Abstract:
OBJECTIVES:At 6 sites serving 21 communities, Alaska implemented Healthy Families Alaska, a home visitation program using paraprofessionals designed to decrease child abuse and neglect. The primary study objective was to compare changes over time in Child Protective Services outcomes by Healthy Families Alaska enrollment status. METHODS:Enrollment status was linked to birth certificates for birth years 1996-2002 which in turn was linked to the Alaska Child Protective Services database for outcome years 1996-2004. All children were followed through the study databases until age 2 years. RESULTS:There were 40,099 children born during 1996-2002 to residents of Healthy Families Alaska communities and 985 were enrolled in the program. Physical abuse referrals among enrolled children decreased from 73 to 42 per 1000 child-years of follow-up from 1996-1998 to 2000-2002 (p=.005); all of this decrease occurred among children who received 20 or more home visitations. This decrease may have been unrelated to program impact as a similar decrease in referral was seen among unenrolled high-risk children. Compared to unenrolled high-risk children, enrolled children had a modest decrease in the proportion with substantiated neglect but no difference in the proportion with neglect referral or physical abuse referral or substantiation. CONCLUSIONS:Little evidence exists that Alaska's home visitation program had a measurable impact on child maltreatment outcomes. PRACTICE IMPLICATIONS:Within Alaskan communities that had a home visitation program targeting families at high risk for child abuse, changes in Child Protective Services outcomes among children less than 2 years of age were followed over time by program enrollment status. Enrollment was associated with a substantial decrease in physical abuse referrals, but a similar decrease was seen among unenrolled high-risk children. No improvement was seen in physical abuse substantiation. A greater number of home visitations was not associated with fewer abuse outcomes. This work supports most of the recent literature, which questions the field effectiveness of home visitation programs. In combination with other studies, the current work may lead decision-makers and funding agencies to re-examine the usefulness of home visitation programs, particularly those using a methodology similar to that implemented in Alaska.
journal_name
Child Abuse Negljournal_title
Child abuse & neglectauthors
Gessner BDdoi
10.1016/j.chiabu.2007.08.004subject
Has Abstractpub_date
2008-03-01 00:00:00pages
317-33issue
3eissn
0145-2134issn
1873-7757pii
S0145-2134(08)00013-6journal_volume
32pub_type
杂志文章abstract:OBJECTIVE:This study aimed to examine the association among adverse childhood experiences, health-risk behaviors, and chronic disease conditions in adult life. STUDY POPULATION:One thousand and sixty-eight (1,068) males and females aged 35 years and older, and residing in selected urban communities in Metro Manila par...
journal_title:Child abuse & neglect
pub_type: 杂志文章
doi:10.1016/j.chiabu.2010.02.012
更新日期:2010-11-01 00:00:00
abstract:OBJECTIVE:To examine whether notified child maltreatment is associated with adverse psychological outcomes in adolescence, and whether differing patterns of psychological outcome are seen depending on the type of maltreatment. METHODS:The participants were 7,223 mother and child pairs enrolled in a population-based bi...
journal_title:Child abuse & neglect
pub_type: 杂志文章
doi:10.1016/j.chiabu.2012.11.008
更新日期:2013-05-01 00:00:00
abstract::Studies in other countries, including countries with mandated reporting by professionals and a long history of recognition of the problem, have found child abuse to be seriously under reported. This population-based pilot study was conducted to determine the magnitude of adolescents' exposure to CAN at home, and to id...
journal_title:Child abuse & neglect
pub_type: 杂志文章
doi:10.1016/j.chiabu.2014.08.016
更新日期:2015-04-01 00:00:00
abstract::Latent class (LCA) and latent profile (LPA) analysis represent methodological approaches to identify subgroups of maltreated individuals. Although research examining child abuse and neglect (CAN) profiles is still rare, the application of person-centered techniques to clarify CAN types co-occurrence has substantially ...
journal_title:Child abuse & neglect
pub_type: 杂志文章,评审
doi:10.1016/j.chiabu.2017.06.014
更新日期:2017-08-01 00:00:00
abstract::Parental risk for perpetrating child abuse is frequently associated with intergenerational patterns of abuse: being abused increases the risk for future abuse. Yet, the mechanisms of intergenerational abuse are unclear, and the risk factors for perpetrating child abuse are interrelated. Research suggests that history ...
journal_title:Child abuse & neglect
pub_type: 杂志文章
doi:10.1016/j.chiabu.2018.08.004
更新日期:2018-11-01 00:00:00
abstract::Intentional (inflicted) injury to children through burns has been studied and mentioned extensively in the literature, although much less so in developing countries. A community-based survey of children aged 0-5 years in the Ashanti Region of Ghana found that of 650 childhood burns, 35 (5.4%) were purposefully inflict...
journal_title:Child abuse & neglect
pub_type: 杂志文章
doi:10.1016/0145-2134(95)00041-6
更新日期:1995-07-01 00:00:00
abstract::The Good School Toolkit is effective in reducing staff violence against children in Ugandan primary schools. A secondary analysis of cluster-randomised trial data was conducted to investigate intervention effects on school operational culture, and on normative beliefs and violence against children from caregivers outs...
journal_title:Child abuse & neglect
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1016/j.chiabu.2018.06.007
更新日期:2018-10-01 00:00:00
abstract:OBJECTIVE:To evaluate the success of specialized community-based treatment for reducing adolescent sexual reoffending and explore the predictive utility of variables assessed regarding sexual and nonsexual recidivism. METHOD:Recidivism data (criminal charges) were collected for 58 offenders participating in at least 1...
journal_title:Child abuse & neglect
pub_type: 杂志文章
doi:10.1016/s0145-2134(00)00147-2
更新日期:2000-07-01 00:00:00
abstract::Although frustration has long been implicated in promoting aggression, the potential for poor frustration tolerance to function as a risk factor for physical child abuse risk has received minimal attention. Instead, much of the extant literature has examined the role of anger in physical abuse risk, relying on self-re...
journal_title:Child abuse & neglect
pub_type: 杂志文章
doi:10.1016/j.chiabu.2015.02.017
更新日期:2015-08-01 00:00:00
abstract:OBJECTIVE:This study examines the incidence and other epidemiological and medico-legal characteristics of child homicide in the territory of Belgrade, Republic of Serbia. METHODS:We performed a retrospective analysis of all autopsies carried out at the Institute of Forensic Medicine in Belgrade during a 15 year period...
journal_title:Child abuse & neglect
pub_type: 杂志文章
doi:10.1016/j.chiabu.2010.06.003
更新日期:2010-12-01 00:00:00
abstract::The evaluation of any antenatal prevention program of child abuse and neglect is limited for statistical and ethical reasons, as shown in the first part of the present study (cf., The obstetrical viewpoint by G. Soumenkoff). The authors propose a child psychiatry model of evaluation. Use of the model is illustrated by...
journal_title:Child abuse & neglect
pub_type: 杂志文章
doi:10.1016/0145-2134(86)90032-3
更新日期:1986-01-01 00:00:00
abstract::In the decade of the 70s, much was learned about abused and neglected children and their families. Public outcry demanded action at the state, regional and national level hoping that the effort would generate more effective methods of identification, intervention and treatment. Consequently, researchers and theoretici...
journal_title:Child abuse & neglect
pub_type: 杂志文章
doi:10.1016/0145-2134(84)90030-9
更新日期:1984-01-01 00:00:00
abstract:OBJECTIVE:Controlled studies have shown deliberate self-harm to be more common in abused populations, but no controlled studies have shown abuse to be more common in self-harming populations. This is the first controlled study to determine whether abuse experiences (sexual, physical, and psychological) occurred more co...
journal_title:Child abuse & neglect
pub_type: 杂志文章
doi:10.1016/s0145-2134(01)00276-9
更新日期:2001-10-01 00:00:00
abstract:OBJECTIVE:This study presents evaluative data on the Childhood Experiences of Violence Questionnaire (CEVQ), a brief, self-report measure of youth victimization. METHODS:Literature reviews, expert consultations and qualitative interviews informed the development of the CEVQ. Test-retest reliability of the preliminary ...
journal_title:Child abuse & neglect
pub_type: 杂志文章
doi:10.1016/j.chiabu.2008.05.003
更新日期:2008-11-01 00:00:00
abstract:BACKGROUND:Adverse childhood experiences are an important public health issue. It is well documented that they are associated with many health problems. Nevertheless, little is known about childhood emotional abuse and neglect (CEA and CEN) among Hong Kong people. OBJECTIVE:This study aimed to explore the demographic ...
journal_title:Child abuse & neglect
pub_type: 杂志文章
doi:10.1016/j.chiabu.2019.104288
更新日期:2020-01-01 00:00:00
abstract::The article suggests the importance of a crisis line for children as a way of making it easier for them to report when they are abused or neglected. The Childhelp Line set up in Christchurch, New Zealand, in 1982, has shown that such a service is effective in reaching critical child and family situations not previousl...
journal_title:Child abuse & neglect
pub_type: 杂志文章
doi:10.1016/0145-2134(85)90091-2
更新日期:1985-01-01 00:00:00
abstract:BACKGROUND:Research indicates that youth exposed to commercial sexual exploitation tend to have extensive histories of trauma, including physical abuse, sexual abuse, and neglect, which increases their vulnerability to exploitation. Trauma literature finds youth who present to treatment with greater behavioral health n...
journal_title:Child abuse & neglect
pub_type: 杂志文章
doi:10.1016/j.chiabu.2019.104095
更新日期:2020-02-01 00:00:00
abstract:OBJECTIVE:Adaptation of the Multidimensional Trauma Recovery and Resilience (MTRR) in a Chilean sample. METHOD:Participants were 80 mothers drawn from two large metropolitan areas (Santiago and Temuco). Sample participants (in a case control design) were redivided in two groups: 40 mothers identified as physical abuse...
journal_title:Child abuse & neglect
pub_type: 杂志文章
doi:10.1016/s0145-2134(03)00118-2
更新日期:2003-07-01 00:00:00
abstract::A statewide survey of adults revealed that they are well informed about some aspects of child abuse. They had a generally good intuitive understanding of the characteristics of abused children and child abusers, but a majority seemed to have a "deviance" perspective on child abuse. They considered abusers as abnormal ...
journal_title:Child abuse & neglect
pub_type: 杂志文章
doi:10.1016/0145-2134(91)90088-u
更新日期:1991-01-01 00:00:00
abstract::It has been suggested that being physically abused leads to someone becoming a perpetrator of abuse which could be associated to parents' gender, timing of the physical abuse and specific socio-demographic variables. This study aims to investigate the role the parents' gender, timing of childhood abuse and socio-demog...
journal_title:Child abuse & neglect
pub_type: 杂志文章
doi:10.1016/j.chiabu.2013.09.010
更新日期:2014-03-01 00:00:00
abstract::The purposes of this study were to: (1) Assess child abuse professionals' and nonprofessionals' knowledge of scientific research findings that are relevant to forensic child sexual abuse (CSA) evaluations and (2) describe associations between child abuse professionals' levels of research knowledge and their education ...
journal_title:Child abuse & neglect
pub_type: 杂志文章
doi:10.1016/j.chiabu.2014.08.010
更新日期:2015-02-01 00:00:00
abstract:OBJECTIVE:To examine attachment style and coping strategies as potential mediating variables between childhood sexual abuse (CSA) and psychological and interpersonal functioning in an attempt to explain variability in extent of disorder and level of functioning. METHOD:Eighty adolescent females, aged 14-16 years, answ...
journal_title:Child abuse & neglect
pub_type: 杂志文章
doi:10.1016/s0145-2134(99)00085-x
更新日期:1999-11-01 00:00:00
abstract:OBJECTIVE:The goal was to develop a retrospective inventory of parental threatening behavior to facilitate a better understanding of such behavior's role in the etiology of psychological distress. METHOD:Inventory items were developed based on theory and 135 students' responses to a question eliciting examples of thre...
journal_title:Child abuse & neglect
pub_type: 杂志文章
doi:10.1016/s0145-2134(01)00317-9
更新日期:2002-02-01 00:00:00
abstract:OBJECTIVE:This study examined whether children who received child welfare services (e.g., in-home or out-of-home placement) were more or less likely to become incarcerated as serious and violent youthful offenders than those children who were investigated as victims of abuse and neglect but received no further child we...
journal_title:Child abuse & neglect
pub_type: 杂志文章
doi:10.1016/s0145-2134(00)00107-1
更新日期:2000-04-01 00:00:00
abstract:OBJECTIVE:The objectives of this study were to examine whether girls with attention-deficit/hyperactivity disorder (ADHD) are at increased risk of having histories of abuse and to assess whether the presence of an abuse history may constitute a distinct subgroup of youth with ADHD. METHOD:We examined rates and correla...
journal_title:Child abuse & neglect
pub_type: 杂志文章
doi:10.1016/j.chiabu.2006.04.008
更新日期:2006-11-01 00:00:00
abstract::Using information extracted from child protective services and criminal court records, this research examines the extent and nature of dependency and criminal filings in 833 substantiated intrafamilial child abuse and neglect cases reported in Denver (CO), Los Angeles (CA), and Newcastle (DE) Counties in 1985-1986. Te...
journal_title:Child abuse & neglect
pub_type: 杂志文章
doi:10.1016/0145-2134(92)90083-4
更新日期:1992-11-01 00:00:00
abstract::This paper reports the findings in a study of the incidence of periosteal elevation in children and its possible relationship to child abuse. Two separate sets of radiographs of the skeleton of children were taken for a variety of diagnostic purposes. The suspected abuse set consisted of 59 radiographs taken for suspe...
journal_title:Child abuse & neglect
pub_type: 杂志文章
doi:10.1016/0145-2134(82)90041-2
更新日期:1982-01-01 00:00:00
abstract::Child maltreatment is a complex and multifaceted construct in need of advanced statistical techniques to improve its measurement. The current study compared the predictive utility of a cumulative index to a factor analytic approach for constructing a measure of maltreatment. Data were from Waves III and IV of the Nati...
journal_title:Child abuse & neglect
pub_type: 杂志文章
doi:10.1016/j.chiabu.2018.08.014
更新日期:2019-01-01 00:00:00
abstract:BACKGROUND:Few studies have examined the associations between childhood sexual abuse (CSA), co-occurrence with other types of maltreatment and adult mental health outcomes, specifically among males. The objectives of this study were to: 1) determine the prevalence of males who have experienced a) childhood maltreatment...
journal_title:Child abuse & neglect
pub_type: 杂志文章
doi:10.1016/j.chiabu.2017.01.018
更新日期:2017-04-01 00:00:00
abstract::A long-term study on child abuse and neglect in Greece is being carried out at the Institute of Child Health, Athens. A multidisciplinary team is investigating the nature of the problem in Greece, is trying a system of therapeutic intervention to families, is evaluating the adequacy of child protection as it is used i...
journal_title:Child abuse & neglect
pub_type: 杂志文章
doi:10.1016/0145-2134(83)90032-7
更新日期:1983-01-01 00:00:00