Barth R P
Berkeley Child Welfare Research Center, School of Social Welfare, University of California 94720.
Child Abuse Negl. 1991;15(4):363-75. doi: 10.1016/0145-2134(91)90021-5.
Perinatal child abuse prevention projects are rarely rigorously evaluated. Women were referred to the Child Parent Enrichment Project (CPEP) project during or just after pregnancy if identified as at-risk of engaging in child abuse by community professionals. Clients were randomly assigned to CPEP services (n = 97) or traditional community services (n = 94). CPEP services are based on ecological theory and involve six months of home visiting by paraprofessional women and linkage to other formal and informal community resources. No advantages on self-report measures for the CPEP group were measured at posttest, and follow-up reports of child abuse were similar for both groups. Consumer satisfaction indicates that clients highly valued the program. Some indication of greater success with families with less serious problems was observed. The results argue for caution regarding the capacities of perinatal child abuse prevention services to serve the high-risk clientele they often receive.
围产期虐待儿童预防项目很少得到严格评估。如果社区专业人员认定女性在孕期或产后有虐待儿童的风险，她们就会被转介到儿童亲子强化项目（CPEP）。客户被随机分配到CPEP服务组（n = 97）或传统社区服务组（n = 94）。CPEP服务基于生态理论，包括由准专业女性进行为期六个月的家访，并与其他正式和非正式社区资源建立联系。在后测中，未发现CPEP组在自我报告测量方面有优势，两组关于虐待儿童的后续报告相似。消费者满意度表明客户对该项目评价很高。观察到一些迹象表明，对于问题不太严重的家庭，该项目取得了更大的成功。研究结果表明，对于围产期虐待儿童预防服务为其经常接待的高危人群提供服务的能力，应持谨慎态度。
