Systematic Review Of Community- And Home-Based Interventions To Support Parenting And Reduce Risk Of Child Maltreatment Among Families With Substance-Exposed Newborns.
West, Allison L. Dauber, Sarah. Gagliardi, Laina. Correll, Leeya. Lilli, Alexandra Cirillo. Daniels, Jane.
Published: May 2020
Vol. 25, No. 2 , p. 137-151
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Substance-exposed newborns (SENs) are at increased risk of child maltreatment, out-of-home placement, and poor health and developmental outcomes. The purpose of this systematic review is to synthesize existing research on community- and home-based interventions designed to improve parenting and reduce risk of maltreatment for families with SENs, applying a program logic framework. The review includes studies that used preexperimental, quasi-experimental, and experimental designs. Twelve interventions were identified. Of the nine studies that used more rigorous experimental or quasi-experimental designs, five showed positive effects on at least one parenting or child maltreatment outcome, although some studies showed high risk of bias. Full coherence among the intended participants, theory of change, and program components was observed for only two interventions. The findings suggest a need for more rigorous research to develop and test interventions that are grounded in theory and prior research and that address the unique needs of families with SENs. (Author abstract)
prenatal drug exposure; family preservation; home visiting programs; prevention programs; child abuse; community based services; evidence based practice; parenting; SUBSTANCE EXPOSED INFANTS