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Community-based interventions in mental health represent a paradigm shift from institution-centered care to treatments embedded within the fabric of local communities. By prioritizing inclusion and leveraging existing societal structures, this approach fosters a supportive environment conducive to addressing mental health challenges while promoting individual dignity and agency.
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A community-based parent-support programme to prevent child maltreatment: Protocol for a randomised controlled trial.

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Summary

The Children At Risk Model (ChARM) intervention shows promise in preventing child abuse and neglect by coordinating evidence-based programs. This study evaluates ChARM

Keywords:
Child maltreatmentchild abuse and neglectfamilyparentingwraparound

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Area of Science:

  • Public Health
  • Child Development
  • Social Work

Background:

  • Child abuse and neglect pose significant global public health challenges with lasting adverse outcomes.
  • Families at risk require comprehensive support systems to address complex needs.
  • Existing interventions may not fully address the multifaceted nature of child maltreatment risk.

Purpose of the Study:

  • To evaluate the effectiveness of the Children At Risk Model (ChARM), a wraparound-inspired intervention, in preventing child abuse and neglect.
  • To assess the impact of ChARM on child maltreatment incidence, behavior, and wellbeing.
  • To examine secondary outcomes including parent-child relationships, parental stress, and mental health.

Main Methods:

  • A multi-centre, randomized controlled trial (RCT) involving 50 families with children aged 3-11 years at risk of maltreatment.
  • Families were randomized (1:1) to either the 20-week ChARM program or standard care.
  • Embedded economic and process evaluations were conducted, with assessments at baseline, 6, and 12 months.

Main Results:

  • The study is ongoing; results are pending.
  • The ChARM intervention integrates evidence-based parenting and home-visiting programs with community support.
  • This trial represents the first evaluation of a wraparound-inspired intervention for preventing child abuse and neglect in intact families.

Conclusions:

  • The findings will contribute to the development and evaluation of effective interventions for child abuse and neglect prevention.
  • This study offers a unique contribution to understanding wraparound-inspired approaches in child welfare.
  • Further research is needed to confirm the long-term impact and scalability of the ChARM program.