Recent studies have also confirmed the relationship between parental deployment and
rates of child maltreatment and neglect involving the at - home caregiving spouse (Gibbs et al. 2007; Rentz et al. 2007).
A recent series of meta - analyses showed that worldwide prevalence
rates of child maltreatment ranged from 0.3 % based on studies using maltreatment reports of professionals to 36.6 % based on self - report studies (Stoltenborgh et al. 2014).
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.
Understanding the Geospatial Relationship of Neighborhood Characteristics and Rates of Maltreatment for Black, Hispanic, and White Children Freisthler, Bruce, & Needell Social Work: A Journal of the National Association of Social Workers, 52 (1), 2007 View Abstract Presents the results of a study examining how neighborhood characteristics are associated with
rates of child maltreatment for Black, Hispanic, and White children.
Casey said the indicators available on the map were «carefully selected based on their association with
rates of child maltreatment at different levels of geography and their availability to the public.»
13 - 33 % reductions in county - wide
rates of child maltreatment, hospital visits for maltreatment injuries, and foster - care placements for children age 0 - 8, two years after random assignment.
In a randomized controlled evaluation of the Healthy Families Massachusetts program, M. Ann Easterbrooks and her colleagues at Tufts University found that some (but not all) subsamples of the families in the state program showed higher
rates of child maltreatment and neglect than families not enrolled in the program.
The brief includes the analysis of survey data from program participants on child safety in the home, observed parenting practices, parental stress and parenting efficacy, self - reported parenting practices, and
rates of child maltreatment.
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.
In clinical trials and real - world evaluations, Triple P has been shown to have long - lasting and widespread effects for families and communities: building stronger family relationships, improving children's problem behaviour and ADHD symptoms, reducing parental stress and partner conflict, reducing
rates of child maltreatment and foster care placement, and reducing anxiety and / or depression in children and parents.
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
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.
In many European countries, home visiting is a routine part of maternal and child health care, although the practice is less established in Canada and the United States.7 Over the past 30 years, one of the most promising prevention strategies targeted at decreasing
rates of child maltreatment has been to provide health services, parenting education, and social support to pregnant women and families with young children in their own homes.
One measurement challenge is that states have different reporting and investigation requirements that hinder comparisons of
rates 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.
Another complication in assessing
rates of child maltreatment among families participating in clinical trials is that the frequent contact with home visitors makes it more likely that child abuse or neglect will be identified and reported among families in the intervention group, whereas it may go unnoticed among families in the control group.
In many European countries, home visiting is a routine part of maternal and child health care, although the practice is less established in Canada and the United States.7 Over the past 30 years, one of the most promising prevention strategies targeted at decreasing
rates of child maltreatment has been to provide health services, parenting education, and social support to pregnant women and families with young children in their own homes.
The brief includes the analysis of survey data from program participants on child safety in the home, observed parenting practices, parental stress and parenting efficacy, self - reported parenting practices, and
rates of child maltreatment.
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.
Although the overall
rate of child maltreatment is lower among military families compared to civilian families, rates of child maltreatment have risen faster among military families, particularly in the last decade.
Not exact matches
Fatherless
children have
rates of incarceration, criminal activity, possession
of firearms, poverty, drug and alcohol abuse, teen pregnancy, incompletion
of school, and overall parental neglect and
maltreatment alarmingly higher than their two - parent counterparts.
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.
Finally, it is possible that if researchers and policymakers were to begin an in - depth examination
of where
child maltreatment (including by other students) and educator misconduct
of all kinds occurs more according to school type — public schooling, private schooling, or homeschooling — they might find that a higher
rate of harm is associated with institutional schooling.
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
The multiplicity
of settings in which participants obtained health care in Denver and low
rates of state - verified cases
of child abuse and neglect in the target population made it impossible to use medical and
child - protective - service records to assess obstetric, newborn, childhood - injury, and
child maltreatment outcomes in the current trial.
Isolated psychological
maltreatment has had the lowest
rate of substantiation
of any type
of child 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.
Among
children whose abuse was so serious that they entered foster care, the
rate of substance abuse was about three times higher.8 Thus, substance abuse by parents
of victims
of child abuse may not be as common in the general
child welfare services - involved population as often believed, but substance abuse appears to be a significant contributor to
maltreatment.
Substance abuse Substance abuse by a
child's parent or guardian is commonly considered to be responsible for a substantial proportion
of child maltreatment reported to the
child welfare services.1 Studies examining the prevalence
of substance abuse among caregivers who have maltreated their
children have found
rates ranging from 19 percent2 to 79 percent or higher.3 One widely quoted estimate
of the prevalence
of substance abuse among care - givers involved in
child welfare is 40 to 80 percent.4 An epidemiological study published in the American Journal
of Public Health in 1994 found 40 percent
of parents who had physically abused their
child and 56 percent who had neglected their
child met lifetime criteria for an alcohol or drug disorder.5
The wave III interview, completed by 15 197 young adults in 2001 — 2002 (77.4 % response
rate), included retrospective measures
of child maltreatment.
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.
Few prevention programs have been rigorously evaluated, and only a few have proven effective.60, 61 Health - care based prevention programs, including parent education programs to reduce
rates of abusive head trauma, and improving physician ambulatory care practices to help families decrease risk factors for
child maltreatment have shown good initial results, but require further evaluation.62, 63 Specific intensive home visitation programs such as nurse home visiting programs for first - time mothers have proven to be both clinically and cost effective in preventing maltreatment.64, 65 However, a program of nurse home visitation has been found ineffective as a treatment model for abusive and neglectful families, highlighting the importance of primary prevention, as well as the need to rigorously evaluate potential treatments for abusive families.66 Child welfare services are historically structured as short - term interventions that monitor families for recidivism, provide parenting education and assist with referrals to community - based serv
child maltreatment have shown good initial results, but require further evaluation.62, 63 Specific intensive home visitation programs such as nurse home visiting programs for first - time mothers have proven to be both clinically and cost effective in preventing
maltreatment.64, 65 However, a program
of nurse home visitation has been found ineffective as a treatment model for abusive and neglectful families, highlighting the importance
of primary prevention, as well as the need to rigorously evaluate potential treatments for abusive families.66
Child welfare services are historically structured as short - term interventions that monitor families for recidivism, provide parenting education and assist with referrals to community - based serv
Child welfare services are historically structured as short - term interventions that monitor families for recidivism, provide parenting education and assist with referrals to community - based services.
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.
An estimated 1,560
children died because
of maltreatment, with the highest
rates of victimization in the first year
of life — 20.6 per 1,000
children.1 Research demonstrates that outcomes for
children who survive
child maltreatment (defined as neglect, abuse, or a combination
of the two) are poor, with performance below national norms in a range
of outcomes areas, including psychosocial and cognitive well - being and academic achievement.2, 3,4 The costs to society overall
of these
children not reaching their full potential and the lower than expected productivity
of adult survivors
of abuse are estimated at as much as $ 50 - 90 billion per year in the U.S. 5,6 These findings underscore the need for strategies to prevent
child maltreatment in order to improve outcomes for
children, families and communities.
Findings from the 2007 CFSR showed a disparity in services provided to in - home cases, compared to foster care cases, and
children receiving in - home services had higher
rates of repeat
maltreatment.
Some maltreated
children likely remained in our comparison sample, given the prevalence
rate of maltreatment in the general population.15 However, any bias introduced in our estimates would be toward zero if maltreated
children in our comparison group had higher expenditures on average compared with nonmaltreated
children.
Reducing
rates of maltreatment, supporting struggling families and improving pediatric and adult outcomes for victims requires community - wide strategies, with true collaboration between
child welfare, judicial, education, health and mental health colleagues to advocate for programs that are adequately tested and shown to be effective.
Findings from the second CFSR (2007) showed a disparity in services that were provided to in - home cases compared to foster care cases, and
children receiving in - home services were found to have a higher
rate of repeat
maltreatment.
As intended, states targeted counties with high
rates of poverty,
child maltreatment, and premature birth, among other indicators
of risk.
Colorado's Strong Start Study: Helping Young Families Affected by Substance Use Build Protective Factors to Prevent
Maltreatment [Presentation Slides](PDF - 557 KB) University Centers for Excellence in Developmental Disabilities (UCEDD) Technical Assistance (TA) Institute (2013) Highlights the collaborative partnership between the Colorado Department of Human Services» Division of Early Childhood and Division of Behavioral Health to address the increase in substance use by women since the mid-1980s, the rate of prenatal drug exposure, and child m
Maltreatment [Presentation Slides](PDF - 557 KB) University Centers for Excellence in Developmental Disabilities (UCEDD) Technical Assistance (TA) Institute (2013) Highlights the collaborative partnership between the Colorado Department
of Human Services» Division
of Early Childhood and Division
of Behavioral Health to address the increase in substance use by women since the mid-1980s, the
rate of prenatal drug exposure, and
child maltreatmentmaltreatment.
Childhood
maltreatment is associated with significantly higher
rates of mortality,1 - 3 obesity,1,4 - 7 and human immunodeficiency virus infection.1, 8
Children who experience maltreatment also have significantly more mental health problems1,9 - 14 and are as much as 5 times more likely to attempt suicide.1, 15 Maltreated children are also more likely to engage in criminal behavior than other children1, 16,17 and are more than 50 % more likely to have a juvenile record than other children.17 Child maltreatment also has substantial socia
Children who experience
maltreatment also have significantly more mental health problems1,9 - 14 and are as much as 5 times more likely to attempt suicide.1, 15 Maltreated
children are also more likely to engage in criminal behavior than other children1, 16,17 and are more than 50 % more likely to have a juvenile record than other children.17 Child maltreatment also has substantial socia
children are also more likely to engage in criminal behavior than other
children1, 16,17 and are more than 50 % more likely to have a juvenile record than other children.17 Child maltreatment also has substantial socia
children1, 16,17 and are more than 50 % more likely to have a juvenile record than other
children.17 Child maltreatment also has substantial socia
children.17
Child maltreatment also has substantial social costs.
«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.
Forty - one states selected communities with higher
rates of premature birth, and 37 states selected communities with higher unemployment
rates and
child maltreatment rates than the statewide average.
To do this, they completed detailed needs assessments, including determining the level
of risks to family and
child well - being (such as poverty,
child maltreatment rates, and unemployment) in their communities as well as the existence
of home visiting and other services to address those risks.
Compared to the nonintervention sample across time, the Strong Communities samples showed significant changes in the expected direction for social support, collective efficacy,
child safety in the home, observed parenting practices, parental stress, parental efficacy, self - reported parenting practices,
rates of officially substantiated
child maltreatment, and
rates of ICD - 9 coded
child injuries suggesting
child maltreatment.
33 % reduction in the
rate of substantiated
child maltreatment (10.9 cases
of substantiated
child maltreatment each year per 1,000
children age 0 - 8 in Triple P counties vs. 16.3 cases in control counties).
At the start
of the study, there were no statistically significant differences between the Triple P and control group counties in observable characteristics (e.g.,
child maltreatment rates over the prior five years, poverty
rates, racial composition).
The
rate of substantiated
child maltreatment, as
of 2014, has shown little change over the past five years, though it is significantly lower than in 1990.
In 2014, black
children had a reported
maltreatment rate of 15.3 per thousand
children, American Indian and Alaskan Native
children had a reported
maltreatment rate of 13.4, and
children of multiple races had a
rate of 10.6 per thousand.
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.