Journal of Primary Prevention

, Volume 8, Issue 4, pp 201–217 | Cite as

Preventing child abuse: An experimental evaluation of the child parent enrichment project

  • Richard P. Barth
  • Susan Hacking
  • Jordana R. Ash


Perinatal child abuse prevention projects are increasingly favored but rarely evaluated. The paper describes an experimental evaluation of the Child Parent Enrichment Project (CPEP). Women were referred to the project during or just after pregnancy if identified as at-risk of engaging in child abuse by community professionals. Clients were randomly assigned to CPEP services (n=24) or traditional community services (n=26). CPEP services involved six months of home visiting by paraprofessional women and linkage to other formal and informal community resources. Multivariate Analysis of Covariance on posttest scores, controlling for pretest scores, show advantage for the CPEP group in prenatal care, birth outcomes, better reports of child temperament, and better indicators of child welfare. CPEP mothers tended to report better well-being. No significant differences were demonstrated for levels of formal and informal support. Reports of child abuse were similar for both groups. Consumer satisfaction indicates that clients valued the program. The preliminary results argue for further use and evaluation of perinatal child abuse prevention services.


Health Psychology Experimental Evaluation Child Abuse Prenatal Care Child Welfare 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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  1. Altemeier, W. A., III, O'Connor, S. M., Sherrod, K. B., & Vietze, P. M. (1985). Prospective study of antecedents for nonorganic failure to thrive.Journal of Pediatrics, 106, 360–365.PubMedGoogle Scholar
  2. Armstrong, K. (1983). Economic analysis of a child abuse and neglect treatment program.Child Welfare, 52, 3–10.Google Scholar
  3. Armstrong, K., & Fraley, Y. L. (1985). What happens to families after they leave the program?Children Today, 14, 17–20.PubMedGoogle Scholar
  4. Ayoub, C., Jacewitz, M. M., Gold, R. G., & Milner, J. S. (1983). Assessment of a program's effectiveness in selecting individuals “at risk” for problems in parenting.Journal of Clinical Psychology, 39, 334–339.PubMedGoogle Scholar
  5. Barrera, M. Jr. (1981). Social support in the adjustment of pregnant adolescents: Assessment issues. In B. H. Gottlieb (Ed.),Social networks and social support. Beverly Hills, CA: Sage.Google Scholar
  6. Barth, R. P. (1985). Beating the blues: Cognitive-behavioral treatment for depression in child maltreating young mothers.Clinical Social Work Journal, 13, 317–328.Google Scholar
  7. Barth, R. P. (1986).Social and cognitive treatment of children and adolescents. San Francisco, CA: Jossey-Bass.Google Scholar
  8. Barth, R. P., Hacking, S. D., & Rodriguez, J. L. (1986).Implementing home-based child abuse prevention services: A manual for the Child Parent Enrichment Project Unpublished manuscript, University of California, Berkeley, School of Social Welfare.Google Scholar
  9. Barth, R. P., Hacking, S., & Ash, J. R. (1986). Screening, referring, and recruiting high-risk parents into child abuse prevention programs.Child Abuse & Neglect, 10, 99–109.Google Scholar
  10. Barth, R. P., Schinke, S. P., & Maxwell, J. S. (1985). Coping skills training for school-age mothers.Journal of Social Service Research, 8, 75–94.Google Scholar
  11. Belsky, J. (1980) Child maltreatment: An ecological integration.American Psychologist, 35, 320–325.PubMedGoogle Scholar
  12. Carey, W. B. (1970). A simplified method for measuring infant temperament.The Journal of Pediatrics, 77 188–194.PubMedGoogle Scholar
  13. Crnic, K. A., Greenberg, M. T., Robinson, N. M., & Ragozin, A. S. (1984). Maternal stress and social support: Effects on the mother-infant relationship from birth to eighteen months.American Journal of Orthopsychiatry, 54, 224–235.PubMedGoogle Scholar
  14. Cutrona, C. E. (1984). Social support and stress in the transition to parenthood.Journal of Abnormal Psychology, 93, 378–390.PubMedGoogle Scholar
  15. Enos, R., & Hisanga, M. (1979). Goal setting with pregnant teenagers.Child Welfare, 58, 541–552.PubMedGoogle Scholar
  16. Fortune, A. E. (1985).Task-centered practice with families and groups. New York: Springer.Google Scholar
  17. Gabinet, L. (1979). Prevention of child abuse and neglect in an inner-city population: The program and the results.Child Abuse and Neglect, 3, 809–817.Google Scholar
  18. Goldberg, S. (1983). Parent-infant bonding: Another look.Child Development, 54, 1355–1382.PubMedGoogle Scholar
  19. Gray, E.B. (1982). Perinatal support programs: A strategy for the primary prevention of child abuse.Journal of Primary Prevention, 2, 138–152.Google Scholar
  20. Gray, E. B. (1983). What have we learned about preventing child abuse? An overview of the “community and minority group action to prevent child abuse and neglect.” Chicago, IL: National Committee For Prevention of Child Abuse.Google Scholar
  21. Gray, J. D., Cutler, C. A., Dean, J. G., & Kempe, C. H. (1979). Prediction and prevention of child abuse and neglect.Journal of Social Issues, 35, 129–139.Google Scholar
  22. Habif, V. L., & Lahey, B. B. (1980). Assessment of the life-stress depression relationship: The use of social support as a moderator variable.Behavioral Assessment, 2, 167–173.Google Scholar
  23. Helfer, R. E. (1982). A review of the literature on the prevention of child abuse and neglect.Child Abuse and Neglect, 6, 251–161.PubMedGoogle Scholar
  24. Helfer, R. E., Hoffmeister, J. K., & Schnieder C. (1978).MSPP: A manual for use of the Michigan screening profile of parenting. Boulder, CO: Express.Google Scholar
  25. Hunter, R. S., & Kilstrom, N. (1979). Breaking the cycle of abusive families.American Journal of Psychiatry, 136, 1320–1322.PubMedGoogle Scholar
  26. Klaus, M. H., & Kennell, J. H. (1982).Parent-infant bonding. St. Louis: Mosby.Google Scholar
  27. Larson, C. P. (1980). Efficacy of parental and postpartum home visits on child health and development.Pediatrics, 66, 191–197.PubMedGoogle Scholar
  28. Miller, K., Fein, E., Howe, G. W., Gaudio, C. P., & Bishop, G. V. (1984). Time-limited, goal-focused parent aid service.Social Casework, 65, 472–477.Google Scholar
  29. Milner, J. S. (1980).The child abuse potential inventory, Manual. NC: Psytec Crop.Google Scholar
  30. Milner, J. S., & Wimberley, R. C. (1979). An inventory for the identification of child abusers.Journal of Clinical Psychology, 35, 95–100.PubMedGoogle Scholar
  31. Milner, J. S., & Wimberley, R. C. (1980) Prediction and explanations of child abuse.Journal of Clinical Psychology, 36, 875–884.PubMedGoogle Scholar
  32. National Committee for Prevention of Child Abuse. (1983).Final report: Collaborative research of community and minority group action to prevent child abuse and neglect. Vol. 1: Perinatal interventions. Chicago, IL: Author.Google Scholar
  33. Olds, D. L. (1982). The prenatal/early infancy project: An ecological approach to prevention of developmental disabilities. In J. Belsky (Ed.),In the beginning: Readings on infancy (pp. 270–285). New York: Columbia.Google Scholar
  34. Payne, C. (1984).Programs to strengthen families: A resource guide. Chicago, IL: Yale University and the Family Resource Center.Google Scholar
  35. Pearlin, I. L., & Schooler, C. (1978). The structure of coping.Journal of Health and Social Behavior, 19, 2–21.PubMedGoogle Scholar
  36. Radloff, L. S. (1977). The CES-D scale: A self-report depression scale for research in the general population.Applied Psychological Measurement, 1, 385–401.Google Scholar
  37. Rauh, V. A., Nurcombe, B., Ruoff, P., Howell, D. C., Teti, D. M., & Brennan, J. (1982). Facilitating maternal adjustment to the low birthweight infant: Effects of an intervention program. Presented at the Annual Meeting of the American Academy of Child Psychiatry, Washington, D.C.Google Scholar
  38. Reid, W. J., & Epstein, L. (1972).Task-centered casework. New York: Columbia University Press.Google Scholar
  39. Reid, W. J. (1978).The task-centered system. New York: Columbia University Press.Google Scholar
  40. Salzinger, S., Kaplan, S., & Artemyeff, C. (1983). Mothers personal social networks and child maltreatment.Journal of Abnormal Psychology, 92, 68–76.PubMedGoogle Scholar
  41. Shure, M. B., & Spivak, G. (1978).Problem-solving techniques in childrearing. San Francisco, CA: Jossey-Bass.Google Scholar
  42. Siegel, E., Bauman, K. E., Schaefer, E. S., Saunders, M. M., & Ingram, D. D. (1980). Hospital and home support during infancy: Impact on maternal attachment, child abuse and neglect, and health care utilization.Pediatrics, 66, 183–190.PubMedGoogle Scholar
  43. Spielberger, C. D., Gorsuch, R. L., & Lushene, R. E. (1970).Manual for the state-trait anxiety inventory. Palo Alto, CA: Consulting Psychologist Press.Google Scholar
  44. TenBroeck, E. & Barth, R. P. (1986). Learning the hard way: A pilot permanency planning program.Child Welfare, 65, 281–294.PubMedGoogle Scholar
  45. Whitey, V., Anderson, R. & Lauderdale, M. (1980). Volunteers as mentors for abusing parents: A natural helping relationship.Child Welfare, 59, 637–644.PubMedGoogle Scholar

Copyright information

© Human Sciences Press 1988

Authors and Affiliations

  • Richard P. Barth
    • 1
  • Susan Hacking
  • Jordana R. Ash
  1. 1.School of Social WelfareUniversity of CaliforniaBerkeley

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