Not exact matches
For example, Healthy Families New York identified that 6 percent of the controls and 8 percent of the treatment group had
substantiated reports of
abuse or neglect
at one year.
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.
Even if
abuse and neglect definitions were uniform across the country, it is still likely that the true prevalence rate of
abuse and neglect is much higher than what is reported or
substantiated by child protective services (CPS) agencies.9 In addition, researchers are still uncertain about the threshold
at which certain parenting behaviors begin to compromise a child's development.
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
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 domain.65
Additionally, Less than 1 % of children enrolled
at 12 months had a
substantiated report of
abuse and / or neglect five years later.