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Published on: September 19, 2019
The effect of Early Head Start on child welfare system involvement: A first look at longitudinal child maltreatment
Beth L Green1, Catherine Ayoub2, Jessica Dym Bartlett3
1Center for the Improvement of Child and Family Studies, Portland State University, P.O. Box 751, Portland, OR 97207-07541, United States.
Insights
Early Head Start (EHS) programs show promise in reducing child maltreatment. Children in EHS had fewer child welfare encounters and less substantiated physical or sexual abuse by age nine.
Area of Science:
- Child development
- Public health
- Social policy
Background:
- Child maltreatment has significant societal and personal costs, necessitating effective early prevention.
- Early Head Start (EHS) is a large federal program for low-income families with young children, shown effective for parent/child outcomes.
- EHS's impact on reducing child maltreatment has not been previously assessed.
Purpose of the Study:
- To examine the impact of Early Head Start (EHS) on documented child abuse and neglect.
- To assess EHS's effectiveness in preventing child maltreatment among low-income populations.
Main Methods:
- Utilized administrative data from state child welfare agencies.
- Analyzed data from seven of the original seventeen Early Head Start national randomized controlled trial programs.
- Examined child welfare encounters and substantiated abuse/neglect reports for children aged five to nine years.
Main Results:
- Children participating in EHS had significantly fewer child welfare encounters between ages five and nine compared to the control group.
- EHS participation was associated with a slower rate of subsequent child welfare encounters.
- Children in EHS were less likely to have substantiated physical or sexual abuse reports but more likely to have substantiated neglect reports.
Conclusions:
- Early Head Start (EHS) may be effective in reducing overall child maltreatment among low-income children.
- EHS appears particularly effective in reducing physical and sexual abuse.
- Further research into EHS's nuanced effects on different types of maltreatment is warranted.
Abstract:
The high societal and personal costs of child maltreatment make identification of effective early prevention programs a high research priority. Early Head Start (EHS), a dual generational program serving low-income families with children prenatally through age three years, is one of the largest federally funded programs for infants and toddlers in the United States. A national randomized trial found EHS to be effective in improving parent and child outcomes, but its effectiveness in reducing child maltreatment was not assessed. The current study used administrative data from state child welfare agencies to examine the impact of EHS on documented abuse and neglect among children from seven of the original seventeen programs in the national EHS randomized controlled trial. Results indicated that children in EHS had significantly fewer child welfare encounters between the ages of five and nine years than did children in the control group, and that EHS slowed the rate of subsequent encounters. Additionally, compared to children in the control group, children in EHS were less likely to have a substantiated report of physical or sexual abuse, but more likely to have a substantiated report of neglect. These findings suggest that EHS may be effective in reducing child maltreatment among low-income children, in particular, physical and sexual abuse.
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