An Attachment-Based Parental Capacity Assessment to Orient Decision-Making in Child Protection Cases: A Randomized

Chantal Cyr1,2, Karine Dubois-Comtois3,4, Daniel Paquette2,5

  • 1Department of Psychology, 229169Université du Québec à Montréal, Québec, Canada.

Child Maltreatment
|October 28, 2020
PubMed

Insights

Parenting capacity assessments (PCAs) with embedded interventions improved parent-child interactions. Attachment Video-feedback (AVI) showed the most significant gains, aiding placement decisions and predicting reduced maltreatment re-reports.

Area of Science:

  • Child Welfare Research
  • Developmental Psychology
  • Family Studies

Background:

  • Child protective services investigations for maltreatment necessitate accurate parenting capacity assessments (PCAs).
  • Parenting interventions integrated into assessments may enhance parenting skills and inform placement decisions.

Purpose of the Study:

  • To evaluate two PCAs with embedded interventions for their effectiveness in assessing parenting capacity.
  • To determine if PCAs can orient child placement decisions and predict future child maltreatment.

Main Methods:

  • Sixty-nine parents with substantiated maltreatment reports and their children (0-6) were randomized into two PCA groups: Attachment Video-feedback (PCA-AVI) or psychoeducational intervention (PCA-PI).
  • Parent-child interaction quality was assessed pre- and post-intervention.
  • Evaluators' conclusions on parenting capacity were correlated with interaction improvements, court placement decisions, and child welfare re-reports.

Main Results:

  • The PCA-AVI group demonstrated the greatest improvement in parent-child interaction quality.
  • Evaluators' conclusions in both groups correlated with interaction improvements, immediate placement decisions, and one-year placement outcomes.
  • Only PCA-AVI evaluator conclusions predicted reduced child maltreatment re-reports in the subsequent year.

Conclusions:

  • Parenting capacity assessments incorporating brief attachment-based interventions are effective tools for evaluating parenting potential.
  • PCA-AVI shows particular promise in improving parent-child interactions and predicting reduced risk of future maltreatment.
  • These findings support the use of integrated interventions within PCAs to guide child placement decisions.

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