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[Risk assessment of neglect and maltreatment in infants and toddlers. Chances of early preventive intervention].
[child syndrome]
The
German
child
protection
system
lacks
of
interdisciplinary
and
standardized
procedures
for
screening
and
diagnosing
child
maltreatment
as
well
as
for
service
delivery
.
Evidence
based
assessments
of
risk-screening
in
combination
with
consensus-based
models
for
risk-judgement
seem
to
predict
the
best
possible
results
.
A
central
part
of
determining
whether
an
infant
is
at
risk
is
to
evaluate
various
domains
of
parental
competencies
and
skills
.
In
particular
assessment
procedures
based
on
attachment
research
have
proven
to
be
practically
and
methodologically
relevant
.
These
include
interactive
and
video-based
observational
methods
as
well
as
parental
representations
as
sources
of
information
for
risk
assessment
.
Attachment
based
intervention
and
treatment
programs
are
effective
,
especially
with
regard
to
enhancing
paternal
sensitive
behavior
.
However
,
these
programs
need
to
be
adapted
to
delivery
for
specific
risk
groups
.
Overall
an
interdisciplinary
approach
with
regard
to
the
programs
as
well
as
to
the
training
of
the
professionals
has
to
be
taken
into
account
.
