PSYCH  Vol.8 No.14 , December 2017
Using Evidence Based Home Visiting for Preventing Intergenerational Adverse Childhood Experiences
A body of literature has amassed in recent years examining risk factors and outcomes for children who have experienced various forms of trauma. Childhood maltreatment in various forms has commonly been termed adverse childhood experiences (ACEs), which are severe enough to negatively impact mental and physical health in both childhood and adulthood, as well as lead to a variety of undesirable life outcomes for affected adults. Less has been studied regarding the cyclical nature of child maltreatment and the effects that parents’ own history of childhood trauma may have on their children’s experience of trauma. Recent research has evaluated intervention strategies such as evidence-based home visiting (EBHV) programs for mothers and infants/toddlers that address this phenomenon and aims to interrupt the cycle of maltreatment. The benefits of home visiting will be reviewed and policy and cost implications related to preventive intervention are discussed.
Cite this paper
Phillips, M. , McDonald, T. and Kishbaugh, D. (2017) Using Evidence Based Home Visiting for Preventing Intergenerational Adverse Childhood Experiences. Psychology, 8, 2516-2533. doi: 10.4236/psych.2017.814159.
[1]   Afifi, T. O., & MacMillan, H. L. (2011). Resilience Following Child Maltreatment: A Review of Factors. Canadian Journal of Psychiatry, 56, 266-272.

[2]   Ainsworth, M. D. (1985). Patterns of Infant-Mother Attachments: Antecedents and Effects on Development. New York Academy of Medicine, Bulletin, 61, 771-791.

[3]   Anda, R. F., Felitti, V. J., Bremner, J. D., Walker, J. D., Whitfield, C., Perry, B. D., Giles, W. H. et al. (2006). The Enduring Effects of Abuse and Related Adverse Experiences in Childhood: A Convergence of Evidence from Neurobiology and Epidemiology. European Archives of Psychiatry and Clinical Neuroscience, 256, 174-186.

[4]   Anderson, J. P. and Blosnich, J. (2013). Disparities in Adverse Childhood Experiences among Sexual Minority and Heterosexual Adults: Results from a Multi-State Probability-Based Sample. Plos One, 8, e54691.

[5]   Anderson, S. L., Tomada, A., Vincow, E. S., Valente, E., Polcari, A., & Teicher, M. H. (2008). Preliminary Evidence for Sensitive Periods in the Effect of Childhood Sexual Abuse on Regional Brain Development. Journal of Neuropsychiatry & Clinical Neurosciences, 20, 292-301.

[6]   Aos, S., Lieb, R., Mayfield, J., Miller, M., & Pennucci, A. (2004). Benefits and Costs of Prevention and early Intervention Programs for Youth (04-07) (pp. 3901). Olympia, WA: Washington State Institute for Public Policy.

[7]   Appleyard, K., Egeland, B., Van Dulmen, M. H. M, & Sroufe, L. A. (2005). When More Is Not Better: The Role of Cumulative Risk in Child Behavior Outcomes. Journal of Child Psychology and Psychiatry, 46, 235-245.

[8]   Bifulco, A., Moran, P. M., Ball, C., Jacobs, C., Baines, R., Bunn, A., & Cavagin, J. (2002). Childhood Adversity, Parental Vulnerability and Disorder: Examining Inter-Generational Transmission of Risk. Journal of Child Psychology and Psychiatry, 43, 1075-1086.

[9]   Black, M. M., Dubowitz, H., Krishnakumar, A., & Starr, R. H. (2007). Early Intervention and Recovery among Children with Failure to Thrive: Follow-Up at Age 8. Pediatrics, 120, 59-69.

[10]   Bowlby, J. (1951). Maternal Care and Mental Health. Bulletin of the World Health Organization, 3, 355-534.

[11]   Brown, M. J., Thacker, L. R., & Cohen, S. A. (2013). Association between Adverse Childhood Experiences and Diagnosis of Cancer. Plos One, 8, No. 6.

[12]   Centers for Disease Control and Prevention (2014). Injury Prevention & Control: Division of Violence Prevention.

[13]   Chapman, D. P., Wheaton, A. G., Anda, R. F., Croft, J. B., Edwards, V. J., Liu, Y., Perry, G. S. et al. (2011). Adverse Childhood Experiences and Sleep Disturbances in Adults. Sleep Medicine, 12, 773-779.

[14]   Chartier, M. J., Walker, J. R., & Naimark, B. (2010). Separate and Cumulative Effects of Adverse Childhood Experiences in Predicting Adult Health and Health Care Utilization. Child Abuse & Neglect, 34, 454-464.

[15]   Curtis, G. C. (1963). Violence Breeds Violence—Perhaps? American Journal of Psychiatry, 120, 386-387.

[16]   Dalziel, K., & Segal, L. (2012). Home Visiting Programmes for the Prevention of Child Maltreatment: Cost-Effectiveness of 33 Programmes. Archives of Disease in Childhood, 97, 787-798.

[17]   Dannerbeck, A. M. (2005). Differences in Parenting Attributes, Experiences, and Behaviors or Delinquent Youth with and without a Parental History of Incarceration. Youth Violence and Juvenile Justice, 3, 199-213.

[18]   De Bellis, M. D., Keshavan, M. S., Clark, D. B., Casey, B. J., Giedd, J. N., Boring, A. M., Ryan, N. D. et al. (1999). Developmental Traumatology Part II: Brain Development. Biological Psychiatry, 45, 1271-1284.

[19]   Fang, X., Brown, D. S., Florence, C. S., & Mercy, J. A. (2012). The Economic Burden of Child Maltreatment in the United States and Implications for Prevention. Child Abuse & Neglect, 36, 156-165.

[20]   Felitti, V. J., Anda, R. F, Nordenberg, D., Williamson, D. F., Spitz, A. M., Edwards, V., Marks, J. S. et al. (1998). Relationship of Childhood Abuse and Household Dysfunctionto Many Leading Causes of Deaths in Adults; the Adverse Childhood Experiences (ACE) Study. American Journal of Preventative Medicine, 14, 245-258.

[21]   Ford, J. D. (2005). Treatment Implications of Altered Affect Regulation and Information Processing following Child Maltreatment. Psychiatric Annals, 35, 410-419.

[22]   Gilbert, R., Widom, C., Browne, K., Fergusson, D., Webb, E., & Janson, S. (2009). Burden and Consequences of Child Maltreatment in High-Income Countries. The Lancet, 373, 68-81.

[23]   Gomby, D. S., Culross, P. L., & Behrman, R. E. (1999). Home-Visiting: Recent Program Evaluations-Analysis and Recommendations. The Future of Children, 9, 4-26.

[24]   Gregorowski, C., & Seedat, S. (2013). Addressing Childhood Trauma in a Developmental Context. Journal of Child & Adolescent Mental Health, 25, 105-118.

[25]   Guttentag, C. L., Landry, S. H., Williams, J. M., Baggett, K. M., Noria, C. W., Borkowski, J. G., Ramey, S. L. et al. (2014). “My Baby & Me”: Effects of an Early, Comprehensive Parenting Intervention on At-Risk Mothers and Their Children. Developmental Psychology, 50, 1482.

[26]   Health Federation of Philadelphia (2015). Enhanced Home Visiting Program.

[27]   Isohookana, R., Raila, K., Hakko, H., & Rasanen, P. (2013). Adverse Childhood Experiences and Suicidal Behavior of Adolescent Psychiatric Inpatients. European Adolescent and Child Psychiatry, 22, 13-22.

[28]   Kalmakis, K. A., & Chandler, E. (2014). Adverse Childhood Experiences: Toward a Clear Conceptual Meaning. Journal of Advanced Nursing, 70, 1489-1501.

[29]   Karoly, L. A., Kilburn, M. R., & Cannon, J. S. (2006). Early Childhood Interventions: Proven Results, Future Promise. Santa Monica, CA: Rand Corporation.

[30]   Kempe, C. H., Silverman, F. N., Steele, B. F., Droegemueller, W., & Silver, H. K. (1962). The Battered Child Syndrome. Journal of the American Medical Association, 181, 17-24.

[31]   Kilburn, M. R., & Karoly, L. A. (2008). The Economics of Early Childhood Policy: What the Dismal Science Has to Say about Investing in Children. Occasional Paper, RAND Corporation.

[32]   Kreidler, M., & Kurzawa, C. (2009). Trauma Spectrum Disorders. Journal of Psychosocial Nursing and Mental Health Services, 47, 26-33.

[33]   Krugman, S. D., Lane, W. G., & Walsh, C. M. (2007). Update on Child Abuse Prevention. Current Opinion in Pediatrics, 19, 711-718.

[34]   Langeland, W., & Dijkstra, S. (1995). Breaking the Intergenerational Transmission of Child Abuse: Beyond the Mother-Child Relationship. Child Abuse Review, 4, 4-13.

[35]   Mersky, J. P., Topitzes, J., & Reynolds, A. J. (2013). Impacts of Adverse Childhood Experiences on Health, Mental Health, and Substance Use in Early Adulthood: A Cohort Study of an Urban, Minority Sample in the U.S. Child Abuse & Neglect, 37, 917-925.

[36]   Mikton, C., & Butchart, A. (2009). Child Maltreatment Prevention: A Systematic Review of Reviews. Bulletin of the World Health Organization, 87, 353-361.

[37]   National Commission to Prevent Infant Mortality (1989). Home Visiting: Opening Doors for America’s Pregnant Women and Children. Washington DC: National Commission to Prevent Infant Mortality.

[38]   Norris, C. M. (1982). Concept Clarification in Nursing. Rockville, MD: Aspen Systems Corporation.

[39]   O’Connor, E. E., Collins, B. A., & Supplee, L. (2012). Behavior Problems in Late Childhood: The Roles of Early Maternal Attachment and Teacher-Child Relationship Trajectories. Attachment & Human Development, 14, 265-288.

[40]   Olds, D. L., Sadler, L., & Kitzman, H. (2007). Programs for Parents of Infants and Toddlers: Recent Evidence from Randomized Trials. Journal of Child Psychology and Psychiatry, 48, 355-391.

[41]   Olds, D., Henderson, C. R., Cole, R., Eckenrode, J., Kitzman, H., Luckey, D., Powers, J. et al. (1998). Long-Term Effects of Nurse Home Visitation on Children’s Criminal and Antisocial Behavior: 15-Year Follow-Up of a Randomized Controlled Trial. Journal of American Medical Association, 280, 1238-1244.

[42]   Page, T. (1999). The Attachment Partnership as Conceptual Base for Exploring the Impact of Child Maltreatment. Child and Adolescent Social Work Journal, 16, 419-437.

[43]   Park, B. (2008). The Earlier, the Better: Early Intervention Programs for Infants and Toddlers at Risk. Dimensions of Early Childhood, 36, 3.

[44]   Pears, K. C., & Capaldi, D. M. (2001). Intergenerational Transmission of Abuse: A Two-Generational Prospective Study of an At-Risk Sample. Child Abuse & Neglect, 25, 1439-1461.

[45]   Putnam, F. W. (2006). The Impact of Trauma on Child Development. Juvenile and Family Court Journal, 57, 1-11.

[46]   Reiser, S. J., McMillan, K. A., Wright, K. D., & Asmundson, G. J. G. (2014). Adverse Childhood Experiences and Health Anxiety in Adulthood. Child Abuse and Neglect, 38, 407-413.

[47]   Repetti, R. L., Taylor, S. E., & Seeman, T. E. (2002). Risky Families: Family Social Environments and the Mental and Physical Health of Offspring. Psychological Bulletin, 128, 330-366.

[48]   Rodriguez, A., Southam-Gerow, M. A., O’Connor, M. K., & Allin, R. B. (2014). An Analysis of Stakeholder Views on Children’s Mental Health Services. Journal of Clinical Child & Adolescent Psychology, 43, 862-867.

[49]   Rubin, D., Lane, W., & Ludwig, S. (2001). Child Abuse Prevention. Current Opinion in Pediatrics, 13, 388-401.

[50]   Rutter, M., & Quinton, D. (1977). Psychiatric Disorder: Ecological Factors and Concepts of Causation. In McGurk (Ed.), Ecological Factors in Human Development (pp. 173-187). Amsterdam: North Holland.

[51]   Sameroff, A. J. (2000). Developmental Systems and Psychopathology. Development and Psychopathology, 12, 297-312.

[52]   Schenwald, S. K., & Hoagwood, K. (2001). Effectiveness, Transportability, and Dissemination of Interventions: What Matters, When? Psychiatric Services, 52, 1190-1197.

[53]   Schilling, E. A., Aseltine, R. H., & Gore, S. (2007). Adverse Childhood Experiences and Mental Health in Young Adults: A Longitudinal Survey. BMC Public Health, 7, 30-40.

[54]   Shemmings, D., & Shemmings, Y. (2011). Understanding Disorganized Attachment: Theory and Practice for Working with Children and Adults. London: Jessica Kingsley Publishers.

[55]   Shemmings, D., Shemmings, Y., & Cook, A. (2012). Gaining the Trust of “Highly Resistant” Families: Insights from Attachment Theory and Research. Child and Family Social Work, 17, 130-137.

[56]   Stith, S. M., Rosen, K. H., Middleton, K. A., Busch, A. L., Lundeberg, K., & Carlton, R. P. (2000). The Intergenerational Transmission of Spouse Abuse: A Meta-Analysis. Journal of Marriage and Family, 62, 640-654.

[57]   Sweet, M. A., & Appelbaum, M. I. (2004). Is Home Visiting an Effective Strategy? A Meta-Analytic Review of Home Visiting Programs for Families with Young Children. Child Development, 75, 1435-1456.

[58]   Taylor, S. E., Lerner, J. S., Sage, R. M., Lehman, B. J., & Seeman, T. E. (2004). Early Environment, Emotions, Responses to Stress, and Health. Journal of Personality, 72, 1365-1394.

[59]   The American Academy of Pediatrics Council on Child and Adolescent Health (1998). The Role of Home-Visitation Programs in Improving Health Outcomes for Children and Families. Pediatrics, 101, 486-489.

[60]   U.S. Advisory Board on Child Abuse and Neglect (1991). Creating Caring Communities: Blueprint for an Effective Federal Policy on Child Abuse and Neglect. Washington DC: U.S. Government Printing Office.

[61]   Weitzman, J., & Cook, R. E. (1986). Attachment Theory and Clinical Implications for At-Risk Children. Child Psychiatry and Human Development, 17, 95-103.

[62]   Widom, C. S., Czaja, S. J., & Dumont, K. A. (2015). Intergenerational Transmission of Child Abuse and Neglect: Real or Detection Bias? Science, 347, 1480-1485.