of experiencing developmental problems, cognitive problems, behavioral / emotional problems, or substance use disorders, regardless of whether they were placed in out - of - home care or remained in - home with or without receivi
maltreatment have a
high risk of experiencing developmental problems, cognitive problems, behavioral / emotional problems, or substance use disorders, regardless of whether they were placed in out - of - home care or remained in - home with or without receiving services.
Children reared in a high - quality caregiving ecology are set on a positive developmental path that has the potential to produce long - term positive outcomes.68 Already vulnerable from the experiences of maltreatment and other environmental risk factors (for example, poverty and its associated stressors), the development of foster children is further compromised if they experience more trauma and instability while
Children reared in a
high - quality caregiving ecology are set on a positive developmental path that has the potential to produce long - term positive outcomes.68 Already vulnerable from the experiences of
maltreatment and other environmental
risk factors (
for example, poverty and its associated stressors), the development of foster
children is further compromised if they experience more trauma and instability while
children is further compromised if they experience more trauma and instability while in care.
Prevention of
Child Maltreatment in High - Risk Rural Families: A Randomized Clinical Trial With Child Welfare Outcomes Silovsky, Bard, Chaffin, Hecht, Burris, Owora, et al. (2011) Children and Youth Services Review, 33 (8) View Abstract Shares results from a randomized clinical trial of SafeCare ® training augmented for rural high - risk population, and compares them to standard home - based mental health services to examine reductions in future child maltreatment reports, as well as risk factors and factors similar to child maltreat
Child Maltreatment in High - Risk Rural Families: A Randomized Clinical Trial With Child Welfare Outcomes Silovsky, Bard, Chaffin, Hecht, Burris, Owora, et al. (2011) Children and Youth Services Review, 33 (8) View Abstract Shares results from a randomized clinical trial of SafeCare ® training augmented for rural high - risk population, and compares them to standard home - based mental health services to examine reductions in future child maltreatment reports, as well as risk factors and factors similar to child m
Maltreatment in
High - Risk Rural Families: A Randomized Clinical Trial With Child Welfare Outcomes Silovsky, Bard, Chaffin, Hecht, Burris, Owora, et al. (2011) Children and Youth Services Review, 33 (8) View Abstract Shares results from a randomized clinical trial of SafeCare ® training augmented for rural high - risk population, and compares them to standard home - based mental health services to examine reductions in future child maltreatment reports, as well as risk factors and factors similar to child maltreatm
High -
Risk Rural Families: A Randomized Clinical Trial With Child Welfare Outcomes Silovsky, Bard, Chaffin, Hecht, Burris, Owora, et al. (2011) Children and Youth Services Review, 33 (8) View Abstract Shares results from a randomized clinical trial of SafeCare ® training augmented for rural high - risk population, and compares them to standard home - based mental health services to examine reductions in future child maltreatment reports, as well as risk factors and factors similar to child maltreatm
Risk Rural Families: A Randomized Clinical Trial With
Child Welfare Outcomes Silovsky, Bard, Chaffin, Hecht, Burris, Owora, et al. (2011) Children and Youth Services Review, 33 (8) View Abstract Shares results from a randomized clinical trial of SafeCare ® training augmented for rural high - risk population, and compares them to standard home - based mental health services to examine reductions in future child maltreatment reports, as well as risk factors and factors similar to child maltreat
Child Welfare Outcomes Silovsky, Bard, Chaffin, Hecht, Burris, Owora, et al. (2011)
Children and Youth Services Review, 33 (8) View Abstract Shares results from a randomized clinical trial of SafeCare ® training augmented
for rural
high - risk population, and compares them to standard home - based mental health services to examine reductions in future child maltreatment reports, as well as risk factors and factors similar to child maltreatm
high -
risk population, and compares them to standard home - based mental health services to examine reductions in future child maltreatment reports, as well as risk factors and factors similar to child maltreatm
risk population, and compares them to standard home - based mental health services to examine reductions in future
child maltreatment reports, as well as risk factors and factors similar to child maltreat
child maltreatment reports, as well as risk factors and factors similar to child m
maltreatment reports, as well as
risk factors and factors similar to child maltreatm
risk factors and factors similar to
child maltreat
child maltreatmentmaltreatment.
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.
The Americans» Changing Lives Study which involved 3617 participants found that
higher levels of parental stress were related to poorer self - rated health in parents.2 Moreover, parental stress is a known
risk factor
for child maltreatment and family violence, both of which are increasing globally.3 These early adverse events are detrimental to
children's health and development.
Euser et al. (2015) did find a significantly
higher effect
for interventions aimed at reducing
child maltreatment in maltreating families than
for interventions aimed at preventing
child maltreatment in at -
risk families / the general population.
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.
Relative to TD
children [35], both
risk groups experienced
higher rates of physical punishment (thought to be on a continuum with childhood
maltreatment, a replicated
risk factor
for SSD [36]-RRB-.
As we aimed
for a comprehensive meta - analysis, we included (a) two types of interventions: preventive interventions targeting the general population or families at
risk for child maltreatment and curative interventions targeting maltreating families that are aimed at reducing
maltreatment, (b) randomized controlled trials (RCTs) as well as
high quality quasi-experimental studies, and (c) recently conducted studies, as previous meta - analyses included studies that were published until 2013.
Large effects sizes were found
for the set of
maltreatment studies: maltreated
children were less secure (d = 2.10) and more disorganized (d = 2.19) than other
high -
risk children (d = 0.48 and d = 0.48, respectively).