BACKGROUND Child neglect is the most prevalent type of child maltreatment. Research has shown that its sequelae can be more harmful than physical or sexual abuse, particularly at early ages, supporting the importance of preventive and early interventions. This paper presents the results of the first pilot implementation in Spain of SafeCare, a home visiting evidence-based programme for the prevention and treatment of child neglect in families with children aged 0-5 years old. METHOD Between 2014 and 2017, 89 families were referred from Child Protection Services of Gipuzkoa and San Sebastian to SafeCare. Of these, 46 finished the programme. Parenting skills, depressive symptomatology, child abuse potential, parental stress, and child behavioural problems were measured at baseline and after treatment. Parental satisfaction with the programme was evaluated after treatment. RESULTS High levels of parental satisfaction, significant improvements in parenting skills, and significant decreases in child abuse potential, parental stress, and perception of child behavioural problems were found after treatment. CONCLUSIONS Findings suggested that SafeCare can be useful for families with early signs of child neglect. The study also confirmed the feasibility of implementing such an evidence based programme in Child Protective Services in Spain. More studies with larger samples and experimental designs are necessary.

中文翻译：

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实施针对儿童疏忽的早期预防干预计划：安全关怀。

背景技术忽视儿童是虐待儿童的最普遍类型。研究表明，其后遗症比身体或性虐待更为有害，尤其是在幼年时，这支持了预防和早期干预的重要性。本文介绍了SafeCare在西班牙的第一个试点实施结果，这是一项以家庭访问为基础的循证医学项目，用于预防和治疗0-5岁儿童家庭的儿童疏忽。方法2014年至2017年间，吉普兹夸和圣塞瓦斯蒂安儿童保护服务处将89个家庭转介到SafeCare。其中46人完成了方案。在基线和治疗后对父母的养育技能，抑郁症状，潜在的虐待儿童，父母的压力以及孩子的行为问题进行了测量。治疗后评估父母对该程序的满意度。结果治疗后发现父母对父母的满意度很高，父母的教养技巧得到显着改善，虐待儿童的可能性，父母的压力和对儿童行为问题的认识明显降低。结论研究结果表明，SafeCare对于早期有儿童疏忽迹象的家庭很有用。这项研究还证实了在西班牙的儿童保护服务中实施这种基于证据的计划的可行性。需要对更大的样本和实验设计进行更多研究。治疗后发现孩子的行为问题。结论研究结果表明，SafeCare对于有早期儿童疏忽迹象的家庭很有用。这项研究还证实了在西班牙的儿童保护服务中实施这种基于证据的计划的可行性。需要对更大的样本和实验设计进行更多研究。治疗后发现孩子的行为问题。结论研究结果表明，SafeCare对于早期有儿童疏忽迹象的家庭很有用。这项研究还证实了在西班牙的儿童保护服务中实施这种基于证据的计划的可行性。需要对更大的样本和实验设计进行更多研究。