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Risk and Protective Factors Associated with Adverse Childhood Experiences in Vulnerable Families: Results of a Randomized Clinical Trial of SafeCare®.

Publication ,  Journal Article
Silovsky, J; Bard, D; Owora, AH; Milojevich, H; Jorgensen, A; Hecht, D
Published in: Child Maltreatment
May 2023

Early adversity predicts increased risk for mental and physical health problems. As such, intervention efforts, such as home-based parenting programs, have been initiated with vulnerable families to reduce adversity exposure and promote child well-being. The present randomized clinical trial had a parallel design and 1:1 allocation ratio of SafeCare augmented for an urban high-risk population (SC+) compared to standard home-based mental health services (SAU) to examine risk and protective factors proximal to child maltreatment. Parents (N=562) of young children (5 years or less) at risk of depression, intimate partner violence, or substance abuse were randomized to SC+ or SAU. A significant program effect was found in favor of SC+ for parental depression and social support, as well as within-group improvements for both groups in depression, intimate partner victimization, family resources, and social support. Promising next steps include future trials examining how improvements in parental depression and social support impact child well-being over time and further augmentation of SafeCare to enhance healthy relationships and address cultural congruency of services.

Duke Scholars

Published In

Child Maltreatment

DOI

EISSN

1552-6119

ISSN

1077-5595

Publication Date

May 2023

Volume

28

Issue

2

Start / End Page

384 / 395

Related Subject Headings

  • Substance-Related Disorders
  • Protective Factors
  • Parents
  • Parenting
  • Humans
  • Family Studies
  • Child, Preschool
  • Child Abuse
  • Child
  • Adverse Childhood Experiences
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Silovsky, J., Bard, D., Owora, A. H., Milojevich, H., Jorgensen, A., & Hecht, D. (2023). Risk and Protective Factors Associated with Adverse Childhood Experiences in Vulnerable Families: Results of a Randomized Clinical Trial of SafeCare®. Child Maltreatment, 28(2), 384–395. https://doi.org/10.1177/10775595221100723
Silovsky, Jane, David Bard, Arthur H. Owora, Helen Milojevich, Ashley Jorgensen, and Debra Hecht. “Risk and Protective Factors Associated with Adverse Childhood Experiences in Vulnerable Families: Results of a Randomized Clinical Trial of SafeCare®.Child Maltreatment 28, no. 2 (May 2023): 384–95. https://doi.org/10.1177/10775595221100723.
Silovsky J, Bard D, Owora AH, Milojevich H, Jorgensen A, Hecht D. Risk and Protective Factors Associated with Adverse Childhood Experiences in Vulnerable Families: Results of a Randomized Clinical Trial of SafeCare®. Child Maltreatment. 2023 May;28(2):384–95.
Silovsky, Jane, et al. “Risk and Protective Factors Associated with Adverse Childhood Experiences in Vulnerable Families: Results of a Randomized Clinical Trial of SafeCare®.Child Maltreatment, vol. 28, no. 2, May 2023, pp. 384–95. Epmc, doi:10.1177/10775595221100723.
Silovsky J, Bard D, Owora AH, Milojevich H, Jorgensen A, Hecht D. Risk and Protective Factors Associated with Adverse Childhood Experiences in Vulnerable Families: Results of a Randomized Clinical Trial of SafeCare®. Child Maltreatment. 2023 May;28(2):384–395.
Journal cover image

Published In

Child Maltreatment

DOI

EISSN

1552-6119

ISSN

1077-5595

Publication Date

May 2023

Volume

28

Issue

2

Start / End Page

384 / 395

Related Subject Headings

  • Substance-Related Disorders
  • Protective Factors
  • Parents
  • Parenting
  • Humans
  • Family Studies
  • Child, Preschool
  • Child Abuse
  • Child
  • Adverse Childhood Experiences