Sentences with phrase «reduction of child maltreatment»

Professionals working with children can contribute to making reduction of child maltreatment a priority.

Not exact matches

Impact evaluations reviewed in The Lancet medical journal have shown reductions in child maltreatment in the first two years of life of up to 48 percent.

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.

For example, a review on prevention of maltreatment and associated impairment concluded that programs delivered by paraprofessional home visitors were not effective in reducing child protection reports or associated impairments whereas those delivered by nurses evidenced reductions in child maltreatment.8

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 the US, the Obama administration has funded a range of initiatives that require the use of evidence - based strategies in areas such as teen pregnancy prevention, home visiting, education and workforce innovation.2, 3 In the field of home visiting, an increasing number of programs have been rigorously evaluated and have demonstrated evidence of effectiveness in outcome domains such as parenting, maternal and child health, child development and school readiness, reductions in child maltreatment, and family economic self - sufficiency.4, 5,6

What is the evidence of effectiveness of home visiting to increase positive parenting practices associated with reductions in the risk of child maltreatment?

Combining baseline adjustments, treatment attenuation effects, and prior preschool attendance attenuation effects, we assume that non-low-income children experience 42 percent of the reduction in the need for special education, 21 percent of the decline in grade retention, 12 percent of the reduction in child maltreatment, 42 percent of the drop in juvenile and adult crime, 26 percent of the lessening of depression, and 37 percent of the decrease in smoking experienced by low - income children.28

Dr. Joanne Klevens of the Division of Violence Prevention within the Center for Disease Control's National Center for Injury Prevention and Control and colleagues looked for associations between the Earned Income Tax Credits (EITC) and reductions in child maltreatment.

Prevention of child injuries, child abuse, neglect, or maltreatment, and reduction of emergency department visits;

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

Evidence is also becoming available about Parents Anonymous, © which has recently undergone a long - term single - group evaluation indicating significant reductions in the risks associated with child maltreatment.64 Circle of Parents, © another well - known support group intervention, is beginning to develop an evidentiary base (although the research conducted so far would not yet lift this program into the group generally known as «promising practices»).65

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 effect of the nurses and paraprofessionals on responsive mother - child interaction indicates that the program was operating as intended in helping parents provide more sensitive and responsive care for their children, which is thought to promote secure attachment and healthy emotional and behavioral development.49 The reductions in subsequent pregnancies and increases in interpregnancy intervals are particularly important as short interpregnancy intervals increase the risk of child maltreatment (including infant homicide among teen parents) 50 and compromise families» economic self - sufficiency.51

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.

For example, a review on prevention of maltreatment and associated impairment concluded that programs delivered by paraprofessional home visitors were not effective in reducing child protection reports or associated impairments whereas those delivered by nurses evidenced reductions in child maltreatment.8

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.

What is the evidence of effectiveness of home visiting to increase protective factors associated with reductions in the risk of child 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.

What is the evidence of effectiveness of home visiting to increase positive parenting practices associated with reductions in the risk 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

Professor Prinz argues that the parenting - focused aspects of child maltreatment prevention can extend beyond the original goal, including the prevention of childhood social, emotional, and behavioural problems; the reduction of risk for adverse adolescent outcomes (such as substance use, delinquency and academic failure); and parental engagement for school readiness.

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.

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 domachild 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 domaChild 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 domachild 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 domachild'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

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.

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 maltreatChild 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 mMaltreatment 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 maltreatChild 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 maltreatchild maltreatment reports, as well as risk factors and factors similar to child mmaltreatment reports, as well as risk factors and factors similar to child maltreatchild maltreatmentmaltreatment.

The studies demonstrated very good results, found that «dosage matters» (i. e., longer programs make a difference), and demonstrated a favorable cost - savings analysis indicating that the State should be able to absorb virtually all costs of statewide delivery of the NPP 0 - 5 program through reductions in child maltreatment.

(ii) Prevention of child injuries, child abuse, neglect, or maltreatment, and reduction of emergency department visits.

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.

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).

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.

Randomized controlled trial of the full system as implemented county - wide shows sizable reductions in child maltreatment and foster care placements.