Delinquent girls grown up: young adult offending patterns and their relation to early legal, individual, and family risk.

Although the number of girls served by the juvenile justice system has grown dramatically, little is known about the adult offending patterns of delinquent girls and the factors associated with their persistence and desistance from adult crime. To address this gap, we prospectively track 499 girls (62% Black, 16% Hispanic) discharged from juvenile justice facilities in the early 1990s and document their adult arrests, convictions, and incarcerations between the ages of 16-28. Trajectory analysis reveals four distinct early adult offending paths: Rare/Non-Offending (RN), Low Chronic (LC), Low-Rising (LR), and High Chronic (HC). Girls assigned to the LR and LC path are responsible for a disproportionate amount of adult arrests and are more likely than girls on the RN and LC path to come from homes characterized by high levels of family dysfunction and child maltreatment. Adoption of a therapeutic, trauma-sensitive and family-centered approach to female delinquency programming is recommended.

Reducing low birth weight through home visitation: a randomized controlled trial.

BACKGROUND: Poor birth outcomes increase the risk of infant mortality and morbidity, developmental delays, and child maltreatment. This study assessed the effectiveness of a prenatal home-visitation program in reducing adverse birth outcomes among socially disadvantaged pregnant women and adolescents. DESIGN: As part of a larger RCT, this study examined the effects of home-visitation services on low birth weight (LBW) deliveries. SETTING/PARTICIPANTS: Pregnant women and adolescents eligible for Healthy Families New York (HFNY) were recruited in three communities. Eligibility was based on socioeconomic factors such as poverty, teen pregnancy, and the risk of child maltreatment. Two thirds of the participants were black or Hispanic, and 90% were unmarried. INTERVENTION: Pregnant women and adolescents were randomized to either an intervention group that received bi-weekly home-visitation services (n=236) or to a control group (n=265). Home visitors encouraged healthy prenatal behavior, offered social support, and provided a linkage to medical and other community services. Services were tailored to individual needs. MAIN OUTCOME MEASURE: An LBW of <2500 grams on birth certificate files. Baseline and birth interviews were conducted from 2000 to 2002, and birth records were collected in 2007. Analyses were done from 2007 to 2008. RESULTS: The risk of delivering an LBW baby was significantly lower for the HFNY group (5.1%) than for the control group (9.8%; AOR=0.43; 95% CI=0.21, 0.89). The risk was further reduced for mothers who were exposed to HFNY at a gestational age of

Healthy Families New York (HFNY) randomized trial: effects on early child abuse and neglect.

OBJECTIVE: To evaluate the effects of a home visiting program modeled after Healthy Families America on parenting behaviors in the first 2 years of life. METHODS: A sample of 1173 families at risk for child abuse and neglect who met the criteria for Healthy Families New York (HFNY) was randomly assigned to either an intervention group that was offered HFNY or a control group that was given information and referrals to other services. Data were collected through a review of CPS records, and maternal interviews at baseline and the child's first birthday (90% re-interviewed) and second birthday (85% re-interviewed). RESULTS: HFNY mothers reported committing one-quarter as many acts of serious abuse at age 2 as control mothers (.01 versus .04, p<.05). Two sets of interactions were tested and found to have significant effects (p<.05). At age 2, young, first-time mothers in the HFNY group who were randomly assigned at 30 weeks of pregnancy or less were less likely than counterparts in the control group to engage in minor physical aggression in the past year (51% versus 70%) and harsh parenting in the past week (41% versus 62%). Among women who were "psychologically vulnerable," HFNY mothers were one-quarter as likely to report engaging in serious abuse and neglect as control mothers (5% versus 19%) at age 2. CONCLUSIONS: These findings suggest that who is offered home visitation may be an important factor in explaining the differential effectiveness of home visitation programs. Improved effects may be realized by prioritizing the populations served or by enhancing the model to meet program objectives for hard-to-serve families.