Achieving Comprehensive Prevention of Child Abuse and Neglect

Abstract

The United States has developed a comprehensive array of child abuse and neglect (CAN) prevention resources and has allocated funding to provide these resources. Policy makers, practitioners, and advocates are committed to CAN prevention. However, the current paradigm used to prevent CAN is inadequate for four reasons. First, system-level policies and infrastructure are not fully aligned with children’s needs for a safe and stable upbringing. Second, access to effective CAN prevention resources is not ubiquitous. Third, most people do not have clear roles in preventing CAN in their everyday lives. Fourth, fear of stigma prevents caregivers from seeking support and accessing services. We must shift the paradigm so that all policies promote child well-being, every family has equitable access to all opportunities, and every individual feels entitled to advocate for and engage in CAN prevention. By embedding an adapted Health Belief Model (aHBM) into an ecological model, we can improve policies, behaviors, and beliefs at all levels of the social ecology in order to shift the paradigm. In order to scale knowledge and advocacy for preventing CAN to the population, we propose a strategy that increases system collaboration, leverages existing infrastructure, and adopts multi-source funding models that invest in prevention services to inoculate society against CAN.

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References

  1. Advancing Early Childhood Development: From Science to Scale. (2016). In The lancet early child development series. Retrieved July 15, 2019, from https://www.thelancet.com/pb-assets/Lancet/stories/series/ecd/Lancet_ECD_Executive_Summary.pdf.

  2. Alexander, R., et al. (2017). Research and practices in child maltreatment prevention. STM Learning, Inc., 2, ix-3, Retrieved June 27, 2017, from https://stmlearning.com/media/DataSheet/9781787060839_Prevent_V2_Samplepages.

  3. Becker, M. H. (1974). The health belief model and personal health ehavior. Health Education Monographs, 2, 324–473. https://doi.org/10.1177/109019817400200407.

    Article  Google Scholar 

  4. Benzies, K., & Mychasiuk, R. (2009). Fostering family resiliency: A review of the key protective factors. Child & Family Social Work, 14(1), 103–114.

    Article  Google Scholar 

  5. Bilson, A., Herczog, M., Kennedy, J. A., Kuzminskyi, V., & Rogers, J. (2017). Childonomics a conceptual framework. Oxford: Oxford.

    Google Scholar 

  6. Blickem, C., Dawson, S., Kirk, S., Vassilev, I., Mathieson, A., et al. (2018). What is asset-based community development and how might it improve the health of people with long-term conditions? A realist synthesis. SAGE Open, 8(3), 1–13. https://doi.org/10.1177/2158244018787223.

    Article  Google Scholar 

  7. Bradley, R. H., & Vandell, D. L. (2007). Child care and the well-being of children. Archives of Pediatrics & Adolescent Medicine, 161(7), 669–676. https://doi.org/10.1001/archpedi.161.7.669.

    Article  Google Scholar 

  8. Breitenstein, S. M., Schoeny, M., Risser, H. J., & Johnson, T. (2016). A study protocol testing the implementation, efficacy, and cost effectiveness of the ezParent program in pediatric primary care. Contemporary Clinical Trials, 50, 229–237. https://doi.org/10.1016/j.cct.2016.08.017.

    Article  Google Scholar 

  9. Breslau, J., Stein, B. D., Yu, H., Burns, R. M., & Han, B. (2018). Impacts of the dependent care expansion on the allocation of mental health care. Administration and Policy in Mental Health and Mental Health Services Research, 46, 82–90. https://doi.org/10.1007/s10488-018-0895-5.

    Article  Google Scholar 

  10. Bronfrenbrenner, U. (1994). Ecological models of human development. In T. Husten & T. N. Postlethwaite (Eds.), International encyclopedia of education (Vol. 3, 2nd ed., pp. 1643–1647). New York: Elsevier Science.

    Google Scholar 

  11. Chicago Department of Public Health. (2016). Healthy Chicago 2.0: Partnering to improve health equity. City of Chicago. Retrieved from: https://www.chicago.gov/content/dam/city/depts/cdph/CDPH/HC2.0Plan_3252016.pdf.

  12. Community Preventive Services Task Force. (2012). Recommendation from the Community Preventive Services Task Force for use of collaborative care for the management of depressive disorders. American Journal of Preventive Medicine, 42(5), 521–524. https://doi.org/10.1016/j.amepre.2012.01.010.

    Article  Google Scholar 

  13. Desai, CC., Reece, J-A., & Shakespeare-Pellington, S. (2017). The prevention of violence in childhood through parenting programmes: a global review, Psychology, Health & Medicine, 22:sup1, 166–186, https://doi.org/10.1080/13548506.2016.1271952

  14. Doek, J. E. (2009). The UN convention on the rights of the child. An analysis of treaty provisions and implications of US ratification. Child Abuse & Neglect, 33, 846–848.

  15. Doek, J. E., & Svevo-Cianci, K. (2017). Children’s rights to prevention of and protection from violence and maltreatment. Societal, organizational, and international approaches. Research and Practices in Child Maltreatment Prevention, 2(18), 303–322.

    Google Scholar 

  16. Embry, D. D. (2011). Behavioral vaccines and evidence-based kernels: Nonpharmaceutical approaches for the prevention of mental, emotional, and behavioral disorders. The Psychiatric Clinics of North America, 34(1), 1–34. https://doi.org/10.1016/j.psc.2010.11.003.

    Article  Google Scholar 

  17. Forston, B. L., Klevens, J., Merrick, M. T., Gilbert, L. K., & Alexander, S. P. (2016). Preventing child abuse and neglect: A technical package for policy, norm, and programmatic activities. Atlanta: National Center for Injury Prevention and Control, Centers for Disease Control and Prevention.

    Google Scholar 

  18. Gadsden, V. L., Ford, M. A., & Breiner, H. (2016). Parenting matters: Supporting parents of children ages 0–8. Washington, DC: The National Academies Press. Retrieved February 21, 2019.

    Book  Google Scholar 

  19. Glasgow, R. E., Vogt, T. M., & Boles, S. M. (1999). Evaluating the public health impact of health promotion interventions: The RE-AIM framework. American Journal of Public Health, 89, 1322–1327.

    Article  Google Scholar 

  20. Glassgow, A. E., Martin, M. A., Caskey, R., Bansa, M., Gerges, M. Johnson, M., Marko, M., Perry-Bell, K., Risser, H. J., Smith, P. J., Van Voorhees, B. (2017). An innovative health-care delivery model for children with medical complexity. Journal of Child Health Care, https://doi.org/10.1177/1367493517712063.

  21. Glassgow, A. E., Gerges, M., Martin, M. A., Estrada, I., Issa, Z., Lapin, K., Morell, L., Solis, N., van Voorhees, B., & Risser, H. J. (2018). Integration of mental health services into an innovative health care delivery model for children with chronic conditions. Children and Youth Services Review, 95, 144–151. https://doi.org/10.1016/j.childyouth.2018.10.023.

    Article  Google Scholar 

  22. Heath, B., Wise Romero, P., & Reynolds, K. (2013). A review and proposed standard framework for levels of integrated healthcare. Washington, D.C.: SAMHSA-HRSA Center for Integrated Health Solutions.

    Google Scholar 

  23. Hernandez, M., & Hodges, S. (2003). Building upon the theory of change for systems of care. Journal of Emotional and Behavioral Disorders, 11(1), 19–26. https://doi.org/10.1177/106342660301100104.

    Article  Google Scholar 

  24. Holweg, M. (2008). The genealogy of lean production. Journal of Operations Management, 25, 420–437.

  25. Jones, C. J., Smith, H., & Llewellyn, C. (2014). Evaluating the effectiveness of health belief model interventions in improving adherence: A systematic review. Health Psychology Review, 8(3), 253–269. https://doi.org/10.1080/17437199.2013.802623.

    Article  Google Scholar 

  26. Kretzmann, J., & McKnight, J. P. (1996). Assets-based community development. National Civic Review, 85(4), 23–29.

    Article  Google Scholar 

  27. Lee, Y., & Svevo-Cianci, K. (2010). Twenty years of the convention on the rights of the child: Achievements in and challenges for child protection implementation, measurement and evaluation around the world. Child Abuse & Neglect, 34, 1–4.

  28. Linkenbach, J. W. (2016). Applying the science of the positive to health and safety. The Montana Institute. Retrieved June 27, 2019, from http://www.montanainstitute.com/publications.

  29. Risser, H. J., Issa, Z., Lapin, K., & Van Voorhees, B. (2016). A public health approach to preventing child abuse and neglect. Adjacent Government, Special Report. http://www.adjacentgovernment.co.uk/special-reports/public-health-approach-to-preventing-child-abuse/25763/.

  30. Rudolph, J. R., Zimmer-Gembeck, M. J., Shanley, D. C., & Hawkins, R. (2018). Child sexual abuse prevention opportunities: Parenting, programs, and the reduction of risk. Child Maltreatment, 23, 96–106. https://doi.org/10.1177/1077559517729479.

    Article  Google Scholar 

  31. Sadana, R., & Blas, E. (2013). What can public health programs do to improve health equity? Public health reports (Washington, D.C.), 128(Suppl 3), 12–20. https://doi.org/10.1177/00333549131286S303.

    Article  Google Scholar 

  32. Shah, J. S., Revere, F. L., & Toy, E. C. (2018). Improving rates of early entry prenatal care in an underserved population. Maternal and Child Health Journal, 22, 1738–1742.

    Article  Google Scholar 

  33. Sherr, L., Skar, A.-M. S., Clucas, C., von Tetzchner, S., & Hundeide, K. (2011). Evaluation of the parental guidance program based on the international child development program. Ministry of Children, Equality, and Social Inclusion. University College London. http://www.icdp.info/var/uploaded/2013/04/2013-04-11_08-11-18_evalueringsrapport_til_bld_juni_2011.pdf.

  34. Stanford Center on Poverty & Inequality. (2017). State of the Union: 2017. Retrieved from: https://inequality.stanford.edu/publications/pathway/state-union-2017.

  35. Substance Abuse and Mental Health Services Administration. (2015). The Comprehensive Community Mental Health Services for Children with Serious Emotional Disturbances Program, Report to Congress, 2015 was written by staff at ICF Macro pursuant to a contract (contract number 283-07-0708) under the direction of the Child, Adolescent and Family Branch, Center for Mental Health Services, Substance Abuse and Mental Health Services Administration, U.S. Department of Health and Human Services. Substance Abuse and Mental Health Services Administration – Health Resources and Services Administration (SAMHSA-HRSA) Center for Integrated Health Solutions. www.integration.samhsa.gov.

  36. Tapia, M. I., Schwartz, S. J., Prado, G., Lopez, B., & Pantin, H. (2006). Parent-centered intervention: A practical approach for preventing drug abuse in Hispanic adolescents. Research on Social Work Practice, 16(2), 146–165. https://doi.org/10.1177/1049731505282205.

    Article  Google Scholar 

  37. U.S. Department of Health and Human Services. Administration for Children and Families. Children’s Bureau. (2016). Building community, building hope : 2016 prevention resource guide. Retrieved from: https://www.childwelfare.gov/pubpdfs/guide_2017.pdf.

  38. U.S. Department of Health and Human Services. Administration for Children and Families. Children’s Bureau. (n.d.) Continuous Quality Improvement. Retrieved from: https://www.childwelfare.gov/topics/management/reform/soc/communicate/initiative/ntaec/soctoolkits/continuous-quality-improvement/#phase=pre-planning.

  39. UN Committee on the Rights of the Child (CRC). General comment No. 13. (2011). The right of the child to freedom from all forms of violence. New York: United Nations.

    Google Scholar 

  40. United States Census Bureau. (2018). Income and poverty in the United States: 2017. Retrieved from: https://www.census.gov/library/publications/2018/demo/p60-263.html.

  41. Unützer, J., Harbin, H., Schoenbaum, M., & Druss, B. (2013). The collaborative care model: An approach for integrating physical and mental health care in Medicaid health homes. Health Home Information Resource Center, 1–13.

  42. Van Voorhees, B. W., Gladstone, T., Cordel, S., Marko-Holguin, M., Beardslee, W., Kuwabara, S., Kaplan, M. A., Fogel, J., Diehl, A., Hansen, C., & Bell, C. (2015). Development of a technology-based behavioral vaccine to prevent adolescent depression: A health system integration model. Internet Interventions, 2(3), 303–313. https://doi.org/10.1016/j.invent.2015.07.004.

    Article  Google Scholar 

  43. Vandell, D. L., Belsky, J., Burchinal, M., Steinberg, L., & Vandergrift, N. (2010). Do effects of early child care extend to age 15 years? Results from the NICHD study of early child care and youth development. Child Development, 81, 737–756.

  44. Vandell, DL, Burchinal, M, Pierce, KM. (2016). Early child care and adolescent functioning at the end of high school: Results from the NICHD Study of Early Child Care and Youth Development. Developmental Psychology, 52(10), 1634–1645

  45. Williamson, K., Satre-Meloy, A., Velasco, K., & Green, K., 2018. Climate Change Needs Behavior Change: Making the Case For Behavioral Solutions to Reduce Global Warming. Arlington, VA: Rare.

  46. Zimmermann, K., Carnahan, L., Molina, Y., & Geller, S. (2018). Organizational context in the implementation of a cardiovascular risk-reduction intervention: A study of rural churches. Paper presented at the meeting of the American Public Health Association, San Diego, CA.

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Correspondence to Heather J. Risser.

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Risser, H.J., Svevo-Cianci, K., Karim, E.J. et al. Achieving Comprehensive Prevention of Child Abuse and Neglect. Int. Journal on Child Malt. 3, 63–79 (2020). https://doi.org/10.1007/s42448-019-00024-7

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Keywords

  • Child maltreatment prevention
  • Child abuse prevention
  • Child neglect prevention
  • Child and family policy
  • Child well-being promotion
  • Health promotion
  • Collaborative care
  • Integrated care
  • Parenting