nach oben

Prevention Science

Erschienen in:

17.03.2021

Encountering Child Abuse and Neglect in Home Visiting: a Qualitative Study of Visitor and Supervisor Experiences

verfasst von: Margaret L. Holland, Bridget Frese Hutchens, Lois S. Sadler

Erschienen in: Prevention Science | Ausgabe 8/2021

Einloggen, um Zugang zu erhalten

Abstract

Prevention of child maltreatment is a goal of home visiting (HV) for new mothers. How home visitors and their clinical supervisors manage concerns about child maltreatment may impact both the families’ and the home visitors’ engagement with the program. We sought to understand how HV personnel encounter and respond to concerns of child maltreatment and how these concerns are related to their work with families. We conducted an interpretive descriptive qualitative study of home visitors and supervisors in a statewide HV program, using the Parents as Teachers curriculum, to describe the experience of HV personnel. Two researchers conducted semi-structured interviews March 2016 to October 2017. Interviews were concurrently transcribed, coded, and analyzed, using thematic analysis. After 13 interviews with home visitors and 13 interviews with supervisors, codes and themes were saturated. We identified three themes: Decision to Call Child Protective Services (CPS), Relationships, and Collaborating with CPS. The decision to call CPS was described as difficult, and there was substantial variation in the details of this decision. The relationship between home visitor and family was consistently the most important. Variations were seen in how home visitors and supervisors collaborated with CPS, ranging from strong connections through liaisons to frustrations due to poor communication and perceived variation in how cases were handled. The decision to report a family to CPS is a challenging clinical issue; additional training and connections with CPS may improve consistency across sites for home visitors.

Nur mit Berechtigung zugänglich

NFN was restructured in 2019 and now uses the name Connecticut Home Visiting System.

About the evidence-based home visiting model. (2019). Retrieved 10/20/19 from https://parentsasteachers.org/evidencebased-home-visiting-model#aboutebm

Administration for Children and Families. (2016). Demonstrating improvement in the Maternal, Infant, and Early Childhood Home Visiting Program: A report to Congress. https://mchb.hrsa.gov/sites/default/files/mchb/MaternalChildHealthInitiatives/HomeVisiting/pdf/reportcongress-homevisiting.pdf

Beasley, L. O., Ridings, L. E., Smith, T. J., Shields, J. D., Silovsky, J. F., Beasley, W., & Bard, D. (2018). A qualitative evaluation of engagement and attrition in a Nurse Home Visiting Program: From the participant and provider perspective. Prevention Science, 19, 528–537. https://doi.org/10.1007/s11121-017-0846-5CrossRefPubMed

Berger, L. M., & Waldfogel, J. (2011). Economic determinants and consequences of child maltreatment. OECD Social, Employment and Migration Working Papers, No. 111. OECD Publishing.

Braun, V., Clarke, V., Hayfield, N., & Terry, G. (2019). Thematic analysis. In Liamputtong, P. (Ed.), Handbook of research methods in health social sciences (pp. 843–860). Springer.

Chaiyachati, B. H., Gaither, J. R., Hughes, M., Foley-Schain, K., & Leventhal, J. M. (2018). Preventing child maltreatment: Examination of an established statewide home-visiting program. Child Abuse & Neglect, 79, 476–484. https://doi.org/10.1016/j.chiabu.2018.02.019CrossRef

Children's Trust Fund. (2013). The Nurturing Families Network policy and practice manual. State of Connecticut. http://www.ct.gov/ctf/lib/ctf/2013_nfn_policy_and_procedure_manual_april_2013.pdf

Creswell, J. W. (2016). Research Design: Qualitative, quantitative, mixed methods approaches. University of Nebraska-Lincoln.

Creswell, J. W., & Poth, C. (2018). Qualitative inquiry and research design: Choosing among five approaches. Sage Publications, Inc.

Duffee, J. H., Mendelsohn, A. L., Kuo, A. A., Legano, L. A., & Earls, M. F. (2017). Early childhood home visiting. Pediatrics, 140, e20172150. https://doi.org/10.1542/peds.2017-2150CrossRefPubMed

Fix, R. L., & Nair, R. (2020). Racial/ethnic and gender disparities in substantiation of child physical and sexual abuse: Influences of caregiver and child characteristics. Children and Youth Services Review, 116, 105186. https://doi.org/10.1016/j.childyouth.2020.105186CrossRef

Fong, K. (2018). Concealment and constraint: Child protective services fears and poor mothers’ institutional engagement. Social Forces, 97, 1785–1810. https://doi.org/10.1093/sf/soy093CrossRef

Fong, K. (2020). Getting eyes in the home: Child protective services investigations and state surveillance of family life. American Sociological Review, 85, 610–638. https://doi.org/10.1177/0003122420938460CrossRef

Green, A. E., Trott, E., Willging, C. E., Finn, N. K., Ehrhart, M. G., & Aarons, G. A. (2016). The role of collaborations in sustaining an evidence-based intervention to reduce child neglect. Child Abuse & Neglect, 53, 4–16. https://doi.org/10.1016/j.chiabu.2015.11.013CrossRef

Holbrook, H. M., & Hudziak, J. J. (2020). Risk factors that predict longitudinal patterns of substantiated and unsubstantiated maltreatment reports. Child Abuse & Neglect, 99, 104279. https://doi.org/10.1016/j.chiabu.2019.104279CrossRef

Hunt, M. R. (2009). Strengths and challenges in the use of interpretive description: reflections arising from a study of the moral experience of health professionals in humanitarian work. Qualitative Health Research, 19, 1284–1292. https://doi.org/10.1177/1049732309344612CrossRefPubMed

Joslyn, A., Hughes, M., & Younts, C. W. (2016). Nurturing Families Network: 2016 annual evaluation report.

Kim, H., & Drake, B. (2019). Cumulative prevalence of onset and recurrence of child maltreatment reports. Journal of the American Academy of Child & Adolescent Psychiatry, 58, 1175–1183. https://doi.org/10.1016/j.jaac.2019.02.015CrossRef

Kim, H., Wildeman, C., Jonson-Reid, M., & Drake, B. (2017). Lifetime prevalence of investigating child maltreatment among US children. American Journal of Public Health, 107, 274–280. https://doi.org/10.2105/ajph.2016.303545CrossRefPubMedPubMedCentral

Korfmacher, J., Frese, M., & Gowani, S. (2019). Examining program quality in early childhood home visiting: From infrastructure to relationships. Infant Mental Health Journal, 40, 380–394. https://doi.org/10.1002/imhj.21773CrossRefPubMed

Magruder, J., & Shaw, T. V. (2008). Children ever in care: An examination of cumulative disproportionality. Child Welfare, 87.

Matone, M., Kellom, K., Griffis, H., Quarshie, W., Faerber, J., Gierlach, P., Whittaker, J., Rubin, D. M., & Cronholm, P. F. (2018). A mixed methods evaluation of early childhood abuse prevention within evidence-based home visiting programs. Maternal and Child Health Journal, 22, 79–91. https://doi.org/10.1007/s10995-018-2530-1CrossRefPubMedPubMedCentral

McTavish, J. R., Kimber, M., Devries, K., Colombini, M., MacGregor, J. C. D., Wathen, C. N., Agarwal, A., & MacMillan, H. L. (2017). Mandated reporters’ experiences with reporting child maltreatment: A meta-synthesis of qualitative studies. British Medical Journal Open, 7, e013942. https://doi.org/10.1136/bmjopen-2016-013942CrossRef

Morse, J. M. (2015). Critical analysis of strategies for determining rigor in qualitative inquiry. Qualitative Health Research, 25, 1212–1222. https://doi.org/10.1177/1049732315588501CrossRefPubMed

Schreier, A., McCoy, K., Flood, M. F., Wilcox, B. L., & Hansen, D. J. (2018). Understanding perceptions of child maltreatment risk: A qualitative study of Early Head Start home visitors. Children and Youth Services Review, 88, 416–425. https://doi.org/10.1016/j.childyouth.2018.03.035CrossRef

Stevens, J., Ammerman, R. T., Putnam, F. W., Gannon, T., & Van Ginkel, J. B. (2005). Facilitators and barriers to engagement in home visitation: A qualitative analysis of maternal, provider, and supervisor data. Journal of Aggression, Maltreatment & Trauma, 11, 75–93. https://doi.org/10.1300/J146v11n04_04

Thorne, S. (2016). Interpretive description (2nd ed.). Routledge.

U.S. Department of Health & Human Services. (2020). Administration for Children and Families, Administration on Children, Youth and Families, & Children’s Bureau. Child maltreatment 2018. https://www.acf.hhs.gov/cb/research-data-technology/statistics-research/child-maltreatment

Wildeman, C., Edwards, F. R., & Wakefield, S. (2019). The cumulative prevalence of termination of parental rights for U.S. Children, 2000–2016. Child Maltreatment, 25, 32–42. https://doi.org/10.1177/1077559519848499

Wildeman, C., Emanuel, N., Leventhal, J. M., Putnam-Hornstein, E., Waldfogel, J., & Lee, H. (2014). The prevalence of confirmed maltreatment among US Children, 2004 to 2011. JAMA Pediatrics, 168, 706–713. https://doi.org/10.1001/jamapediatrics.2014.410CrossRefPubMedPubMedCentral

Titel: Encountering Child Abuse and Neglect in Home Visiting: a Qualitative Study of Visitor and Supervisor Experiences
verfasst von: Margaret L. Holland
Bridget Frese Hutchens
Lois S. Sadler
Publikationsdatum: 17.03.2021
Verlag: Springer US
Erschienen in: Prevention Science / Ausgabe 8/2021
Print ISSN: 1389-4986
Elektronische ISSN: 1573-6695
DOI: https://doi.org/10.1007/s11121-021-01223-w

Springer Medizin

Abstract

Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten

Weitere Artikel der Ausgabe 8/2021

Evaluation of the Olweus Bullying Prevention Program in US Urban Middle Schools Using a Multiple Baseline Experimental Design

Using Machine Learning to Predict Young People’s Internet Health and Social Service Information Seeking

Common Methodological Problems in Randomized Controlled Trials of Preventive Interventions

Cost-Effectiveness Comparison of Delivery Modalities for a Dissonance-Based Eating Disorder Prevention Program over 4-Year Follow-Up

Fostering Healthy Futures Preventive Intervention for Children in Foster Care: Long-term Delinquency Outcomes from a Randomized Controlled Trial

Agreement Between Self-Reported and Device-Based Sedentary Time among Eight Countries: Findings from the ELANS