Healthy Families America®

John K. Holton · Kathryn Harding

42 citations0/0 files storedJournal of Prevention & Intervention in the Community

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Child Welfare and Adoption Social Work Education and Practice Child Abuse and Trauma

Abstract

Following a 1990 federal report forecasting a national child abuse and neglect epidemic, Prevent Child Abuse America (PCA America) promoted a home visitation program known as Healthy Families America (HFA). HFA achieved rapid adoption and implementation across the nation going from 25 sites in 1992 to 430 in a decade. In this article, the authors describe PCA America's approach to develop, promote, oversee, and evaluate a national home visitation program. Despite its promising growth, HFA has been criticized for failing to achieve the goal of preventing child maltreatment. HFA's past and present are critiqued based on theory and implementation practice of home visitation and its future projected from the perspective of insiders. Developing a better understanding of HFA's history will advance existing models of home visitation and add to the emerging knowledge base of child maltreatment prevention.

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References

1978Social Learning Theory.1998Relationship of Childhood Abuse and Household Dysfunction to Many of the Leading Causes of Death in Adults 1997Neighborhoods and Violent Crime: A Multilevel Study of Collective Efficacy 1977Toward an experimental ecology of human development.1989A secure base: parent-child attachment and healthy human development 1980Child maltreatment: An ecological integration.1993Toward an Ecological/Transactional Model of Community Violence and Child Maltreatment: Consequences for Children’s Development 1988A Secure Base. Parent-Child Attachment and Healthy Human Development. New York (Basic Books) 1988.

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2017The prevention of violence in childhood through parenting programmes: a global review 2010When a parent goes to war: Effects of parental deployment on very young children and implications for intervention.2010The Effects of the Healthy Families America Home Visitation Program on Parenting Attitudes and Practices and Child Social and Emotional Competence 2012Maternal Relationship Security as a Moderator of Home Visiting Impacts on Maternal Psychosocial Functioning

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