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 0140-6736

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Abstract

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
Subjects:	R Medicine
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
ISSN:	0140-6736
Official Date:	17 January 2009
Volume:	Vol.373
Number:	No.9659
Number of Pages:	17
Page Range:	pp. 250-266
Identification Number:	10.1016/S0140-6736(08)61708-0
Status:	Peer Reviewed
Publication Status:	Published
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
URI:	http://wrap.warwick.ac.uk/id/eprint/28707

Data sourced from Thomson Reuters' Web of Knowledge

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