Home Visiting for the Prevention of Child Maltreatment: Lessons Learned During the Past 20 Years

Donelan‐McCall, Nancy; Eckenrode, John; Olds, David L.

doi:10.1016/j.pcl.2009.01.002

Cited by 105 publications

(70 citation statements)

References 35 publications

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“…1,2,5,10 Because these epidemiologic studies are descriptive, no causal mechanisms can be asserted. However, interventional studies like the Perry Preschool Project, 11 the Abecedarian Project, 12,13 the Chicago Longitudinal Study, 14 the Nurse Family Partnership, 15,16 and others 17 have demonstrated that alterations in a child' s developmental milieu have profound and enduring effects on behavior and health decades later, suggesting that early childhood experiences do alter life trajectories in a meaningful way. Although econometric analyses of these early childhood interventions suggest a high return on investment, the salient features of these programs (child-centered vs family-centered vs community-centered) and the mechanisms underlying their success (promoting cognitive vs noncognitive skills) remain a topic of debate.…”

Section: Childhood Adversity and Life-course Trajectoriesmentioning

confidence: 99%

Home Visiting and the Biology of Toxic Stress: Opportunities to Address Early Childhood Adversity

Garner

2013

Pediatrics

149

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Home visiting is an important mechanism for minimizing the lifelong effects of early childhood adversity. To do so, it must be informed by the biology of early brain and child development. Advances in neuroscience, epigenetics, and the physiology of stress are revealing the biological mechanisms underlying well-established associations between early childhood adversity and suboptimal life-course trajectories. Left unchecked, mediators of physiologic stress become toxic, alter both genome and brain, and lead to a vicious cycle of chronic stress. This so-called "toxic stress" results a wide array of behavioral attempts to blunt the stress response, a process known as "behavioral allostasis." Although behaviors like smoking, overeating, promiscuity, and substance abuse decrease stress transiently, over time they become maladaptive and result in the unhealthy lifestyles and noncommunicable diseases that are the leading causes of morbidity and mortality. The biology of toxic stress and the concept of behavioral allostasis shed new light on the developmental origins of lifelong disease and highlight opportunities for early intervention and prevention. Future efforts to minimize the effects of childhood adversity should focus on expanding the capacity of caregivers and communities to promote (1) the safe, stable, and nurturing relationships that buffer toxic stress, and (2) the rudimentary but foundational social-emotional, language, and cognitive skills needed to develop healthy, adaptive coping skills. Building these critical caregiver and community capacities will require a public health approach with unprecedented levels of collaboration and coordination between the healthcare, childcare, early education, early intervention, and home visiting sectors. Pediatrics 2013;132:S65-S73

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Section: Childhood Adversity and Life-course Trajectoriesmentioning

confidence: 99%

Home Visiting and the Biology of Toxic Stress: Opportunities to Address Early Childhood Adversity

Garner

2013

Pediatrics

149

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“…Home visits were conducted with several strategies geared towards unwanted pregnancies, adolescent pregnancies and pregnancies in low-income groups: factors that were found to contribute to child abuse. These home visits were primarily geared towards groups prone to child abuse, i.e., women with unwanted pregnancies, pregnant adolescents and low-income families [5][6][7]. On the other hand, several studies have been made on the association between unwanted pregnancies and perinatal depression [8][9][10].…”

Section: Introductionmentioning

confidence: 99%

Approach to perinatal mental health and child abuse prevention in Japanese prefectural health centers

Sugishita¹,

Kurihara²,

Murayama³

et al. 2013

Health

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The aim of this study was to conduct a nationwide survey in Japan of prefectural health centers, which were responsible for providing guidance to municipalities. The survey was performed in order to clarify the following issues: 1) the current level of support provided by prefectural centers for pre-and post-natal mental health; 2) the structures in place for providing consultation services for an "unwanted pregnancy" and the support available for high-risk cases; and 3) the advice available on postpartum maternal psychological screening, and interpretation of results of such screening. Questionnaires were sent by post to 394 prefectural health centers, of which 277 (70.3%) responded. A total of 32% of prefectural health centers confirmed that they had offered support to high-risk cases during pregnancy, and 72% had offered support post-partum. Regarding offering support to high-risk mothers, those prefectural health centers that did provide consultation services (n = 59) reported providing introductions and information about available facilities (P < 0.001) and conducting case conferences (P < 0.002). This was significantly different than prefectural health centers that did not provide consultation services (n = 198). At the prefectural health centers that "follow up on" the results of the mental health screening, psychiatry consultations were reported twice as often as the prefectural health centers that did "not follow up on" the results of mental health screening. These findings indicate that childcare support systems for postpartum mental health and the prevention of child abuse were established. However, the lack of prenatal health and support systems for the prenatal period remains an issue.

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“…For kort å oppsummere noen av de viktigste funnene av det 27 år gamle programmet så finner man ikke bare reduksjon av fysisk mishandling og stressende livshendelser i småbarnsfamilien. Longitudinelle studier dokumenterer også forebygging av senere utvikling av rusmisbruk, psykiske vansker og kriminalitet i ungdomsalder (Donelan-McCall, Eckenrode, & Olds, 2009;Eckenrode et al, 2010;Izzo et al, 2005;, samt fullføring av utdanning og deltakelse i arbeidslivet hos mødrene (Goodman, 2006). sitt program reflekterer de biologiske, atferdsmessige og sosiale aspektene ved et barn og dets familie, som også påvirker familieorganisering og fremtidig utviklingsveier.…”

Section: Risiko Og Beskyttende Faktorerunclassified

Pakkeforløpene i psykisk helsevern er feil medisin

Undem¹

2018

Tidsskriftet

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Home Visiting for the Prevention of Child Maltreatment: Lessons Learned During the Past 20 Years

Cited by 105 publications

References 35 publications

Home Visiting and the Biology of Toxic Stress: Opportunities to Address Early Childhood Adversity

Home Visiting and the Biology of Toxic Stress: Opportunities to Address Early Childhood Adversity

Approach to perinatal mental health and child abuse prevention in Japanese prefectural health centers

Pakkeforløpene i psykisk helsevern er feil medisin

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