Child Abuse Clinical Trial
Official title:
Training Social Work Providers: Intervention for Maltreating Families of Infants
The study evaluates the feasibility and effectiveness of a well-documented relationship-based intervention (Promoting First Relationships), compared to a resource and referral condition, in improving outcomes for families of infants and toddlers referred to Child Protective Services (CPS) for maltreatment. In addition, it evaluates the effectiveness of training community social service workers in providing the intervention.
Child maltreatment has well-established, wide-ranging, and long-term negative effects on
children. Most children who have experienced maltreatment and are receiving services through
the Child Welfare System (CWS) remain in their homes with their caregivers. While the need
for parenting services is extensive, few intervention programs have proven to be efficacious
in reducing child abuse and neglect within the CWS population, especially for infants and
toddlers. It is essential that social service practitioners within the CWS delivery system
are equipped to provide brief interventions to maltreating parents. This grant, "Training
Social Work Providers: Intervention for Maltreating Families of Infants and Toddlers," is an
evaluation of a training program for social welfare providers to implement a brief attachment
theory-based intervention to families who have been investigated for child abuse and neglect
by Child Protective Services. The program (Promoting First Relationships [PFR]; Kelly,
Buehlman, & Caldwell, 2000) will be tested at two levels: through social welfare practice and
at the level of outcomes for children and families.
Social service providers will be trained to deliver PFR to families under investigation for
maltreatment by the Department of Social and Health Services, in two counties in Washington
State. Subsequently, families under investigation by CPS will be recruited into the study and
randomly assigned to the experimental group (receiving the PFR intervention) or to the
comparison group (receiving resources and referrals).
The specific aims of this study are to (1) Test the effectiveness of training community
social welfare service providers in the use of attachment-based interventions by measuring
their pre-training and post-training service provision strategies and interactions with
maltreating families; (2) To test the effects of a relationship and attachment-based
intervention with infants/toddlers of parents identified as maltreating by comparing them to
a control group on rates of re-referral to CPS, severity of referral, and foster care
placement; and (3) To conduct a test of the effectiveness of an attachment-based intervention
on child well-being by comparing experimental and comparison groups on important outcomes
(attachment security, emotional regulation, behavior, and developmental functioning).
RELEVANCE Child maltreatment is a serious public health issue, affecting close to a million
children nationally every year. The establishment of effective evidence-based interventions
for high-risk families is essential to curtail the devastating long-term effects of
maltreatment. The proposed study tests the feasibility and effectiveness of a well-documented
relationship-based intervention (Promoting First Relationships) in improving outcomes for
families referred to CPS for maltreatment.
;
| Status | Clinical Trial | Phase | |
|---|---|---|---|
| Completed |
NCT00595010 -
Effectiveness of a Multi-Component Evidence-Based Parent Training Program in Reducing Child Maltreatment
|
Phase 1 | |
| Completed |
NCT00494286 -
Abuse-Focused Cognitive Behavioral Therapy for Children Who Have Been Physically Abused
|
Phase 1 | |
| Completed |
NCT03956628 -
Evaluation of Preventive (Stay Safe) Training Program of Child Abuse for Teachers and Children
|
N/A | |
| Completed |
NCT04257331 -
Parent Training to Reduce Behavioral Problems in Children With Autism Spectrum Disorder in China
|
N/A | |
| Recruiting |
NCT03198429 -
Cluster RCT of Embedded Parenting Intervention to Prevent Recurrence and Reduce Impairment in Young Children Exposed to Domestic Violence
|
N/A | |
| Completed |
NCT03185728 -
iLook Out for Child Abuse: An Innovative Learning Module for Childcare Providers
|
N/A | |
| Completed |
NCT02415933 -
Child Protective Outcomes Among Ultra-poor Families in Burkina Faso
|
N/A | |
| Recruiting |
NCT06100679 -
Responsible Engaged and Loving (REAL) Fathers Intervention Evaluation
|
N/A | |
| Completed |
NCT04160013 -
Mitigating ACEs in Pediatric Primary Care: Cohort #2 With 6-24 Month Old Children
|
N/A | |
| Active, not recruiting |
NCT05729945 -
Catholic Health Initiatives (CHI) St. Joseph's Children Home Visiting Longitudinal Study
|
N/A | |
| Completed |
NCT03305458 -
Improving Quality of Care in Child Mental Health Service Settings
|
N/A | |
| Completed |
NCT04700696 -
Enhancing Permanency in Children and Families
|
N/A | |
| Active, not recruiting |
NCT05479734 -
Promoting Resilience and Lowering Risk in Early Childhood
|
N/A | |
| Completed |
NCT04163549 -
Evaluating the Effectiveness of the Safe at Home Program
|
N/A | |
| Recruiting |
NCT04290234 -
Childhood Trauma and Escape Decision Dynamics
|
||
| Recruiting |
NCT04637581 -
Wraparound for High-risk Families With Substance Use Disorders: Examining Family, Child, and Parent Outcomes
|
N/A | |
| Not yet recruiting |
NCT03745573 -
Preventing Violence Against Children in Schools Study
|
N/A | |
| Active, not recruiting |
NCT04163367 -
A Randomized Controlled Study of Safer Kids: A Manualized Intervention to Prevent Child Abuse
|
N/A | |
| Completed |
NCT03135119 -
Integrating Animal-Assisted Therapy Into Trauma-Focused Cognitive-Behavioral Therapy for Maltreated Youth
|
N/A | |
| Completed |
NCT04117971 -
Knowledge, Attitude and Practice of Child Abuse Diagnosis and Reporting Among a Group of Egyptian Dentists
|