Investing to Protect Our Children: Using Economics to Derive an Evidence‐based Strategy

Child abuse and neglect are global problems that affect over 25 per cent of children and have serious health, social and economic consequences. Government and other agencies are heavily committed to the provision of services to address the consequences of abuse and neglect. In a climate of scarce resources, there is increasing interest in developing cost‐effective strategies to prevent child maltreatment. Economic evaluation in the context of formal ‘priority setting’ can contribute to the development of an efficient child protection strategy and at the same time develop the arguments to support an increased investment in the prevention of child maltreatment. Key challenges arise from incompleteness of the evidence base of effective interventions and the considerable complexity of the cross‐portfolio effects. The latter has resulted in the widespread failure to capture the full range of impacts, most notably intergenerational effects, quality of life and mortality. This means the benefits of investing in effective preventive strategies to address child maltreatment will be underestimated and too few resources allocated to this important task. Adoption of the proposed priority‐setting framework and translation into action are likely to reduce child maltreatment and associated harms for children at risk now and in the future. Copyright © 2011 John Wiley & Sons, Ltd.

Citing Literature

Number of times cited: 7

• Inga Wagenknecht, Uta Meier-Gräwe and Ute Ziegenhain , Kosten und Nutzen Früher Hilfen - aktuelle Erkenntnisse und zukünftiger Forschungsbedarf/ Economic efficiency of early intervention – current findings and future need for research , Kindesmisshandlung und -vernachlässigung , 18 , 1 , (10) , (2015) . Crossref
• Nicole RS Boyer, Kathleen A Boyd, Fiona Turner-Halliday, Nicholas Watson and Helen Minnis , Examining the feasibility of an economic analysis of dyadic developmental psychotherapy for children with maltreatment associated psychiatric problems in the United Kingdom , BMC Psychiatry , 14 , 1 , (2014) . Crossref
• Madeleine Stevens, Lucy Harris, Megan Ellis, Crispin Day and Jennifer Beecham , Investigating changes in use of services by high‐need families following the Helping Families Programme, an innovative parenting intervention for children with severe and persistent conduct problems , Child and Adolescent Mental Health , 19 , 3 , (185-191) , (2013) . Wiley Online Library
• Madeleine Stevens , The cost-effectiveness of UK parenting programmes for preventing children's behaviour problems - a review of the evidence , Child & Family Social Work , 19 , 1 , (109) , (2014) . Crossref
• Sarah Skeen and Mark Tomlinson , A public health approach to preventing child abuse in low- and middle-income countries: A call for action , International Journal of Psychology , 48 , 2 , (108) , (2013) . Crossref
• Peter Sidebotham , Safeguarding in an Age of Austerity , Child Abuse Review , 21 , 5 , (313-317) , (2012) . Wiley Online Library
• , Public Health Approaches to Safeguarding Children , Child Abuse Review , 20 , 4 , (231-237) , (2011) . Wiley Online Library

Volume 20 , Issue 4 July/August 2011

Pages 274-289