Permanent Housing for Child Welfare‐Involved Families: Impact on Child Maltreatment Overview

Permanent Housing for Child Welfare‐Involved Families: Impact on Child Maltreatment Overview
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儿童福利相关家庭的永久住房:对虐待儿童的影响概述

DOI:
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发表时间:
2017
影响因子:
3.1
通讯作者:
M. Schoeny
M. Schoeny
中科院分区:
心理学2区
文献类型:
--
作者:
P. Fowler;M. Schoeny

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一项纵向随机对照试验测试了在接受虐待和忽视儿童调查的住房条件不足的家庭中,获得永久住房是否会减少虐待儿童的情况。该研究跟踪了无家可归和涉及儿童福利的家庭,随机分配接受住房补贴加住房案例管理转介(n = 75, 196 名儿童)或单独住房案例管理(n = 75, 186 名儿童)。潜在成长模型检查了看护者报告的 2.5 年中五个时间点对儿童的心理攻击、身体虐待和忽视频率的变化。意向治疗分析表明,轻微攻击和忽视的治疗差异接近显着性;与仅接受住房案例管理的家庭相比,随机分配到永久住房加案例管理的家庭的下降幅度稍大一些。无论治疗条件如何,随着时间的推移,护理人员的心理攻击性仍然很高。没有证据表明高风险家庭从永久住房中受益更多。结果显示了永久住房的一些希望,并强调了接受虐待儿童调查的无家可归家庭的复杂需求。调查结果强调了儿童福利系统持续参与以将家庭与重要资源联系起来的重要性。
A longitudinal randomized controlled trial tested whether access to permanent housing reduces child maltreatment among inadequately housed families under investigation for child abuse and neglect. The study followed homeless and child welfare-involved families randomly assigned to receive a referral for housing subsidies plus housing case management (n = 75, 196 children) or housing case management alone (n = 75, 186 children). Latent growth models examined change in caregiver-reported frequencies of psychological aggression, physical abuse, and neglect toward children at five time points across 2.5 years. Intent-to-treat analyses suggested treatment differences for minor assault and neglect that approached significance; families randomly assigned to permanent housing plus case management exhibited marginally greater declines compared to families referred for housing case management only. Caregiver psychological aggression remained high over time, regardless of treatment condition. No evidence indicated higher risk families benefitted more from permanent housing. Results show some promise of permanent housing and highlight the complex needs of homeless families under investigation for child maltreatment. Findings emphasize the importance of continued involvement from the child welfare system to connect families with important resources.
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