title: Physical abuse in children under two: a study of therapeutic outcomes.
abstract: This study of physical abuse to children under the age of 2 addresses the prognosis of the family, compliance with treatment recommendations and the long term outcome of the child. Data were collected from a multidisciplinary evaluation team and from the Department of Human Services' records on 71 children. Nearly all families were referred for mental health counseling and parent training, but only 33% complied. Half of the children were abused more than once; 30% were abused after referral for counseling. The incidence of reabuse was unrelated to compliance with counseling. The majority of children had some out-of-home placement with a mean time in foster care of 11 months and in care of relatives for 24.4 months. In 69% of families, more than one child was abused. At the time of follow-up, 41% of children and 47% of siblings were not living with either parent. Half of the families were judged to be functioning poorly and only nine had made good progress in counseling.
mesh_terms: D002649:Child Abuse / Q000517:prevention & control*; D002675:Child, Preschool; D003376:Counseling; D005500:Follow-Up Studies; D006801:Humans; D007223:Infant; D010290:Parents / Q000193:education; D010348:Patient Care Team; D010349:Patient Compliance; D011613:Psychotherapy; D012008:Recurrence; D013714:Tennessee