Child Exposure to Trauma: Comparative Effectiveness of Interventions Addressing Maltreatment: Comparative Effectiveness Review Number 89

 
9781489521842: Child Exposure to Trauma: Comparative Effectiveness of Interventions Addressing Maltreatment: Comparative Effectiveness Review Number 89

Child maltreatment is a global public health problem. In the United States alone, approximately 6.2 million children were involved in 3.4 million referrals to Child Protective Services in FY2011. The prevalence of child maltreatment translates into a significant economic burden to society, cutting across many different service sectors including child welfare, health and mental care, special education, and criminal justice. Exposure to abuse and/or neglect in childhood has serious adverse consequences across the life span, including increased risk of emotional and behavioral disturbances, delinquency and violent crime, and chronic disease. This review focuses on parenting interventions, trauma focused treatments, and enhanced foster care approaches that address child exposure to maltreatment. The goal of this review is twofold: to provide stakeholders with a synthesis of the best evidence in the field of child maltreatment and to identify critical areas to address in future intervention research. This review provides a critical analysis and synthesis of the comparative efficacy and effectiveness of interventions (psychosocial and pharmacological) that address child well-being and/or promote positive child welfare outcomes (safety, placement stability, and permanency) for maltreated children ages birth to 14 years. The review also examines (1) how interventions with different characteristics (modality, theoretical orientation, setting) compare in improving child outcomes, (2) how interventions compare in terms of treatment engagement and retention, and (3) adverse events associated with the interventions or comparators reviewed. The review highlights gaps in the current scientific literature and important areas for future research to build the evidence base for interventions with maltreated children. This review sought to address the following key questions: KQ 1. What is the comparative effectiveness of interventions with children exposed to maltreatment for promoting child well-being outcomes? Specifically: a. Mental and behavioral health (e.g., severity or number of traumatic stress symptoms or syndromes; post-traumatic stress disorder (PTSD); attachment disorders; depressive symptoms; anxiety symptoms; disruptive, aggressive, and delinquent behavior), b. Healthy caregiver-child relationship (e.g., secure attachment; caregiver responsivity and sensitivity; positive parental attitudes toward childrearing; parental perceptions of the child and causal attributions about the child’s behavior; caregiver-child interactions; and family functioning), c. Healthy development (e.g., cognitive, language, physical maturation), d. School-based functioning (e.g., grade retention, disciplinary referrals, attendance). KQ 2. What is the comparative effectiveness of interventions with children exposed to maltreatment for promoting child welfare outcomes? Specifically: Safety (i.e., prevention of maltreatment recurrence), b. Placement stability for children in out-of-home care, c. Positive permanency outcomes for children in out-of-home care. KQ 3. Among the interventions under review, how do interventions with particular characteristics compare in improving child outcomes? Specifically: a. Modality (i.e., individual, dyadic, group, family-based format), b. Theoretical orientation (e.g., cognitive behavioral, psychodynamic), c. Type of setting (i.e., specialty or nonspecialty service-delivery settings), KQ 4. How do interventions compare for improving child outcomes within population subgroups? Specifically: a. Child subgroups, b. Caregiver subgroups. KQ 5. What is the comparative effectiveness of interventions with children exposed to maltreatment for engaging children and/or caregivers in treatment (e.g., treatment adherence, treatment withdrawal)? KQ 6. What adverse events are associated with interventions for children exposed to maltreatment (e.g., retraumatization, caregiver distress)?

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U. S. Department of Health and Human Services/ Agency for Healthcare Research and Quality
Published by CreateSpace Independent Publishing Platform (2013)
ISBN 10: 1489521844 ISBN 13: 9781489521842
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Revaluation Books
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Book Description CreateSpace Independent Publishing Platform, 2013. Paperback. Book Condition: Brand New. 402 pages. 11.00x8.50x0.91 inches. This item is printed on demand. Bookseller Inventory # zk1489521844

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