Child protection outcomes of the Australian Nurse Family Partnership Program for Aboriginal infants and their mothers in Central Australia

Autor: Ha Nguyen, John Boffa, Debra Gent, Leonie Segal, Catherine Hampton
Přispěvatelé: Segal, Leonie, Nguyen, Ha, Gent, Debra, Hampton, Catherine, Boffa, John
Jazyk: angličtina
Rok vydání: 2018
Předmět:
Child abuse
Native Hawaiian or Other Pacific Islander
Epidemiology
Health Care Providers
Maternal Health
Social Sciences
Nurses
Criminology
Pediatrics
Aboriginal infants
Families
0302 clinical medicine
Sociology
Risk Factors
Pregnancy
Medicine and Health Sciences
Medicine
Public and Occupational Health
030212 general & internal medicine
Child Abuse
Prospective Studies
Medical Personnel
Human Families
Prospective cohort study
Children
education.field_of_study
Multidisciplinary
05 social sciences
Traumatic Injury Risk Factors
Child Health
Obstetrics and Gynecology
Mother-Child Relations
Professions
Treatment Outcome
Child protection
General partnership
Crime
050104 developmental & child psychology
Research Article
Adult
Science
Population
Mothers
child protection
Vulnerable Populations
Indigenous
03 medical and health sciences
Young Adult
Nursing
Humans
0501 psychology and cognitive sciences
Family
education
Retrospective Studies
business.industry
Child Protective Services
Australia
Infant
medicine.disease
Health Care
Socioeconomic Factors
Age Groups
Relative risk
Medical Risk Factors
People and Places
Women's Health
Nursing Care
Population Groupings
business
Zdroj: PLoS ONE, Vol 13, Iss 12, p e0208764 (2018)
PLoS ONE
ISSN: 1932-6203
Popis: BackgroundThe Nurse Family Partnership Program developed in the USA, designed to improve mother and infant/child outcomes, has reported lower rates of child protection system involvement. The study tested the hypothesis that an adapted Nurse Family Partnership Program implemented in an Aboriginal community in Central Australia (the FPP) would improve Child Protection outcomes.MethodsThis was a retrospective and prospective cohort study drawing on linked administrative data, including birth registry, primary health care client information system, FPP program data, and child protection data. Participants were children of women eligible for the FPP program (an exposed and a control group of women, eligible but not referred) live-born between 1/3/2009 (program commencement) and 31/12/2015. Child protection data covered all reports, investigations, substantiations and out-of-home care placements from the time of the child's birth to 31/12/2016. Generalised linear modelling was used to estimate the relative risk (RR) of involvement with child protection and type of involvement (report, investigation, substantiation, out-of-home-care placement) among FPP and control children.ResultsFPP mothers (n = 291) were on average younger, were more likely to be first-time mothers and experiencing housing instability than control mothers (n = 563). Among younger mothers ≤20 years, FPP children had statistically significantly lower rates of involvement with child protection (ARRreport = 0.49, 95% CI: 0.29 to 0.82; ARRinvestigation = 0.34, 95% CI: 0.19 to 0.64; ARRsubstantiation = 0.45, 95% CI: 0.21 to 0.96) and experience fewer days in care (ARR = 0.10, 95% CI: 0.02 to 0.48). Among children of first-time mothers, FPP children also had statistically significantly lower rates of involvement with child protection (ARRreport = 0.50, 95% CI: 0.30 to 0.83; ARRinvestigation = 0.36, 95% CI: 0.19 to 0.67; ARRsubstantiation = 0.38, 95% CI: 0.18 to 0.80) and fewer days in care (ARR = 0.06, 95% CI: 0.01 to 0.27).ConclusionStudy results suggest a modified Nurse Family Partnership delivered by an Indigenous community-controlled organisation may have reduced child protection system involvement in a highly vulnerable First Nations population, especially in younger or first-time mothers. Testing these results with an RCT design is desirable.
Databáze: OpenAIRE
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