Reducing Abuse and Neglect Recurrence Among Young Foster Children Reunified With Their Families
Constantino, J.N., Buchanan, G., Tandon, M., Bader, C., Jonson-Reid, M. (2023). Reducing Abuse and Neglect Recurrence Among Young Foster Children Reunified With Their Families. Pediatrics; 152(3). doi: 10.1542/peds.2022-060118.
Abstract
Background and objectives: Child maltreatment (CM) is a recurrent adverse life event known to cause enduring psychiatric impairment throughout life. For young children in protective custody for a first episode of CM, specialized court-coordinated intervention to optimize reunification has shown promise for preventing CM recidivism, with case series documenting short-term successes.
Methods: We tracked 10-year (Nov 2011-March 2022) court re-entry outcomes in a cohort of 272 young children, birth to six years, reunited with their families following placement in protective custody and court referral to the SYNCHRONY Project, a voluntary clinical service providing Incredible YearsTM parenting education, parental psychiatric care, and serial dyadic clinical evaluation to inform medical recommendations on safety for visitation and reunification. Re-entry was operationalized as rereferral to any Missouri Court and proportions compared with contemporaneous State and national data.
Results: SYNCHRONY-enrolled/reunified children experienced frequencies of guardianship (22%) and reunification (46%), in keeping with Missouri averages. In these categories, 3.4% and 7.1% respectively were re-referred to the Court over the 10-year follow-up. In care as usual nationally for this age group, the re-referral proportions are 18% (OR 7.5, P < .0001) and 35% (OR 6.1, P < .0001) respectively. In care as usual in Missouri across all ages, the re-referral proportion is 16% (odds ratio [OR] 3.09, P < .0001).
Conclusions: Judicious implementation of evidence-based parenting education, 2-generation psychiatric care, and clinical consultation were associated with marked reduction in court re-entry versus care-as-usual and warrant consideration in intervention standards for young children in foster care.
Recent Post
The Value of Early SEL Strategies in Childhood Development
How Teacher Training Programs Help School Districts Boost Student Outcomes
Effective Behavior Interventions to Establish Expectations at School
Transforming Education: Scalable Educational Interventions
Effective Inclusive Classroom Strategies for Teaching Students with Autism
Posts by Tag
- Research Library (310)
- Program (294)
- Key (292)
- Audience (288)
- Parent Training (251)
- All (250)
- Agencies and Administrators (192)
- Treatment (183)
- Prevention (144)
- Implementation and Dissemination (104)
- Therapists and Group Leaders (103)
- Implementation and Dissemination (84)
- All (73)
- Parents (62)
- Independent Replication (60)
- Teacher Training (55)
- Child Training (44)
- Assessment (41)
- Independent Replication (40)
- Teachers (38)
- Agencies and Administrators (37)
- Skill Development (37)
- Assessment (35)
- Therapists and Group Leaders (34)
- treatment (34)
- RCT (31)
- Teacher Training (28)
- Review (26)
- evidence-based (26)
- review (23)
- Prevention (21)
- At risk (20)
- Books (15)
- Parenting Program (15)
- child training (15)
- Randomized control trial (13)
- Parenting (12)
- Autism (11)
- Implementation (11)
- Programs (11)
- behavior problems (11)
- Incredible Years (9)
- Preschoolers (9)
- conduct problems (9)
- Social Emotional Learning (8)
- intervention (8)
- ADHD (7)
- Classroom (7)
- News (7)
- randomized control group trial (7)
- Early Intervention (6)
- Self-regulation (6)
- child development (6)
- parent training program (6)
- Key (5)
- Parenting Intervention (5)
- Program (5)
- Universal (5)
- conduct disorder (5)
- meta-analysis (5)
- Baby Program (4)
- Child behavior (4)
- Classroom Dinosaur (4)
- Fidelity (4)
- School (4)
- emotion regulation (4)
- Behavioral Health (3)
- Filipino (3)
- High-risk (3)
- News (3)
- Social competence (3)
- child protective services (3)
- cost effectiveness (3)
- cultural adaptation (3)
- dissemination (3)
- effectiveness (3)
- parent involvement (3)
- parent-teacher relations (3)
- positive behavior management (3)
- teacher perception (3)
- trauma (3)
- Aggressive Behavior (2)
- Basic Parent Program (2)
- CPS (2)
- Children (2)
- Developmental Disability (2)
- Disruptive behavior (2)
- Early childhood (2)
- Feasibility (2)
- Home Coaching (2)
- Hyperactivity (2)
- Infant (2)
- International (2)
- Mental Health (2)
- Parent Home Coaching (2)
- Research (2)
- STARS (2)
- STEER (2)
- School readiness (2)
- TCM (2)
- behavioral difficulties (2)
- behavioral problems (2)
- child behavior problems (2)
- child maltreatment (2)
- classroom intervention (2)
- collaborative (2)
- consultation (2)
- culturally tailored (2)
- economically disadvantaged (2)
- emotional difficulties (2)
- foster care (2)
- goals (2)
- group based (2)
- mediation (2)
- objectives (2)
- residential care (2)
- review of literature (2)
- school aged (2)
- social and emotional competence (2)
- social development (2)
- student-teacher relationship (2)
- sustainability (2)
- teacher change (2)
- teacher wellbeing (2)
- theoretical foundation (2)
- Attentive Parenting (1)
- Behavior Management (1)
- Caregivers (1)
- Child Welfare (1)
- Child-Directed Play (1)
- Child–teacher relationship (1)
- Classroom climate (1)
- Coping (1)
- Denmark (1)
- Evidence-Based Practices (1)
- Families (1)
- Family (1)
- Flying Start (1)
- Foucault (1)
- Gipuzkoa (1)
- Hmong (1)
- Home learning environment (1)
- IY TCM (1)
- Implantación (1)
- Innovation (1)
- Kindergarten (1)
- Māori (1)
- News (1)
- ODD (1)
- Parent stress (1)
- Parenting interventions (1)
- Preschool Children (1)
- Programas basados en la evidencia (1)
- Protección infantil (1)
- Public Health (1)
- Rural schools (1)
- Scaling up (1)
- Small Group Treatment (1)
- Social-emotional well being (1)
- Spain (1)
- Sure Start (1)
- Time Out (1)
- Toddler parenting Program (1)
- Trauma-informed (1)
- Wales (1)
- abuse (1)
- academic achievement (1)
- academic competence (1)
- academic problems (1)
- activity (1)
- age effects (1)
- attachment (1)
- attendance (1)
- behavior regulation (1)
- behavioral intervention (1)
- behavioral interventions (1)
- central nervous system (1)
- child behavior program (1)
- child care (1)
- child experience (1)
- child program (1)
- child training program (1)
- childcare (1)
- childhood (1)
- childhood conduct problems (1)
- classroom conduct (1)
- clinically significant improvement (1)
- collaborating (1)
- collaborative processes (1)
- content (1)
- cost-effective (1)
- costing (1)
- cultural adaptations (1)
- cultural responsiveness (1)
- early education (1)
- economic disadvantage (1)
- education (1)
- elementary (1)
- elementary school (1)
- emotional development (1)
- emotional health (1)
- emotional problems (1)
- engagement (1)
- evaluation (1)
- evidence-based parenting group (1)
- externalizing (1)
- externalizing behavior (1)
- fidélité (1)
- health (1)
- health disparities (1)
- healthy life style (1)
- home parent support (1)
- home visiting (1)
- home-based (1)
- implantation (1)
- independent research (1)
- independent review (1)
- internalizing (1)
- interpersonal competence (1)
- language delays (1)
- language development (1)
- latent transition analysis (1)
- malnutrition (1)
- maltreatment (1)
- maternal depression (1)
- mental health care (1)
- methods (1)
- neglect (1)
- nutrition (1)
- obesity (1)
- oppositional defiant disorder (1)
- parent perception (1)
- parent practices (1)
- participation (1)
- peer problems (1)
- pilot (1)
- post-colonisation (1)
- post-structuralism (1)
- primary care (1)
- primary school (1)
- problem solving (1)
- processes (1)
- professional development (1)
- program evaluation (1)
- prosocial behavior (1)
- qualitative analysis (1)
- rationale (1)
- residential child care (1)
- satisfaction (1)
- scaling (1)
- self-efficacy (1)
- single parents (1)
- social behavior (1)
- social communication (1)
- social problem solving (1)
- socioemotional and behavioural difficulties (1)
- special educational needs (1)
- staff training (1)
- stress (1)
- student outcomes (1)
- teacher behavior (1)
- teacher behaviour (1)
- teacher self-efficacy (1)
- teacher stress (1)
- therapist (1)
- therapists (1)
- therapy (1)
- transportability (1)
- video-based modeling (1)
- well-being (1)