Evaluation of a preventive intervention for maltreated infants and toddlers in foster care.
OBJECTIVE
To determine the effectiveness of an intervention designed to improve outcomes for infants and toddlers in foster care.


METHODS
Records were reviewed for all children who were adjudicated as in need of care in a specific parish in Louisiana between 1991 and 1998. This period included 4 years before and 4 years after a comprehensive intervention was implemented. Children adjudicated between 1991 and 1994 were the comparison group, and those adjudicated between 1995 and 1998 were the intervention group.


RESULTS
After the intervention, more children were freed for adoption and fewer children were returned to their birth families than before the intervention. There was no difference in length of time in care before and after the intervention. With regard to the same child returning in a subsequent incident of maltreatment, relative risk reduction for the intervention group ranged from 53% to 68%. With regard to the same mother maltreating another child subsequently, relative risk reduction for the intervention group ranged from 63% to 75%.


CONCLUSIONS
A comprehensive preventive intervention for maltreated infants and toddlers in foster care substantially reduced rates of recidivism but had no effect on length of time in care.
Zeanah
C H
CH
Section of Child and Adolescent Psychiatry, Tulane University School of Medicine, New Orleans, USA. czeanah@tulane.edu
Larrieu
J A
JA
Heller
S S
SS
Valliere
J
J
Hinshaw-Fuselier
S
S
Aoki
Y
Y
Drilling
M
M
D002649:Child Abuse / Q000523:psychology / Q000534:rehabilitation*; D002675:Child, Preschool; D005196:Family Therapy; D005260:Female; D005581:Foster Home Care; D006801:Humans; D007223:Infant; D008145:Louisiana; D008297:Male; D015999:Multivariate Analysis; D012008:Recurrence; D013997:Time Factors