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Early Start Program Analysis

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Similar to the NFP, other current home visitation services actively support and encourage mentoring of non-punitive parenting skills, family planning, budgeting, and sensitivity training, as a means to reduce child abuse. The Early Start program, first created in New Zealand in the mid-1990s, targeted at-risk families with tailored solutions via initial needs assessments and aimed to “provide families with sources of assistance, support, empowerment, and advice…during the preschool years” on topics that also included positive health behaviors and stress reduction techniques. Much like the NFP, the program is delivered by a highly educated staff of nurses and social workers that interact directly with parents and family members at various …show more content…

Above, Chaffin cites the indirect and long-term effects of HV programs that seem less significant, however, Fang contends that “compared to nonvictims of child maltreatment, victims of child maltreatment are more likely to perpetrate youth violence (a likelihood increase ranging from −1.2% to 6.6% for females and 3.7% to 11.9% for males).” Thus, even a modest decrease in CM incidence could have a large impact on many forms of violence in adulthood, which certainly affects long-term social welfare and imprisonment costs. It is true that Chaffin and Peacock point out the challenges of universal HV program implementation, however, it is more evident that selective programs that are selective towards a strictly confined to specific at-risk subpopulations and use professional staff is more effective at reducing CM than those that employ paraprofessional staff and tend to be universal in design, which composes most of the studies mentioned by Chaffin and Peacock. Not only has the NFP been rigorously tested internally by its own researchers, it has been replicated numerous times and was determined by Coalition for Evidence-Based Policy’s as “Top Tier” because of its reduction in child abuse and economic returns. In light of these data, it becomes …show more content…

Highly selective and evidence-based home visitation programs that use professional staff show the most promise among low-income at-risk first-time mothers at reducing child maltreatment and intergenerational violence and are ideal for cost-reduction. Not only are these programs preventive and proactive, they seek to empower, engage, and educate mothers on parenting and problem-solving skills to prevent child abuse in the first place. Due to its history of long-term effectiveness and sustainability, the NFP should be the model for which all further expanded programs to be based on. Policymakers should more robustly advocate for health professional training of staff on identifying and mentoring at-risk populations and garner support for increased investment in the capacity-building necessary for widespread dissemination of selective home visit

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