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March 04-05, 2019 | London, UK
European Nursing Congress
Journal of Intensive and Critical Care Nursing | Volume 2
Community intervention to prevent child maltreatment in England: Evaluating the contribution of
the family nursing partnership
Kevin Browne
University of Nottingham Medical School, UK
Background: The Government in England has recognized the
importance of early intervention to promote positive child
development and prevent maltreatment. In doing so, efforts
have been made to increase the implementation of the Family
Nurse Partnership (FNP) to target a greater number of families
who require intensive secondary intervention.
Methods: This paper presents an argument that the FNP
can be targeted more effectively to yield a greater return on
investment. This is based on the re-analysis of data collected
by the largest cohort study carried out into risk factors for child
maltreatment in England.
Results: Currently, around 315 health visitors are estimated
to be implementing this programmed, projected to increase
to around 585 health visitors in 2015. However, targeting the
programmed towards first-time, young vulnerable mothers
with low socio-economic status means that around 1350
health visitors would be needed. Critically, targeting only this
population is estimated to prevent only 10% of cases of child
abuse and neglect.
Conclusions: By targeting risk factors which are less common in
the general population, but which are more prevalent amongst
abusive families, fewer specialist health visitors would be
needed to prevent a higher percentage of child maltreatment.
Keywords: children, cost-effectiveness, population-based and
preventative services
Speaker Biography
Kevin Browne is Chair of Forensic Psychology and Child Health, as well as Director
of the Professional Doctorate Programmed in Forensic Psychology and the research
Centre for Forensic and Family Psychology. He first held academic appointments at
the University of Surrey, University of Leicester and University of Birmingham Medical
School before being appointed as Professor and Director of the WHO Collaborating
Centre in Child Care and Protection at the School of Psychology, University of
Birmingham from 1998 to 2007. He then became the Chair of Forensic and Child
Psychology at the School of Psychology, University of Liverpool (2007 to 2009).
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