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Socio-economic disadvantage is linked to poor parenting skills and subsequently poorer child development. The most deprived geographical areas in Wales have been targeted under the Welsh Government Flying Start scheme to receive additional resources. Unfortunately, many in-need families either lived outside these areas or required further intervention above what was provided. The Welsh Government decision to extend Flying Start is appropriate but the proposed targeting method may still fail to reach all high-risk families. The purpose of this paper is to explore an alternative targeting method.

The current study examined the association between five socio-economic and demographic risk factors and parenting outcomes in a sample of Flying Start families.

Quality of housing (overcrowding and housing standards) played a significant role in predicting poorer parenting outcomes in terms of language and home stimulation. Exposure to multiple risk predicted poorer outcomes regardless of which risk factors were present.

This paper contributes to discussion about effective ways of allocating limited resources to best effect.

To compare the characteristics of parents and children recruited for two randomised-controlled trials (RCTs) of parenting support in disadvantaged communities in Wales in order to explore the effects of community-based vs individual-based targeting in early prevention.

Parents from high-risk disadvantaged communities in Wales, where additional early intervention services were targeted as part of a Welsh Government early intervention strategy, were recruited to two RCTs of parenting interventions. In the first study parents of targeted three- and four-year-old children, who were screened, and deemed at risk of long-term problems, were recruited from Sure Start (SS) areas in Wales. In the second study parents of one- and two-year-old children living in disadvantaged Flying Start (FS) areas were recruited, with residence within the FS area being the only recruitment criterion.

FS areas are more strategically targeted as communities with a greater percentage of families with high levels of socio-economic disadvantage and associated risk than SS areas. Families in the toddler parenting trial based in FS areas, recruited without any additional screening, were experiencing higher levels of socio-economic deprivation, mental health problems and parenting stress as well as other known risks to child outcomes than the general population. However, when compared with the individually targeted population recruited for the SS study, they were shown to be experiencing significantly lower levels of these and other risks factors for poor child outcomes than the sample recruited for the SS trial where recruitment was based on known child risk factors. The paper discusses these findings and explores the implications of targeting by geographical area (community level targeting) alone vs targeting individual families by known risk factors. The findings suggest that screening measures would identify children at greatest risk of poor outcomes and whose families might benefit from additional targeted services. Suggestions for possible screening measures are also made.

This paper contributes to discussion about effective ways of allocating limited resources to best effect.