For example, numerous studies
on child maltreatment find strong associations between child neglect and poverty (Sedlack & Broadhurst, 1996; Eckenrode et al., 1998).
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.
Meta - analyses of this expanded research base confirm the model's impacts
on a range of risk and protective factors associated with
child maltreatment.7, 8,9 In addition, all of the major home visitation models in the U.S. are currently engaged in a variety of research activities, many of which are resulting in better defined models and more rigorous attention to the key issue of participant enrolment and retention, staff training and quality assurance standards.10 For example, recent
findings emerging from the initial two - year follow - up of the Early Head Start National Demonstration Project confirm the efficacy of home visitation programs with new parents.
This report presents
findings from a unique partnership between the University of Michigan and the State that allowed us to match the universe of
child maltreatment records in Michigan with educational data
on all public school
children in the state.
Here we report
findings from a unique partnership between the University of Michigan and the State that allowed us to match the universe of
child maltreatment records in Michigan with educational data
on all public school
children in the state.
2005 — A study from Healthy Families New York was published and the early
findings of the program show impacts
on reducing
child maltreatment.
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
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.
A 2012 meta - analytic review of EBHV programs that focused
on outcomes of
child maltreatment or injury / hospitalizations,
found that the NFP program had a cost / benefit ratio range of $ 1.05 to $ 12.62, based
on 2010 dollars (Dalziel & Segal, 2012).
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.
Abusive injuries to
children are most commonly
found on the skin, but the most serious injuries occur to the brain, abdomen and other internal organs.53, 54 No single injury is diagnostic of abuse, but certain patterns of trauma can be highly specific for
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.
In addition to helping parents
find positive ways to interact with their
children, the information and resources in this toolkit and
on our website are designed to prevent
child maltreatment by supporting the following protective factors known to strengthen families: knowledge of parenting and
child development, social and emotional competence of
children, and nurturing and attachment.
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.
For instance, in their prospective study among young adolescents, Garber and Flynn (Garber and Flynn, 2001)
found that negative self - worth develops as an outcome of low maternal acceptance, a maternal history of depression and exposure to negative interpersonal contexts, such as negative parenting practices, early history of
child maltreatment, negative feedback from significant others
on one's competence, and family discord and disruption.
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.
Find statistics
on child fatalities due to
child maltreatment, as well as research
on risk factors and perpetrator characteristics.
If the prospective adoptive parent (s) and / or adult household member has been or is currently the subject of an indicated (aka
founded)
child abuse and
maltreatment report, the home study provider agency shall determine
on the basis of the information it has available whether to approve or reject the individual as an adoptive parent.
Preventing Early
Child Maltreatment: Implications from a Longitudinal Study of Maternal Abuse History, Substance Use Problems, and Offspring Victimization Appleyard, Berlin, Rosanbalm, & Dodge (2011) Prevention Science, 12 (2) View Abstract Presents the findings of a study focused on improving child maltreatment prevention science in terms of specific implications for child maltreatment prevention, including the importance of assessment and early intervention for maternal history of maltreatment and substance use problems, targeting women with maltreatment histories for substance use services, and integrating child welfare and parenting programs with substance use treat
Child Maltreatment: Implications from a Longitudinal Study of Maternal Abuse History, Substance Use Problems, and Offspring Victimization Appleyard, Berlin, Rosanbalm, & Dodge (2011) Prevention Science, 12 (2) View Abstract Presents the findings of a study focused on improving child maltreatment prevention science in terms of specific implications for child maltreatment prevention, including the importance of assessment and early intervention for maternal history of maltreatment and substance use problems, targeting women with maltreatment histories for substance use services, and integrating child welfare and parenting programs with substance us
Maltreatment: Implications from a Longitudinal Study of Maternal Abuse History, Substance Use Problems, and Offspring Victimization Appleyard, Berlin, Rosanbalm, & Dodge (2011) Prevention Science, 12 (2) View Abstract Presents the
findings of a study focused
on improving
child maltreatment prevention science in terms of specific implications for child maltreatment prevention, including the importance of assessment and early intervention for maternal history of maltreatment and substance use problems, targeting women with maltreatment histories for substance use services, and integrating child welfare and parenting programs with substance use treat
child maltreatment prevention science in terms of specific implications for child maltreatment prevention, including the importance of assessment and early intervention for maternal history of maltreatment and substance use problems, targeting women with maltreatment histories for substance use services, and integrating child welfare and parenting programs with substance us
maltreatment prevention science in terms of specific implications for
child maltreatment prevention, including the importance of assessment and early intervention for maternal history of maltreatment and substance use problems, targeting women with maltreatment histories for substance use services, and integrating child welfare and parenting programs with substance use treat
child maltreatment prevention, including the importance of assessment and early intervention for maternal history of maltreatment and substance use problems, targeting women with maltreatment histories for substance use services, and integrating child welfare and parenting programs with substance us
maltreatment prevention, including the importance of assessment and early intervention for maternal history of
maltreatment and substance use problems, targeting women with maltreatment histories for substance use services, and integrating child welfare and parenting programs with substance us
maltreatment and substance use problems, targeting women with
maltreatment histories for substance use services, and integrating child welfare and parenting programs with substance us
maltreatment histories for substance use services, and integrating
child welfare and parenting programs with substance use treat
child welfare and parenting programs with substance use treatment.
Initial
Findings from a Randomized, Controlled Trial of Healthy Families Massachusetts: Early Program Impacts
on Young Mothers» Parenting (PDF - 576 KB) Easterbrooks, Jacobs, Bartlett, Goldberg, Contreras, & Kotake (2012) Offers an evaluation
on Healthy Families Massachusetts, a statewide
child maltreatment prevention home - visiting program for first - time young parents, that examined the program's impact
on child maltreatment and parenting in a sample of young mothers.
In the discussion of program efficacy, we focus
on the DHHS evidence - based programs that included statistically significant
findings — either favorable or unfavorable / ambiguous —
on child health and development or
child maltreatment (Table 1).
Find factsheets, reference books, and research
on definitions, signs, and symptoms of different types of
child maltreatment.
«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.
But when county officials searched across the country for programs that sent nurses out
on every investigation of
child maltreatment involving infants and toddlers, they
found none.
Overall, a small but significant effect was
found of interventions aimed at preventing or reducing
child maltreatment (d =.287), which is in line with
findings of previously conducted meta - analyses
on the effect of these interventions (e.g., Geeraerts et al. 2004; Filene et al. 2013; MacLeod and Nelson 2000).
Given the high public cost associated with
child maltreatment, the researchers estimated that communities implementing Triple P were able to recoup their investments (media campaign and training for
child and youth workers) in less than 1 year.45 The population - level study
on younger
children shed a light
on the fact that similar
findings might result if a population approach is used
on parents with adolescents.
Study
findings support broadening the current discourse
on types of adverse events when considering pathways from
child maltreatment to adolescent perpetration of delinquent and violent outcomes.
On the other hand, it can be assumed that official reports also lead to an underrepresentation of
child abuse because researchers
found that many occurrences of
child maltreatment do not appear in official records (e.g., Fergusson et al. 2000; Finkelhor 2008; MacMillan et al. 2003).