Children's exposure to violence is common and can lead to mental health problems and delinquent behaviors. Because many interventions have focused on specific violence types or symptoms and been difficult to implement in real-world settings, the evidence base is still emerging. The Office of Juvenile Justice and Delinquency Prevention's Safe Start Promising Approaches (SSPA) initiative focused on preventing and reducing the impact of children's exposure to violence through interventions in ten diverse communities. The evaluation examined the effectiveness of the SSPA interventions to address issues for children and families exposed to violence. The ten sites were diverse in their intervention approaches, types of violence exposure targeted, and implementation settings. To evaluate each approach's effectiveness in reducing violence's harmful effects, RAND researchers partnered with the community-based sites to develop a rigorous controlled evaluation design for each intervention, with either a randomized control group or a comparison group selected on similar characteristics. The longitudinal analyses found that families in both the intervention and comparison groups had positive gains on many outcomes, but there was no evidence that the intervention groups improved more. Among those who received Safe Start services, one site produced large, significant improvements in posttraumatic stress disorder symptoms, and another site produced medium, significant effects on several outcomes (child self-control, posttraumatic stress disorder, and behavior; caregiver depression; and family conflict). Although the initiative added to knowledge about how to address the problem, there was no clear case for using a particular intervention to help these children and their families.

This report summarizes findings from federal reviews of research studies and program evaluations to help communities improve outcomes for children exposed to violence. It cites evidence-based practices that practitioners and policymakers can use to implement prevention services and activities for these children. In each case, programs and practices that are reviewed are supported by multiple research studies or program evaluations. Charts and tables. This is a print on demand edition of an important, hard-to-find report.

Each year, child protective services receive reports of child abuse and neglect involving six million children, and many more go unreported. The long-term human and fiscal consequences of child abuse and neglect are not relegated to the victims themselves-they also impact their families, future relationships, and society. In 1993, the National Research Council (NRC) issued the report, Under-standing Child Abuse and Neglect, which provided an overview of the research on child abuse and neglect. New Directions in Child Abuse and Neglect Research updates the 1993 report and provides new recommendations to respond to this public health challenge. According to this report, while there has been great progress in child abuse and neglect research, a coordinated, national research infrastructure with high-level federal support needs to be established and implemented immediately. New Directions in Child Abuse and Neglect Research recommends an actionable framework to guide and support future child abuse and neglect research. This report calls for a comprehensive, multidisciplinary approach to child abuse and neglect research that examines factors related to both children and adults across physical, mental, and behavioral health domains-including those in child welfare, economic support, criminal justice, education, and health care systems-and assesses the needs of a variety of subpopulations. It should also clarify the causal pathways related to child abuse and neglect and, more importantly, assess efforts to interrupt these pathways. New Directions in Child Abuse and Neglect Research identifies four areas to look to in developing a coordinated research enterprise: a national strategic plan, a national surveillance system, a new generation of researchers, and changes in the federal and state programmatic and policy response.

Children’s exposure to violence (CEV) in their home, their community, and our society has finally been recognized as a serious mental health, social, and public health problem. This book highlights a summary of relevant current research, practice, and policy issues. It is the third in a series to help provide current state-of-the-science information to stimulate awareness, research, and best practices in the field. This book provides chapters concerning the physiological effects of violence on children, its effects on behavioral and emotional functioning, and differences between boys and girls. Current interventions for children and families, such as innovative programs that are both home based as well as community based, are described. Promising and evidence-based practices are presented to provide the most recent approaches to helping children recover from the trauma of the abuse. The chapters in this book provide greater awareness of the issues involved with CEV, stimulate additional research, improve practice techniques, lead to more evidence-based programs for both intervention as well as prevention, and help initiate a national priority to eliminate violence in the home and community. This book was published as a special issue of the Journal of Emotional Abuse.

Children’s exposure to violence (CEV) in their home, their community, and our society has finally been recognized as a serious mental health, social, and public health problem. This book highlights a summary of relevant current research, practice, and policy issues. It is the third in a series to help provide current state-of-the-science information to stimulate awareness, research, and best practices in the field. This book provides chapters concerning the physiological effects of violence on children, its effects on behavioral and emotional functioning, and differences between boys and girls. Current interventions for children and families, such as innovative programs that are both home based as well as community based, are described. Promising and evidence-based practices are presented to provide the most recent approaches to helping children recover from the trauma of the abuse. The chapters in this book provide greater awareness of the issues involved with CEV, stimulate additional research, improve practice techniques, lead to more evidence-based programs for both intervention as well as prevention, and help initiate a national priority to eliminate violence in the home and community. This book was published as a special issue of the Journal of Emotional Abuse.

This timely, much-needed resource identifies gaps in our understanding of the effects of exposure to violence on children -- and sets a direction for future research to support interventions and violence prevention.;