【摘要】The problem. Child neglect affects nearly half a million children and their families each year in the United States. Victims of neglect manifest a variety of short- and long-term symptoms that dramatically reduce successful development as children and healthy living as adults. The prevalence of neglect is widely documented, yet much more research is needed to understand the complex interactions that result in situations of neglect in families. Issues such as poverty; substance abuse; parenting skills; child, parent, and environmental factors; parent-child relationships; social isolation; availability of resources; and parent motivation impact the occurrence of neglect. Treatment interventions may one day target specific deficits successfully, but current knowledge suggests the need for a comprehensive array of services that target these variables simultaneously.; Method. This project evaluated the treatment outcomes of NET (Neglect Ends Today), a broad-based service strategy conducted by Home Start, Inc., that targeted families referred for neglect in San Diego, California. Funded through the State of California Office of Criminal Justice and Planning, NET offered home-based therapy for parent and child, parent education, and Parent Child Interaction Therapy, collaborated with substance abuse treatment, made community referrals, and provided emergency assistance. Pre- and post-data were collected on participants, using the Family Risk Scales, Child Neglect Index, Parenting Stress Index, and Child Behavior Checklist. A Qualitative analysis was also conducted to assist in interpreting the results. Case files were reviewed and staff interviews conducted.; Results. Cautious support to the hypotheses is offered, using both qualitative and quantitative analysis. Severity of neglect, risk of abuse associated with the parent, stress reported by the parent, negativity in the interaction with the parent and child, and problems associated with the child were all reduced. No between-group difference was found between those referred while engaged in substance abuse day-treatment and those who were community-based, receiving no substance abuse service. Several problems associated with research protocols were evaluated and recommendations were given for further study and program modifications. The results support the application of a multidimensional approach to treating neglect with a diverse population that included substance abuse.
【摘要机译】问题。在美国，忽视儿童的行为每年影响近一半的儿童及其家庭。被忽视的受害者表现出各种短期和长期的症状，这些症状大大降低了儿童时期的成功发展和成年人的健康生活。忽视的普遍性得到了广泛的记录，但是需要更多的研究来理解导致家庭忽视的复杂相互作用。贫穷等问题；药物滥用；育儿技巧；儿童，父母和环境因素；亲子关系；社交隔离;资源的可用性；父母的动机会影响被忽视的发生。治疗干预措施可能有一天成功地针对特定的缺陷，但是目前的知识表明需要同时针对这些变量的全面服务。方法。该项目评估了NET（Neglect Ends Today）的治疗效果，NET是Home Start，Inc.开展的一项广泛的服务策略，该策略针对的是加利福尼亚州圣地亚哥被转介而忽视的家庭。 NET由加利福尼亚州刑事司法和计划办公室资助，为父母和孩子提供家庭式治疗，父母教育和“父母与孩子互动治疗”，与药物滥用治疗合作，进行社区推荐并提供紧急援助。使用家庭风险量表，儿童疏忽指数，父母压力指数和儿童行为清单对参与者收集前后数据。还进行了定性分析，以帮助解释结果。审查案卷并进行工作人员访谈。结果。使用定性和定量分析为假设提供了谨慎的支持。忽视的严重程度，与父母相关的虐待风险，父母报告的压力，与父母与孩子互动中的消极情绪以及与孩子相关的问题都得到了降低。在接受药物滥用日治疗的转诊者和以社区为基础，未接受药物滥用服务的患者之间，没有发现组间差异。评估了与研究方案相关的几个问题，并提出了进一步研究和程序修改的建议。结果支持采用多维方法来治疗包括药物滥用在内的多样化人群的忽视。