To preserve or not to preserve: That is the question. Decision-making about family preservation among families in multi-problem situations

Vischer, Anne-Fleur; Knorth, Erik J.; Grietens, Hans; Post, Wendy J.

doi:10.1016/j.childyouth.2019.01.040

Cited by 3 publications

(1 citation statement)

References 22 publications

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“…In 2016, 676,000 children were identified as being victims of abuse or neglect, with neglect representing 74.8% of the cases (US Department of Health & Human Services, 2018), highlighting a need for interventions that target these behaviors. In a high-risk sample of families referred to the Expertise Center for Treatment and Assessment of Parenting and Psychiatry in the Netherlands due to concerns regarding parenting quality, none of the parents who ultimately received positive family preservation decisions were categorized in the disrupted range on parental withdrawal or fearful/disoriented behavior as coded by AMBIANCE (Vischer, Knorth, Grietens, & Post, 2019). These findings highlight the importance of targeting parental withdrawal in high-risk families.…”

Section: Discussionmentioning

confidence: 99%

Intervening with Attachment and Biobehavioral Catch-Up to decrease disrupted parenting behavior and attachment disorganization: The role of parental withdrawal

et al. 2019

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This randomized controlled trial investigated the efficacy of Attachment and Biobehavioral Catch-up (ABC; Dozier, Bick, & Bernard, 2011) in reducing disrupted parenting behavior (affective communication errors, role/boundary confusion, fearful/disoriented, intrusive/negativity, and withdrawal) and its association with disorganized attachment. Participants were 105 mother–child dyads randomized to receive either ABC or a control intervention (a 10-session home-visiting intervention focused on improving children's cognitive abilities, gross and fine motor abilities, and language development). At the time of study enrollment, mothers were approximately 26.7 years old (SD = 7.8) and predominantly Black or African American (73.9%). At the first follow-up visit, children were approximately 20.7 months old (SD = 6.3) and most were identified as Black or African American (61.9%). Fifty-two percent of children were male (n = 55). Assessments of disrupted parenting behavior and child attachment quality were assessed approximately 7 months postintervention (SD = 5.8). A one-way analysis of variance revealed that parents who received ABC demonstrated lower levels of parental withdrawal than parents who received the control condition. A structural equation model revealed a significant indirect effect of intervention group on attachment quality through lower levels of parental withdrawal. Results add to the efficacy of the ABC intervention and identified parental withdrawal as a mediator of change.

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Section: Discussionmentioning

confidence: 99%