Data from a longitudinal study of the long term benefits of a home visitation program for high risk, first-time mothers demonstrated that treatment effects in reducing child abuse and neglect were attenuated in families with moderate to high levels of domestic violence. Based on these findings, the Nurse-Family Partnership (NFP) program is being enhanced by the addition of components from two other empirically based interventions. First, is a domestic violence intervention developed by Dr. Jacquelyn Campbell. This component, which will be incorporated into home visits during the pregnancy and postpartum phases, gives nurses methods to assess for the presence of domestic violence and strategies for helping women protect themselves and their children in situations of abuse. Additionally, the Prevention and Relationship Enhancement Program (PREP), developed by Drs. Scott Stanley and Howard Markam, will be incorporated into home visits from pregnancy through the child's second birthday. PREP provides specific skills nurses can teach families to reduce distress in personal interactions and promote more satisfying and stable significant relationships. Illustrative examples of these two program enhancements will be presented. Given the complexity of intervening in family relationships, a plan to pilot test the effectiveness of the program enhancements also is proposed.
Learning Objectives: At the conclusion of this session, participants will be able to: 1. Describe how research findings can be used to strengthen a program model through the refinement of intervention strategies. 2. Describe a systematic assessment and safety intervention for domestic violence. 3. Describe skills nurses can teach families to decrease the risk of domestic violence by reducing distress in relationships.
Keywords: Public Health Nursing, Evidence Based Practice
Presenting author's disclosure statement:
Organization/institution whose products or services will be discussed: National Center for Children, Families and Communities
I have a significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.
Relationship: Employee