Models of the mechanisms of this association are reviewed and evaluated in the context of the many complexities of defining and
measuring child maltreatment.
Studies of home visiting's effectiveness as an intervention designed to prevent child maltreatment demonstrate some promise, but compared to the number of studies conducted that
measure child maltreatment, risk for maltreatment, or protective factors, there are far more findings of no effects than reductions in maltreatment and improvements in child and family well - being.
Dr. Klevens and her colleagues
measured child maltreatment using inpatient admissions data for abusive head trauma in children under age two between 1995 and 2013.
We measured child maltreatment investigations, indicated reports, and out - of - home care placements from birth to age five among 2,487 children born to youth in foster care between 2000 and 2008.
Not exact matches
Overall, the research on home visiting to prevent
child maltreatment could be improved with use of rigorous methods, appropriate
measures, longer follow - up periods, and inclusion of and reporting on important subgroups.
The study drew on two different
measures of
child abuse from Army databases: substantiated
child maltreatment reports and medical diagnoses of
child maltreatment.
Specifically, we compared
children with complaints for
maltreatment to peers who (a) were the same race, gender and birth year, (b) had the same income level as
measured by eligibility for subsidized meals, (c) lived in the same neighborhood, and (d) attended the same elementary school.
The
measure of
child maltreatment incorporates formal investigations relating to potential
child neglect as well as abuse (sexual or physical) that occur prior to grade 3.
This is in absolute contrast with Section 1 of Article 19 of the convention that reads: «State Parties shall take all appropriate legislative, administrative, social and educational
measures to protect the
child from all forms of physical or mental violence, injury or abuse, neglect or negligent treatment,
maltreatment, or exploitation» (qtd.
States Parties shall take all appropriate legislative, administrative, social and educational
measures to protect the
child from all forms of physical or mental violence, injury or abuse, neglect or negligent treatment,
maltreatment or exploitation, including sexual abuse, while in the care of parent (s), legal guardian (s) or any other person who has the care of the
child.
Such protective
measures should, as appropriate, include effective procedures for the establishment of social programmes to provide necessary support for the
child and for those who have the care of the
child, as well as for other forms of prevention and for identification, reporting, referral, investigation, treatment and follow - up of instances of
child maltreatment described heretofore, and, as appropriate, for judicial involvement.
«State's parties shall take all appropriate legislative, administrative, social and educational
measures to protect the
child from all forms of physical or mental violence, injury or abuse, neglect or negligent treatment,
maltreatment or exploitation, including sexual abuse, while in the care of parent (s), legal guardian (s), or any other person who has the care of the
child.»
This book by the National Council of Juvenile and Family Court Judges, commonly called the Greenbook, provides communities a framework to develop interventions and
measure progress as they seek to improve their responses to families experiencing spouse abuse and
child maltreatment.
shall take all appropriate legislative, administrative, social and educational
measures to protect the
child from all forms of physical or mental violence, injury or abuse, neglect or negligent treatment,
maltreatment or exploitation, including sexual abuse, while in the care of parent (s), legal guardian (s) or any other person who has the care of the
child.
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.
As previously described, 46 the
measure of childhood
maltreatment includes (1) maternal rejection assessed at age 3 years by observational ratings of mothers» interaction with the study
children, (2) harsh discipline assessed at ages 7 and 9 years by parental report of disciplinary behaviors, (3) 2 or more changes in the
child's primary caregiver, and (4) physical abuse and (5) sexual abuse reported by study members once they reached adulthood.
Conclusions Although findings are at best mixed with respect to the effectiveness of home - visiting programs in preventing
child neglect, evidence is mounting that these programs can positively alter parenting practices and, to a lesser extent,
children's cognitive development.121 Given the many measurement problems associated with accurately tracking substantiated cases of abuse and neglect, what is needed is not more evaluations of CPS reports attempting to show reductions in
child abuse and neglect, but rather the development of new
measures by which researchers can make sensitive and accurate assessments of
child maltreatment.
The wave III interview, completed by 15 197 young adults in 2001 — 2002 (77.4 % response rate), included retrospective
measures of
child maltreatment.
Third, we focused our analyses on childhood socioeconomic disadvantage,
maltreatment, and social isolation because previous research suggested a link between these
measures and age - related disease.24, 31,33 However,
children may be exposed to other significant adverse experiences, and research is needed to uncover them.
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.
Overall, the authors concluded that the program did little to prevent
child abuse.58 They also noted that the home visitors rarely expressed concerns about
child maltreatment, even among families for whom other
measures suggested significant problems.
Repeat
Maltreatment in Alaska: Assessment and Exploration of Alternative Measures (PDF - 1055 KB) Vadapalli & Passini (2015) Examines recurring child maltreatment reporting trends between 2005 and 2013 to determine the differing rates of substantiated and unsubstantia
Maltreatment in Alaska: Assessment and Exploration of Alternative
Measures (PDF - 1055 KB) Vadapalli & Passini (2015) Examines recurring
child maltreatment reporting trends between 2005 and 2013 to determine the differing rates of substantiated and unsubstantia
maltreatment reporting trends between 2005 and 2013 to determine the differing rates of substantiated and unsubstantiated reports.
Child maltreatment was measured by examining child protective services reports using State agency data, medical chart documentation for possible abuse or neglect, and parental report of harsh punishment via the Parent - Child Conflict Tactics s
Child maltreatment was
measured by examining
child protective services reports using State agency data, medical chart documentation for possible abuse or neglect, and parental report of harsh punishment via the Parent - Child Conflict Tactics s
child protective services reports using State agency data, medical chart documentation for possible abuse or neglect, and parental report of harsh punishment via the Parent -
Child Conflict Tactics s
Child Conflict Tactics scale.
Overall, the research on home visiting to prevent
child maltreatment could be improved with use of rigorous methods, appropriate
measures, longer follow - up periods, and inclusion of and reporting on important subgroups.
Strategic Direction for
Child Maltreatment Prevention: Preventing Child Maltreatment Through the Promotion of Safe, Stable, and Nurturing Relationships Between Children and Caregivers (PDF - 280 KB) Centers for Disease Control and Prevention (2009) Describes a strategy for child maltreatment prevention organized around four areas of public health research and practice: measuring impact, creating and evaluating new approaches to prevention, applying and adapting effective practices, and building community readi
Child Maltreatment Prevention: Preventing Child Maltreatment Through the Promotion of Safe, Stable, and Nurturing Relationships Between Children and Caregivers (PDF - 280 KB) Centers for Disease Control and Prevention (2009) Describes a strategy for child maltreatment prevention organized around four areas of public health research and practice: measuring impact, creating and evaluating new approaches to prevention, applying and adapting effective practices, and building communit
Maltreatment Prevention: Preventing
Child Maltreatment Through the Promotion of Safe, Stable, and Nurturing Relationships Between Children and Caregivers (PDF - 280 KB) Centers for Disease Control and Prevention (2009) Describes a strategy for child maltreatment prevention organized around four areas of public health research and practice: measuring impact, creating and evaluating new approaches to prevention, applying and adapting effective practices, and building community readi
Child Maltreatment Through the Promotion of Safe, Stable, and Nurturing Relationships Between Children and Caregivers (PDF - 280 KB) Centers for Disease Control and Prevention (2009) Describes a strategy for child maltreatment prevention organized around four areas of public health research and practice: measuring impact, creating and evaluating new approaches to prevention, applying and adapting effective practices, and building communit
Maltreatment Through the Promotion of Safe, Stable, and Nurturing Relationships Between
Children and Caregivers (PDF - 280 KB) Centers for Disease Control and Prevention (2009) Describes a strategy for
child maltreatment prevention organized around four areas of public health research and practice: measuring impact, creating and evaluating new approaches to prevention, applying and adapting effective practices, and building community readi
child maltreatment prevention organized around four areas of public health research and practice: measuring impact, creating and evaluating new approaches to prevention, applying and adapting effective practices, and building communit
maltreatment prevention organized around four areas of public health research and practice:
measuring impact, creating and evaluating new approaches to prevention, applying and adapting effective practices, and building community readiness.
Challenges to including
measures of
child maltreatment involve the complexity of obtaining consent from families and access to state
child welfare records, the need for both short - and long - term follow - up to assess program impact, and concerns about the reliability and validity of parent or staff reports.
Main Outcome
Measures (1) Association of 7 adverse exposures (3 categories of
child abuse [physical abuse, sexual abuse, and psychological
maltreatment] and 4 categories of household dysfunction [caregiver problem drinking, caregiver depression, caregiver treated violently, and criminal behavior in the household]-RRB- derived from data collected when the
child was 4 years old.
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
Protective Factors Survey FRIENDS National Resource Center for Community - Based
Child Abuse Prevention (2008) Offers a self - administered survey for use with caregivers receiving child maltreatment prevention services, measuring protective factors in five areas: family functioning / resiliency, social support, concrete support, nurturing and attachment, and knowledge of parenting / child develop
Child Abuse Prevention (2008) Offers a self - administered survey for use with caregivers receiving
child maltreatment prevention services, measuring protective factors in five areas: family functioning / resiliency, social support, concrete support, nurturing and attachment, and knowledge of parenting / child develop
child maltreatment prevention services,
measuring protective factors in five areas: family functioning / resiliency, social support, concrete support, nurturing and attachment, and knowledge of parenting /
child develop
child development.
The interaction effect appears to be robust across alternative
measures of both domestic violence and
child maltreatment.
Five of the evidence - based programs showed improvements in reductions in
child maltreatment,
measured in different ways, including substantiated reports and parents» self - report of behaviors.
Six programs had studies that assessed reductions in
child maltreatment,
measured in different ways, including substantiated information from administrative records, encounters with health providers for injuries or poisonings, and self - reported parenting behaviors.
Main Outcomes and
Measures The cumulative prevalence of confirmed
child maltreatment by race / ethnicity, sex, and year.
In fact, the strategies of alienating parents, which include «spurning, terrorizing, isolating, corrupting or exploiting and denying emotional responsiveness,» are reportedly extreme
measures of psychological
maltreatment of
children.
Summary: (To include comparison groups, outcomes,
measures, notable limitations) Mothers of families with history of
maltreatment and their
children were randomly assigned the Preschooler - Parent Psychotherapy (PPP)[now called
Child - Parent Psychotherapy (CPP)-RSB-, psychoeducational home visitation (PHV), or community standard (CS) groups.
Summary: (To include comparison groups, outcomes,
measures, notable limitations) The aim of this study was to conduct a evaluation of the effectiveness of Circle of Security - Parenting (COS - P), with mothers in residential substance abuse treatment and (b) to examine what demographic variables, including other risk factors for
child maltreatment, may influence the impact of the program with these mothers.
Summary: (To include comparison groups, outcomes,
measures, notable limitations) This article introduces the Attachment, Self - Regulation, and Competency (ARC) model [now called Attachment, Regulation, and Competency (ARC)- Client] and describes its application with young
children of diverse ethnocultural backgrounds involved in the
child protection system due to
maltreatment.
Measures included records of the
child's history of permanent placement attempts during the 24 months of the study, and severity of
maltreatment history.
Measures utilized include the Knowledge of Infant Development Inventory, the Parenting Sense of Competence Scale, the
Child Maltreatment Precursor Scale, the Home Observation and Measurement of Environment (HOME) Inventory, the Developmental Profile II, and the Adaptive Social Behavior Inventory.
Summary: (To include comparison groups, outcomes,
measures, notable limitations) This article reports the evaluation results from Strong Communities for
Children, a multiyear comprehensive community - based initiative to prevent child maltreatment and improve children's
Children, a multiyear comprehensive community - based initiative to prevent
child maltreatment and improve
children's
children's safety.
Summary: (To include comparison groups, outcomes,
measures, notable limitations) This article introduces the Attachment, Self - Regulation, and Competency (ARC) model [now called Attachment, Regulation, and Competency (ARC)-RSB- and describes its application with young
children of diverse ethnocultural backgrounds involved in the
child protection system due to
maltreatment.
Summary: (To include comparison groups, outcomes,
measures, notable limitations) The study examined the effectiveness of the RETHINK Parenting and Anger Management preventive educational workshop program in reducing parent anger and
child maltreatment at 3 - month follow - up.
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.
Parents» self - reports provide a powerful
measure of
child maltreatment; several rigorous studies show reductions in harsh parenting, neglect, physical abuse, and psychological abuse
measured from one to seven years and increased use of non-violent discipline.
Evaluate the impact of the braided PAT+S afeCare program on parent,
child, and
child maltreatment measures
Model care resulted in significantly lower rates of
child maltreatment in all the outcome
measures: fewer
child protective services reports, fewer instances of possible medical neglect documented as treatment nonadherence, fewer
children with delayed immunizations, and less harsh punishment reported by parents.
We offer three recommendations for future research in this area: 1)
measures of the severity of
child maltreatment should be used where possible; 2) positive childhood relationships should be assessed as a potentially important protective factor; 3) more research should involve system - involved
children and adolescents.