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| Ranking |
Evidence-Based Practice |
| Description |
Home visitation to prevent violence includes programs in which parents and children are visited in their home by:
• Nurses
• Social workers
• Paraprofessionals
• Community peers
Some visits must occur during the child's first two years of life, but they may be initiated during pregnancy and may continue after the child's second birthday.
The Task Force on Community Preventive Services recommends early childhood home visitation programs based on strong evidence of their effectiveness in reducing child maltreatment among high-risk families. |
| Results / Accomplishments |
Results from the Systematic Reviews:
• Child maltreatment in high-risk families: median reduction of 38.9% in episodes (interquartile interval: -74.1% to -24.0%; 21 studies, 26 study arms)
-Longer-duration programs produced larger effects; programs of less than 2 years duration did not appear to be effective.
-Professional home visitors may be more effective than trained paraprofessionals, but longer-duration programs with trained paraprofessionals can also be effective.
• Violence by the visited children: findings are inconsistent (4 studies)
• Intimate partner violence: lack of statistically significant results (one study)
• Violent behavior by visited parents (other than maltreatment): lack of statistically significant results (one study)
• All programs reviewed were directed at families considered to be at high risk of child maltreatment (e.g., single or young mothers, low-income households, families with low birth weight infants). |
| Categories |
Health / Prevention & Safety
Public Safety / Domestic Violence
Social Environment / Children's Social Environment
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| Source |
Community Guide Branch Epidemiology and Analysis Program Office, Centers for Disease Control and Prevention |
| Location |
Country: USA |
| Primary Contact |
communityguide@cdc.gov
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| For more details |
http://www.thecommunityguide.org/index.html#topics
http://www.thecommunityguide.org/violence/home/...
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| Target Audience |
Children, Adults, Families |
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