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Abstract
ABSTRACTEven though Parenting Capacity Assessments (PCAs) are essential for child protection services to support placement decisions for maltreating families, presently no evidence‐based PCA protocols are available. In this randomized controlled trial, we tested the quality of an attachment‐based PCA protocol based on Video‐feedback Intervention to promote Positive Parenting and Sensitive Discipline (VIPP‐SD). We recruited 56 parent‐child dyads (M age children = 3.48 years) in Dutch family residential clinics that conduct PCAs to support placement decisions. After pretest, families were randomized to receive the Regular Assessment Procedure (RAP) (n = 28), or an additional assessment based on VIPP‐SD (n = 28). An immediate post‐test and a 10‐month follow‐up were conducted. Multilevel models showed that therapists felt equally confident about their recommendations regarding child placement for both groups and that they equally often modified their initial placement recommendations. Moreover, children in the VIPP‐SD group did not show fewer behavior problems and did not experience recurring child maltreatment less often than children in the RAP group. Thus, we found no evidence that PCAs incorporating the VIPP‐SD protocol outperformed PCAs as usual. We discuss possible explanations why in the current study VIPP‐SD did not seem to add to the quality of the RAP.
Highlights
Child maltreatment constitutes a major public health concern; it affects millions of children worldwide and is associated with a broad spectrum of negative and long-lasting developmental outcomes (Gilbert et al, 2009)
This study was among the first to investigate through an randomized controlled trial (RCT) whether the quality of placement decisions for maltreating families could be improved by implementing a structured, attachment-based parenting capacities (PCAs)
We investigated this in four Dutch family residential clinics that conducted PCAs in the context of a potential out-ofhome placement decision–a setting that is unique in the Dutch child protection system
Summary
Child maltreatment constitutes a major public health concern; it affects millions of children worldwide and is associated with a broad spectrum of negative and long-lasting developmental outcomes (Gilbert et al, 2009). When child maltreatment is suspected or substantiated in a family, child protection services may consider out-of-home placement. One proposal for improved PCA protocols is that parenting capacities should be evaluated based on parents’ response to an evidence-based intervention (Harnett, 2007). Building on this proposal and existing theories regarding child maltreatment and its etiology, several researchers have suggested using an attachment-based intervention for this purpose (Cyr & Alink, 2017; Cyr et al, 2012; Lindauer, Bakermans-Kranenburg, Van IJzendoorn, & Schuengel, 2010). Parallel to a recent Canadian study (Cyr, Paquette, Dubois-Comtois, & Lopez, 2015), the current randomized controlled trial (RCT) is among the first to empirically evaluate whether the quality of placement decisions can be improved by structurally evaluating parents’ response to an attachment-based intervention
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