Home Visiting Studies

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Home Visiting Programs Effects on Prevention of Rapid Repeat Births and Child Maltreatment
Rapid Repeat Births (RRBs) and Teen Repeat Births (TRB) are one of the main concerns home visiting programs focus on (Ownbey, Ownbey & Cullen, 2011). Previous research has concluded that RRBs in teens or adults have many negative side effects on the mother and the children. Research has shown that mothers who have another child within three years of their previous child were more likely to be emotionally and physically distant from their first child (Ownbey, Ownbey & Cullen, 2011). When RRBs occur children who are already in the home are more likely to suffer from injury and illness than children who have greater space between siblings in the home.
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Teen mothers are already at-risk for child maltreatment, however when a RRB takes place their chances are doubled (Ownbey, Ownbey & Cullen, 2011). “Annually, about 1 million abused children—15 of every 1000 children—are identified in the United States” (Eckenrode et al., 2000). Home visitation has become one of the most auspicious techniques in child abuse prevention, early intervention, and health prevention in the US. Although they are not concluded to be 100% successful they have showed prominent gains in mother-child relationships and child development (Eckenrode et al., 2000). In order for these programs to be successful and achieve high outcomes the home visitor must establish that trusting and reliable relationship with the mother/family, and child (Gomby, 2007). Most child maltreatment and abuse cases arise from mothers or parents lacking proper knowledge of how to care for and raise a child. Environmental factors and stressors are two leading causes resulting in child maltreatment (Haynes-Lawrence, 2008). This is where the home visitor becomes crucial to guide and provide resources for mothers and families to intervene before child maltreatment …show more content…
Margaret Tonelli, (Tonelli, 2006), was an Allied Health Nurse in Gynecology. She wrote of a young lady, 17 years of age, homeless pregnant, depressed, and in a relationship with an abusive man who was not her baby’s father-whom was also abusive. Her background story was difficult, born to a teenage mother herself, then bounced from foster home to foster home since the age of eight. She had no parental guidance and was alone. Tonelli cared for this young girl for three visits prenatally, but she did not return for care postnatal. In less than a year she became pregnant with her second child and returned for care. This time when she was referred to a home visiting program she stuck with it starting at eight weeks prenatal. Through the relationship built with the home visit nurse, the young girl changed her life. She left the abusive relationship and moved in with her baby’s father’s family who were supportive and caring. The young girl reported that her home visitor Leslie had been the most influential person in deciding to turn her life around and believing that she could give her children a better life than her mother gave her. Tonelli writes, “Teens often lack sufficient social support during pregnancy and early parenting; many report conflicted relationships with the fathers of their babies and their own mothers. The

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