Recurrence of Maltreatment After Newborn Home Visiting: A Randomized Controlled Trial

To investigate whether a newborn home visiting program for primiparous adolescent mothers (aged 16-20 years at childbirth) reduced recurrence of child maltreatment in child protective services (CPS) reports. We conducted a randomized controlled trial of Healthy Families Massachusetts, a statewide ho...

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Published in:American journal of public health (1971) 2019-05, Vol.109 (5), p.729-735
Main Authors: Easterbrooks, M Ann, Kotake, Chie, Fauth, Rebecca
Format: Article
Language:English
Subjects:
Adolescent mothers
Adolescents
AJPH Open-Themed Research
Child
Child abuse & neglect
Child Abuse - prevention & control
Child Abuse - statistics & numerical data
Child development
Child Protective Services - statistics & numerical data
Child welfare
Child Welfare - psychology
Child Welfare - statistics & numerical data
Child, Preschool
Childbirth & labor
Children
Children & youth
Childrens health
Clinical trials
Data collection
Educational attainment
Enrollments
Epidemiology
Families & family life
Female
Health care
Health surveillance
Health visiting
House Calls - statistics & numerical data
Humans
Infant
Infant, Newborn
Interdisciplinary aspects
Longitudinal studies
Male
Massachusetts
Maternal & child health
Newborn babies
Other Child and Adolescent Health
Other Health Service Delivery
Parenting - psychology
Parents
Parents & parenting
Prevention
Public health
Randomization
Recidivism
Services
Surveillance
Survival analysis
Teenage parents
Young mothers
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container_title American journal of public health (1971)
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creator Easterbrooks, M Ann
Kotake, Chie
Fauth, Rebecca
description To investigate whether a newborn home visiting program for primiparous adolescent mothers (aged 16-20 years at childbirth) reduced recurrence of child maltreatment in child protective services (CPS) reports. We conducted a randomized controlled trial of Healthy Families Massachusetts, a statewide home visiting program for young parents. A total of 704 first-time young mothers were randomly assigned to a home visiting group, or to a control group who we referred to other services and who received child development and parenting information. The outcome variable was CPS reports (2008-2016) available for 688 families-specifically, rereports following an initial report (up to mean child age of 7 years). Of the 52% of families who experienced initial CPS reports, 53% experienced additional CPS reports. Children of mothers in the home visiting group were less likely to receive a second report and had a longer period of time between initial and second reports. The home visiting program reduced the recurrence of CPS maltreatment report by 32% and increased the length of time between initial and additional CPS reports. Home visiting parenting support and prevention programs may reduce the likelihood of recurrent maltreatment following completion of program services.
doi_str_mv 10.2105/AJPH.2019.304957
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Home visiting parenting support and prevention programs may reduce the likelihood of recurrent maltreatment following completion of program services.</description><subject>Adolescent mothers</subject><subject>Adolescents</subject><subject>AJPH Open-Themed Research</subject><subject>Child</subject><subject>Child abuse &amp; neglect</subject><subject>Child Abuse - prevention &amp; control</subject><subject>Child Abuse - statistics &amp; numerical data</subject><subject>Child development</subject><subject>Child Protective Services - statistics &amp; numerical data</subject><subject>Child welfare</subject><subject>Child Welfare - psychology</subject><subject>Child Welfare - statistics &amp; numerical data</subject><subject>Child, Preschool</subject><subject>Childbirth &amp; labor</subject><subject>Children</subject><subject>Children &amp; youth</subject><subject>Childrens health</subject><subject>Clinical trials</subject><subject>Data collection</subject><subject>Educational attainment</subject><subject>Enrollments</subject><subject>Epidemiology</subject><subject>Families &amp; 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subjects Adolescent mothers
Adolescents
AJPH Open-Themed Research
Child
Child abuse & neglect
Child Abuse - prevention & control
Child Abuse - statistics & numerical data
Child development
Child Protective Services - statistics & numerical data
Child welfare
Child Welfare - psychology
Child Welfare - statistics & numerical data
Child, Preschool
Childbirth & labor
Children
Children & youth
Childrens health
Clinical trials
Data collection
Educational attainment
Enrollments
Epidemiology
Families & family life
Female
Health care
Health surveillance
Health visiting
House Calls - statistics & numerical data
Humans
Infant
Infant, Newborn
Interdisciplinary aspects
Longitudinal studies
Male
Massachusetts
Maternal & child health
Newborn babies
Other Child and Adolescent Health
Other Health Service Delivery
Parenting - psychology
Parents
Parents & parenting
Prevention
Public health
Randomization
Recidivism
Services
Surveillance
Survival analysis
Teenage parents
Young mothers
title Recurrence of Maltreatment After Newborn Home Visiting: A Randomized Controlled Trial
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