Format
Scientific article
Publication Date
Published by / Citation
Axford N, Berry V. Money Matters: Time for Prevention and Early Intervention to Address Family Economic Circumstances. J Prev (2022). 2023 Jun;44(3):267-276. doi: 10.1007/s10935-022-00717-9. Epub 2023 Mar 13. PMID: 36913131; PMCID: PMC10009842.
For
Students
Trainers
Keywords
Prevention
early intervention
poverty
youth

Money Matters: Time for Prevention and Early Intervention to Address Family Economic Circumstances

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Background
Child poverty is linked to poorer physical and mental health, negative educational outcomes, and long-term social and psychological issues, all of which increase service demand and costs. Traditionally, prevention and early intervention efforts have focused on improving inter-parental relationships, parenting skills, or child development (e.g., early childhood education, family therapy, youth mentoring). These programs often target low-income families but rarely address poverty directly. While such interventions have shown some success, their effects are typically small, short-term, and difficult to replicate. A potential way to improve these outcomes is by enhancing families' economic conditions.

Methods
There is growing recognition that focusing on individual risk without addressing the broader social and economic context of families may be unethical. The stigma and material constraints associated with poverty can also hinder families' engagement with psychosocial support. Evidence suggests that increasing household income can improve child outcomes. While national policies are essential, practice-based initiatives—such as income maximization and money management support—are also important, though knowledge about their implementation and effectiveness is limited.

Results
Some studies suggest that co-located welfare rights advice in healthcare settings can improve both financial circumstances and health, but the evidence is mixed and of limited quality. There is little rigorous research on how such services affect parent-child interactions, parenting capacity, or child outcomes directly.

Conclusion
Prevention and early intervention programs should better address families' economic circumstances. More experimental studies are needed to evaluate the implementation, reach, and effectiveness of these programs in improving child outcomes and alleviating poverty.