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Impact of a Statewide Home Visiting Program to Prevent Child Abuse

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Title: Impact of a Statewide Home Visiting Program to Prevent Child Abuse
Language: English
Authors: Duggan, Anne, Caldera, Debra, Rodriguez, Kira, Burrell, Lori, Rohde, Charles, Crowne, Sarah Shea
Source: Child Abuse & Neglect: The International Journal. Aug 2007 31(8):801-827.
Availability: Elsevier. 6277 Sea Harbor Drive, Orlando, FL 32887-4800. Tel: 877-839-7126; Tel: 407-345-4020; Fax: 407-363-1354; e-mail: usjcs@elsevier.com; Web site: http://www.elsevier.com
Peer Reviewed: Y
Page Count: 27
Publication Date: 2007
Document Type: Journal Articles
Reports - Evaluative
Descriptors: Program Effectiveness, Risk, Mothers, Home Visits, Discipline, Control Groups, Community Resources, Child Abuse, Prevention, Intervention, State Programs
Geographic Terms: Alaska
DOI: 10.1016/j.chiabu.2006.06.011
ISSN: 0145-2134
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.
Abstractor: Author
Entry Date: 2007
Accession Number: EJ775504
Database: ERIC
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  Data: Impact of a Statewide Home Visiting Program to Prevent Child Abuse
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  Data: <searchLink fieldCode="AR" term="%22Duggan%2C+Anne%22">Duggan, Anne</searchLink><br /><searchLink fieldCode="AR" term="%22Caldera%2C+Debra%22">Caldera, Debra</searchLink><br /><searchLink fieldCode="AR" term="%22Rodriguez%2C+Kira%22">Rodriguez, Kira</searchLink><br /><searchLink fieldCode="AR" term="%22Burrell%2C+Lori%22">Burrell, Lori</searchLink><br /><searchLink fieldCode="AR" term="%22Rohde%2C+Charles%22">Rohde, Charles</searchLink><br /><searchLink fieldCode="AR" term="%22Crowne%2C+Sarah+Shea%22">Crowne, Sarah Shea</searchLink>
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  Data: <searchLink fieldCode="SO" term="%22Child+Abuse+%26+Neglect%3A+The+International+Journal%22"><i>Child Abuse & Neglect: The International Journal</i></searchLink>. Aug 2007 31(8):801-827.
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  Data: Elsevier. 6277 Sea Harbor Drive, Orlando, FL 32887-4800. Tel: 877-839-7126; Tel: 407-345-4020; Fax: 407-363-1354; e-mail: usjcs@elsevier.com; Web site: http://www.elsevier.com
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  Data: 27
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  Data: <searchLink fieldCode="DE" term="%22Alaska%22">Alaska</searchLink>
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  Data: 10.1016/j.chiabu.2006.06.011
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  Data: 0145-2134
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  Label: Abstract
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  Data: 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.
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        Value: 10.1016/j.chiabu.2006.06.011
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      – Text: English
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        PageCount: 27
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      – SubjectFull: Program Effectiveness
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      – SubjectFull: Risk
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      – SubjectFull: Mothers
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      – SubjectFull: Home Visits
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      – SubjectFull: State Programs
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      – SubjectFull: Alaska
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      – TitleFull: Impact of a Statewide Home Visiting Program to Prevent Child Abuse
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