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Sharon, I'm dealing with these same issues. There is the
Old's article addressing this topic.
With regard to our HFA program, we have two comparison groups,
one receiving a different treatment and the second receiving only community
referrals. Unfortunately, we do not have a big enough n in either
comparison group yet. I discussed this issue with Deborah Daro some time
ago searching for similar high-risk groups with which to compare our data but
was unsuccessful in finding such a group. When asked about the rate, I talk
about the rate in our very high risk population compared to the rate in the
general population with lots of emphasis on our inability to make direct
comparisons. Although I have not had the time to do so, perhaps we could
look back at the literature on the screening instrument and see if it would
provide any predictive rates.
With regard to consent, we indicated in our original consent
form that we would follow the children for 5 years. Parents had to sign a
separate line giving us consent to search the central records. In our
searches, we look for records pertaining to the mother, the father (if we have
permission), and the child in the program. Therefore, if the parent had
maltreated a child other than the target child, we should get that
information. Again, this brings up different issues with regard to program
evaluation.
I'll be interested to see other responses to your
questions.
Sally Martin
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