Child maltreatment as a function of cumulative family risk: Findings from the intensive family preservation program

2017 ◽  
Vol 70 ◽  
pp. 92-99 ◽  
Author(s):  
Irina Patwardhan ◽  
Kristin Duppong Hurley ◽  
Ronald W. Thompson ◽  
Walter A. Mason ◽  
Jay L. Ringle
PEDIATRICS ◽  
1996 ◽  
Vol 97 (4) ◽  
pp. 535-542
Author(s):  
Amy M. Heneghan ◽  
Sarah M. Horwitz ◽  
John M. Leventhal

Objectives. To determine the adequacy of evaluations of family preservation services (FPS), which are designed to support families and prevent out-of-home placements of children at risk of abuse or neglect, and to assess the effectiveness of FPS at reducing out-of-home placements of children. Data Sources. References published from 1977 to 1993 were identified from a computerized search of databases for English-language publications using the key phrases "family preservation," "child abuse," and "family-based services." Unpublished references were identified by mail or phone from a listing of more than 200 programs in a national directory. Selection of Studies. Of 802 references initially identified, 46 program evaluations were reviewed. Ten studies met the following inclusion criteria: (1) evaluated an intensive family preservation program, (2) included outcome data in the report, and (3) used a comparison group. Five were randomized trials, and 5 were quasi-experimental studies (nonrandomized). Data Extraction. Descriptive information about the programs and evaluations was collected. To determine methodological quality, two independent raters used a 15- item questionnaire to examine the assignment of families to treatment groups, the interventions provided, and the outcomes assessed. A composite score of 11 or greater represented an acceptable study, 6 to 10 represented an adequate study, and 5 or less represented an unacceptable study. Results. Only two studies were rated acceptable, four were adequate, and four were unacceptable. Methodological shortcomings included poorly defined assessment of risk, inadequate descriptions of the interventions provided, and nonblinded determination of the outcomes. Rates of out-of-home placements were 21% to 59% among families who received FPS and 20% to 59% among comparison families. The relative risk of placement was significantly reduced by FPS in only two studies (one randomized trial and one quasi-experimental study). Conclusions. Despite current widespread use of FPS to prevent out-of-home placements of children, evaluations of FPS are methodologically difficult and show no benefit in reducing rates of out-of-home placements of children at risk of abuse or neglect in 8 of 10 studies. Consistent, methodologically rigorous evaluations are needed to determine the effectiveness of FPS and to guide social policy for high-risk children and their families.


Author(s):  
Megan Bell ◽  
Donna Bayliss ◽  
Rebecca Glauert ◽  
Jeneva Ohan

IntroductionDespite limited evidence supporting the effectiveness of out-of-school suspension for rectifying behavioural issues, the practice continues. Certain demographic factors (male, ethnic minority, low SES) predict suspensions; however, developmental and family factors can also play a role. Knowledge of these factors may inform alternative practices aimed at limiting the practice of suspension. Objectives and ApproachThis study investigated the relationship between out-of-school suspensions and demographic, developmental, and family factors. Children suspended in early schooling may be particularly at risk of poor school outcomes; thus, our sample includes children in the first years of school. Linked administrative data were obtained for 14,269 children enrolled in grade 3 at public schools in Western Australia. Multilevel logistic regressions were run, grouped by school, with out-of-school suspensions predicted by: child and parent demographic characteristics; a measure of children’s school-entry development (the Australian Early Development Census); and indicators of family risk (parental psychiatric hospitalizations, parental criminal offending, child maltreatment). ResultsApproximately 2% of children had been suspended at least once by grade 3. Aboriginal children, boys, and children attending schools with high levels of socioeconomic disadvantage had significantly increased odds of being suspended from school (2 times, 6 times, and 3 times increase, respectively). Furthermore, children considered socially and emotionally vulnerable at school-entry were around 3 times more likely than their peers to be suspended in the first few years of school. Parental psychiatric hospitalizations, parental criminal offending, and child maltreatment all significantly predicted out-of-school suspensions. Odds increased exponentially with each additional family risk factor experienced in early childhood. Children experiencing all three family risk factors were almost 7 times more likely than their peers to be suspended at least once by grade 3. Conclusion/ImplicationsOur results provide further justification for the implementation of alternatives to out-of-school suspension, as children who would most likely benefit from a stable, nurturing school environment were significantly more likely to be suspended. Schools need to be better supported by inter-agency collaboration to manage the complex needs of vulnerable children.


KWALON ◽  
2018 ◽  
Vol 23 (2) ◽  
Author(s):  
Marianne J. Welmers-van de Poll

Alliance at Work – Observation research on the working relationship between care providers and families in intensive outreach family treatment Alliance is an important common factor in the treatment of youth and family problems. When working with multiple family members, building and maintaining strong alliances can be particularly challenging. Alliance at Work (Alliantie in Beeld) is a research project that investigates how alliance processes affect the treatment outcome of IAG, a Dutch homebased family preservation program. Two videotaped IAG sessions of sixty families are analyzed with the System for Observing Family Therapy Alliances. Participants completed the working alliance inventory and treatment outcomes were monitored. Methodological implications and relevance of this observational research project are discussed.


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