The Triple P‐Positive Parenting Programme: a universal population‐level approach to the prevention of child abuse

The Triple P‐Positive Parenting Programme is described as an example of an evidence‐based universal parenting initiative that provides a tiered continuum of interventions of increasing strength but narrowing reach in an effort to make parenting programmes more accessible to parents. Interventions within the system range from the use of the media and brief messages to intensive family interventions for parents where parenting problems are complicated by multiple additional sources of family adversity. Several issues concerning the role of training and organizational factors that influence the successful uptake and implementation of the programme are discussed. Copyright © 2003 John Wiley & Sons, Ltd.     

Multi‐type maltreatment and the long‐term adjustment of adults

Multi‐type maltreatment refers to the experience of more than one form of child maltreatment (sexual abuse, physical abuse, psychological maltreatment, neglect and witnessing family violence). Researchers have largely ignored the presence of other types of child abuse and neglect when examining the adjustment problems associated with a particular form of maltreatment. The association between ‘multi‐type maltreatment’ and adjustment was explored in the current study. Retrospective data were obtained on (a) the degree to which maltreatment types co‐occurred, (b) childhood family characteristics and (c) adjustment problems in adulthood in an Australian self‐selected community sample (N=175). As hypothesized, a large degree of overlap was reported in the experience of the five types of maltreatment. Family characteristics—particularly family cohesion and adaptability—discriminated between respondents reporting single‐type and multi‐type maltreatment. Greater adjustment problems were associated with reports of a larger number of different maltreatment types. Multi‐type maltreatment should be recognized as a crucial aspect of the nature and impact of child maltreatment and considered in the development of programmes for the prevention and treatment of child abuse and neglect. Copyright © 2000 John Wiley & Sons, Ltd.     

Perceived Parental Relationships and Health‐Risk Behaviors in College‐Attending Emerging Adults

The present study investigated the association of perceived parenting with health‐risk behaviors in an ethnically diverse sample of 1,728 college‐attending emerging adults. Participants completed retrospective measures of perceived maternal and paternal nurturance, connection, psychological control, and disrespect and reported their frequency of binge drinking, illicit drug use, unsafe sexual behavior, and impaired driving. Multivariate Poisson regression analyses indicated that perceived paternal acceptance was associated inversely with 6 of the 12 health‐risk behaviors measured, whereas perceived mothering was related only to 2 of these health‐risk behaviors. These patterns were consistent across gender, ethnicity, and family structure.     

Parent‐to‐Child Aggression Among Asian American Parents: Culture,Context, and Vulnerability

We examined correlates of lifetime parent‐to‐child aggression in a representative sample of 1,293 Asian American parents. Correlates examined included nativity, indicators of acculturation, socioeconomic status, family climate, and stressors associated with minority status. Results revealed that Asian Americans of Chinese descent and those who immigrated as youth were more likely to report minor parental aggression; ethnicity and nativity were not associated with severe aggression. Indices of acculturation did not predict risk, but minority status stressors (perceived discrimination, low social standing) predicted risk of both minor and severe aggression. Affective climate differed markedly in families with minor versus severe aggression. Parental aggression in Asian American families may not be cultural per se, but stress associated with immigrant family context may heighten vulnerability.     

The Use of the Child Abuse Potential Inventory in the Assessment of Parents involved in Care Proceedings

Assessing for potential physical abuse is a fundamental task for those professionals undertaking assessments of parents involved in care proceedings. One tool developed to help assist in this endeavour is the Child Abuse Potential (CAP) Inventory (Milner, 1980 , 1986 ). The CAP Inventory provides an estimate of parental risk of child abuse and is one of the most widely used psychometric tools by psychologists in child protection settings. This review evaluates the psychometric properties of this measure and provides an overview of its potential uses, as well as its limitations. It concludes that there is evidence to support the validity and reliability of the CAP Inventory for use in care proceedings. Specifically, the review indicates that the CAP Inventory has good levels of reliability and validity (construct, content and concurrent). The only aspect of validity for which there is a lack of evidence is that of predictive validity and this is due to a dearth of prospective studies. Given the above, the practical, clinical and ethical implications for the use of the CAP Inventory in the assessment of parents involved in care proceedings are discussed. Copyright © 2013 John Wiley & Sons, Ltd.

Citing Literature

Number of times cited according to CrossRef: 3

• Amanda H. Costello, Natalie J. Shook, Nancy M. Wallace, Cheryl B. McNeil, Examining factors associated with elevated Lie Scale responding on the Child Abuse Potential Inventory, Child Abuse & Neglect, 10.1016/j.chiabu.2017.10.009, 76 , (56-64), (2018). Crossref
• Jane V. Appleton, Peter Sidebotham, Physical Abuse of Children, Child Abuse Review, 10.1002/car.2505, 26 , 6, (405-410), (2017). Wiley Online Library
• Jane V. Appleton, Working Alongside One Another…, Child Abuse Review, 10.1002/car.2416, 24 , 5, (313-316), (2015). Wiley Online Library

Volume 24 , Issue 5 September/October 2015

Pages 332-345     

Why a universal population‐level approach to the prevention of child abuse is essential

This paper argues for the importance of adopting a population‐level approach to promote more effective parenting and to reduce the risk of child maltreatment. Family‐based interventions based on social learning principles have been shown to make a useful contribution in the treatment of child maltreatment. However, typically such programmes have been used to treat parents who have already become involved in the child protection system. We argue that the creation of community‐wide support structures to support positive parenting is needed to reduce the prevalence of child maltreatment. Such an approach requires several criteria to be met. These include having knowledge about the prevalence rates for the targeted child outcomes sought, knowledge about the prevalence of various parenting and family risk factors, evidence that changing family risk factors reduces the prevalence of targeted problems, having culturally appropriate, cost‐effective, evidence‐based interventions available and making these widely accessible. Copyright © 2003 John Wiley & Sons, Ltd.     

Experiences of Biological Parents and Their Older Children in Out-of-Home Care for the First Time

This article will examine the parenting characteristics and challenges that faced a cohort of families participating in an exploratory qualitative research study. This study sought to describe the experiences and characteristics of parents whose children were placed in the child welfare system in early-to-late adolescence (ages 12–18), thus gaining an understanding of the parenting challenges faced as they were able to maintain their children in their homes for a significant portion of their lives. The families of older youths entering care for the first time described how alcohol and drug abuse impacted their relationships with children, significant others, jobs, and their mental health status. A significant issue that emerged in several of the cases were older children who initiated a report to child welfare themselves.     

Mothers' and Fathers' Well‐Being in Parenting Across the Arch of Child Development

Limited research on parental well‐being by child age suggests that parents are better off with very young children despite intense time demands of caring for them. This study uses the American Time Use Survey Well‐Being Module (N = 18,124) to assess how parents feel in activities with children of different ages. Results show that parents are worse off with adolescent children relative to young children. Parents report the lowest levels of happiness with adolescents relative to younger children, and mothers report more stress and less meaning with adolescents. Controlling for contextual features of parenting including activity type, solo parenting, and restorative time does not fully account for the adolescent disadvantage in fathers' happiness or mothers' stress. This study highlights adolescence as a particularly difficult stage for parental well‐being and shows that mothers shoulder stress that fathers do not, even after accounting for differences in the context of their parenting activities.     

Engaging Parents in Parentline Plus’ Time to Talk Community Programme as Part of England’s Teenage Pregnancy Strategy: Lessons for Policy and Practice

Based on 65 interviews with professionals and parents conducted during 2007–2008, this 16‐month, mainly qualitative evaluation of Parentline Plus’ Time to Talk Community Programme (a preventative initiative within England’s teenage pregnancy strategy) found that a community development approach and an ethos of partnership with parents and professionals facilitated engagement. Respectful and realistic implementation involved skilled workers building relationships of trust. By consulting with other professionals and parents it was possible to establish local need and to build on existing provision. Initially, insufficient prior local consultation and negotiation created perceptions of an imposed initiative, led by outsiders, resulting in wary local parents and professionals. The engagement and evaluation processes are considered in relation to the short‐term nature of the initiative and potential conflicts between responding flexibly to the needs of parents and delivering targeted programmes.     

A Cost‐Effectiveness Analysis of the Grameen Bank of Bangladesh

Reports of the success of the Grameen Bank of Bangladesh have led to rapid growth in funding for microfinance. But has the Grameen Bank been cost‐effective? This article compares output with subsidy for the bank in a present‐value framework. For the timeframe 1983–97, subsidy per person‐year of membership in Grameen was about $20, and subsidy per dollar‐year borrowed was about $0.22. Although the article does not measure consumer surplus for Grameen users, the evidence in the literature suggests that surplus probably exceeds subsidy. The Grameen Bank — if not necessarily other microlenders — was probably a worthwhile social investment.     

Political‐Economy Analysis,Aid Effectiveness and the Art of Development Management

Recognising that aid effectiveness critically depends upon the quality of host‐country institutions and policies, international aid agencies have sought to inform their activities through more systematic political‐economy analysis (PEA). In this article, three analytical frameworks for PEA are compared, contrasted and critically appraised in the light of reflections by PEA practitioners and recent theoretical debate about development management. The article finds that the potential of PEA to improve development effectiveness depends on how far it addresses the micro as well as macro politics of aid and permits a finer‐grained engagement between analysis and action. This requires more reflexivity on the part of those who commission and produce PEA, and further movement from intervention to interaction modalities for aid delivery.     

Challenges for Divorced Parents: Regulating Negative Emotions in Post‐Divorce Relationships

Emotion regulation processes in post‐divorce parental relationships are analysed using thematic qualitative analysis. In two separate interview episodes, three and five years post‐divorce, 55 people were interviewed: 10 couples and 35 individuals. Two themes emerged on how parents deal with their negative emotions after divorce. The first theme, emotion regulation flexibility, reveals how some parents effectively regulate negative emotions following the divorce. The second theme, emotion regulation rigidity, reveals that other parents retain feelings of anger, hostility, and resentment following the divorce as a consequence of dysfunctional emotion regulation strategies. This allows a deeper understanding of the processes of emotion regulation in family conflict, which may be easily applied in most therapeutic orientations.     

Early Adolescents' Perceptions of Mothers' and Fathers' Parenting Styles and Problem Behavior

We investigated early adolescents' perceptions of parenting styles in mother–father–adolescent triads along with child self-reported problem behaviors (substance abuse and delinquency). We also examined the various combinations of mothers' and fathers' parenting styles by child gender in relation to problem behavior. Participants included 3,353 children (aged 12 to 14) from the National Longitudinal Survey of Youth—97. Results from our structural equation model indicated that mothers and fathers may use different parenting strategies and that permissive parenting may not be as detrimental as previously assumed. In addition, youth perceptions of each parent were equally important in explaining problem behavior among both daughters and sons, but the perception of an authoritarian mother showed stronger adverse effects on sons, even after controlling for poverty and peer influence.     

Feeling Caught Between Parents: Adult Children's Relations With Parents and Subjective Well‐Being

Research on divorce has found that adolescents’ feelings of being caught between parents are linked to internalizing problems and weak parent‐child relationships. The present study estimates the effects of marital discord, as well as divorce, on young adult offspring's feelings of being caught in the middle (N =632). Children with parents in high‐conflict marriages were more likely than other children to feel caught between parents. These feelings were associated with lower subjective well‐being and poorer quality parent‐child relationships. Offspring with divorced parents were no more likely than offspring with continuously married parents in low‐conflict relationships to report feeling caught. Feelings of being caught appeared to fade in the decade following parental divorce. These results suggest that, unlike children of divorce, children with parents in conflicted marriages (who do not divorce) may be unable to escape from their parents’ marital problems—even into adulthood.     

A comparison of multi‐disciplinary groups in the UK and New Jersey

During the past 30 years in both the United Kingdom and the United States there has been an increasing emphasis on the need for the agencies, disciplines and professions who are involved in investigating child abuse allegations and in protecting children from abuse to work together, to cooperate with each other and to coordinate their responses. (See Besharov, 1990; British Paediatric Association, 1966; Kempe and Helfer, 1972; London Borough of Brent, 1985; London Borough of Greenwich, 1987). One way of achieving this has been through the use of multi‐disciplinary groups. This paper will describe the initial findings from a study which aimed to examine and compare the working of two such groups, namely, case conferences in the UK and multi‐disciplinary teams in one state in the United States, New Jersey. The findings from the study show that while there are some similarities between the two types of multi‐disciplinary groups, there are also significant differences in functions, membership, structure of meetings and chairing. However, the major difference that emerges is the more prominent role of representatives from the legal system in New Jersey's multi‐disciplinary teams compared with UK case conferences. Copyright © 1999 John Wiley & Sons, Ltd.     

Early Childhood Development Plus Violence Prevention in Low‐ and Middle‐Income Countries: A Qualitative Study

Violence exposure can negatively impact early childhood development (ECD), yet limited research exists in low‐ and middle‐income countries (LMICs). This study aimed to determine what effective integration of ECD plus violence prevention (ECD+VP) can look like in LMICs. Seventeen key informants were selected using purposive sampling, representing U.N. agencies, donors, implementers and research organisations. Using open coding of semi‐structured interviews, the authors identify five priority areas for promoting an integrated ECD+VP agenda: (i) parenting and parent child relationships, (ii) family systems, (iii) development in an ecological context, (iv) system strengthening and integration, and (v) building and translating evidence.