Impact of a Statewide Home Visiting Program to Prevent Child Abuse

Autor/inn/en	Duggan, Anne; Caldera, Debra; Rodriguez, Kira; Burrell, Lori; Rohde, Charles; Crowne, Sarah Shea
Titel	Impact of a Statewide Home Visiting Program to Prevent Child Abuse
Quelle	In: Child Abuse & Neglect: The International Journal, 31 (2007) 8, S.801-827 (27 Seiten) PDF als Volltext Verfügbarkeit
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	0145-2134
DOI	10.1016/j.chiabu.2006.06.011
Schlagwörter	Program Effectiveness; Risk; Mothers; Home Visits; Discipline; Control Groups; Community Resources; Child Abuse; Prevention; Intervention; State Programs; Alaska + Suchen Sie Ihr Suchwort? Risiko; Mother; Mutter; Hausbesuch; Disziplin; Abuse of children; Abuse; Child; Children; Kindesmissbrauch; Missbrauch; Kind; Kinder; Prävention; Vorbeugung; Regierungsprogramm
Abstract	Objectives: To assess the impact of a voluntary, paraprofessional home visiting program in preventing child maltreatment and reducing the multiple, malleable psychosocial risks for maltreatment for which families had been targeted. Methods: This collaborative, experimental study focused on 6 Healthy Families Alaska (HFAK) programs; 325 families were enrolled in 2000-2001, randomized to intervention and control groups, and interviewed to measure baseline attributes. Follow-up data were collected when children were 2 years old (85% follow-up rate). Outcomes included maltreatment reports, measures of potential maltreatment and parental risks, for example, poor mental health, substance use, and partner violence. HFAK records were reviewed to measure home visiting services. Home visitors were surveyed to measure perceived effectiveness and training adequacy. Results: Parental risks were common at baseline, and one-sixth of families had a substantiated child protective services report in the child's first 2 years of life. There was no overall program effect on maltreatment reports, and most measures of potential maltreatment. Home visited mothers reported using mild forms of physical discipline less often than control mothers. The groups were similar in their use of more severe forms of physical discipline. There was no program impact on parental risks. There was no impact on outcomes for families with a "high dose" of home visiting. Home visitors often failed to address parental risks and seldom linked families with community resources. Contradictions in the model compromised effectiveness. Conclusions: The program did not prevent child maltreatment, nor reduce the parental risks that had made families eligible for service. Research is needed to develop and test strategies to improve the effectiveness of home visiting. (Author).
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Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2017/4/10