Suchergebnisse

Behavioral parenting interventions can enhance positive parenting practice, which is crucial in preventing maltreatment and promoting child well-being. Primary care has been increasingly recognized as an underutilized platform to widely disseminate evidence-based parenting interventions, given parents' ongoing access to primary care without stigma and the perceptions toward health-care providers as a trustworthy source of information about positive parenting. This study sought to explore the effects of primary care–based parenting interventions on parenting practice and child behavioral outcomes while examining the types of and the theories of change underlying these interventions. The review followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guideline. Randomized controlled trials or quasi-experimental studies of interventions targeting caregivers of children aged between 1 and 17 were included in the review. Information sources included electronic databases, relevant government and private organizational websites, and expert consultations. The final sample included 17 studies focusing on 10 interventions. Positive results were found in knowledge gain, locus of control, monitoring, parent–child interactions, and negative discipline. Child behavior outcomes were inconsistent as most studies reported nonsignificant changes while one study reported significant intervention effects on various externalizing behaviors. A limited number of studies described the process of adapting, installing, and implementing the interventions in primary care. Future studies should examine the types, dosages, and delivery formats that are most suitable and sustainable in the context of primary care to maximize its utility in promoting child well-being while preventing maltreatment through integrated behavioral parenting interventions.

AbstractLimited resources for child protection create challenging decision situations for child protective services (CPS) workers at the point of intake. A body of research has examined the factors associated with worker decisions and processes using a variety of methodological approaches to gain knowledge on decision‐making. However, few attempts have been made to systematically review this literature. As part of a larger project on decision‐making at intake, this systematic review addressed the question of the factors associated with worker decisions to investigate alleged maltreatment referrals. Quantitative studies that examined factors associated with screening decisions in CPS practice settings were included in the review. Database and other search methods were used to identify research published in English over a 35‐year period (1980–2015). Of 1,147 identified sources, 18 studies were selected for full data extraction. The studies were conducted in the United States, Canada, and Sweden and varied in methodological quality. Most studies examined case factors with few studies examining other domains. To inform CPS policy and practice, additional research is needed to examine the relationships between decision‐making factors and case outcomes. Greater attention needs to be given to the organizational and external factors that influence decision‐making.

Available Open Access under CC-BY-NC-BD licence. Based on the findings of the Innovate Project, a four year pan-UK study to identify the processes of innovation in care, this book asks: how can services be re-envisioned and transformed through innovation? The authors provide an overview of the project findings and offer insights into the core conditions necessary for socially just and practice-congruent social care innovation that responds to the distinctive, contemporary safeguarding concerns facing young people.. Essential reading for anyone engaged in social care practice and innovation, as well as those undertaking continuing professional development, this book will aid the reader in developing a conceptual understanding of their experiences and support them in designing more informed responses to the challenges they face.