Reducing risk factors for child maltreatment: The Parenting-STAIR open pilot study.
Autor: | Wortham W; Silver School of Social Work, New York University, New York, NY, United States. Electronic address: ww1053@nyu.edu., Sullivan KS; Silver School of Social Work, New York University, New York, NY, United States., Ancharski K; Silver School of Social Work, New York University, New York, NY, United States., Okosi M; McSilver Institute for Poverty Policy and Research, Silver School of Social Work, New York University, New York, NY, United States., Kaplan D; McSilver Institute for Poverty Policy and Research, Silver School of Social Work, New York University, New York, NY, United States., Timmer S; CAARE Diagnostic & Treatment Center, Department of Pediatrics, University of California, Sacramento, CA, United States., Cloitre M; Institute for Trauma and Stress, New York University Langone Medical Center, New York, NY, United States; National Center for PTSD Dissemination and Training Division, Department of Psychiatry and Behavioral Sciences, Stanford University, Stanford, CA, United States., Chemtob C; McSilver Institute for Poverty Policy and Research, Silver School of Social Work, New York University, New York, NY, United States; Grossman School of Medicine, New York University, New York, NY, United States., Lindsey MA; Silver School of Social Work, New York University, New York, NY, United States; McSilver Institute for Poverty Policy and Research, Silver School of Social Work, New York University, New York, NY, United States. |
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Jazyk: | angličtina |
Zdroj: | Child abuse & neglect [Child Abuse Negl] 2024 Aug; Vol. 154, pp. 106942. Date of Electronic Publication: 2024 Jul 29. |
DOI: | 10.1016/j.chiabu.2024.106942 |
Abstrakt: | Background: Despite a large body of evidence linking the impact of trauma, parenting, and child maltreatment recidivism, current child welfare services often do not target maternal trauma and post-traumatic stress disorder (PTSD). Moreover, there is little evidence that traditional family preservation services (FPS) lower the rates of repeat incidences of child abuse and neglect. The novel intervention, Parenting-STAIR (P-STAIR), seeks to address maternal mental health and parenting skills in order to reduce punitive parenting behaviors. Objective: This study analyzes the effects of P-STAIR on child maltreatment risk. Participants and Setting: P-STAIR was administered to 112 child welfare-involved mothers in New York City (NYC). The mothers were between 18 and 52 years old (M = 31.1, SD = 6.6) and were referred from 4 child welfare preventive service agencies in NYC. Methods: To evaluate change over time in indicators of maltreatment risk, two-tailed paired sample t-tests compared 1) pre- and post-treatment scores and 2) pre-treatment and 3-month follow-up scores. Results: Among the 71 mothers who completed treatment, significant improvements from baseline to post-assessment and pre- to 3-month follow-up were observed across total scores on the CTSPC and the AAPI-2. Improvements were evident in nonviolent disciple, psychological aggression, expectations, empathy, and parent-child family roles at both the post-assessment and 3-month follow-up which are proximal outcomes of P-STAIR (CTSPC: pre-post nonviolent disciple d = 0.70; pre-post psychological aggression d = 0.34; pre-follow-up nonviolent disciple d = 0.42; pre-follow-up psychological aggression d = 0.36; AAPI-2; pre-post expectations d = 0.31; pre-post empathy d = 0.39; pre-post parent-child roles d = 0.47; pre-follow-up expectations d = 0.33; pre-follow-up empathy d = 0.42; pre-follow-up parent-child roles d = 0.66). Conclusions: The improvement in indicators of maltreatment risk demonstrates promising support for the utility of P-STAIR within the child welfare system. Competing Interests: Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper. (Copyright © 2024 Elsevier Ltd. All rights reserved.) |
Databáze: | MEDLINE |
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