Effectiveness

Effective

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Effective

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Description

Child maltreatment prevention programs aim to prevent the abuse, neglect, and maltreatment of children. This type of program includes a number of sub-types which are distinguished by the specific ways and approaches adopted to implement them. These include: i. Early family/parental training/visitation programs; and ii. Child maltreatment prevention programs.
Parent/family visitation and training programs aim to develop skills and behaviors in guardians/caregivers that promote the physical, psychological, and social development of their children, while also preventing child abuse, neglect, and maltreatment. Visits can begin during pregnancy or after birth. Visitors provide information on childcare, health, and holistic development, as well as guidelines for supervising and monitoring children and disciplining their behavior appropriately, without resorting to violence. Training for parents can take place in schools, community centers, health centers, or in their homes, and can be administered in 1:1 interviews or group work sessions.
Child maltreatment prevention programs are designed to develop parenting skills, promote the ability to deal with stressors, and stimulate child development. Services can be provided to members of the general population or can specifically target at-risk parents or those with a history of maltreatment. These programs can be developed 1:1, in groups, or both, and can include a variety of components, including: 1) teaching child care, 2) promoting parental sensitivity and responsiveness, 3) cognitive stimulation of the child, 4) Cognitive Behavioral Therapy, 5) family planning, 6) health promotion services, and 7) couples therapy.

Country of application
  • Canada
  • United States
  • United Kingdom
  • New Zealand
Evidence

A systematic review aggregated the results of 78 Randomized Controlled Trials (RCTs) on family/early parenting training programs and found a statistically significant average effect of these programs in terms of reducing children’s behavioral problems, such as problematic behaviors, delinquency, and antisocial behavior [1]. Based on this review, the Crime Solutions platform classifies this type of program as effective to reduce the prevalence of problematic behaviors among children, such as juvenile delinquency or antisocial behavior.
Early childhood home visitation programs have also been evaluated by the Crime Reduction Toolkit platform based on two systematic reviews. This intervention is classified as effective, as the evidence from these reviews suggests that, overall, home visits have a positive effect in terms of reducing child abuse and neglect, as well as reducing the victimization of those children in future episodes of violence, in addition to reducing episodes of domestic violence between parents. The evidence indicates that these interventions seem to be more successful in homes with a low socioeconomic status; and programs that used nurses and mental health workers were found to be more effective than programs that used only social workers. In addition, programs that included prenatal and postnatal visits were more effective than those that only included postnatal visits [2] [3].
The Crime Solutions platform also classifies child maltreatment prevention programs as effective to reduce episodes of child abuse, neglect, and maltreatment. In this case, the platform relied on three systematic reviews that focused on these programs [4] [5] [6]. Although one of them did not find any statistically significant effects [4], the other two found considerable effects, an 11%-26% reduction in the likelihood of incidence of these episodes in the treatment group, when compared to the control group [5] [6].

Bibliography

[1] Piquero, A. R., Jennings, W. G., Diamond, B., Farrington, D. P., Tremblay, R. E., Welsh, B. C., Gonzalez, J. M. R. (2016). A meta-analysis update on the effects of early family/parent training programs on antisocial behavior and delinquency. Journal of Experimental Criminology, 12(2), 229–248. https://doi.org/10.1007/s11292-016-9256-0

[2] Bilukha, O., Hahn, R. A., Crosby, A., Fullilove, M. T., Liberman, A., Moscicki, E., Snyder, S., Tuma, F., Corso, P., Schofield, A., Briss, P. A. (2005). The effectiveness of early childhood home visitation in preventing violence: A systematic review. American Journal of Preventive Medicine, 28(2 (Suppl 1)), 11–39. https://doi.org/10.1016/j.amepre.2004.10.004

[3] Prosman, G.‑J., Lo Fo Wong, S. H., van der Wouden, J. C., Lagro-Janssen, A. L. M. (2015). Effectiveness of home visiting in reducing partner violence for families experiencing abuse: A systematic review. Family Practice, 32(3), 247–256. https://doi.org/10.1093/fampra/cmu091

[4] Pinquart, M. and Teubert, D. (2010). Effects of parenting education with expectant and new parents: A meta-analysis. Journal of Family Psychology: JFP: Journal of the Division of Family Psychology of the American Psychological Association (Division 43), 24(3), 316–327. https://doi.org/10.1037/a0019691

[5] van der Put, C. E., Assink, M., Gubbels, J., van Boekhout Solinge, N. F. (2018). Identifying Effective Components of Child Maltreatment Interventions: A Meta-analysis. Clinical Child and Family Psychology Review, 21(2), 171–202. https://doi.org/10.1007/s10567-017-0250-5

[6] Vlahovicova, K., Melendez-Torres, G. J., Leijten, P., Knerr, W., Gardner, F. (2017). Parenting Programs for the Prevention of Child Physical Abuse Recurrence: A Systematic Review and Meta-Analysis. Clinical Child and Family Psychology Review, 20(3), 351–365. https://doi.org/10.1007/s10567-017-0232-7

Evaluated cases

The Safe Child Program

MBF Child Safety Matters®

The Incredible Years BASIC – Parent Training Program

Multisystemic Therapy for Child Abuse and Neglect (MST-CAN)

Family Assessment Response (FAR)

Strong Communities for Children

Why might the cases evaluated have different levels of effectiveness in relation to their respective type of solution?
Click here to understand why.

Some cases were not included in the evidence bank due to deficiencies detected in the methodology of their impact evaluations.
Click here to see the list

 

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