Prevention of child maltreatment in high-risk rural families: A randomized clinical trial with child welfare outcomes

Silovsky, Jane F.; Bard, David; Chaffin, Mark; Hecht, Debra B.; Burris, Lorena; Owora, Arthur H.; Beasley, Lana O.; Doughty, D. L.; Lutzker, John R.

doi:10.1016/j.childyouth.2011.04.023

Cited by 105 publications

(62 citation statements)

References 38 publications

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“…Specifically, there has been minimal investigation of the relation between parental depressive symptoms and dysfunctional discipline in child-welfare involved families-despite research suggesting that parental depression may play a role in dysfunctional discipline progressing into child physical abuse (e.g., Burke 2003). Likewise, there is a dearth of empirical studies examining families at high risk for child maltreatment who live in rural settings, despite well documented increases in risk for child abuse and neglect associated with rural communities (see Silovsky et al 2011). Still, existing research conducted with highrisk families suggests that parental depression is a critical variable.…”

Section: Introductionmentioning

confidence: 97%

The Role of Parental Depressive Symptoms in Predicting Dysfunctional Discipline Among Parents at High-Risk for Child Maltreatment

2016

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Parental depressive symptoms are an important public health concern because they have been linked, in numerous previous studies, to negative parenting behaviors including dysfunctional discipline and child abuse and neglect. Taking this into consideration, parental depressive symptoms warrant particular attention among families with child maltreatment allegations-a group at high risk of dysfunctional discipline and future physical abuse. The current study sought to examine relations between parental depressive symptoms and dysfunctional discipline in an ethnically diverse sample of 234 families who were referred for psychological services due to concerns of child maltreatment. Referrals were made by school, medical, or child welfare personnel. 59.8 % of children were male and the average age was 7.05 years. Results indicated that parental depressive symptoms were significantly correlated with dysfunctional discipline including laxness, over-reactivity, and hostility. However, all three relations lost statistical significance after controlling for parental stress. The findings of this study suggest that well-documented relations between parental depression and negative parenting behavior may be driven by elevated parental stress rather than reflecting risks uniquely associated with depressive pathology.

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Section: Introductionmentioning

confidence: 97%

The Role of Parental Depressive Symptoms in Predicting Dysfunctional Discipline Among Parents at High-Risk for Child Maltreatment

2016

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“…This is a significant problem (Conners, Bradley, Whiteside-Mansell, & Crone, 2001) as substance abuse programs are rarely equipped to manage child maltreatment, and persons afflicted with substance abuse are often excluded from programs specializing in the treatment of child maltreatment (see review by Donohue, Romero, & Hill, 2006). As summarized by Silovsky et al (2011), prevention programs for child maltreatment are weak in high risk populations, such as substance abuse. To date, there have been no controlled treatment outcome studies targeting concurrent child maltreatment and drug abuse, although drug abuse treatments for mothers have indicated that child outcomes are improved when treatments are comprehensive (Niccols, Milligan, Smith, Sword, Thabane, & Henderson, 2012).…”

mentioning

confidence: 99%

A controlled evaluation of family behavior therapy in concurrent child neglect and drug abuse.

Donohue¹,

Azrin²,

Bradshaw³

et al. 2014

Journal of Consulting and Clinical Psychology

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Objective Approximately 50% of Child Protective Service (CPS) referrals abuse drugs; yet, existing treatment studies in this population have been limited to case examinations. Therefore, a family-based behavioral therapy was evaluated in mothers referred from CPS for child neglect and drug abuse utilizing a controlled experimental design. Method 72 mothers evidencing drug abuse or dependence and child neglect were randomly assigned to Family Behavior Therapy (FBT) or Treatment as Usual (TAU). Participants were assessed at baseline, 6- month-, and 10-month post-randomization. Results As hypothesized, intent-to-treat repeated measures analyses revealed mothers referred for child neglect not due to their children being exposed to illicit drugs demonstrated better outcomes in child maltreatment potential from baseline to 6- and 10-month post-randomization assessments when assigned to FBT, as compared with TAU mothers and FBT mothers who were referred due to child drug exposure. Similar results occurred for hard drug use from baseline to 6- and 10-month post-randomization. However, TAU mothers referred due to child drug exposure were also found to decrease their hard drug use more than TAU mothers of non-drug exposed children and FBT mothers of drug exposed children at 6- and 10-month post-randomization. Although effect sizes for mothers assigned to FBT were slightly larger for marijuana use than TAU (medium vs. large), these differences were not statistically significant. Specific to secondary outcomes, mothers in FBT, relative to TAU, increased time employed from baseline to 6- and 10-month post-randomization. Mothers in FBT, compared to TAU, also decreased HIV risk from baseline to 6-month post-randomization. There were no differences in outcome between FBT and TAU for number of days children were in CPS custody and alcohol intoxication, although FBT mothers demonstrated marginal decreases (p = .058) in incarceration from baseline to 6-month post-randomization relative to TAU mothers. Conclusion Family-based behavioral treatment programs offer promise in mothers who have been reported to CPS for concurrent substance abuse and child neglect of their children. However, continued intervention development in this population is very much needed.

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“…From a policy perspective, efforts should be made to meet the unique needs of multi-problem families prior to their submission to the legal system. A growing body of research suggests that multi-problem families tend to be chronically involved with child welfare departments, possess unique characteristics and require specially designed services Jonson-Reid et al 2010;Loman 2006;Silovsky et al 2011). The present study has identified specific factors which can be used as a guide when formulating programs for multi-problem families aimed at reducing child maltreatment.…”

Section: Implications For Social Work Practice and Policymentioning

confidence: 84%

Profiles of Families at High Risk of Child Maltreatment in Israeli Court Cases Dealing with the Termination of Parental Rights

Ben‐David

2015

Child Adolesc Soc Work J

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The present study analyzes the characteristics of children and parents in court cases dealing with the termination of parental rights, in order to draw a profile of families at high risk of child maltreatment and shed light on the professional decision-making process. The analysis of a sample of 127 cases identified various child, parent and child-parent characteristics and inter-characteristics which served as a rich database for understanding the profiles of children at risk and their parents. On the basis of these profiles, the study was able to draw a prototype of a family at high risk of child maltreatment and identify the main factors considered by the courts when determining whether or not to terminate parental rights. This paper discusses the implications of these results on the need for early and extensive professional intervention in such families.

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Prevention of child maltreatment in high-risk rural families: A randomized clinical trial with child welfare outcomes

Cited by 105 publications

References 38 publications

The Role of Parental Depressive Symptoms in Predicting Dysfunctional Discipline Among Parents at High-Risk for Child Maltreatment

The Role of Parental Depressive Symptoms in Predicting Dysfunctional Discipline Among Parents at High-Risk for Child Maltreatment

A controlled evaluation of family behavior therapy in concurrent child neglect and drug abuse.

Profiles of Families at High Risk of Child Maltreatment in Israeli Court Cases Dealing with the Termination of Parental Rights

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