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Home Visitation Programs Lori Roggman • Nancy Cardia Editors Home Visitation Programs Preventing Violence and Promoting Healthy Early Child Development 1 3 Editors Lori Roggman Nancy Cardia Dept. Family, Consumer, and Human Center for the Study of Violence Development University of São Paulo Utah State University São Paulo Logan Brazil Utah USA Translation from the Portuguese language edition: Visitação domiciliar: promovendo o desenvolvimento e prevenindo violência e acidentes by Lori Roggman and Nancy Cardia, © EDUSP - Editora da Universidade de São Paulo 2014. All rights reserved ISBN 978-3-319-17983-4 ISBN 978-3-319-17984-1 (eBook) DOI 10.1007/978-3-319-17984-1 Library of Congress Control Number: 2015946568 Springer Cham Heidelberg New York Dordrecht London © Springer International Publishing Switzerland 2016 This work is subject to copyright. All rights are reserved by the Publisher, whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilms or in any other physical way, and transmission or information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed. The use of general descriptive names, registered names, trademarks, service marks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. The publisher, the authors and the editors are safe to assume that the advice and information in this book are believed to be true and accurate at the date of publication. Neither the publisher nor the authors or the editors give a warranty, express or implied, with respect to the material contained herein or for any errors or omissions that may have been made. Printed on acid-free paper Springer International Publishing AG Switzerland is part of Science+Business Media (www.springer.com) Preface Home visitation is a rapidly expanding approach to service delivery for families of infants and young children at risk for maltreatment or poor developmental sup- port. There is an emerging global consensus that targeting children in their early years is key to mitigating the risks associated with early aggression and develop- mental delay. Home visitation programs are increasingly used in high-risk popula- tions—typically facing multiple challenges related to poverty, mental illness, or isolation—to provide individualized services in family homes to help parents pro- vide appropriate care and developmental support to infants and young children. Re- search and program descriptions presented in this volume show how home visiting interventions can help mitigate parents’ stress, guide parents toward more positive parenting interactions, and help families move out of poverty. Parents have ben- efited from home visitation programs that have helped them educate and care for their children and develop age-appropriate strategies for regulating their children’s aggressive behavior. The success of several empirically tested home visitation programs has prompt- ed a recent expansion of funding for home visitation in the USA and in other coun- tries worldwide. The research literature, however, is still quite limited regarding the specific strategies and components of home visitation. Several researchers working in this area were invited to share their evidence-informed expertise at the interna- tional seminar on Home Visitation Programs: Preventing Violence and Promoting Healthy Early Child Development, held in 2011, in São Paulo in Brazil. Based on their presentations, these experts have written the chapters in this volume. The chapters summarize and report research on home visiting services as a means of preventing violence and promoting early child development. The chap- ters guide the planning, implementation, and improvement of home visitation to provide culturally adaptable individualized infancy and early childhood services that address the roots of violence and promote optimal development. Part I, which is a two-part introduction, provides the rationale and challenges for home visitation in a multicultural international context. Part II includes chapters about research on home visitation evidence, design, development, evaluation, and quality improve- ment. Part III includes chapters on the implementation of specific home visitation programs in different settings around the world. v vi Preface Each of the chapters in this book is based on either the implications of a particu- lar research study (e.g., Korfmacher on training paraprofessional home visitors), a review of the research literature (e.g., Innocenti on innovation in evidence-based home visiting programs), or a detailed description of tested home visiting programs (e.g., Branker and colleagues on a tested home visiting program in the Caribbean). This collection of expertise in home visitation will be especially useful not only for program designers, administrators, and policy-makers who design and implement home visiting programs but also for those in multiple disciplines—social work, psychology, special education, and early childhood—who are the researchers and evaluators studying this approach to serve families with infants and young chil- dren. It is also our hope that that this book on home visitation research and imple- mentation in the Americas provides a strong research-based foundation for students pursuing professional careers in which they will strive to reduce community and family violence by helping vulnerable families support the early development and resilience of their infants and young children. Acknowledgments We are grateful to Alessandra Guedes from the Pan-American Health Organization (PAHO) for connecting us with the Open Society Institute that provided funding for the seminar on home visiting held in São Paulo in 2011. At this seminar, the authors shared their work on home visiting that has evolved into the chapters in this book. We also thank the São Paulo State Foundation for the Support of Research (FAPESP), Mercedes Hinton who was then a program officer at the Open Society Institute, and Alex Butchart from the World Health Organization (WHO) who gave tremendous support for the home visiting program developed in São Paulo, along with Joanne Klevens at the US Center for Disease Control and Prevention (CDC), the Center for the Study on Violence of the University of São Paulo (NEV/USP) which organized the seminar and the University of São Paulo (USP) which hosted the seminar. In addition, we thank the families, children, and people working in the home visiting programs who have taught us all so much about how home visiting can help families support their children’s health and development in different com- munities and contexts. vii Contents Part I Introduction to Home Visiting and its Challenges 1 Introduction: Home Visitation as a Primary Prevention Tool for Violence ................................................................................................. 3 Alberto Concha-Eastman 2 T he Four Challenges of Home Visitation Programs: Alcohol and Substance Abuse, Intrafamilial Violence, and Mental Disorders ................................................................................ 9 Maristela G. Monteiro Part II Home Visiting Programs and Practices: Research and Evaluation 3 Home Visiting to Enhance Child Development in the Context of Violence: Possibilities and Limitations .................................. 15 Jon Korfmacher and Lori Roggman 4 Developmental Parenting Home Visiting to Prevent Violence: Monitoring and Evaluating ....................................................................... 35 Lori Roggman 5 Developing the Home Visiting Workforce ............................................... 63 Nick Wechsler 6 Supporting the Paraprofessional Home Visitor ...................................... 85 Jon Korfmacher 7 Engagement and Retention in Home Visiting Child Abuse Prevention Programs ................................................................................. 101 William M. McGuigan and Breanna Gassner ix x Contents 8 A ddressing Psychosocial Risk Factors Among Families Enrolled in Home Visitation: Issues and Opportunities ....................... 119 S. Darius Tandon 9 Considerations on the Implementation, Innovation, and Improvement of Evidence-Based Home Visiting Programs ................. 135 Mark S. Innocenti Part III Home Visiting Programs Outside the USA 10 Home Visitation Programs for Early Child Development: Experiences in Latin America and the Caribbean ................................ 157 Nancy Cardia, Renato Alves, Aline Gomes, and Alder Mourão 11 H ome Visiting Interventions to Promote Values That Support School Success............................................................................ 191 Martha Julia García-Sellers 12 The Roving Caregivers Program: A Caribbean Model ........................ 209 Susan Branker Greene, Clive Murray, and Horis Lynch 13 The Investment in Home Visit Programs in Rural Indigenous Communities as a Strategy to Grant a Good Start in Life for Young Children ........................................................................................ 225 J. Leonardo Yánez Index ................................................................................................................ 231 About the Editors Lori Roggman (USA): Professor in the Department of Family, Consumer, and Human Development at Utah State University. She studies parenting and early intervention in relation to children’s early social, cognitive, and language development. Dr. Roggman’s career began as a Head Start home visitor and continued as a trainer and consultant for practitioners in infant/toddler and early childhood programs. She has conducted research on early parenting and on home visiting interventions to support parenting in Early Head Start and similar programs, and she coauthored Developmental Parenting: A Guide for Early Childhood Practitioners. She codeveloped the PiCCOLO scale using 4500 observations of parenting interactions to develop a valid, reliable, and easy-to-use measure for both researchers and practitioners that gauges affection, responsiveness, encouragement, and teaching. She also codeveloped the Home Visit Rating Scales of home visiting quality. She has served in several technical advisory groups developing methods and measures to study services for families of infants, toddlers, and young children. Nancy Cardia (Brazil): Professor and deputy coordinator of the Center for the Study of Violence and coordinator of the activities of knowledge transfer. She represents the center as a Collaborating Centre of the World Health Organization (WHO) in the issue of prevention of violence at the Department of Prevention of Violence and injuries. She has organized the series of books Police and Society and the series Human Rights Education. Dr. Cardia is a member of the editing committee of the World Report on Violence against Children (UN/UNiCEF), author of a book about murders of children in Brazil (WHO/PAHO). She compiled the module of youth violence: Causes and Prevention for the WHO TEACH-ViP and produced, for the PAHO/GTZ, a study on how to prevent youth violence and promote healthy development. She is the general coordinator of the pilot deployment of the program of domestic visitation for adolescent mothers and their children, a program to promote healthy development and prevent violence, and is also the coordinator of research on exposure to violence and its impact on attitudes, values, norms regarding violence, human rights, justice, and democracy. xi

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