Bath H I, Haapala D A
Behavioral Sciences Institute, Federal Way, WA 98003-6796.
Child Abuse Negl. 1993 Mar-Apr;17(2):213-25. doi: 10.1016/0145-2134(93)90041-3.
Intensive Family Preservation Services (IFPS) have emerged as one of the most widely-employed placement prevention models in the field of Family-Based Services. Most IFPS evaluations have reported positive outcomes, but some results have been mixed. The use of heterogeneous client samples may explain some of the equivocal findings, so a study was designed to assess maltreatment group differences in a relatively large sample of families referred by Child Protective Service (CPS) agencies. It was found that: (a) Neglectful families, in contrast to abusive ones, were poorer, more reliant on public income, more likely to be headed by a single parent, had more children at imminent risk of placement, and were more likely to have medical, mental health, and substance abuse problems; (b) families referred for both abuse and neglect were more similar to the neglect-only group than the abuse-only one; and (c) although the majority of all children avoided placement, children from neglectful families were almost twice as likely to be placed than children from abusive ones, with those from multiple maltreatment families being at highest risk. The implications for research methodology and service delivery are discussed.
强化家庭保护服务(IFPS)已成为家庭服务领域应用最广泛的安置预防模式之一。大多数IFPS评估报告了积极成果,但有些结果喜忧参半。使用异质客户样本可能解释了一些模棱两可的结果,因此设计了一项研究来评估儿童保护服务(CPS)机构转介的相对大量家庭样本中虐待类型的差异。研究发现:(a)与虐待家庭相比,忽视家庭更贫困,更依赖公共收入,更可能由单亲家长当家,有更多即将面临安置风险的儿童,并且更可能有医疗、心理健康和药物滥用问题;(b)因虐待和忽视而被转介的家庭与仅被忽视的家庭组比仅被虐待的家庭组更相似;(c)尽管所有儿童中的大多数都避免了安置,但来自忽视家庭的儿童被安置的可能性几乎是来自虐待家庭儿童的两倍,来自多重虐待家庭的儿童风险最高。文中讨论了对研究方法和服务提供的影响。