@article{ref1,
title="Interventions to prevent child maltreatment and associated impairment",
journal="Lancet",
year="2009",
author="MacMillan, H. L. and Wathen, C. Nadine and Barlow, Jane and Fergusson, D. M. and Leventhal, John M. and Taussig, Heather N.",
volume="373",
number="9659",
pages="250-266",
abstract="Although a broad range of programmes for prevention of child maltreatment exist, the effectiveness of most of the programmes is unknown. Two specific home-visiting programmes-the Nurse-Family Partnership (best evidence) and Early Start-have been shown to prevent child maltreatment and associated outcomes such as injuries. One population-level parenting programme has shown benefits, but requires further assessment and replication. Additional in-hospital and clinic strategies show promise in preventing physical abuse and neglect. However, whether school-based educational programmes prevent child sexual abuse is unknown, and there are currently no known approaches to prevent emotional abuse or exposure to intimate-partner violence. A specific parent-training programme has shown benefits in preventing recurrence of physical abuse; no intervention has yet been shown to be effective in preventing recurrence of neglect. A few interventions for neglected children and mother-child therapy for families with intimate-partner violence show promise in improving behavioural outcomes. Cognitive-behavioural therapy for sexually abused children with symptoms of post-traumatic stress shows the best evidence for reduction in mental-health conditions. For maltreated children, foster care placement can lead to benefits compared with young people who remain at home or those who reunify from foster care; enhanced foster care shows benefits for children. Future research should ensure that interventions are assessed in controlled trials, using actual outcomes of maltreatment and associated health measures.  <p></p>  <p>Language: en</p>",
language="en",
issn="0140-6736",
doi="10.1016/S0140-6736(08)61708-0",
url="http://dx.doi.org/10.1016/S0140-6736(08)61708-0"
}