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Prevention of child maltreatment in high-risk rural families: A randomized clinical trial with child welfare outcomes

Author

Listed:
  • Silovsky, Jane F.
  • Bard, David
  • Chaffin, Mark
  • Hecht, Debra
  • Burris, Lorena
  • Owora, Arthur
  • Beasley, Lana
  • Doughty, Debbie
  • Lutzker, John

Abstract

Few studies have specifically examined prevention of child maltreatment among higher-risk populations in rural communities. The overarching goal of this study was to conduct a randomized clinical trial of SafeCare augmented for rural high-risk population (SC+) compared to standard home-based mental health services (SAU) to examine reductions in future child maltreatment reports, as well as risk factors and factors proximal to child maltreatment. Parents (NÂ =Â 105) of young children (5Â years or less) who had identifiable risk of depression, intimate partner violence, or substance abuse were randomized to SC+ or SAU. Participants randomized to SC+ were more likely to enroll (83% vs. 35% for SAU) and remain in services (35Â h vs. 8Â h for SAU). SC+ (for participants who successfully completed services) may have had limited impact on child welfare reports during service provision. Further, SC+ had fewer child welfare reports related to DV than SAU. Parent self-reports of parenting behaviors, risk factors, and protective factors did not demonstrate significant sustained program impact. Limitations include power constraints related to sample size. Promising next steps entail future trials with larger sample sizes examining service compliance and further augmentation of SafeCare to bolster service impact and address risk and protective factors.

Suggested Citation

  • Silovsky, Jane F. & Bard, David & Chaffin, Mark & Hecht, Debra & Burris, Lorena & Owora, Arthur & Beasley, Lana & Doughty, Debbie & Lutzker, John, 2011. "Prevention of child maltreatment in high-risk rural families: A randomized clinical trial with child welfare outcomes," Children and Youth Services Review, Elsevier, vol. 33(8), pages 1435-1444, August.
    • Handle: RePEc:eee:cysrev:v:33:y:2011:i:8:p:1435-1444
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    References listed on IDEAS

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    1. Hirotugu Akaike, 1987. "Factor analysis and AIC," Psychometrika, Springer;The Psychometric Society, vol. 52(3), pages 317-332, September.
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    1. Oppenheim-Weller, Shani & Zeira, Anat, 2018. "SafeCare in Israel: The challenges of implementing an evidence-based program," Children and Youth Services Review, Elsevier, vol. 85(C), pages 187-193.
    2. Schreier, Alayna & McCoy, Kelsey & Flood, Mary Fran & Wilcox, Brian L. & Hansen, David J., 2020. "Early Head Start service use by families with court-substantiated maltreatment," Children and Youth Services Review, Elsevier, vol. 108(C).
    3. repec:mpr:mprres:8096 is not listed on IDEAS
    4. repec:mpr:mprres:7864 is not listed on IDEAS
    5. Baiden, Philip & LaBrenz, Catherine A. & Okine, Lucinda & Thrasher, Shawndaya & Asiedua-Baiden, Gladys, 2020. "The toxic duo: Bullying involvement and adverse childhood experiences as factors associated with school disengagement among children," Children and Youth Services Review, Elsevier, vol. 119(C).
    6. Weegar, Kelly & Moorman, Jessie & Stenason, Lauren & Romano, Elisa, 2018. "Perspectives on the implementation of an evidence-based neglect program within child welfare," Children and Youth Services Review, Elsevier, vol. 93(C), pages 474-483.
    7. Biggs, Jacklyn & Sprague-Jones, Jessica & Garstka, Teri & Richardson, Deborah, 2018. "Brief motivational interviewing training for home visitors: Results for caregiver retention and referral engagement," Children and Youth Services Review, Elsevier, vol. 94(C), pages 56-64.
    8. repec:mpr:mprres:8167 is not listed on IDEAS
    9. Dauber, Sarah & John, Tiffany & Hogue, Aaron & Nugent, Jessica & Hernandez, Gina, 2017. "Development and implementation of a screen-and-refer approach to addressing maternal depression, substance use, and intimate partner violence in home visiting clients," Children and Youth Services Review, Elsevier, vol. 81(C), pages 157-167.
    10. repec:mpr:mprres:8165 is not listed on IDEAS
    11. Beasley, Lana & Milojevich, Helen & Fuller, Stormie & Beebe, Jessica A. & Bard, David, 2023. "A theory-based approach to understanding best practices in using online marketing materials for home-based parenting programs," Children and Youth Services Review, Elsevier, vol. 148(C).
    12. Waid, Jeffrey & Cho, Minhae & Marsalis, Scott, 2022. "Mental health targets in child maltreatment prevention programs: A systematic review of randomized trials," Children and Youth Services Review, Elsevier, vol. 136(C).
    13. Hilda Al-Shoura & Utku Beyazit, 2020. "The Arabic/Lebanese Adaptation of Child Abuse Potential Inventory," SAGE Open, , vol. 10(1), pages 21582440209, January.
    14. repec:mpr:mprres:8097 is not listed on IDEAS
    15. Andrew Burwick & Heather Zaveri, "undated". "Costs of Early Childhood Home Visiting: An Analysis of Programs Implemented in the Supporting Evidence-Based Home Visiting to Prevent Child Maltreatment Initiative," Mathematica Policy Research Reports 9474fe2a20a24941810fce8a2, Mathematica Policy Research.
    16. Millett, Lina Sapokaite & Ben-David, Vered & Jonson-Reid, Melissa & Echele, Greg & Moussette, Pam & Atkins, Valerie, 2016. "Understanding change among multi-problem families: Learnings from a formative program assessment," Evaluation and Program Planning, Elsevier, vol. 58(C), pages 176-183.
    17. Melissa Cowart-Osborne & Matthew Jackson & Elizabeth Chege & Evander Baker & Daniel Whitaker & Shannon Self-Brown, 2014. "Technology-Based Innovations in Child Maltreatment Prevention Programs: Examples from SafeCare®," Social Sciences, MDPI, vol. 3(3), pages 1-14, August.
    18. Patricia Del Grosso & Rebecca Kleinman & Andrea Mraz Esposito & Emily Sama Martin & Diane Paulsell, "undated". "Assessing the Evidence of Effectiveness of Home Visiting Program Models Implemented in Tribal Communities," Mathematica Policy Research Reports 6b7a19bd424149adabdfd4590, Mathematica Policy Research.
    19. Kimberly Boller & Deborah Daro & Patricia Del Grosso & Russell Cole & Diane Paulsell & Bonnie Hart & Brandon Coffee-Borden & Debra Strong & Heather Zaveri & Margaret Hargreaves, "undated". "Making Replication Work: Building Infrastructure to Implement, Scale-up, and Sustain Evidence-Based Early Childhood Home Visiting Programs with Fidelity," Mathematica Policy Research Reports 717d1a3c61eb46ad887f306a7, Mathematica Policy Research.

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