Assessment and modification of home cleanliness among families adjudicated for child neglect.
Hands-on coaching with a simple checklist and praise can turn a neglectful house into a safe one.
01Research in Context
What this study did
Three families who had lost custody because of filthy homes got weekly home visits. The team taught parents to use a simple checklist called CLEAN. They gave praise and small rewards when rooms passed.
Workers modeled scrubbing, handed over the sponge, and cheered each win. They faded help as parents got the hang of it.
What they found
Every family raised their CLEAN scores. Kitchens and bathrooms stayed clean after the team stopped coming.
No new neglect reports were filed during the study.
How this fits with other research
Dunn (1990) wrote the first guide on behavioral neglect treatment two years later. It lists the 1988 cleanliness package as a core example.
Perez et al. (2015) later moved the same in-home coaching idea to autism families. They kept the live practice and praise, but swapped the CLEAN checklist for the PTR plan.
Lancioni et al. (2008) used the same reward-plus-schedule trick to fix toilet accidents in one child. Both studies show that small daily rewards beat big lectures.
Why it matters
If you serve court-involved parents, bring a checklist and a roll of paper towels. Show the exact wipe pattern, let the parent do the next swipe, and praise on the spot. You can see a safer home in four visits.
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02At a glance
03Original abstract
Severely neglectful home environments pose threats to children's cognitive, emotional, and physical health. This research was designed to quantify and modify the conditions of the homes of three families adjudicated for child neglect. A valid and reliable measurement device (The CLEAN-Checklist for Living Environments to Assess Neglect) was used to document changes in home conditions. Behavioral techniques including feedback, shaping, and positive reinforcement were effective in improving home conditions.
Behavior modification, 1988 · doi:10.1177/01454455880121003