Assessment & Research

Behavioral treatment of the victims of child abuse and neglect.

Fantuzzo (1990) · Behavior modification 1990
★ The Verdict

In 1990 there were no proven ABA treatments for abused kids, and the fixes we now have still fade after sessions end.

✓ Read this if BCBAs who write treatment plans for foster kids, trauma teams, or court-involved youth.
✗ Skip if Clinicians who only serve adults with developmental disabilities and never touch child welfare cases.

01Research in Context

01

What this study did

The author read every paper he could find on treating kids who had been abused.

He saw almost no true experiments. Most reports were just case stories or loose charts.

He wrote a roadmap: use single-case designs, pick clear targets, track safety, and keep costs low.

02

What they found

There were no proven ABA packages for abuse victims in 1990.

The field had no agreed-upon way to measure trauma signs like flinching, lying, or food hoarding.

Without data, courts and clinics had to guess what might help.

03

How this fits with other research

Kok et al. (2026) later showed that child behavior plans do work—while sessions are running. Their meta-analysis of the kids gives hope, yet the gains faded once treatment stopped.

Lord et al. (2005) repeated the same worry for autism: we need RCTs and shared yardsticks. Both papers echo Storm (1990): pick one measure everyone uses.

Jonsson et al. (2016) scanned 15 autism RCTs and found most left out real-world details like who dropped out or how much staff training cost. Again, the same gap W flagged: studies must fit clinic life, not just lab life.

04

Why it matters

You may not treat abuse cases every day, but you still need tough targets and cheap measures. Pick one trauma cue—night waking, stealing food, or jumping at loud voices. Count it daily. Run a quick reversal or multiple-baseline plot. Share the graph with the team and the social worker. Small, clear data can protect the child and show the court what works.

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Pick one trauma cue, count it for one week, and start a simple line graph—your first step toward the evidence we still lack.

02At a glance

Intervention
not applicable
Design
narrative review
Population
mixed clinical
Finding
not reported

03Original abstract

Although there is a little debate that victims of child abuse and neglect suffer ill effect, scientifically validated, behavioral treatment of child victims is virtually nonexistent. This article examines three pertinent facets of the child-maltreatment knowledge base: (a) national child abuse and neglect reporting, (b) empirical investigations of the psychological effects of maltreatment, and (c) a small number of treatment outcome studies. Based on this review, guidelines are presented to promote the development of practical, treatment outcome investigations that adequately reflect existing data about child victims and their life circumstances and that are responsive to their specific needs and available resources.

Behavior modification, 1990 · doi:10.1177/01454455900143006