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Promoting birth parents' relationships with their toddlers upon reunification: Results from Promoting First Relationships® home visiting program

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  • Oxford, Monica L.
  • Marcenko, Maureen
  • Fleming, Charles B.
  • Lohr, Mary Jane
  • Spieker, Susan J.

Abstract

Birth parents, once reunified with their child after a foster care placement, are in need of in-home support services to prevent reoccurrence of maltreatment and reentry into foster care, establish a strong relationship with their child, and enhance child well-being. Few studies have addressed the efficacy of home visiting services for reunified birth parents of toddlers. This study reports on the findings from a randomized control trial of a 10-week home visiting program, Promoting First Relationships® (Kelly, Sandoval, Zuckerman, & Buehlman, 2008), for a subsample of 43 reunified birth parents that were part of the larger trial. We describe how the elements of the intervention align with the needs of parents and children in child welfare. Although the sample size was small and most of the estimates of intervention effects were not statistically significant, the effect sizes and the pattern of results suggest that the intervention may have improved both observed parenting sensitivity and observed child behaviors as well as decreased parent report of child behavior problems. Implications are that providing in-home services soon after a reunification may be efficacious in strengthening birth parents' capacity to respond sensitively to their children as well as improving child social and emotional outcomes and well-being.

Suggested Citation

  • Oxford, Monica L. & Marcenko, Maureen & Fleming, Charles B. & Lohr, Mary Jane & Spieker, Susan J., 2016. "Promoting birth parents' relationships with their toddlers upon reunification: Results from Promoting First Relationships® home visiting program," Children and Youth Services Review, Elsevier, vol. 61(C), pages 109-116.
    • Handle: RePEc:eee:cysrev:v:61:y:2016:i:c:p:109-116
    DOI: 10.1016/j.childyouth.2015.12.004
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    References listed on IDEAS

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    1. Fuller, Tamara L., 2005. "Child safety at reunification: A case-control study of maltreatment recurrence following return home from substitute care," Children and Youth Services Review, Elsevier, vol. 27(12), pages 1293-1306, December.
    2. Kimberlin, Sara E. & Anthony, Elizabeth K. & Austin, Michael J., 2009. "Re-entering foster care: Trends, evidence, and implications," Children and Youth Services Review, Elsevier, vol. 31(4), pages 471-481, April.
    3. Shaw, Terry V., 2006. "Reentry into the foster care system after reunification," Children and Youth Services Review, Elsevier, vol. 28(11), pages 1375-1390, November.
    4. Jonson-Reid, Melissa, 2003. "Foster Care and Future Risk of Maltreatment," Children and Youth Services Review, Elsevier, vol. 25(4), pages 271-294, April.
    5. Miller, Keith A. & Fisher, Philip A. & Fetrow, Becky & Jordan, Kathy, 2006. "Trouble on the journey home: Reunification failures in foster care," Children and Youth Services Review, Elsevier, vol. 28(3), pages 260-274, March.
    6. Spieker, Susan J. & Oxford, Monica L. & Fleming, Charles B., 2014. "Permanency outcomes for toddlers in child welfare two years after a randomized trial of a parenting intervention," Children and Youth Services Review, Elsevier, vol. 44(C), pages 201-206.
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    1. Finster, Heather P. & Norwalk, Kate E., 2021. "Characteristics, experiences, and mental health of children who re-enter foster care," Children and Youth Services Review, Elsevier, vol. 129(C).
    2. Alto, Michelle E. & Petrenko, Christie L.M., 2017. "Fostering secure attachment in low- and middle-income countries: Suggestions for evidence-based interventions," Evaluation and Program Planning, Elsevier, vol. 60(C), pages 151-165.
    3. Akin, Becci A. & Lang, Kyle & Yan, Yueqi & McDonald, Thomas P., 2018. "Randomized trial of PMTO in foster care: 12-month child well-being, parenting, and caregiver functioning outcomes," Children and Youth Services Review, Elsevier, vol. 95(C), pages 49-63.
    4. Burke, John & Fitzhenry, Mark & Houghton, Sharon & Fortune, Donal G., 2021. "Breaking the cycle of intergenerational trauma: Evaluating the impact of parental adverse childhood experiences on parenting group outcomes using a mixed-methods approach," Children and Youth Services Review, Elsevier, vol. 130(C).

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