Interventions to prevent child maltreatment and associated impairment
MacMillan, Harriet L., Wathen, C. Nadine, Barlow, Jane, 1962-, Fergusson, David M., Leventhal, John M. and Taussig, Heather N.. (2009) Interventions to prevent child maltreatment and associated impairment. Lancet, Vol.373 (No.9659). pp. 250-266. ISSN 0140-6736Full text not available from this repository.
Official URL: http://dx.doi.org/10.1016/S0140-6736(08)61708-0
Although a broad range of programmes for prevention of child maltreatment exist, the effectiveness of most of the programmes is unknown. Two specific home-visiting programmes-the Nurse-Family Partnership (best evidence) and Early Start-have been shown to prevent child maltreatment and associated outcomes such as injuries. One population-level parenting programme has shown benefits, but requires further assessment and replication. Additional in-hospital and clinic strategies show promise in preventing physical abuse and neglect. However, whether school-based educational programmes prevent child sexual abuse is unknown, and there are currently no known approaches to prevent emotional abuse or exposure to intimate-partner violence. A specific parent-training programme has shown benefits in preventing recurrence of physical abuse; no intervention has yet been shown to be effective in preventing recurrence of neglect. A few interventions for neglected children and mother-child therapy for families with intimate-partner violence show promise in improving behavioural outcomes. Cognitive-behavioural therapy for sexually abused children with symptoms of post-traumatic stress shows the best evidence for reduction in mental-health conditions. For maltreated children, foster care placement can lead to benefits compared with young people who remain at home or those who reunify from foster care; enhanced foster care shows benefits for children. Future research should ensure that interventions are assessed in controlled trials, using actual outcomes of maltreatment and associated health measures.
|Item Type:||Journal Article|
|Divisions:||Faculty of Medicine > Warwick Medical School > Mental Health and Wellbeing
Faculty of Medicine > Warwick Medical School
|Journal or Publication Title:||Lancet|
|Publisher:||The Lancet Publishing Group|
|Date:||17 January 2009|
|Number of Pages:||17|
|Page Range:||pp. 250-266|
|Access rights to Published version:||Restricted or Subscription Access|
|Funder:||Canadian Institutes of Health Research-Ontario Women's Health Council New Investigator Award, National Institute of Mental Health|
|Grant number:||ROI MH076919|
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