Long-term Effects of Home Visitation on Maternal Life Course and Child Abuse and Neglect

Olds, David L.; Eckenrode, John; Henderson, Charles; Kitzman, Harriet; Powers, Jane; Cole, Robert E.; Sidora, Kimberly; Morris, Pamela; Pettitt, Lisa M.; Luckey, Dennis W.

doi:10.1001/jama.1997.03550080047038

Cited by 981 publications

(303 citation statements)

References 15 publications

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“…That abusive parents often recall abusive incidents as beginning with instrumental corporal punishment (Coontz & Martin, 1988;Gil, 1973;Kadushin & Martin, 1981) confirms this connection. Indeed, many abuse prevention efforts explicitly target the reduction of parents' reliance on corporal punishment as a goal (e.g., Azar, 1989;Olds et al, 1997;Thompson, Ruma, Brewster, Besetsney, & Burke, 1997;Wolfe, Sandler, & Kaufman, 1981).…”

Section: Direct Experience: Physical Abusementioning

confidence: 99%

Corporal punishment by parents and associated child behaviors and experiences: A meta-analytic and theoretical review.

Gershoff

2002

Psychological Bulletin

1,753

1,703

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Although the merits of parents using corporal punishment to discipline children have been argued for decades, a thorough understanding of whether and how corporal punishment affects children has not been reached. Toward this end, the author first presents the results of meta-analyses of the association between parental corporal punishment and 11 child behaviors and experiences. Parental corporal punishment was associated with all child constructs, including higher levels of immediate compliance and aggression and lower levels of moral internalization and mental health. The author then presents a process-context model to explain how parental corporal punishment might cause particular child outcomes and considers alternative explanations. The article concludes by identifying 7 major remaining issues for future research.Corporal punishment has been an integral part of how parents discipline their children throughout the history of the United States (Greven, 1991) and has been a focus of psychological research for

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Section: Direct Experience: Physical Abusementioning

confidence: 99%

Corporal punishment by parents and associated child behaviors and experiences: A meta-analytic and theoretical review.

Gershoff

2002

Psychological Bulletin

1,753

1,703

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“…PPI/psychoeducational home visitation (PHV) was based on the home visiting programme developed by Olds et al, [216][217][218] augmented by 'a variety of cognitive and behavioural techniques in order to address parenting skill deficits and social-ecological factors, such as limited personal resources, poor social support, and stresses in the home associated with maltreatment' (p. 794). The interventions were provided by trained, master's level therapists, on a weekly basis over the course of 1 year.…”

Section: Attachment-orientated Interventionsmentioning

confidence: 99%

The effectiveness, acceptability and cost-effectiveness of psychosocial interventions for maltreated children and adolescents: an evidence synthesis

Macdonald

Livingstone

Hanratty

et al. 2016

Health Technol Assess

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BackgroundChild maltreatment is a substantial social problem that affects large numbers of children and young people in the UK, resulting in a range of significant short- and long-term psychosocial problems.ObjectivesTo synthesise evidence of the effectiveness, cost-effectiveness and acceptability of interventions addressing the adverse consequences of child maltreatment.Study designFor effectiveness, we included any controlled study. Other study designs were considered for economic decision modelling. For acceptability, we included any study that asked participants for their views.ParticipantsChildren and young people up to 24 years 11 months, who had experienced maltreatment before the age of 17 years 11 months.InterventionsAny psychosocial intervention provided in any setting aiming to address the consequences of maltreatment.Main outcome measuresPsychological distress [particularly post-traumatic stress disorder (PTSD), depression and anxiety, and self-harm], behaviour, social functioning, quality of life and acceptability.MethodsYoung Persons and Professional Advisory Groups guided the project, which was conducted in accordance with Cochrane Collaboration and NHS Centre for Reviews and Dissemination guidance. Departures from the published protocol were recorded and explained. Meta-analyses and cost-effectiveness analyses of available data were undertaken where possible.ResultsWe identified 198 effectiveness studies (including 62 randomised trials); six economic evaluations (five using trial data and one decision-analytic model); and 73 studies investigating treatment acceptability. Pooled data on cognitive–behavioural therapy (CBT) for sexual abuse suggested post-treatment reductions in PTSD [standardised mean difference (SMD) –0.44 (95% CI –4.43 to –1.53)], depression [mean difference –2.83 (95% CI –4.53 to –1.13)] and anxiety [SMD –0.23 (95% CI –0.03 to –0.42)]. No differences were observed for post-treatment sexualised behaviour, externalising behaviour, behaviour management skills of parents, or parental support to the child. Findings from attachment-focused interventions suggested improvements in secure attachment [odds ratio 0.14 (95% CI 0.03 to 0.70)] and reductions in disorganised behaviour [SMD 0.23 (95% CI 0.13 to 0.42)], but no differences in avoidant attachment or externalising behaviour. Few studies addressed the role of caregivers, or the impact of the therapist–child relationship. Economic evaluations suffered methodological limitations and provided conflicting results. As a result, decision-analytic modelling was not possible, but cost-effectiveness analysis using effectiveness data from meta-analyses was undertaken for the most promising intervention: CBT for sexual abuse. Analyses of the cost-effectiveness of CBT were limited by the lack of cost data beyond the cost of CBT itself.ConclusionsIt is not possible to draw firm conclusions about which interventions are effective for children with different maltreatment profiles, which are of no benefit or are harmful, and which factors encourage people to seek therapy, accept the offer of therapy and actively engage with therapy. Little is known about the cost-effectiveness of alternative interventions.LimitationsStudies were largely conducted outside the UK. The heterogeneity of outcomes and measures seriously impacted on the ability to conduct meta-analyses.Future workStudies are needed that assess the effectiveness of interventions within a UK context, which address the wider effects of maltreatment, as well as specific clinical outcomes.Study registrationThis study is registered as PROSPERO CRD42013003889.FundingThe National Institute for Health Research Health Technology Assessment programme.

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“…Research from the USA (Olds et al, 1997) has demonstrated the benefits of preventive home visiting. In this 15-year follow-up of a randomised controlled trial of home visiting for poor mothers during pregnancy and up to the child's second birthday, there were significant psychosocial benefits for mothers and significantly less abuse and neglect of children.…”

Section: Interventions By the Primary Care Teammentioning

confidence: 99%

Child and adolescent mental health problems in primary care

Kramer¹

2000

Adv. psychiatr. treat

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Epidemiological research has revealed that psychiatric disorders in children and adolescents are common, persistent and handicapping. Only 1 in 10 of those with a disorder is seen in specialist mental health services. However, the majority of children and adolescents see their general practitioner (GP) every year. Although the majority present with physical complaints, there are indications that rates of psychiatric disorder in those attending are increased and that psychiatric disorder is associated with increased consulting. These findings raise questions about the role of primary care in the promotion and management of mental health in young people.

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Long-term Effects of Home Visitation on Maternal Life Course and Child Abuse and Neglect

Abstract: This program of prenatal and early childhood home visitation by nurses can reduce the number of subsequent pregnancies, the use of welfare, child abuse and neglect, and criminal behavior on the part of low-income, unmarried mothers for up to 15 years after the birth of the first child.

Cited by 981 publications

References 15 publications

Corporal punishment by parents and associated child behaviors and experiences: A meta-analytic and theoretical review.

Corporal punishment by parents and associated child behaviors and experiences: A meta-analytic and theoretical review.

The effectiveness, acceptability and cost-effectiveness of psychosocial interventions for maltreated children and adolescents: an evidence synthesis

Child and adolescent mental health problems in primary care

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