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Universal Services: The Foundation for Effective Prevention

  • Deborah DaroEmail author
  • Cara Karter
Chapter
Part of the Child Maltreatment book series (MALT, volume 9)

Abstract

Universal services play an important role in defining and shaping public health efforts in multiple domains. In the area of child protection, however, preference has been given to developing interventions which target support to parents who have failed in their parenting responsibilities or who demonstrate high levels of risk. Despite increased investments in this approach, a singular reliance on targeted interventions and reactive child protection policies have not reduced the prevalence of poor outcomes for children living in the most disadvantaged circumstances. This chapter argues that doing better with these most challenged families requires the development of a universal base of preventive services available for all families. By recognizing the universal needs of all children and the universal challenges caretakers and communities face in addressing these needs, a public health response which includes assistance to all families can maximize the impacts of more focused efforts. This universal option is not about giving everyone a new entitlement; it is about raising awareness around our collective responsibility for child protection and ensuring all families are provided access to the level of support they require. The chapter outlines the rationale for this approach and suggests specific best practice standards to guide the development of a more effective child protection policy, one which builds on a universal foundation of support for all new parents.

Keywords

Child protection Family support Home visitation Maltreatment prevention Standardized assessments Targeted Universal strategies 

References

  1. Anda, R. F., Felitti, V. J., Bremner, J. D., Walker, J. D., Whitfield, C. H., Perry, B. D., et al. (2006). The enduring effects of abuse and related adverse experiences in childhood. European Archives of Psychiatry and Clinical Neuroscience, 256(3), 174–186.CrossRefGoogle Scholar
  2. Bridges for Newborns. (2013). Welcome Baby Protocol. Developed by LA Best Babies Network, Maternal Child Health Access and First5 LA. Retrieved from http://www.first5la.org/postfiles/files/AppendixG_ModifiedBridgesforNewbornsScreeningToolProtocol.pdf
  3. Brown, J., Cohen, P., Johnson, J. G., & Salzinger, S. (1998). A longitudinal analysis of risk factors for child maltreatment: Findings of a 17-year prospective study of officially recorded and self-reported child abuse and neglect. Child Abuse & Neglect, 22(11), 1065–1078.CrossRefGoogle Scholar
  4. Centers for Disease Control and Prevention. (CDC). (1999). Impact of vaccines universally recommended for children–United States, 1990–1998. MMWR. Morbidity and Mortality Weekly Report, 48(12), 243.Google Scholar
  5. Chaffin, M., Kelleher, K., & Hollenberg, J. (1996). Onset of physical abuse and neglect: Psychiatric, substance abuse, and social risk factors from prospective community data. Child Abuse & Neglect, 20(3), 191–203.CrossRefGoogle Scholar
  6. Commission on Chronic Illness. (1957). Chronic illness in the United States (Vol. 1). Cambridge, MA: Harvard University Press.CrossRefGoogle Scholar
  7. Currie, J., & Reichman, N. (2015). Policies to promote child health: Introducing the issue. The Future of Children, 2(1), 3–11.CrossRefGoogle Scholar
  8. Daro, D. (1993). Child maltreatment research: Implications for program design. In D. Cicchetti & S. Toth (Eds.), Child abuse, child development and social policy (pp. 331–367). Norwood: Ablex.Google Scholar
  9. Daro, D. A. (2000). Child abuse prevention: New directions and challenges. In Nebraska symposium on motivation, 46, 161–220.Google Scholar
  10. Daro, D., & Benedetti, G. (2014). Sustaining progress in preventing child maltreatment: A transformative challenge. In J. E. Korbin & R. D. Krugman (Eds.), Handbook of child maltreatment (pp. 281–300). New York: Springer.CrossRefGoogle Scholar
  11. Daro, D., & Dodge, K. (2010). Strengthening home-visiting intervention policy: Expanding reach, building knowledge. In R. Haskins & W. S. Barnett (Eds.), New directions for America’s preschool policies (pp. 79–86). Washington, DC: NIEER and Brookings.Google Scholar
  12. Daro, D., McCurdy, K., Falconnier, L., & Stojanovic, D. (2003). Sustaining new parents in home visitation services: Key participant and program factors. Child Abuse & Neglect, 27(10), 1101–1125.CrossRefGoogle Scholar
  13. Daro, D., Boller, K., & Hart, B. (2014). Implementation fidelity in early childhood home visiting: Successes meeting staffing standards, challenges hitting dosage and duration targets. Washington, DC: Children’s Bureau, Administration for Children and Families, US Department of Health and Human Services. Contract No.: GS-10F-0050L/HHSP233200800065W. Retrieved from https://www.mathematica-mpr.com/our-publications-and-findings/publications/implementation-fidelity-in-early-childhood-home-visiting-successes-meeting-staffing-standards
  14. Daro, D., Donnelly, A. C., Huang, L. A., & Powell, B. J. (2015). Common themes, questions and opportunities: Creating a context for continued improvement. In D. Daro, A. C. Donnelly, L. A. Huang, & B. Powell (Eds.), Advances in child abuse prevention knowledge: The perspective of new leadership (pp. 237–252). Dordrecht: Springer.CrossRefGoogle Scholar
  15. Dodge, K. (2016). Universal postnatal home visiting: Evidence of impact and lessons learned. In Invited plenary at national research conference on early childhood, Washington, DC.Google Scholar
  16. Dodge, K. A., Goodman, W. B., Murphy, R. A., O’Donnell, K., & Sato, J. (2013a). Toward population impact from home visiting. Zero to Three, 33(3), 17–23.Google Scholar
  17. Dodge, K. A., Goodman, W. B., Murphy, R. A., O’Donnell, K., & Sato, J. (2013b). Randomized controlled trial of universal postnatal nurse home visiting: Impact on emergency care. Pediatrics, 132(Supplement 2), S140–S146.CrossRefGoogle Scholar
  18. Dodge, K. A., Goodman, W. B., Murphy, R. A., O’Donnell, K., Sato, J., & Guptill, S. (2014). Implementation and randomized controlled trial evaluation of universal postnatal nurse home visiting. American Journal of Public Health, 104(S1), S136–S143.CrossRefGoogle Scholar
  19. Doll, L. S., Bonzo, S. E., Sleet, D. A., & Mercy, J. A. (Eds.). (2007). Handbook of injury and violence prevention. New York: Springer.Google Scholar
  20. Dubowitz, H., Kim, J., Black, M. M., Weisbart, C., Semiatin, J., & Magder, L. S. (2011). Identifying children at high risk for a child maltreatment report. Child Abuse & Neglect, 35(2), 96–104.CrossRefGoogle Scholar
  21. Ferrer, B. (2017, June). Maximizing and expanding home visiting services for families in Los Angeles County: Update. Memorandum to the Los Angeles County Board of Supervisors.Google Scholar
  22. Gordon, R. (1983). An operational classification of disease prevention. Public Health Reports, 98, 107–109.Google Scholar
  23. Government of South Australia. (2005). Family home visiting service outline. Report prepared by the Children, Youth and Women’s Health Services. North Adelaide.Google Scholar
  24. Guterman, N. B. (2001). Stopping child maltreatment before it starts: Emerging horizons in early home visitation services. Thousand Oaks: Sage Publications.Google Scholar
  25. Hill, I., Wilkinson, M., & Benatar, S. (2014, August). First 5 LA Welcome Baby Expansion: Early Implementation Experiences. Washington, DC: The Urban Institute.Google Scholar
  26. Hodge, J. G., Jr., & Gostin, L. O. (2002). School vaccination requirements: Historical, social, and legal perspectives. Kentucky Law Journal, 90, 831. Retrieved from https://pdfs.semanticscholar.org/9289/8f3f9028fde3f0a8482dd126562b8e759cae.pdf.Google Scholar
  27. Jackson, R. W., Triber, F. A., Turner, J. R., Davis, H., & Strong, W. B. (1999). Effects of race, sex, and socioeconomic status upon cardiovascular stress responsivity and recovery in youth. International Journal of Psychophysiology, 31(2), 111–119.CrossRefGoogle Scholar
  28. Kamerman, S. B., & Kahn, A. J. (1993). Home health visiting in Europe. Future of Children, 3(3), 39–52.CrossRefGoogle Scholar
  29. Kaufman, J., & Zigler, E. (1987). Do abused children become abusive parents? American Journal of Orthopsychiatry, 57(2), 186–192.CrossRefGoogle Scholar
  30. Kempe, C. H. (1976). Approaches to preventing child abuse: The health visitors concept. American Journal of Diseases of Children, 130(9), 941–947.CrossRefGoogle Scholar
  31. Kotch, J. B., Browne, D., Dufort, V., Winsor, J., & Catellier, D. (1999). Predicting child maltreatment in the first 4 years of life from characteristics assessed in the neonatal period. Child Abuse & Neglect, 23(4), 305–319.CrossRefGoogle Scholar
  32. McCurdy, K., & Daro, D. (2001). Parent involvement in family support programs: An integrated theory. Family Relations, 50(2), 113–121.CrossRefGoogle Scholar
  33. McCurdy, K., Daro, D., Anisfeld, E., Katzev, A., Keim, A., LeCroy, C., et al. (2006). Understanding maternal intentions to engage in home visitation programs. Children and Youth Services Review, 28(10), 1195–1212.CrossRefGoogle Scholar
  34. Mondale, S., & Patton, S. B. (Eds.). (2001). School: The story of American public education. New York: Beacon Press.Google Scholar
  35. Myers, J. E. (2006). Child protection in America: Past, present, and future. New York: OUP.CrossRefGoogle Scholar
  36. National Institute for Health and Care Excellence. (2014, September). Health visiting. Local Government Briefing LGB 22.Google Scholar
  37. National Research Council. (2014). New directions in child abuse and neglect research. Washington, DC: National Academies Press.Google Scholar
  38. OECD. (2016). Society at a Glance 2016: OECD social indicators. Paris: OECD.  https://doi.org/10.1787/9789264261488-en.CrossRefGoogle Scholar
  39. Offord, D. R. (2000). Selection of levels of prevention. Addictive Behaviors, 25(6), 833–842.CrossRefGoogle Scholar
  40. Parrish, J. W., Young, M. B., Perham-Hester, K. A., & Gessner, B. D. (2011). Identifying risk factors for child maltreatment in Alaska: A population-based approach. American Journal of Preventive Medicine, 40(6), 666–673.CrossRefGoogle Scholar
  41. Pears, K. C., & Capaldi, D. M. (2001). Intergenerational transmission of abuse: A two-generational prospective study of an at-risk sample. Child Abuse & Neglect, 25(11), 1439–1461.CrossRefGoogle Scholar
  42. Putnam-Hornstein, E., & Needell, B. (2011). Predictors of child protective service contact between birth and age five: An examination of California’s 2002 birth cohort. Children and Youth Services Review, 33(8), 1337–1344.CrossRefGoogle Scholar
  43. Renner, L. M., & Slack, K. S. (2006). Intimate partner violence and child maltreatment: Understanding intra-and intergenerational connections. Child Abuse & Neglect, 30(6), 599–617.CrossRefGoogle Scholar
  44. Robling, M., Bekkers, M. J., Bell, K., Butler, C. C., Cannings-John, R., Channon, S., et al. (2016). Effectiveness of a nurse-led intensive home-visitation programme for first-time teenage mothers (Building Blocks): A pragmatic randomised controlled trial. The Lancet, 387(10014), 146–155.CrossRefGoogle Scholar
  45. Royal New Zealand Plunket Society, Inc. (2017). Annual Report, 2017. Wellington.Google Scholar
  46. Sandstrom, H., Benatar, S., Greenberg, E., Hill, I., Howell, E., Triplett, T., et al. (2015). Welcome baby home visiting: Findings from the 36-month child & family survey and 3-year longitudinal results. Los Angeles: Urban Institute/University of California.Google Scholar
  47. Savel, T. G., & Foldy, S. (2012). The role of public health informatics in enhancing public health surveillance. MMWR Surveillance Summaries, 61(Suppl), 20–24.Google Scholar
  48. Schneider, M. (2014). Introduction to public health (4th ed.). Burlington: Jones and Bartlett Learning.Google Scholar
  49. Schneider, E. C., Sarnak, D. O., Squires, D., Shah, A., & Doty, M. M. (2017). Mirror, mirror 2017: International comparison reflects flaws and opportunities for better US health care. Commonwealth Fund, US.Google Scholar
  50. Waldfogel, J. (2009). Prevention and the child protection system. The Future of Children, 19(2), 195–210.CrossRefGoogle Scholar
  51. Wallack, L., & Lawrence, R. (2005). Talking about public health: Developing America’s “second language”. American Journal of Public Health, 95(4), 567–570.CrossRefGoogle Scholar
  52. Widom, C. S., Czaja, S. J., & DuMont, K. A. (2015). Intergenerational transmission of child abuse and neglect: Real or detection bias? Science, 347(6229), 1480–1485.CrossRefGoogle Scholar
  53. Xin, H. (2017). Editorial: Health disparities – An important public health concern. Frontiers in Public Health, 5(99).  https://doi.org/10.3389/fpubh.2017.00099.

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  1. 1.Senior Research Fellow, Chapin HallUniversity of ChicagoChicagoUSA
  2. 2.Chapin HallUniversity of ChicagoChicagoUSA

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