Re: help ASAP please

["Patricia Sherman" <pasherman@xxxxxxxxxxxxxxxx>]

You might want to look at the Healthy Start program from Hawaii.

                Breakey, G., & Pratt, B. (1991).  Healthy growth for Hawaiiâ
s ãHealthy Start:ä Toward a systematic        statewide approach to the
prevention of child abuse and neglect.  Zero to Three, 11, 16-22.

                Fuddy, L. (1992).  Hawaiiâs Healthy Startâs success.  Paper
presented at the Ninth International Congress on Child Abuse and Neglect,
Chicago, Illinois.

                Wallach, V.A., & Lister, L. (1995).  Stages in the delivery
of home-based services to parents at risk of child abuse: A Healthy Start
experience.  Scholarly Inquiry for Nursing practice: An International
Journal, 9, 159-173.

Patricia Sherman
Assistant Professor
Kean University
Union, NJ 07083
pasherman@worldnet.att.net
-----Original Message-----
From: MichaelD55@aol.com <MichaelD55@aol.com>
To: Child Maltreatment Researchers
<CHILD-MALTREATMENT-RESEARCH-L@cornell.edu>
Date: Thursday, October 14, 1999 6:30 AM
Subject: help ASAP please


>My health based, child abuse prevention program is being asked to document
>the potential effectiveness of expanding our program. We maintain a
>countywide health system for detection and reporting child abuse/neglect.
Our
>basic program includes a    -   - directory of teams
>    - protocols
>    - a data system based on reports
>    - training and technical assistance
>Most of our reports involve infants. Most hospitals and some clinics can
>follow some cases to assist with service.
>
>I want to justify a countywide program with a primary focus on physical
abuse
>and neglect of infants, prenatal substance abuse and other high risk
>pregnancies. I do not want to build an expensive "model program" that will
>not be replicated.
>    - We have a core data system based on copies of reports from multiple
>hospitals and clinics and maintain a working relationship with the more
>active hospitals.
>    - Our child fatality review system provides data fatal abuse/neglect
that
>I will use as a central measure of failure. We hope to expand this to
include
>children hospitalized for trauma (particularly head trauma)
>    - We are rebuilding a Public Health Nurse system to provide short term
>case management with some children, particularly abused and NFTT infants
and
>some pregnancies.
>    - Our mens and women's jails some strong parenting programs an
estimated
>8 - 12% pregnancy rate for women and a high rate of parent status for men
>(both have a high rate of substance abuse)
>    - We have the potential to work with our foster care system, domestic
>violence intervention system, probation, parole, law enforcement,
prosecuting
>attorneys, dependency court, drug courts, schools, preschools, child care
>(most service systems belong to our multiagency child abuse intervention
>system)
>    - We hope to develop a measure of NFTT besides growth charts
>    - We will address some measure of developmental delay
>
>Think public health. Think data driven intervention. Think physical injury
>and measurable developmental delay. Think parent child interaction. Think
of c
>lassic literature not a complex bibliography. Help and thank you.
>
>1) What literature can I reference to document the outcome of unreported
>physical abuse and neglect in young children?
>
>2) What literature can I reference to document outcome of pregnancies with
>psychosocial risk factors (not just teen pregnancy)
>
>3) What programs can I endorse that have a demonstrated effectiveness with
>infants and high risk pregnancies? (We are already building a system of
Home
>Visitation using David Olds model)
>
>Michael Durfee MD
>Los Angeles