Evidencebased Parenting Approaches to Prevent Child Maltreatment

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Evidence-based Parenting Approaches to Prevent
Child Maltreatment

• Linda Anne Valle, Ph.D.
• Centers for Disease Prevention and Control
• National Center for Injury Prevention and Control
• Division of Violence Prevention
• The findings and conclusions in this report are
  those of the author and do not necessarily
  represent the official position of the Centers
  for Disease Control and Prevention.

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Why parenting approaches?

• Child maltreatment and other adverse experiences
  related to risk for childrens mental health
  problems
• Internalizing problems
• Externalizing problems
• Psychosocial adjustment
• Later violence
• Parents are key elements in SSNRs
• Parenting behaviors are modifiable

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Why evidence-based?

• CDC mission and goals
• Evidence-based parent training approaches
• Prevent and decrease childhood problems
• Externalizing and internalizing problems,
  substance use, risky behaviors
• Provide positive relationships/environments that
  promote childrens healthy adjustment
• Buffer/mediate/moderate effects of adverse
  experiences

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CDC and Evidence-based Parenting Approaches

• At least 60 healthy parenting-related initiatives
• Activities spanning the public health model
• Healthy Parenting Fellow
• Increasing CDC awareness and collaboration
• Identify key indicators for surveillance
• Develop technology outreach strategies for the
  public

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Challenges to Broad Adoption of Evidence-based
Parent Training

• Resource intensive
• Initially for indicated population
• One-on-one, face-to-face
• Highly trained staff
• Engaging retaining parents
• If we build it, will they come?
• If they come, will they stay?
• Addressing child maltreatment

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Triple PPositive Parenting Program

• Examine the effectiveness of a multi-level parent
  training program for families with young children
• Strong evidence base for child behavior problems

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Population-based Approach
Everybody All Families in a
Specific Setting Families at Risk
Families in Crisis
Media Campaign Brief Consultations in
Primary Care Settings Parenting Skills Training

Intensive Counseling
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Triple P Effectiveness Trial

• Randomized population-level trial
• Implement Triple P in 9 counties in SC
• Train providers (n 649)
• Conduct media campaign
• Track CM data, injuries, and parenting behaviors
  over time

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Triple P Results

• Results for Triple P counties
• Smaller increases in substantiated child
  maltreatment cases
• Reductions in out of home placements
• Reductions in child hospitalizations and ER
  visits due to CM injuries

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Attrition Projects

• Purpose was to increase engagement and
  participation
• Enhance effective parenting program assess
• Parental engagement and attrition
• Program effectiveness

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Attrition Projects

• Oklahoma
• Add motivational interviewing (MI) approach to
  effective parent training (PCIT)
• MI PCIT improves retention
• Purdue
• Add motivated action plans and financial
  incentives to PACE a group parenting approach
• Intent, not incentives predicts participation

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SSNR Surveillance

• Collaboration
• DOJ/OJJDP
• UNH, CCRC
• Telephone survey (n 4549)
• Goal 5,000 participants
• Items added to National Survey
• of Childrens Exposure to Violence
• NATSCEV 34 item survey
• Broad range of victimizations of children/youth
• Caregiver report age 0-9 years
• Youth self-report age 10-17 yrs
• 16 SSNR items added
• Analyses underway

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Additional Effectiveness Trials

• Examining addition of technology enhancements to
  parent training programs
• Examining if enhanced training and support
  improve implementation and family outcomes in
  home visitation
• Examining hospital-based approaches () for
  prevention of abusive head trauma

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BECAUSE Kids Count

• Funded three organizations to create prevention
  plans (PCAA, the National Alliance of Childrens
  Trust and Prevention Funds, Parents Anonymous)
• Defined key organizational priorities to
  preventing CMT
• research
• expanding or developing new initiatives
• supporting affiliates through improved processes
• Increasing the understanding and use of evidence

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Knowledge to Action Consortium

• Joint effort with BECAUSE partners, OCAN, and CDC
  
• Ensuring knowledge transfer of community and
  societal level actions that promote SSNRs
• Developing dissemination infrastructure

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• Questions?