Abstract
Evidence-based practices, particularly home-based parent-support programs, have been effective in preventing child maltreatment. Given the high rate of maltreatment, in particular the relative lack of decline in neglect, the question is what more can evidence-based practices do to maximize effectiveness and responsiveness in the prevention of maltreatment? This chapter describes the movement towards increasing use of evidence-based practices and discusses the challenges for agencies in selecting an appropriate model for the population they serve. SafeCare® is used as an applied example and the content, effectiveness, dissemination, and implementation are highlighted. The chapter reviews challenges in dissemination and implementation of evidence-based practices in the child welfare population and providing recommendations and suggestions for improving the effectiveness and implementation processes effectively and consistently in this population.
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References
Aarons, G. A. (2004). Mental health provider attitudes toward adoption of evidence-based practice: The Evidence-Based Practice Attitude Scale (EBPAS). Mental Health Services Research, 6(2), 61–74.
Aarons, G. A., Fettes, D. L., Flores, L. E., & Sommerfeld, D. H. (2009). Evidence-based practice implementation and staff emotional exhaustion in children’s services. Behaviour Research and Therapy, 47, 954–960.
Aarons, G. A., Fettes, D. L., Flores, L. E., Sommerfeld, D. H., & Palinkas, L. A. (2012). Mixed methods for implementation research: Application to evidence-based practice implementation and staff turnover in community-based organizations providing child welfare services. Child Maltreatment, 17(1), 67–79.
Avellar, S., Paulsell, D., Sama-Miller, E., Del Grosso, P., Akers, L., & Kleinman, R. (2014). Home visiting evidence of effectiveness review: Executive summary. Washington, DC: Office of Planning, Research and Evaluation, Administration for Children and Families, U.S. Department of Health and Human Services.
Barone, V. J., Greene, B. F., & Lutzker, J. R. (1986). Home safety with families being treated for child abuse and neglect. Behavior Modification, 10, 93–114.
Barth, R., Landsverk, J., Chamberlain, P., Reid, J. B., Rolls, J. A., Hurlburt, M. S., … Kohl, P. L. (2005). Parent-training programs in child welfare services: Planning for a more evidence-based approach to serving biological parents. Research on Social Work Practice, 15(5), 353–371.
Bigelow, K. M., & Lutzker, J. R. (1998). Using video to teach planned activities to parents reported for child abuse. Child and Family Behavior Therapy, 20(4), 1–14.
Bigelow, K. M., & Lutzker, J. R. (2000). Training parents reported for or at risk for child abuse and neglect to identify and treat their children’s illnesses. Journal of Family Violence, 15, 311–330.
Campbell, R. V., O’Brien, S., Bickett, A., & Lutzker, J. R. (1983). In-home parent-training, treatment of migraine headaches, and marital counseling as an ecobehavioral approach to prevent child abuse. Journal of Behavior Therapy and Experimental Psychiatry, 14, 147–154.
Centers for Disease Control and Prevention. (2011). National Hospital Ambulatory Medical Care Survey: 2011 Emergency Department Summary Tables. Retrieved from http://www.cdc.gov/nchs/data/ahcd/nhamcs_emergency/2011_ed_web_tables.pdf.
Chaffin, M., & Friedrich, B. (2004). Evidence-based treatments in child abuse and neglect. Children and Youth Services Review, 26, 1097–1113.
Chaffin, M., Bonner, B. L., & Hill, R. F. (2001). Family preservation and family support programs: Child maltreatment outcomes across client risk levels and program types. Child Abuse and Neglect, 25, 1269–1289.
Chaffin, M., Bard, D., Bigfoot, D. S., & Maher, E. J. (2012). Is a structured, manualized, evidence-based treatment protocol culturally competent and equivalently effective among American Indian parents in child welfare? Child Maltreatment, 17(3), 242–252.
Chaffin, M., Bard, D., Silovsky, J. F., & Beasley, W. H. (2012). A statewide trial of the SafeCare home-based services model with parents in child protective services. Pediatrics, 129(3), 509–515.
Cordon, I. M., Lutzker, J. R., Bigelow, K. M., & Doctor, R. M. (1998). Evaluating Spanish protocols for teaching bonding, home safety, and health care skills. Journal of Behavior Therapy and Experimental Psychiatry, 29, 41–54.
Dachman, R. S., Halasz, M. M., Bickett, A. D., & Lutzker, J. R. (1984). A home-based ecobehavioral parent-training and generalization package with a neglectful mother. Education and Treatment of Children, 7, 183–202.
Dahlberg, L. L., & Simon, T. R. (2006). Predicting and preventing youth violence: Developmental pathways and risk. In J. Lutzker (Ed.), Preventing violence: Research and evidence-based intervention strategies (pp. 97–124). Washington, DC: American Psychological Association.
Damashek, A., Doughty, D., Ware, L., & Silovsky, J. (2011). Predictors of client engagement and attrition in home-based child maltreatment prevention services. Child Maltreatment, 16(1), 9–20.
Damashek, A., Bard, D., & Hecht, D. (2012). Provider cultural competency, client satisfaction, and engagement in home-based programs to treat child abuse and neglect. Child Maltreatment, 17(1), 56–66.
Delgado, L. E., & Lutzker, J. R. (1988). Training young parents to identify and report their children’s illnesses. Journal of Applied Behavior Analysis, 21, 311–319.
Diaz, A., & Petersen, A. C. (2014). Institute of Medicine Report: New directions in child abuse and neglect research. JAMA Pediatrics, 168(2), 101–102.
Dowrick, P. W. (1999). A review of self modeling and related interventions. Applied and Preventive Psychology, 8, 23–39.
Dowrick, P. W. (2012). Self modeling: Expanding the theories of learning. Psychology in the Schools, 49(1), 30–41.
Finkelhor, D., Jones, L., Shattuck, A., & Saito, K. (2013). Updated trends in child maltreatment, 2012. Durham, NH: Crimes Against Children Research Center (CV203).
Finkelhor, D., Shattuck, A., Turner, H. A., & Hamby, S. L. (2014). Trends in children’s exposure to violence, 2003–2011. JAMA Pediatrics, 168(6), 540–546.
Fixsen, D. L., Naoom, S. F., Blasé, K. A., Friedman, R. M., & Wallace, F. (2005). Implementation research: A synthesis of the literature. Tampa, FL: University of South Florida, Louis, de la Parte Florida Mental Health Institute, The National Implementation Research Network (FMHI Publication #231).
Fixsen, D. L., Blase, K. A., Naoom, S. F., & Wallace, F. (2009). Core implementation components. Research on Social Work Practice, 19(5), 531–540.
Fixsen, D. L., Blase, K. A., Metz, A., & Van Dyke, M. (2013). Statewide implementation of evidence-based programs. Exceptional Children, 29(2), 213–230.
Gaskin, E. H., Lutzker, J. R., Crimmins, D., & Robinson, L. (2012). Using a digital frame and pictorial information to enhance the SafeCare parent-infant interactions module with a mother with intellectual disabilities: Results of a pilot study. Journal of Mental Health Research in Intellectual Disabilities, 5, 187–202.
Gershater-Molko, R. M., Lutzker, J. R., & Wesch, D. (2002). Using recidivism data to evaluate Project SafeCare: Teaching bonding, safety, and health care skills to parents. Child Maltreatment, 7(3), 277–285.
Guastaferro, K. M., Lutzker, J. R., Graham, M. L., Shanley, J. R., & Whitaker, D. J. (2012). SafeCare®: Historical perspective and dynamic development of an evidence-based scaled-up model for the prevention of child maltreatment. Psychosocial Intervention, 21(2), 171–180.
Guastaferro, K. M., Lutzker, J. R., Jabaley, J. J., Shanley, J. R., & Crimmins, D. B. (2013). Teaching young mothers to identify developmental milestones. International Journal of Child Health and Human Development, 6(2), 223–233.
Hart, B., & Risley, T. (1995). Meaningful differences in the everyday experiences of young American children. Baltimore: Brookes.
Hart, B., & Risley, T. (2003). The early catastrophe: The 30 million world gap by age 3. American Educator, 22, 4–9.
Jabaley, J. J., Lutzker, J. R., Whitaker, D. J., & Self-Brown, S. (2011). Using iPhones™ to enhance and reduce face-to-face safety sessions within SafeCare®: An evidence-based child maltreatment prevention program. Journal of Family Violence, 26, 377–385.
Kaminski, J. W., Valle, L. A., Filene, J. H., & Boyle, C. L. (2008). A meta-analytic review of components associated with parent training program effectiveness. Journal of Abnormal Child Psychology, 36, 567–589.
Kane, G. A., Wood, V. A., & Barlow, J. (2007). Parenting programs: A systematic review and synthesis of qualitative research. Child: Care, Health, and Development, 33(6), 784–793.
Klevens, J., & Whitaker, D. J. (2007). Primary prevention of child physical abuse and neglect: Gaps and promising directions. Child Maltreatment, 12(4), 364–377.
Lundahl, B., Risser, H. J., & Lovejoy, M. C. (2006). A meta-analysis of parent training: Moderators and follow-up effects. Clinical Psychology Review, 26, 86–104.
Lutzker, J. R., & Chaffin, M. (2012). SafeCare®: An evidence-based constantly dynamic model to prevent child Maltreatment. In H. Dubowitz (Ed.), World perspectives on child abuse (10th ed., pp. 93–96). Canberra, Australia: The International Society for the Prevention of Child Abuse and Neglect.
Lutzker, J. R., McGimsey, J. F., McRae, S., & Campbell, R. V. (1983). Behavioral parent training: There’s so much more to do. The Behavior Therapist, 6, 110–112.
Lutzker, J. R., Campbell, R. V., & Watson-Perczel, M. (1984). Utility of the case study method in the treatment of several problems of a neglectful family. Education and Treatment of Children, 7, 315–333.
Lutzker, J. R., Megson, D. A., Webb, M. E., & Dachman, R. S. (1985). Validating and training adult-child interaction skills to professionals and to parents indicated for child abuse and neglect. Journal of Child and Adolescent. Psychotherapy, 2, 91–104.
Lutzker, S. Z., Lutzker, J. R., Braunling-McMorrow, D., & Eddleman, J. (1987). Prompting to increase mother-baby stimulation with single mothers. Journal of Child and Adolescent. Psychotherapy, 4, 3–12.
Lutzker, J. R., Guastaferro, K. M., & Whitaker, D. W. (2014). More work needed to protect children but promising trend data on exposure to violence. JAMA Pediatrics, 168(6), 512–514.
MacMillan, H. L., Thomas, B. H., Jamieson, E., Walsh, C. A., Boyle, M. H., Shannon, H. S., & Gafni, A. (2005). Effectiveness of home visitation by public-health nurses in prevention of the recurrence of child physical abuse and neglect: A randomized controlled trial. Lancet, 365, 1786–1793.
Mandel, U., Bigelow, K. M., & Lutzker, J. R. (1998). Using video to reduce home safety hazards with parents reported for child abuse and neglect. Journal of Family Violence, 13, 147–162.
McGimsey, J. F., Lutzker, J. R., & Greene, B. F. (1994). Validating and teaching affective adult-child interaction skills. Behavior Modification, 18, 209–224.
McGimsey, J. F., Greene, B. F., & Lutzker, J. R. (1995). Competence in aspects of behavioral treatment and consultation: Implications for service delivery and graduate training. Journal of Applied Behavior Analysis, 28, 301–315.
Metchikian, K. L., Mink, J. M., Bigelow, K. M., Lutzker, J. R., & Doctor, R. M. (1999). Reducing home safety hazards in the homes of parents reported for neglect. Child and Family Behavior Therapy, 3, 23–34.
Morales, Y., Lutzker, J. R., Shanley, J. R., & Guastaferro, K. M. (2015). Parent-infant interaction training with a Latino mother. International Journal of Child Health and Human Development, 8(2), 135.
Olds, D. L., Kitzman, H., Knudtson, M. D., Anson, E., Smith, J. A., & Cole, R. (2014). Effect of home visiting by nurses on maternal and child mortality: Results of a 2-decade follow-up of a randomized clinical trial. JAMA Pediatrics, 168(9), 800–806.
Peacock, S., Konrad, S., Watson, E., Nickel, D., & Muhajarine, N. (2013). Effectiveness of home visiting programs on child outcomes: A systematic review. BMC Public Health, 13, 17.
Prinz, R. J., Sanders, M. R., Shapiro, C. J., Whitaker, D. W., & Lutzker, J. R. (2009). Population-based prevention of child maltreatment: The US Triple P system population trial. Prevention Science, 10(1), 1–12.
Rosenfeld-Schlicter, M. D., Sarber, R. E., Bueno, G., Greene, B. F., & Lutzker, J. R. (1983). Maintaining accountability for an ecobehavioral treatment of one aspect of child neglect: Personal cleanliness. Education and Treatment of children, 6, 153–164.
Sanders, M. R., Kirby, J. N., Tellegen, C. L., & Day, J. J. (2014). The Triple P-Positive Parenting Program: A systematic review and meta-analysis of a multi-level system of parenting support. Clinical Psychology Review, 34, 337–357.
Sarber, R. E., Halasz, M. M., Messmer, M. C., Bickett, A. D., & Lutzker, J. R. (1983). Teaching menu planning and grocery shopping skills to a mentally retarded mother. Mental Retardation, 21, 101–106.
Self-Brown, S., Whitaker, D., Berliner, L., & Kolko, D. (2012). Disseminating child maltreatment interventions: Research on implementing evidence-based programs. Child Maltreatment, 17(1), 5–10.
Selph, S. S., Bougatsos, C., Blazina, I., & Nelson, H. D. (2013). Behavioral interventions and counseling to prevent child abuse and neglect: A systematic review to update the U.S. Preventative Services Task Force recommendation. Annals of Internal Medicine, 158(3), 179–190.
Silovsky, J. F., Bard, D., Chaffin, M., Hecht, D., Burris, L., Owora, A., … Lutzker, J. (2011). Prevention of child maltreatment in high-risk rural families: A randomized clinical trial with child welfare outcomes. Children and Youth Services Review, 33(8), 1435–1444.
Stilwell, S. L., Lutzker, J. R., & Greene, B. F. (1988). Evaluation of a sexual abuse prevention program for abuse and neglect: The ecobehavioral imperative. Behaviour Change, 9, 149–156.
Strong, L. E. A., Lutzker, J. R., Jabaley, J. J., Shanley, J. R., Self-Brown, S., & Guastaferro, K. M. (2014). Training mothers recovering from substance abuse to identify and treat their children’s illnesses. International Journal of Child Health and Human Development, 7(2), 156–166.
Sweet, M. A., & Appelbaum, M. I. (2004). Is home visiting an effective strategy? A meta-analytic review of home visiting programs for families with young children. Child Development, 75(5), 1435–1456.
Tertinger, D. A., Greene, B. F., & Lutzker, J. R. (1984). Home safety: Development and validation of one component of an ecobehavioral treatment program for abused and neglected children. Journal of Applied Behavior Analysis, 17, 159–174.
U.S. Department of Health and Human Services [DHHS], Administration for Children and Families, Administration on Children, Youth and Families, Children’s Bureau. (2015). Child maltreatment 2013. Retrieved from http://www.acf.hhs.gov/programs/cb/research-data-technology/statistics-research/child-maltreatment.
Watson-Perzcel, M., Lutzker, J. R., Greene, B. F., & McGimpsey, B. J. (1988). Assessment and modification of home cleanliness among families adjudicated for child neglect. Behavior Modification, 12, 57–81.
Whitaker, D. J., Ryan, K. A., Wild, R. C., Self-Brown, S., Lutzker, J. R., Shanley, J. R., … Hodges, A. E. (2012). Initial implementation indicators from a statewide rollout of SafeCare within a child welfare system. Child Maltreatment, 17(1), 96–101.
White, M. A. (1975). Natural rates of teacher approval and disapproval in the classroom. Journal of Applied Behavior Analysis, 8, 367–372.
Wildeman, C., Emanuel, N., Leventhal, J. M., Putnam-Hornstein, E., Waldfogel, J., & Lee, H. (2014). The prevalence of confirmed child maltreatment among US children, 2004 to 2011. JAMA Pediatrics, 168(8), 706–713.
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Guastaferro, K., Lutzker, J.R. (2017). Getting the Most Juice for the Squeeze: Where SafeCare® and Other Evidence-Based Programs Need to Evolve to Better Protect Children. In: Teti, D. (eds) Parenting and Family Processes in Child Maltreatment and Intervention. Child Maltreatment Solutions Network. Springer, Cham. https://doi.org/10.1007/978-3-319-40920-7_9
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