Early Head Start service use by families with court-substantiated maltreatment

Alayna Schreier, Kelsey McCoy, Mary Fran Flood, Brian L. Wilcox, David J. Hansen

Research output: Contribution to journalArticle

Abstract

Early Head Start (EHS) is an evidence-based intervention program for at-risk children birth through three that seeks to improve child and family well-being. There is little research to date examining the prevalence of child maltreatment among families enrolled in EHS and the extent to which maltreatment is associated with receipt of programs and services available to EHS families. This study sought to (a) identify the prevalence of court-substantiated maltreatment in EHS families; and (b) determine the association between substantiated maltreatment and use of EHS program and community-linked services. To answer these questions, archival program and clinical service records and juvenile court records on 743 EHS families were extracted and analyzed. Negative binomial and logistic regression models examined the relationship between court-substantiated maltreatment and use of program and community-linked services. Overall, 14.9% of enrolled families had a court-substantiated case of maltreatment. Presence of a maltreatment record was differentially associated with use of program services, including overall number of home visits (β = −0.16, p = 0.014, 95% CI [−0.28, −0.03]) and receipt of Child Abuse Prevention Services (OR = 7.21, 95% CI [3.21, 16.21]), Domestic Violence Assistance (OR = 5.88, 95% CI [2.55, 13.53]), and English as a Second Language (OR = 0.26, 95% CI [0.11, 0.63]. Children and families served by EHS experience maltreatment at higher rates than the general population. There is a need to develop strategies to explicitly target families who experience child maltreatment. Implications for serving and engaging high-risk families in EHS are discussed.

Original languageEnglish (US)
Article number104602
JournalChildren and Youth Services Review
Volume108
DOIs
StatePublished - Jan 2020

Keywords

  • Child maltreatment
  • Early Head Start (EHS)
  • Engagement
  • Service use

ASJC Scopus subject areas

  • Education
  • Developmental and Educational Psychology
  • Sociology and Political Science

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