TABLE 3

Incorporating Primary Child Maltreatment Prevention Into the Health Supervision Visit

Parent Coping Skills and Support System
Prenatal or first visitWho lives in the home? History of mental health problems, substance abuse/alcohol abuse, or intimate partner violence?
How were the parents parented and disciplined?
What were the parents' experience(s) with trauma?
Are there financial problems and/or poverty?
Was the pregnancy planned?
Who will care for the infant?
NewbornInfant crying
Expectations
Identify 3 friends or family members who can help(safety line)
First monthsInfant crying
Normal development and expectations
Maternal depression
Identify 3 friends or family members who can help(safety line)
Loving is not “spoiling”
Cruiser/toddlerDiscipline = teaching
Toilet-training
Normal development and age-appropriate expectations
PreschoolTeach child names for genitalia
Safe touch/unsafe touch
Normal sexual behavior
Normal development and age-appropriate expectations
Discipline = teaching
Model nonviolent anger management and conflict resolution
SchoolDiscipline = teaching
Model nonviolent anger management and conflict resolution
Appropriate supervision
Respect private parts of others and others to do the same
Personal safety; peer pressure; Internet use
AdolescenceDiscipline = teaching
Dating violence
Model nonviolent anger management and conflict resolution
  • Note that topics may be reintroduced at successive visits