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Published on: September 19, 2019
Team-based parent training by child specialists helps maltreated children
Hiroyuki Yokoyama1,2,3, Yayoi Tomizawa1,4, Yoshinori Sato1,5
1School of Nursing, Yamagata University Faculty of Medicine, Yamagata, Japan.
Parent training (PT) by child specialists (CS) effectively improved social behavior and secure attachment in maltreated children. Early intervention is key for successful outcomes, especially in younger children.
Area of Science:
- Child Psychology
- Attachment Theory
- Intervention Studies
Background:
- Maltreatment in children can lead to aberrant social behavior and insecure attachment.
- Child specialists (CS) can play a role in promoting secure attachment.
- A team approach involving CS is being investigated for its effectiveness.
Purpose of the Study:
- To assess the effects of a parent training (PT) technique delivered by child specialists (CS).
- To evaluate the promotion of secure attachment in children with behavioral abnormalities due to maltreatment.
- To examine the efficacy of a team approach in implementing the PT technique.
Main Methods:
- Child abuse was confirmed by CS using Japanese Ministry of Health, Labour and Welfare criteria.
- CS, including teachers and co-workers, received PT training.
- Intervention involved classroom management and individualized instruction to foster secure attachments.
Main Results:
- Behavioral abnormalities resolved in 7 of 12 cases after 2-4 years of intervention.
- Improvements were noted at school, though some children continued to exhibit issues at home.
- Most children met alternative criteria for attachment disorder; one met DSM-IV-TR criteria for reactive attachment disorder.
- Intervention was more effective in preschool-aged children than school-aged children.
Conclusions:
- Parent training (PT) by child specialists (CS) in a team approach may effectively foster secure attachment in maltreated children.
- Early detection and intervention are crucial for addressing behavioral abnormalities in maltreated children.
- The PT technique shows promise for improving social behavior and attachment in this population.
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