Prevention Programs

  • Maxine R. Newman
  • John R. Lutzker


A discussion of the prevention of child abuse or neglect, as any discussion of prevention, requires definition. In a seminal book Principles of Preventive Psychiatry (1964), Caplan defined three types of prevention, some of which were already in use by psychiatrists and psychologists as early as the mid-1960s: primary prevention, secondary prevention, and tertiary prevention. In this chapter, we will discuss these three levels of prevention generically, give a brief historical overview of past efforts to identify and prevent child abuse or neglect, define prevention in the area of child abuse or neglect, specifically when the intervention is intended to: prevent further abuse or prevent first abuse, consider some programs designed to prevent further abuse and others which focus on intervening before abuse occurs, and provide some recommendations for future prevention programs.


Sexual Abuse Prevention Program Primary Prevention Child Sexual Abuse Family Violence 
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  1. Adelson, L. (1969). Slaughter of the innocents.New England Journal of Medicine, 264, 1345–1349.CrossRefGoogle Scholar
  2. American Humane Association. (1963). Child abuse: Preview of a nationwide survey. Denver, CO: Author.Google Scholar
  3. Azar, S. T., Barnes, K. T., & Twentyman, C. T. (1988). Developmental outcome in physically abused children: Consequences of parental abuse on the effects of a more general breakdown in caregiving behaviors.The Behavior Therapist, 11, 27–32.Google Scholar
  4. Bakwin, H. (1956). Multiple skeletal lesions in young children due to trauma.American Journal of Pediatrics, 49, 7–15.CrossRefGoogle Scholar
  5. Bandura, A. (1977).Social learning theory. Englewood Cliffs, NJ: Prentice Hall.Google Scholar
  6. Barmayer, G. H., Alderson, L. R., & Cox, W. R. (1951). Traumatic periostitis in young children.American Journal of Pediatrics, 38, 184–190.CrossRefGoogle Scholar
  7. Barone, U. J., Greene, B. F., & Lutzker, J. R. (1986). Home safety with families being treated for child abuse and neglect.Behavior Modification, 10, 93–114.PubMedCrossRefGoogle Scholar
  8. Bittner, S., & Newberger, E. H. (1981). Pediatric understanding of child abuse and neglect.Pediatrics in Review, 2, 197.CrossRefGoogle Scholar
  9. Boardman, H. E. (1961). A project to rescue children from inflicted injuries.Social Work(Am. Ed.)1, 43–51.Google Scholar
  10. Browne, D. H. (1986). The role of stress in the commission of subsequent acts of child abuse and neglect.Journal of Family Violence, 1, 289–297.CrossRefGoogle Scholar
  11. Caffey, J. (1946). Multiple fractures in the long bones of infants suffering from chronic subdural hematoma.American journal of Roentgendogy Radium Therapy and Nuclear Medicine, 56, 163–174.Google Scholar
  12. Campbell, R. V., Twardosz, S., Lutzker, J. R., & Cuvo, A. J. (1983, May).Comparison study of affectionate behavior across status of abuse neglect and non-abuse neglect. Paper presented at the annual convention of the Association for Behavior Analysis, Milwaukee, Wisconsin.Google Scholar
  13. Campbell, R. V., O’Brien, S., Bickett, A. D., Newman, M. R., & Lutzker, J. R. (in press). Migraine headaches and marriage and family happiness: An ecobehavioral approach. In S. Diamond & M. Maliszewski (Eds.),Sexuality and headache: A medical-behavioral overview. New York: International Universities Press.Google Scholar
  14. Caplan, G. (1964).Principles of preventive psychiatry. New York: Basic Books.Google Scholar
  15. Carstens, C. C. (1911–1912). The prevention of cruelty to children.Proceedings of the Academy of Political Science, 2, 616–617.Google Scholar
  16. Carstens, C. C. (1921). The development of social work for child protection.Annals of the American Academy of Political and Social Science, 98, 137–141.CrossRefGoogle Scholar
  17. Child Protection Report. Vol. 2, January 14, 1976.Google Scholar
  18. Cohn, A. A. (1986). Preventing adults from becoming sexual molesters.Child Abuse and Neglect, 10, 559–562.PubMedCrossRefGoogle Scholar
  19. Conte, J. R., Rosen, C, Saperstein, L., & Shermack, R. (1985). An evaluation of a program to prevent the sexual victimization of young children.Child Abuse and Neglect, 9, 319–328.PubMedCrossRefGoogle Scholar
  20. Cowen, E. L., Dorr, D., Clarfield, S., Kreling, B., McWilliams, S. A., Pokracki, D., Pratt, M., Terrell, D., & Wilson, A. (1973). The AML: A quick screening device for early identification of school maladaption.American Journal of Community Psychology, 1, 12–35.CrossRefGoogle Scholar
  21. Cumming, J., & Cumming, E. (1957).Closed ranks. Cambridge: Harvard University Press.Google Scholar
  22. Dachman, R. S., Halasz, M. M., Bickett, A. D., & Lutzker, J. R. (1984). A home-based ecobehavioral parent-training and generalization package with a neglectful mother.Education and Treatment of Children, 7, 183–202.Google Scholar
  23. Elmer, E. (1960). Abused young children seen in hospitals.Social Work, 5, 98–102.Google Scholar
  24. Englert, Y, Marneffe, C, Soumenkoff, G., & Hubinont, P. O. (1985). Institutional abuse: Tubal sterilization in a population at risk of ill-treating their children.Child Abuse and Neglect, 9, 31–35.PubMedCrossRefGoogle Scholar
  25. Fantuzzo, J., Azar, S. T., & Twentyman, C. T. (1985, November).Child abuse and psychotherapy research: Merging social concerns and empirical investigation. Paper presented at the annual convention of the Association for Advancement of Behavior Therapy, Philadelphia, Pennsylvania.Google Scholar
  26. Ferner, P. E. (1986). Presidential address: The International Society for Prevention of Child Abuse and Neglect.Child Abuse and Neglect, 10, 279–281.CrossRefGoogle Scholar
  27. Fisher, S. H. (1958). Skeletal manifestations of parent induced trauma in infants and children.Southern Medical Journal, 51, 956–960.PubMedCrossRefGoogle Scholar
  28. Gambrill, E. D. (1983). Behavioral intervention with child abuse and neglect. In M. Hersen, R. M. Eisler, & P. M. Miller (Eds.),Progress in behavior modification: Vol. 15(pp. 1–56). Orlando, FL: Academic PressGoogle Scholar
  29. Garbarino, J. (1987). Children’s response to a sexual abuse prevention program: A study of theSpidermancomic.Child Abuse and Neglect, 11, 143–148.PubMedCrossRefGoogle Scholar
  30. Hagenhoff, C, Lowe, A., Hoveli, M. F., & Rugg, D. (1987). Prevention of the teenage pregnancy epidemic: A social learning theory approach.Education and Treatment of Children, 10, 67–83.Google Scholar
  31. Helfer, R. B. (1982). A review of literature on the prevention of child abuse and neglect.Child Abuse and Neglect, 6, 251–261.PubMedCrossRefGoogle Scholar
  32. Hermalin, J., Melendez, L., Kamarck, T., Kievans, F., Ballen, E., & Gordon, M. (1979). Enhancing primary prevention: The marriage of self-help groups and formal health care delivery systems.Journal of Clinical Child Psychology, 8, 125–129.CrossRefGoogle Scholar
  33. Hodson, D., & Skeen, P. (1987). Child sexual abuse: A review of research and theory with implications for family life educations.Family Relations: Journal of Applied Family and Child Studies, 36, 215–221.Google Scholar
  34. Joint Commission on Mental Health and Illness. (1961).Action for Mental Health. New York: Wiley.Google Scholar
  35. Joint Commission on Mental Health of Children. (1970).Crisis in child mental health: Challenge for the 1970’s. New York: Harper & Row.Google Scholar
  36. Kempe, C. H., & Silver, H. K. (1959). Problem of parental criminal neglect and severe physical abuse of children.American Journal of Diseases of Children, 98, 529.Google Scholar
  37. Kempe, C. H., Silverman, F. N., Steele, B. F., Droegemueller, W., & Silver, H. K. (1962). The battered-child syndrome.Journal of the American Medical Association, 181, 105–112.Google Scholar
  38. Kolko, D. J., Moses, J. T., Litz, J., & Hughs, J. (1987). Promoting awareness and prevention of child sexual victimization using the Red Flag/Green Flag Program: An evaluation with follow-up.Journal of Family Violence, 2, 11–35.CrossRefGoogle Scholar
  39. Lucht, C. (1975). Providing a legislative base for reporting child abuse.Fourth National Symposium on Child Abuse. Denver, CO: American Humane Association.Google Scholar
  40. Lutzker, J. R. (1984). Project 12-Ways: Treating child abuse and neglect from an eco-behavioral perspective. In R. F. Dangel & R. A. Poloten (Eds.),Parent training: Formulations of research and practice(pp. 260–291). New York: Guilford Press.Google Scholar
  41. Lutzker, J. R., & Newman, M. R. (1986). Child abuse and neglect: Community problem, community solutions.Education and Treatment of Children, 9, 344–354.Google Scholar
  42. Lutzker, J. R., & Rice, J. M. (1984). Project 12-Ways: Measuring outcome of a large in-home service for treatment and prevention of child abuse and neglect.Child Abuse and Neglect, 8, 519–524.PubMedCrossRefGoogle Scholar
  43. Lutzker, J. R., Campbell, R. V., & Watson-Perczel, M. (1984). Utility of the case study method in treatment of several problems of a neglected family.Education and Treatment of Children, 7, pp. 315–353.Google Scholar
  44. Lutzker, J. R., Frame, R. E., & Rice, J. M. (1982). Project 12-Ways: An ecobehavioral approach to treatment and prevention of child abuse and neglect.Education and Treatment of Children, 5, 141–155.Google Scholar
  45. Lutzker, J. R., Wesch, D., & Rice, J. M. (1984). A review of Project 12-Ways: An ecobehavioral approach to treatment and prevention of child abuse and neglect.Advances in Behaviour Research and Therapy, 6, 63–73.CrossRefGoogle Scholar
  46. Lutzker, J. R., Campbell, R., Newman, M. R., & Harrold, M. (1989). Ecobehavioral intervention for abusive, neglectful, and high-risk families: Project 12-Ways and Project Ecosystems. In G. H. S. Singer & L. K. Irvin (Eds.),Family support services: Emerging pertnerships between families with severely handicapped individuals and communities(pp. 313–326). Baltimore, MD: Paul H. Brookes.Google Scholar
  47. Lutzker, J. R., Megson, D. A., Webb, M. E., & Dachman, R. S. (1985). Validating and training adult-child interaction skills to professionals and to parents indicated for child abuse and neglect.Journal of Child and Adolescent Psychotherapy, 2, 91–104.Google Scholar
  48. Lutzker, S. Z., Lutzker, J. R., Braunling-McMorrow, D., & Eddelman, J. (1987). Promoting to increase mother-baby stimulation with single mothers.Journal of Child and Adolescent Psychotherapy, 4, 3–12.Google Scholar
  49. Lynch, M. A. (1985). Child abuse before Kempe: An historical review.Child Abuse and Neglect, 9, 7–15.PubMedCrossRefGoogle Scholar
  50. Meredith, W. H., Abbott, D. A., & Adams, S. L. (1986). Family violence: Its relation to marital and parental satisfaction and family strengths.Journal of Family Violence, 1, 299–309.CrossRefGoogle Scholar
  51. Nelson, B. J. (1985).Making an issue of child abuse: Political agenda setting for social problems. Chicago: University of Chicago Press.Google Scholar
  52. Paisley, P. O. (1987). Prevention of child abuse and neglect: Legislative response.School Counselor, 34, 226–228.Google Scholar
  53. Pardek, J. T., & Pardek, J. A. (1984). Treating abused children through bibliotherapy.Early Child Development and Care, 16, 195–205.CrossRefGoogle Scholar
  54. Paulsen, M. (1968). The law and abused children. In R. Hlifer & C. H. Dempe (Eds.),The battered child. Chicago: University of Chicago Press.Google Scholar
  55. Poertner, J. (1987). The Kansas family and child trust fund: Five year report.Child Welfare, 66, 3–12.Google Scholar
  56. Rappaport, J. (1977).Community psychology: Values, research, and action. New York: Holt, Rinehart, & Winston.Google Scholar
  57. Rosenberg, M. S., & Reppucci, N. D. (1985). Primary prevention of child abuse.Journal of Consulting and Clinical Psychology, 55, 576–585.CrossRefGoogle Scholar
  58. Rosenfield-Schlichter, M. D., Sarber, R. E., Bueno, G., Greene, B. F., & Lutzker, J. R. (1983). Maintaining accountability for ecobehavioral treatment of one aspect of child neglect: Personal cleanliness.Education and Treatment of Children, 6, 152–164.Google Scholar
  59. Sarber, R. E., Halasz, M., Messmer, M. C, Bickett, A. D., & Lutzker, J. R. (1983). Teaching menu planning and grocer shopping skills to a mentally retarded mother.Mental Retardation, 21, 101–106.PubMedGoogle Scholar
  60. Schultz, W. J. (1968).The humane movement in the United States, 1910–1922. New York: AMS Press.Google Scholar
  61. Silverman, F. N. (1952). The roentgen manifestation of unrecognized skeletal trauma in infants.American Journal of Roentgenology, Radium Therapy, and Nuclear Medicine, 69, 413–427.Google Scholar
  62. Snedecor, S. T., Knapp, R. E., & Wilson, H. B. (1935). Traumatic ossifying periostitis of the newborn.Surgery, Gynecology, and Obstetrics, 61, 385–387.Google Scholar
  63. Stillwell, S. L., Lutzker, J. R., & Greene, B. F. (1988). Evaluation of a sexual abuse prevention program for preschoolers.Journal of Family Violence, 3, 269–280.CrossRefGoogle Scholar
  64. Straus, M. A., Gelles, R. S., & Steinmetz, S. (1980).Behind closed doors: Violence in the American family. Garden City, NY: Doubleday.Google Scholar
  65. Tertinger, D. A., Greene, B. F., & Lutzker, J. R. (1984). Home safety: Development and validation of one component of an ecobehavioral treatment program for abused and neglected children.Journal of Applied Behavior Analysis, 17, 159–177.PubMedCrossRefGoogle Scholar
  66. Trudell, B., & Whatley, M. H. (1988). School sexual abuse prevention: Assessing consequences and dilemas.Child Abuse and Neglect, 12, 103–113.PubMedCrossRefGoogle Scholar
  67. United States Department of Health, Education, and Welfare. (1963).The abused child: Principles and suggested language for legislation on reporting of the physically abused child. Washington, DC: U.S. Government Printing Office.Google Scholar
  68. Vasta, R. (1982). Physical child abuse: A dual-component analysis.Developmental Review, 2, 125–149.CrossRefGoogle Scholar
  69. White, K. M., Snyder, J., Bourne, R., & Newberger, E. H. (1987).Treating family violence in a Pediatric Hospital: A program of training, research, and service. U.S. Department of Health and Human Services. Rockville, MD: Public Health Service, Alcohol, Drug Abuse, and Mental Health Administration, National Institute of Mental Health.Google Scholar
  70. Willems, E. P. (1974). Behavioral technology and behavioral ecology.Journal of Applied Behavior Analysis, 7, 151–165.PubMedCrossRefGoogle Scholar
  71. Wolfe, D. A., Edwards, B., Manion, C, & Koverola, C. (1988). Early intervention for parents at risk of child abuse and neglect: A preliminary investigation.Journal of Consulting and Clinical Psychology, 56, 40–47.PubMedCrossRefGoogle Scholar
  72. Wolfe, D., Kaufman, K., Aragona, J., & Sandler, J. (1981).The child management program for abusive parents: Procedures for developing a child abuse intervention program. Florida: Anna Publishing.Google Scholar
  73. Wurtelle, S. K., Marrs, S. R., & Miller-Perrin, C. L. (1987). Practice makes perfect? The role of participant modeling in sexual abuse prevention programs.Journal of Consulting and Clinical Psychology, 599–602.Google Scholar
  74. Zuravin, S. J. (1986). Residential density and urban child maltreatment: An aggregate analysis.Journal of Family Violence, 1, 307–314.Google Scholar

Copyright information

© Springer Science+Business Media New York 1990

Authors and Affiliations

  • Maxine R. Newman
    • 1
  • John R. Lutzker
    • 1
  1. 1.Department of PsychologyUniversity of JudaismLos AngelesUSA

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