Evaluation of a Clinic‐Based Parent Education Program to Reduce the Risk of Infant and Toddler Maltreatment

Department of Health Services, School of Public Health and Community Medicine, University of Washington, Seattle 98195, USA.
Public Health Nursing (Impact Factor: 0.83). 09/2002; 19(5):377-89. DOI: 10.1046/j.1525-1446.2002.19507.x
Source: PubMed


Community-based parent education programs are a common component of service plans for abusive and potentially abusive parents. Despite their widespread use, few studies have evaluated the effect of such programs to change actual parenting behavior even though this is a key intervention goal. The purpose of this study was to evaluate whether a relatively brief and inexpensive clinic-based education program could benefit parents of infants and toddlers by alleviating parental stress and improving parent-child interaction. Participants were 199 parents of children 1 through 36 months of age who were at risk for parenting problems and child maltreatment due to serious life stress including poverty, low social support, personal histories of childhood maltreatment, and substance abuse. Program effects were evaluated in terms of improvement in self-reported parenting stress and observed parent-child interaction. Positive effects were documented for the group as a whole and within each of three subgroups: two community samples and a group of mothers and children in residential drug treatment. Additional analyses illustrated a dose-response relationship between program attendance and magnitude of gain in observed parenting skills.

Download full-text


Available from: Colleen Huebner, May 08, 2014
  • Source
    • "However, program effects in these substance-abusing parent samples are compromised by low retention rates. A study in an outpatient setting found participants attended on average only 38% of sessions (Huebner, 2002), whilst another study that combined both home visitation and outpatient groups reported 51% of participants in the intervention group attended only half of the sessions (Catalano, Gainey, Fleming, Haggerty & Johnson 1999). Behaviourally based approaches implemented in residential programs have had similar problems with small sample sizes and high drop out rates (e.g., Knight, et al., 2007). "
    [Show abstract] [Hide abstract]
    ABSTRACT: This paper describes a systemic, trauma and attachment model for a parenting program for fathers in residential substance abuse treatment. It emphasises the complex nature of delivering parenting programs in this context and the importance of going beyond simple linear principles of reward and punishment, upon which many other parenting programs are predicated.
    Full-text · Article · Jun 2015 · Australian and New Zealand Journal of Family Therapy (ANZJFT)
  • Source
    • "Systematic Training for Effective Parenting (STEP) is a psychoeducational group parenting intervention. It is designed to reduce dysfunctional parenting behaviors and has been tested in several samples of abusive parents (Fennell & Fishel, 1998; Huebner, 2002). STEP was effective in reducing child abuse potential. "
    [Show abstract] [Hide abstract]
    ABSTRACT: Child maltreatment is widespread and has a tremendous impact on child victims and their families. Over the past decade, definitions of child maltreatment have been developed that are operationalized, face valid, and can be reliably applied in clinical settings. These definitions have informed the revised Diagnostic and Statistical Manual (American Psychiatric Association, 2013) and are being considered for the International Classification of Disease-11 (World Health Organization). Now that these definitions are available in major diagnostic systems, primary healthcare providers and clinicians who see children and families are poised to help screen for, identify, prevent, and treat child maltreatment. This article reviews the definitions of maltreatment in these diagnostic systems, along with assessment and screening tools, and empirically supported prevention and intervention approaches.
    Full-text · Article · Jan 2015 · Family Process
  • Source
    • "The NCAST is a widely used, standardized, 73 binary-item tool used to observe and rate quality of caregiver–child interactions with children ages birth to 36 months. Use of the NCAST with substance-abusing and psychiatrically at-risk populations was reported by Huebner (2002) and Jung, Short, Letourneau, and Andrews (2007).Mothers are asked to choose one developmentally appropriate task to teach the child from a list of tasks that are organized in increasing order of difficulty. Tasks for infants between 0 and 3 months include holding a rattle, following the rattle with the eyes, and showing the caregiver his or her tongue. "
    [Show abstract] [Hide abstract]
    ABSTRACT: Parenting and emotion regulation are two known, and potentially interrelated, areas of impairment among substance-abusing mothers. In this study, we examine substance -abusing mothers' (positive and negative) emotion language word use during their discussion of negative parenting experiences on the Parent Development Interview for its association with reflective functioning (RF), recent substance-use history, and sensitivity to child cues. Within a sample of 47 methadone-maintained mothers, we evaluate the hypothesis that linguistic evidence of emotional avoidance (more frequent positive feeling words and less frequent negative emotion words) will be associated with lower RF, more recent substance use, and more insensitive parenting. Further, we evaluate whether language use mediates the association between self-focused RF and insensitive parenting. Results of hierarchical regressions suggest that more frequent positive feeling word use, but not negative emotion word use, is associated with lower RF, more recent substance use, and lower sensitivity to child cues. Positive feeling word use partially mediates the association between self-focused RF and insensitive parenting. Results are discussed in the context of their contribution to the literature on emotion and parenting in substance-abusing populations.
    Full-text · Article · Sep 2012 · Infant Mental Health Journal
Show more