Linking child maltreatment retrospectively to birth and home visit records: an initial examination

The study reported here tested the feasibility of linking administrative datasets for evaluation of home visiting as a strategy to reduce the incidence of child abuse and neglect. It also examined associations between maternal and child attributes coded in the birth record, and subsequent child maltreatment. The results show that home visiting efforts in Vermont were, in general, targeted to the populations most at-risk for child maltreatment. Mother's educational attainment, in particular, was identified as a potent correlate of child maltreatment, a finding with implications for high school dropout prevention and recovery efforts.     

Validity in an evaluation of Healthy Families Florida—A program to prevent child abuse and neglect

Evidence-based continuums have become a guide for identifying the level of evidence in evaluations of home visiting programs conducted to determine their effectiveness in preventing child abuse and neglect. While randomized controlled trials are required for the highest levels of evidence, quasi-experimental designs have also been specified as an appropriate alternative. Using a quasi-experimental evaluation of a home visiting program to prevent child abuse and neglect that adheres to the Healthy Families America model, this paper describes and illustrates how types of validity can be improved. More specifically, we address how threats to internal validity can be identified and reduced through statistical techniques; how construct validity may be strengthened using state records to measure the outcomes; and how external validity is affected by including or excluding study participants. After applying a variety of statistical adjustments to reduce selection bias, we found that the outcomes favored the home visiting program and increased after accounting for covariates that contributed to child abuse and neglect. This was true across the statistical techniques (traditional covariate and propensity score adjustment) used. For evaluations using quasi-experimental designs, recommendations relevant to the illustrations in the paper are also presented.     

Maternal Relationships and Nonresidential Father Visitation of Children Born Outside of Marriage

Using data from the Fragile Families and Child Wellbeing Study (N = 781), I examined how father visitation for children born outside of marriage is affected by subsequent maternal relationship formation, focusing on the timing, type, and stability of maternal relationships. Results showed that fathers were most likely to have not seen their child at all when mothers formed a new relationship early in the child's life, especially if the new relationship was coresidential and the partner engaged in activities with the child. Fathers who initially visited their child were more likely to stop visiting their child if an initially unpartnered mother became partnered. Frequency of visitation was not as strongly affected as whether visitation occurred at all.     

Integrating the little talks intervention into Early Head Start: An experimental examination of implementation supports involving fidelity monitoring and performance feedback

Enriching home visiting services by incorporating scientifically-supported interventions is a means for improving their effectiveness in promoting child development. However, deliberate efforts to ensure that home visitors are fully knowledgeable and supported to implement interventions with parents of young children are necessary. In this experimental study, a randomly-assigned group of Early Head Start home visitors monitored the fidelity of their provision of a scientifically-based intervention, Little Talks, and the program's general child development services. On a bi-weekly basis, home visitors received performance feedback specific to their implementation of Little Talks and based upon the fidelity data. Findings demonstrated that home visitors showed immediate and consistent mastery of the Little Talks content, while the quality of their implementation, including their clinical decision-making and collaborative processes, improved to adequate levels over time. The Little Talks home visitors showed generalized improvements in their ability to obtain Parent Input while providing the program's typical child development services were detected. In fact, Little Talks home visitors' were superior in obtaining Parent Input relative to comparison home visitors. Further, parents for whom low-quality intervention implementation was observed discontinued their enrollment in home visiting prematurely, while high-quality implementation was associated with sustained enrollment. Limitations for this study are identified, leading to future directions for advancing home visitors' incorporation of evidence-based practices.     

Perceptual difference of child neglect among Korean parents and children: Implications for child welfare policy

This study examined the perceptual differences in child neglect among Korean parents and children. The data were collected from a convenient sampling of 321 Korean parents and 294 children using the case statements developed by Giovannoni and Becerra (1979). The statements consisted of examples of child neglect in the following seven domains: (1) emotional neglect; (2) lack of supervision; (3) medical neglect; (4) educational neglect; (5) neglect of personal hygiene; (6) nutritional neglect; and, (7) drug/alcohol use. Findings showed that both Korean parents and children consider child neglect moderately serious while Korean children consider child neglect situations significantly more serious. Korean parents perceive emotional neglect as the most serious child neglect domain whereas Korean children perceive drug/alcohol use as the most serious domain of child neglect. Gender variation among Korean children indicates that girls are more likely to perceive the emotional neglect and lack of supervision domains more seriously than boys. The implications of the study offer valuable insights into policy development and program planning efforts in reducing the child neglect among Korean parents and children. Additionally, the findings of the study will likely contribute to the existing body of knowledge in the area of child neglect among Korean children and parents.     

Substance use behaviors by parents and the decision to substantiate child physical abuse and neglect by caseworkers

The changing policy landscape with regards to marijuana and a growing epidemic related to opioid misuse may affect caseworkers' decisions to substantiate maltreatment involving use of those two substances. This study examined whether caseworkers factor marijuana and opioid use, including whether or not the drug was medically prescribed, into substantiation decisions. In this study, each respondent (n = 467) was given two vignettes (one for neglect and one for physical abuse) with one of five drug use conditions. Logistic regression models showed that any drug use was related to higher odds of substantiating neglect. Only illicit opioid or marijuana use was positively related to substantiating physical abuse. Any substance use may impair a parent's functioning and be interpreted as placing a child in greater risk for potential harm from neglect. For physical abuse, caseworkers may view illicit substance use as participating in a deviant behavior making physical abuse seem more likely.     

Marriage following the birth of a child among cohabiting and visiting parents

Approximately half of nonmarital births are to mothers in cohabiting relationships, and an additional 30% are to mothers in visiting relationships. I use data (N= 1,945) from the Fragile Families Study to investigate whether the determinants of marriage in the year following a child's birth are similar for cohabiting and visiting parents. The results show that mothers’ education is predictive of marriage for cohabiting parents, whereas mothers’ earnings are predictive of marriage for visiting parents. The findings imply that visiting mothers place a greater emphasis on economic independence and sufficient resources to establish an independent household before transitioning to marriage. No differences in the association of relationship quality or attitudes and marriage are found.     

Promoting birth parents' relationships with their toddlers upon reunification: Results from Promoting First Relationships® home visiting program

Birth parents, once reunified with their child after a foster care placement, are in need of in-home support services to prevent reoccurrence of maltreatment and reentry into foster care, establish a strong relationship with their child, and enhance child well-being. Few studies have addressed the efficacy of home visiting services for reunified birth parents of toddlers. This study reports on the findings from a randomized control trial of a 10-week home visiting program, Promoting First Relationships® (Kelly, Sandoval, Zuckerman, & Buehlman, 2008), for a subsample of 43 reunified birth parents that were part of the larger trial. We describe how the elements of the intervention align with the needs of parents and children in child welfare. Although the sample size was small and most of the estimates of intervention effects were not statistically significant, the effect sizes and the pattern of results suggest that the intervention may have improved both observed parenting sensitivity and observed child behaviors as well as decreased parent report of child behavior problems. Implications are that providing in-home services soon after a reunification may be efficacious in strengthening birth parents' capacity to respond sensitively to their children as well as improving child social and emotional outcomes and well-being.     

Adolescents' and Their Mothers' Perceptions of Parental Management of Peer Relationships

The purpose of the present investigation was to examine the relation of level and discrepancy in mothers' and adolescents' reports of parental management of peer relationships and parent–child conflict about peer relationships to mothers' and adolescent's reports of adolescents' drug use, delinquent behavior, and grade‐point‐average (GPA). An ethnically diverse sample of 121 seventh and eighth graders and their mothers completed questionnaires assessing the degree to which mothers managed peer relationships, parent–child conflict about peer relationships, and adolescents' drug use, delinquent behavior, and GPA. Differences in mothers' versus adolescents' reports were found for parental management of peers and conflict about peer relationships. Results suggest that both level and discrepancies between mothers' and adolescents' reports of parenting are important in predicting the outcome variables. Furthermore, the direction of the discrepancy was important in determining its relation to the outcome variables.     

Parental visiting and family reunification: could inclusive practice make a difference?

This study examines whether inclusive practice, or parental involvement in foster children's lives while in placement, is correlated with more frequent visiting and a greater likelihood of reunification. This hypothesis was tested among a random sample of 230 twelve- and thirteen-year-olds placed in traditional family foster care. Results suggest that mothers who visit their child and are involved in case reviews and child care activities visit more frequently than mothers who visit in settings such as agency offices and have no other types of involvement. In addition, visiting frequency is highly predictive of reunification. These associations were not explained by maternal substance abuse, mental illness, or the child's placement history.     

Partner‐specific relationship characteristics and condom use among young people with sexually transmitted diseases

This study describes associations of partner‐specific relationship characteristics with consistent condom use among 297 young people (ages 13–24) with sexually transmitted diseases (STD). Relationship‐specific variables were relationship quality, reasons for sex, relationship duration, duration of sexual relationship, coital frequency, “established” versus “new” sexual partner, cohabitation, children, sexual coercion, and drug or alcohol use associated with coitus. Relationship characteristics associated with consistent condom use included lower relationship quality, lower emotional reasons for sex, lower coital frequency, sex with a new partner, noncohabitation, and not having a child with the partner. Controlling for sociodemographic variables, factors exhibiting independent associations with consistent condom use were lower relationship quality, lower coital frequency, and not having a child with the partner. While condom use with potentially high risk new partners is important, other types of relationships are also risky but associated with lower likelihood of consistent condom use. Better understanding of complex relationship characteristics is necessary to improve STD intervention programs.     

Drug prevention with high risk families and young children

The effects of a school and home-based drug prevention program on risk factors for subsequent alcohol, tobacco, and other drug (ATOD) use among children were studied. Data on parent and child risk factors for ATOD use were collected from fifty-six low-income parents and their children, ages four to six years, using a pretest-posttest design. The parent-child intervention was conducted over a two-month period. The intervention had no effect on parent or child risk factors. However, the program was favorably received by parents and children. Almost two-thirds of the parents at the experimental school were involved in the program. Almost half of the parents had high depressive symptoms. The high rates of ATOD use and depressive symptoms among these parents are cause for concern.     

Substance Use Among Rural African American Adolescents: Identifying Risk and Protective Factors

Substance use continues to be a significant problem among youth in our society, particularly in rural communities. The purpose of the current study was to identify the possible risk and protective factors that may be affecting the rates of alcohol and illegal drug use among a population of African American adolescents living in a rural, southern community. The following were identified as possible risk factors: (1) Being an older adolescent (15 years of age or older); (2) Spending afternoons after school with friends; (3) Having friends or family members who use alcohol or illegal drugs; (4) Being raised by non-family members; and (5) Having plans to enter military after high school. The following characteristics were associated with less alcohol and illegal drug use, and were identified as possible protective factors: (1) Being raised by parent(s) or other family members; (2) Spending afternoons after school with parents; (3) Having parents who talk to youth about dangers of drug and alcohol use; (4) Having parents who disapprove of their child using drugs or alcohol; (5) Being involved in extra-curricular church-related activities; and (6) Having plans to work, or attend college or technical school after high school. Characteristics that have been associated with drug and alcohol in previous research that were not associated with use in the current study include: (1) Being male; (2) Peer pressure to use alcohol or illegal drugs; (3) Grades in school; and (4) Involvement in extra-curricular activities. Implications for developing effective community programs aimed at reducing substance use among our youth are discussed.     

Parent-child visiting policies of voluntary agencies

This article reports the results of a nationwide survey of the parent-child visiting policies of voluntary agencies providing foster care services. The majority of the 103 responding agencies had either developed their own visiting policy (54%) or adopted the policy of a public agency (18%), but a sizable minority (28%) had no visiting policy in effect. Those policies that had been developed emphasized the child's therapeutic needs and contained few standards regarding preferred frequency or location of visits or agency services to facilitate visiting, raising questions regarding protection of the parent-child relationship and correspondence between policies and the purposes of visiting as articulated in the literature.     

Who Uses Formal,Early Child Care in California? A Comparative Study of Children from Immigrant and Nonimmigrant Families

The purpose of this study is to examine the predictors of formal, early child care usage and to study the differences between immigrant and nonimmigrant families in their use of formal (center-based, preschool, Head Start, and family child care) and informal child care arrangements (grandparent and nanny) among California’s children. Since the California Health Interview Survey (CHIS) had children from California’s immigrant and nonimmigrant families, the data for 897 preschool age children who attended child care for 10 h or more were retrieved from the CHIS 2005 Child Survey. This study found that immigrants are twice more likely (OR = 2.006; p < 0.005) to use formal child care than nonimmigrant families in California. The study concludes with implications for social work.     

The multiple service needs of drug dependent mothers

Maternal drug use has been the subject of much political discussion. Increases in the foster care population are reported to be a result of drug use by mothers. However, there is little information about the characteristics and service needs of drug using mothers. This study obtained data on drug dependent mothers referred to a child welfare agency, and suggests the need for coordinated treatment.     

Alcohol and drug use of inter-city versus rural school age children

The purpose of this study of seventy-nine children was to determine: 1) the prevalence and type of substance use in inter-city and rural eight to twelve-year-old children; and 2) the relationships between child substance use, self-esteem, peer substance use, and family climate. The conceptual framework for the study was a modification of Kumpfer and Turner's Social Ecology Model (1991). Nineteen percent of the children had used alcohol or drugs. Thirty-three percent of the children acknowledged having friends who used substances. Inter-city children reported more alcohol and marijuana use, while the rural children reported more use of inhalants. The responses of both inter-city and rural children also indicated that there were problems with substance use and family violence in the home. Self-esteem and affiliation with drug using peers were significantly correlated with substance use of the child.     

Racial disparity in risk factors for substantiation of child maltreatment

This study examined racial disparity in impacts that welfare use, substance abuse, depression, and intimate partner violence (IPV) make on substantiation of reported child maltreatment. A sample of 1493 African Americans, 848 Hispanics, and 2144 Whites was employed, extracted from the National Survey of Child and Adolescent Well-Being. Logistic regression results indicated that each ethnic subsample had a distinct set of significant risk factors for substantiation. For the African American subsample, relatively long periods spent receiving Temporary Assistance for Needy Families (TANF) reduced likelihood of substantiation, as did caregivers' alcohol dependence. For the Hispanic subsample, TANF receipt lowered substantiation's likelihood, while caregivers' drug use raised its likelihood. For the White subsample, caregivers' TANF receipt and substance abuse showed no significant impact. No subsample's substantiation likelihood appeared significantly affected by depression or IPV. Implications for services are suggested.