1 / 11

Child Abuse Prevention – Programmatic Interventions

Child Abuse Prevention – Programmatic Interventions. Charles Oberg, MD, MPH Hennepin County Medical Center Maternal and Child Health, Epidemiology, School of Public Health, University of Minnesota. Prevention basics. Using research to inform programs and policy Conflict:

powa
Download Presentation

Child Abuse Prevention – Programmatic Interventions

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Child Abuse Prevention – Programmatic Interventions Charles Oberg, MD, MPH Hennepin County Medical Center Maternal and Child Health, Epidemiology, School of Public Health, University of Minnesota

  2. Prevention basics • Using research to inform programs and policy • Conflict: • desire to protect children … BUT… • family is the desirable location for child rearing.

  3. Programmatic Framework • Audience of focus: • Universal population to… • Specific family • Stages of prevention • Primary: Universal population • Secondary: At-risk population • Tertiary: Abusive families

  4. Head Start – Primary Prevention • Promote safety of children from a global perspective • 4 components: • Education • Health and nutrition • Parental involvement • Social service intervention

  5. Head Start (continued) • Activity objectives: • Reduce family stress • Decrease the likelihood of maltreatment • Promote “social capital” – support networks

  6. Home Visitation: Secondary Prevention • Service provision for selected at-risk persons • Home visiting: new parents are visited by a professional, paraprofessional and/or trained layperson • Support • Advice • Referrals • General encouragement

  7. Home Visitation (continued) • Documented effectiveness 20 years ago • Home visits reduced rate of child abuse cases for poor, unmarried adolescent mothers compared to moms without visits • 1997 15-year study • Nurse-visited, at-risk families had half the child abuse than those at-risk families without nurse visits

  8. Key ingredients in effective home visitation programs • Begin visits before or soon after birth • Extend visits over time • Form alliance between visitor and parents • Watch for early signs of abuse • Teach effective parenting skills • Focus on child • Provide specific and practical services • Involve father when appropriate • Adjust services to meet family needs

  9. Family Centered Services:Tertiary Prevention • Focus on families with serious parenting problems • Attempts to keep the family together after abuse or neglect • Combine direct crisis and counseling assistance with case management strategy

  10. Family Centered Services:Tertiary Prevention • If the severity of the situation does not allow the preservation of the family… • Foster care • Kinship care • Less external support • Fewer services • Less contact with child protective services… than foster care

  11. Summary • Successful programs • Are proactive • Reach across economic distinctions • Appreciate the complexity of factors • Future directions • Incorporate other areas of research (e.g., domestic violence) • Strength oriented approach (vs. deficit model)

More Related