TY - JOUR
T1 - A Randomized Trial of Home Visitation for CPS-Involved Families
T2 - The Moderating Impact of Maternal Depression and CPS History
AU - Jonson-Reid, Melissa
AU - Drake, Brett
AU - Constantino, John N.
AU - Tandon, Mini
AU - Pons, Laura
AU - Kohl, Patricia
AU - Roesch, Scott
AU - Wideman, Ellie
AU - Dunnigan, Allison
AU - Auslander, Wendy
N1 - Funding Information:
The author(s) disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: This project was funded through a grant from the National Institute of Mental Health (1R34MH083871). Points of view expressed in this article do not necessarily reflect those of the funding agency.
Publisher Copyright:
© 2018, The Author(s) 2018.
PY - 2018/8/1
Y1 - 2018/8/1
N2 - Home visitation (HV) interventions may hold promise to improve parenting and prevent child maltreatment recidivism in families reported to child protective services (CPS) with young children, but this has rarely been studied. Findings are presented from an 18-month randomized controlled trial in which intact families (N = 122) with at least one CPS report were provided with a facilitated connection to a paraprofessional evidence-based HV program or usual care services from child protection. Results are reported for changes in maternal stress, depression, and social support outcomes and repeat reports to CPS. No significant changes were found in maternal outcomes by group. Among nondepressed mothers or families without multiple CPS reports prior to study enrollment, HV was associated with a significantly lower likelihood of CPS report recidivism. These results indicate potential for HV to prevent maltreatment recidivism but suggest that higher intensity intervention is warranted for mothers exhibiting significant depressive symptoms or families with extensive CPS histories.
AB - Home visitation (HV) interventions may hold promise to improve parenting and prevent child maltreatment recidivism in families reported to child protective services (CPS) with young children, but this has rarely been studied. Findings are presented from an 18-month randomized controlled trial in which intact families (N = 122) with at least one CPS report were provided with a facilitated connection to a paraprofessional evidence-based HV program or usual care services from child protection. Results are reported for changes in maternal stress, depression, and social support outcomes and repeat reports to CPS. No significant changes were found in maternal outcomes by group. Among nondepressed mothers or families without multiple CPS reports prior to study enrollment, HV was associated with a significantly lower likelihood of CPS report recidivism. These results indicate potential for HV to prevent maltreatment recidivism but suggest that higher intensity intervention is warranted for mothers exhibiting significant depressive symptoms or families with extensive CPS histories.
KW - child protection
KW - early childhood home visitation
KW - maternal depression
KW - recurrent maltreatment
UR - http://www.scopus.com/inward/record.url?scp=85043387039&partnerID=8YFLogxK
U2 - 10.1177/1077559517751671
DO - 10.1177/1077559517751671
M3 - Article
C2 - 29325427
AN - SCOPUS:85043387039
SN - 1077-5595
VL - 23
SP - 281
EP - 293
JO - Child Maltreatment
JF - Child Maltreatment
IS - 3
ER -