TITLE:                    Posttraumatic Stress and Mental Health Functioning of Sexually Abused Children.

 

AUTHOR:               Avery, L.;  Massat, C. R.;  Lundy, M.

 

PUBLICATION YEAR:        2000

 

JOURNAL TITLE:    Child Abuse and Neglect

 

AUTHOR AFFILIATION:    University of Southern Mississippi, Hattiesburg. School of Social Work.

 

SOURCE:                17(1): pp. 19-34;  Kluwer Academic-Human Sciences Press, Inc., Dordrecht (The Netherlands)., February 2000;  p. 31

 

ABSTRACT:           The authors explored the relationships between the mental health functioning of sexual abuse victims and post traumatic stress disorder, using data collected from the Non-Offending Parents project, a four-year project funded by the National Center for Child Abuse and Neglect. Longitudinal data were collected from 53 sexually abused children; unlike numerous previous studies, standardized instruments such as the Child Assessment Schedule and the Child Post-traumatic Stress Reaction Index were used for data collection. Data analysis supported the hypothesis that the post traumatic stress level of children who had been sexually abused is associated with level of child mental health functioning. Nearly all the children experienced a clinical level of posttraumatic stress and were diagnosed as having posttraumatic stress disorder. Results suggest that clinicians intervening with children who have been sexually abused should assess and treat posttraumatic stress disorder symptoms. Theauthors recommend use of standardized instruments to facilitate comparison across studies and additional longitudinal studies to add further depth to the knowledge base. Four tables, numerous references. (Author abstract modified)

 

KEY TERMS:         post traumatic stress disorder;  mental health;  sexual abuse;  research;  longitudinal studies;  data collection;  data analysis;  psychopathology

 

PUBLICATION TYPE:         Journal Article

 

INTERNET URL:   http://www.wkap.nl

 

 

TITLE:                    Medicolegal Aspects of Child Abuse.

 

AUTHOR:               Myers, J. E. B.

 

PUBLICATION YEAR:        2000

 

AUTHOR AFFILIATION:    Pacific Univ., Sacramento, CA. McGeorge School of Law.

 

SOURCE:                In: Reece, R. M. (Editor). Treatment of Child Abuse: Common Mental Health, Medical, and Legal Practitioners. Johns Hopkins University Press, Baltimore, MD., 2000;  p. 36

 

ABSTRACT:           Children s statements during examinations and interviews have forensic as well as medical significance. Under certain circumstances, the child s statements are inadmissible as evidence, due to the hearsay rules of evidence. There are, however, important exceptions. They include the excited utterance exception, disclosure under the doctrine of fresh complaint, statements made during diagnostic or treatment services, and the residual and child hearsay exceptions. Interviewing techniquesmust include the avoidance of suggestive or leading questions. Confidentiality and privileged communication have well-defined boundaries, and child abuse reporting laws override confidentiality and privilege. A professional called upon to appear in court as an expert witness should review only those portions of the record needed for the testimony and should document the parts of the record reviewed. Privileged and nonprivileged materials should be separated in the record. If one takes the record tocourt, limit what is taken to the intended testimony. If possible, do not take the record to the witness stand, and if it is taken, refer to it only if necessary. Expert testimony usually takes one of three forms: an opinion, an answer to a hypotheticalquestion, or a lecture providing information to the judge or jury. Be prepared for cross-examination, understanding that the defense attorney will try to raise doubts about the expert testimony. This is done by trying to limit the expert s ability to explain, by undermining the expert s assumptions, by impeaching the expert with a learned treatise, or by raising the issue of the expert s bias toward the prosecution. 33 references. (Author abstract)

 

KEY TERMS:         medical aspects of child abuse;  physicians role;  legal processes;  expert testimony;  expert witnesses;  rules of evidence;  hearsay rule;  confidentiality

 

PUBLICATION TYPE:         Chapter in Book

 

INTERNET URL:   http://www.press.jhu.edu

 

 

TITLE:                    No Ordinary Life: Parenting the Sexually Abused Child and Adolescent.

 

AUTHOR:               Knauer, S.

 

PUBLICATION YEAR:        2000

 

SOURCE:                Charles C. Thomas Publisher, Ltd., Springfield, IL., February 2000;  p. 75

 

ABSTRACT:           This book for survivors of sexual abuse and their caregivers explains the impact of sexual abuse on child behavior and suggests parenting strategies for supporting the healing process. It reviews the signs of sexual abuse and describes how to respond to a disclosure of abuse. Legal aspects and court processes are addressed, as well as discipline and managing behaviors such as eating disorders, self-mutilation, anger, and shame. Other topics include survivors in foster care and group homes, intimacy and sexuality among survivors, survivors as parents, and how to start a survivor s group. Suggestions for breaking the cycle of abuse are also presented. The book is intended to provide a sense of kinship for survivors and understanding for nonsurvivors.

 

KEY TERMS:         sexual abuse;  sequelae;  parenting skills;  symptoms;  disclosure;  child behavior;  discipline;  group

 

PUBLICATION TYPE:         Book

 

INTERNET URL:   www.ccthomas.com

 

 

TITLE:                    A Theory of Children's Services: Reflections on Epstein's Indictment.

 

AUTHOR:               Stoesz, D.

 

PUBLICATION YEAR:        2000

 

JOURNAL TITLE:    Children and Youth Services Review

 

AUTHOR AFFILIATION:    Virginia Commonwealth Univ., Richmond. School of Social Work.

 

SOURCE:                22(1): pp. 1-11;  Elsevier Science Ltd., New York, NY., January 2000;  p. 130

 

ABSTRACT:           This article reviews criticisms of the current child welfare system and suggests policy changes that will improve services for abused children and their families. Some of the remarks depict the child welfare system as perpetuating inferior practices without the desire to assess the outcomes of its services. The public child welfare system serves primarily poor, minority families, while wealthier families are treated by private and sometimes commercial service providers. Workers inthe public sector tend to be less qualified than those in private services and are expected to care for children who are more traumatized with multiple risk factors. Recommendations for child welfare reform include: national certification for children'sservices workers, focusing on competency in forensic procedures, social policy, child and family development, research, and finance; tax on alcoholic beverages to be used for a wide variety of proven child abuse prevention initiatives; tax on commercialchild and family service providers to fund locally integrated categorical programs; federal funding based on child morbidity and mortality; open cases of children with serious injuries or deaths while in care; establish a child research institute in each federal region; require philanthropies that are funding children and family issues to allocate 25 percent of their resources to programs that utilize best practices; and create a tax credit for children's mentors. 14 references.

 

KEY TERMS:         child welfare reform;  service delivery;  program models;  public policy;  policy formation;  funding;  advocacy;  research needs

 

PUBLICATION TYPE:         Journal Article

 

 

TITLE:                    Social Support and the Relationship Between Family and Community Violence Exposure and Psychopathology Among High Risk Adolescents.

 

AUTHOR:               Muller, R. T.;  Goebel-Fabbri, A. E.;  Diamond, T.;  Dinklage, D.

 

PUBLICATION YEAR:        2000

 

JOURNAL TITLE:    Child Abuse and Neglect

 

AUTHOR AFFILIATION:    York Univ., Toronto, ON (Canada). Dept. of Psychology.

 

SOURCE:                24(4): pp. 449-464;  Elsevier Science Ltd., New York, NY., April 2000;  p. 170

 

ABSTRACT:           The objective of this study was to examine the protective effect of social support in the relationship between exposure to violence and psychopathology. Exposure to violence in the family and exposure to violence in the community were examined separately. Exposure to violence was further divided according to whether violence was experienced as a victim or as a witness. Internalizing and externalizing forms of psychopathology, as well as post-traumatic stress symptomatology were measured. Participants consisted of 65 high-risk adolescents admitted consecutively to psychiatric inpatient units. Data were collected by means of individual interviews, self-report questionnaires, and hospital charts. Social support emerged as a protective factor with respect to the maladaptive effects of family violence, experienced as either a victim or as a witness. In contrast, social support did not appear to buffer the maladaptive effects of community violence, regardless of whether violence was experienced as a victim or as a witness. In fact, the relationship between community violence and psychopathology was found to be generally nonsignificant regardless of social support status. These findings suggest that exposure to family violence may affect development differently than exposure to community violence, allowing social support to effectively buffer the effects of family, but not community, violence. This finding highlights the importance of examining violence exposure that occurs within the family separately from violence exposure that occurs within the community. 58 references and 10 tables.

 

KEY TERMS:         adolescents;  psychopathology;  sequelae;  community violence;  family violence;  social isolation;  resilience;  child witnesses of family violence

 

PUBLICATION TYPE:         Journal Article

 

 

TITLE:                    Children in Foster Care: Factors Influencing Outpatient Mental Health Service Use.

 

AUTHOR:               Leslie, L. K.;  Landsverk, J.;  Ezzet-Lofstrom, R.;  Tschann, J. M..;  et al.

 

PUBLICATION YEAR:        2000

 

JOURNAL TITLE:    Child Abuse and Neglect

 

AUTHOR AFFILIATION:    California Univ., San Diego. Children's Hospital.

 

SOURCE:                24(4): pp. 465-476;  Elsevier Science Ltd., New York, NY., April 2000;  p. 172

 

ABSTRACT:           Detailed survey and administrative data were collected on 480 children who entered long-term foster care in San Diego County to determine factors influencing the utilization of outpatient mental health services by children in foster care. Data were linked with claims data from Medicaid and San Diego County Mental Health Services information systems. A Poisson regression model was used to determine whether the following factors influenced outpatient mental health service use: age; race-ethnicity; gender; maltreatment history; placement pattern; and behavioral problems as measured by the Achenbach Child Behavior Checklist. Except for maltreatment history, all independent variables included in the multivariate regression model were statistically significant. The total number of outpatient mental health visits increased with age, male gender, and non-relative foster placements. Relative to Caucasians, visits were lower for Latinos, and Asian-Others, but comparable for African-Americans. Concerning maltreatment history, differences were only found in one category: children experiencing caretaker absence received fewer visits compared to children who did not experience caretaker absence. Children with CBCL Total ProblemScale T-scores of 60 or greater had significantly more visits than those with a score less than 60. Both clinical and non-clinical factors influence outpatient mental health service use by foster children. Limitations imposed by gender, race-ethnicity, and placement setting need to be addressed by child welfare policies. These findings suggest that guidelines are needed to systematically link children in foster care with behavioral problems to appropriate services. 44 references and 2 tables. (Author abstract)

 

KEY TERMS:         utilization;  mental health services;  foster children;  outpatient treatment;  predictor variables;  age factors;  racial factors;  child behavior

 

PUBLICATION TYPE:         Journal Article

 

 

TITLE:                    From Maltreatment Report to Juvenile Incarceration: The Role of Child Welfare Services.

 

AUTHOR:               Jonson-Reid, M.;  Barth, R. P.

 

PUBLICATION YEAR:        2000

 

JOURNAL TITLE:    Child Abuse and Neglect

 

AUTHOR AFFILIATION:    Washington Univ., St. Louis, MO. George Warren Brown School of Social Work.

 

SOURCE:                24(4): pp. 505-520;  Elsevier Science Ltd., New York, NY., April 2000;  p. 188

 

ABSTRACT:           This study examined whether children who received child welfare services (e.g., in-home or out-of-home placement) were more or less likely to become incarcerated as serious and violent youthful offenders than those children who were investigated as victims of abuse and neglect but received no further child welfare intervention. Administrative data on child abuse reporting, foster care, birth records, and juvenile corrections (CYA) were liked to prospectively examine the risk of incarceration as an adolescent following an investigation of abuse or neglect after age 6. The 10 county California sample included 159,549 school-aged children reported for abuse and neglect after 1990. About 8 per 1,000 children in the sample were later incarcerated in CYA. African American and Hispanic children who received in-home or foster care services after the index investigation event had a lower risk of incarceration than those whose cases were closed after the investigation. Among females, the rate of incarceration was highest for those who experienced foster or group care placements. Children initially reported for neglect were more likely to be incarcerated than those reported for physical or sexual abuse. Public child welfare services have rarely been assessed in terms of future negative child outcomes. This study finds that one serious negative outcome, CYA involvement, can only be understood when a number of factors are considered. The importance of understanding the differences between how different subpopulations respond to services is highlighted. Specifically, the findings suggest that more attention should be focused on children who are now receiving no services after an investigated child abuse and neglect report, on females, and on victims of child neglect. 39 references, 3 figures, and 2 tables. (Author abstract)

 

KEY TERMS:         child welfare research;  risk factors;  sequelae;  delinquent behavior;  juvenile delinquency;  child abuse history;  child abuse reporting;  outcomes

 

PUBLICATION TYPE:         Journal Article

 

 

TITLE:                    Coping Strategies and Burnout Among Veteran Child Protection Workers.

 

AUTHOR:               Anderson, D. G.

 

PUBLICATION YEAR:        2000

 

JOURNAL TITLE:    Child Abuse and Neglect

 

AUTHOR AFFILIATION:    Kentucky Univ., Lexington. Coll. of Social Work.

 

SOURCE:                24(6): pp. 839-848;  Elsevier Science, Ltd., New York, NY., June 2000;  p. 200

 

ABSTRACT:           This study examined how veteran child protective service investigations workers cope with job stress and the relationship between coping strategies and levels of emotional exhaustion, depersonalization, and sense of reduced personal accomplishment (burnout syndrome). Cross-sectional, self-report methodology was used to measure coping strategies and the burnout syndrome. The voluntary subjects were 151 front-line child protective service workers with at least 2 years experience in a southeastern Department of Social Services. They attended one of nine stress management workshops provided in various locations around the state. Quantitative analyses were run on the data. These workers perceived themselves to use Engaged (active) coping strategies more than Disengaged (avoidant) strategies. Sixty-two percent of participants scored in the high range on Emotional Exhaustion, the aspect some researchers consider to be the heart of Burnout. Those who used Engaged coping were less likely to feel depersonalized and more likely to feel a sense of personal accomplishment. Neither the use of active nor avoidant coping strategies saved these workers from Emotional Exhaustion. The problem-focused strategies they are taught and use most do not help deal with the emotional content and context of their work, suggesting the use of emotion-focused coping to prevent and remediate burnout. 39 references and 3 tables. (Author abstract)

 

KEY TERMS:         child welfare workers;  coping skills;  well being;  child protective services;  psychological characteristics;  stress management;  investigations;  child welfare research

 

PUBLICATION TYPE:         Journal Article

 

 

TITLE:                    State Child Well-Being Ranking: Alternative Approaches.

 

AUTHOR:               Engel, S. M.;  Field, C.;  Finkelhor, D.

 

PUBLICATION YEAR:        2000

 

AUTHOR AFFILIATION:    New Hampshire Univ., Durham. Family Research Lab.

 

SOURCE:                New Hampshire Univ., Durham. Family Research Lab., May 2000;  p. 202

 

ABSTRACT:           This paper suggests a method for controlling for race when ranking states in order of child well being. Data from the Kids Count Data Book were analyzed to measure the amount of change in well being, as well as to take into account the proportion of children in the state who are black. Both methods changed the order of the states in the ranking of well being. When states are listed according to the amount of change in indicators, Utah, Alaska, and Maine received the highest scores. Massachusetts and Connecticut s rankings decreased from the top 25 percent to the lowest 25 percent. When controlled for the percentage of black children in the state, Maryland was ranked the best for child well being. These findings illustrate the nature of rankings systems. Policymakers are advised to apply different statistical methods for measuring the well being of children and their families. 2 figures and 20 tables.

 

KEY TERMS:         well being;  state surveys;  indicators;  measures;  research methodology;  statistical data;  statistical analysis;  racial factors

 

PUBLICATION TYPE:         Technical Report

 

INTERNET URL:   http://www.unh.edu/frl

 

 

TITLE:                    Posttraumatic Response and Children Exposed to Parental Violence.

 

AUTHOR:               Rossman, B. B. R.;  Ho, J.

 

PUBLICATION YEAR:        2000

 

JOURNAL TITLE:    Journal of Aggression, Maltreatment and Trauma

 

SOURCE:                3(1): pp. 85-106;  Haworth Press, Inc., Binghamton, NY., 2000;  p. 248

 

ABSTRACT:           Using a factor analytic procedure, this study attempted to examine how the DSM-IV symptoms clusters for Posttraumatic Stress Disorder come together for a sample of 285 children living in shelters for battered women and the community. The mothers of the subjects completed instruments about family background, their relationship with their partner, and child behavior. Children were assessed for vocabulary, cognitive skills, and symptoms of posttraumatic stress syndrome. The findings revealed that children exposed to violence reported higher scores for posttraumatic stress symptoms than non-exposed children. Although the clusters of children s symptoms were somewhat similar to the DSM-IV clusters of re-experiencing-intrusion; arousal-avoidance, and dysphoria, the study should be replicated to collect further evidence of the pattern. The results demonstrate the complex nature of diagnosing posttraumatic stress disorder in children because the symptoms are similar to other conditions, such as depression and attention deficit hyperactivity disorder. General suggestions are made regarding possible intervention with exposed children experiencing posttraumatic symptoms. 49 references and 7 tables. (Author abstract modified)

 

KEY TERMS:         child witnesses of family violence;  posttraumatic stress disorder;  sequelae;  trauma;  symptoms;  intervention strategies;  child abuse research;  self report

 

PUBLICATION TYPE:         Journal Article

 

INTERNET URL:   http://www.haworthpressinc.com

 

 

TITLE:                    Consider the Children: Research Informing Interventions for Children Exposed to Domestic

 

AUTHOR:               Pepler, D. J.;  Catallo, R.;  Moore, T. E.

 

PUBLICATION YEAR:        2000

 

JOURNAL TITLE:    Journal of Aggression, Maltreatment and Trauma

 

AUTHOR AFFILIATION:    York Univ., North York, ON (Canada). La Marsh Centre for Research on Violence and Conflict Resolution.

 

SOURCE:                3(1): pp. 37-57;  Haworth Press, Inc., Binghamton, NY., 2000;  p. 250

 

ABSTRACT:           This article considers interventions for children exposed to family violence in light of the research on children s problems associated with witnessing family violence. Risk and protective factors related to these children s adjustment are identified, emphasizing that all children are not similarly affected by exposure to family violence. A systemic perspective of intervention is proposed to address children s relationships with their mother, father, and siblings, as well as within broader systems such as the peer group, the school, and the community. The article summarizes the findings of an evaluation of an intervention that incorporates some of the elements identified by a systemic perspective. The evaluation revealed a significant improvement in children s self-reports of depression and anxiety over the course of the program. Mothers rated their children as significantly improved in emotional and hyperactive behavior problems. There was no relation between mothers involvement in counseling and children s improvement. Overall, the results suggest that the Peer Group Counseling Program effectively provided support to children exposed to family violence. Finally, the steps necessary to support children and families in moving toward violence-free lives are described. 33 references and 3 tables. (Author abstract)

 

KEY TERMS:         child witnesses of family violence;  intervention strategies;  risk factors;  resilience;  program evaluation;  therapeutic effectiveness;  group therapy;  peer groups

 

PUBLICATION TYPE:         Journal Article

 

INTERNET URL:   http://www.haworthpressinc.com

 

 

TITLE:                    Witnessing Parental Violence as a Traumatic Experience Shaping the Abusive Personality.

 

AUTHOR:               Dutton, D. G.

 

PUBLICATION YEAR:        2000

 

JOURNAL TITLE:    Journal of Aggression, Maltreatment and Trauma

 

AUTHOR AFFILIATION:    British Columbia Univ., Vancouver (Canada). Dept. of Psychology.

 

SOURCE:                3(1): pp. 59-67;  Haworth Press, Inc., Binghamton, NY., 2000;  p. 251

 

ABSTRACT:           This article reviews research about childhood trauma to explain the development of abusive behaviors perpetrated by batterers. It proposes that a combination of insecure attachment, exposure to physical abuse, and being shamed by a parent magnifies trauma and contributes to the imitation of aggressive behavior. Research has found that exposure to interparental violence can result in imitative behavior, a weakening of attachment relationships which would otherwise protect the child from the effects of violence, and high levels of stress. Previous work by Dutton and his colleagues established a clinical profile on intimately abusive adult men that is quite similar to profiles of trauma victims in many essential clinical respects. Dutton showed that arousal modulation problems, affective monitoring, cognitive problem solving deficits, externalizing attributional styles, aggression and dissociative states are common to both groups. Furthermore, intimately abusive men demonstrate similar profiles as men diagnosed independently with posttraumatic stress disorder. The trauma was attributed to early assaults on the self through parental shaming, accompanied by insecure attachment and physical abuse victimization. Although most of the research has examined the contribution of childhood physical abuse to the personality development of spouse abusers, some evidence suggests that observation of interparental attacks is an equally important risk factor. 48 references. (Author abstract)

 

KEY TERMS:         child witnesses of family violence;  trauma;  child development;  characteristics of abuser;  child abuse history;  research reviews;  generational cycle of family violence;  sequelae

 

PUBLICATION TYPE:         Journal Article

 

INTERNET URL:   http://www.haworthpressinc.com

 

 

TITLE:                    Helping Children Who Reside at Shelters for Battered Women: Lessons Learned.

 

AUTHOR:               Stephens, N.;  McDonald, R.;  Jouriles, E. N.

 

PUBLICATION YEAR:        2000

 

JOURNAL TITLE:    Journal of Aggression, Maltreatment and Trauma

 

AUTHOR AFFILIATION:    Houston Univ., Texas. Dept. of Psychology.

 

SOURCE:                3(1): pp. 147-160;  Haworth Press, Inc., Binghamton, NY., 2000;  p. 255

 

ABSTRACT:           The need for mental health-psychoeducational services for children in battered women s shelters is discussed in this article. In addition to questions of types, targets, and timing of services, the need for a careful evaluation of all shelter-based services for children is emphasized. Considerations include the diverse range of needs of children residing in the shelter, causes of sources of the children s problems, resources available to the shelter, duration of shelter stays, and readiness for counseling. Suggestions and guidelines are provided in the article for designing, implementing, and evaluating services for children in battered women s shelters. In general, shelters should have a well-trained staff that is knowledgeable about community resources, as well as an array of activities and programs for helping women and their children feel comfortable in the shelter. All programs should be evaluated for effectiveness. 25 references and 1 table. (Author abstract modified)

 

KEY TERMS:         child witnesses of family violence;  battered women;  shelters;  children in shelters;  shelter management;  mental health services;  program planning;  program evaluation

 

PUBLICATION TYPE:         Journal Article

 

INTERNET URL:   http://www.haworthpressinc.com

 

 

TITLE:                    Custody and Visitation Trends in the United States in Domestic Violence Cases.

 

AUTHOR:               Lemon, N. K. D.

 

PUBLICATION YEAR:        2000

 

JOURNAL TITLE:    Journal of Aggression, Maltreatment and Trauma

 

AUTHOR AFFILIATION:    California Univ., Berkeley. School of Law.

 

SOURCE:                3(1): pp. 329-343;  Haworth Press, Inc., Binghamton, NY., 2000;  p. 263

 

ABSTRACT:           This article addresses custody and visitation trends in domestic violence cases in the United States. It defines domestic violence behaviorally, looks briefly at its prevalence, and discusses national policy statements and studies. It also examines statutory trends concerning the role of domestic violence in custody and visitation cases, including the O.J. Simpson guardianship case. Practical suggestions for litigants and judges are included. The article concludes that the way domestic violence issues are treated in custody and visitation cases is often problematic, and calls for specific reforms. 4 tables. (Author abstract)

 

KEY TERMS:         child custody;  visitation;  spouse abuse;  prevalence;  public policy;  state statutory law;  courts role;  court reform

 

PUBLICATION TYPE:         Journal Article

 

INTERNET URL:   http://www.haworthpressinc.com

 

 

TITLE:                    Tips for Investigating Child Fatalities.

 

AUTHOR:               Lee, D.;  May, J.;  O'Keefe, E.

 

PUBLICATION YEAR:        2000

 

JOURNAL TITLE:    Update

 

AUTHOR AFFILIATION:    American Prosecutors Research Institute, Alexandria, VA. National Center for Prosecution of Child Abuse.

 

SOURCE:                13(1): pp. 1-2;  American Prosecutors Research Institute, Alexandria, VA. National Center for Prosecution of Child Abuse., 2000;  p. 268

 

ABSTRACT:           This article provides checklists for the investigation of child fatalities. Suggestions are presented for identifying and interviewing witnesses, examining the suspected crime scene, creating a timeline of the child s last hours or days, and analyzing data. Potential witnesses include the medical professionals who treated the child, emergency personnel, patrol officers, parents, caregivers, and neighbors. After hearing the parents explanation of the child s death, investigators should specifically seize the object involved in the child s death, clothes and diapers of the child, the caretakers clothes, bottles and food containers, poisons and medicines, home videos and photographs, and medical records. The timeline will clarify the progression of the events that lead to the child s death and the veracity of the caretaker s explanation.

 

KEY TERMS:         investigations;  child fatalities;  interviews;  protocols;  guidelines;  police operating procedures;  police responsibility;  police role

 

PUBLICATION TYPE:         Journal Article

 

 

TITLE:                    Counseling Sexually Abused Girls: The Impact of Sex of the Counselor.

 

AUTHOR:               Moon, L. T.;  Wagner, W. G.;  Kazelskis, R.

 

PUBLICATION YEAR:        2000

 

JOURNAL TITLE:    Child Abuse and Neglect

 

AUTHOR AFFILIATION:    Virginia State Univ., Petersburg. Dept. of Education Leadership.

 

SOURCE:                24(6): pp. 753-765;  Elsevier Science, Ltd., New York, NY., June 2000;  p. 277

 

ABSTRACT:           This study was conducted to assess the impact of sex of counselor on the therapeutic process for sexually abused girls in individual counseling. Raters evaluated videotapes of counseling sessions recorded for 35 sexually abused girls who had been systematically assigned to brief-term psychoeducationally oriented treatment with either a male or female counselor. Clients' in-session behavior was rated using accepted therapeutic process measures, while statistically controlling for the effect of girls' pretreatment comfort level with male and female counselors. Overall, MANCOVA results revealed that girls' participation in counseling was not significantly related to session number, the child's age (i.e., preadolescent vs. adolescent), or the sex of counselor who provided treatment services. However, univariate results and graphic representations of girls' behavior suggest that adolescent clients, when compared with their preadolescent counterparts, seemed to be more reluctant to discuss certain child sexual abuse topics. The findings suggest that caution is warranted regarding categorical recommendations on the assignment of young female survivors to male counselors. Delimitations and limitations of the study and directions for future research are discussed. 54 references, 2 figures, and 1 table. (Author abstract)

 

KEY TERMS:         sexual abuse;  female victim;  therapeutic effectiveness;  sex factors;  counselors;  therapists;  child abuse research;  individual therapy

 

PUBLICATION TYPE:         Journal Article

 

 

TITLE:                    What Children Learn From Sexual Abuse Prevention Programs: Difficult Concepts and Developmental Issues.

 

AUTHOR:               Tutty, L. M.

 

PUBLICATION YEAR:        2000

 

JOURNAL TITLE:    Research on Social Work Practice

 

AUTHOR AFFILIATION:    Calgary Univ., AL (Canada).

 

SOURCE:                10(3): pp. 275-300;  Sage Publications, Inc., Thousand Oaks, CA., May 2000;  p. 279

 

ABSTRACT:           This study evaluated the effectiveness of a school-based sexual abuse prevention program. The secondary analysis compared 231 elementary school children who were randomly assigned and matched for age to participate in the Who Do You Tell sexual abuse prevention program or in a wait list control condition. Chi-square analyses compared changes on each item of the Children's Knowledge of Abuse Questionnaire-Revised based on treatment versus control condition and developmental level (ages 5 to 7 compared to ages 8 to 13). Three items significantly improved for children in the program as compared to those in the control condition across ages, including secrets, permission to tell, and permission to say no to an adult. The report suggests several changes in teaching prevention concepts to improve children's retention of the lessons and their understanding of appropriate and inappropriate touch. 41 references, 2 figures, and 4 tables. (Author abstract modified)

 

KEY TERMS:         primary prevention;  prevention programs;  sexual abuse;  program evaluation;  child development;  age factors;  outcomes;  school linked services

 

PUBLICATION TYPE:         Journal Article

 

INTERNET URL:   http://www.sagepub.com/

 

 

TITLE:                    Family Skills Training for Parents and Children.

 

AUTHOR:               Kumpfer, K. L.;  Tait, C. M.

 

PUBLICATION YEAR:        2000

 

AUTHOR AFFILIATION:    Center for Substance Abuse Prevention (DHHS), Rockville, MD.

 

SOURCE:                Office of Justice Programs (DOJ), Washington, DC. Office of Juvenile Justice and Delinquency Prevention., April 2000;  p. 299

 

ABSTRACT:           The Strengthening Families Program was designed to improve the parenting skills of substance abusing parents and to prevent drug use by their children. The intervention consists of separate training programs for parents and children to enhance interpersonal family relationships. Children s sessions focus on behavior and social skills, while parents sessions address parenting, communication, rules, and family conflict. Two versions were created to respond to the needs of families of elementary school children and for children ages 10 to 14 years old. Each of the 14 sessions also includes family skills training time for parents and children to meet together. Emphasis is placed on communication and problem-solving. Evaluations of the program have found reductions in drug use among participating children, less family conflict, and improvements in youth behavior and family communication. Replications of the program have also reported success among African American and Hispanic families. The article describes implementation of the program in Utah, Hawaii, and Iowa, and provides suggestions for recruiting and retaining families and for training facilitators. 28 references.

 

KEY TERMS:         program models;  prevention programs;  juvenile delinquency;  family relationships;  parent education;  parenting skills;  substance abusing parents;  childrens therapy

 

PUBLICATION TYPE:         Technical Report

 

INTERNET URL:   http://www.ncjrs.org

 

 

TITLE:                    Power Through Choices: The Development of a Sexuality Education Curriculum for Youths in Out-of-Home Care.

 

AUTHOR:               Becker, M. G.;  Barth, R. P.

 

PUBLICATION YEAR:        2000

 

JOURNAL TITLE:    Child Welfare

 

AUTHOR AFFILIATION:    Youth ALIVE!, Oakland, CA.

 

SOURCE:                79(3): pp. 269-282;  Child Welfare League of America, Inc., Washington, DC., May-June 2000;  p. 300

 

ABSTRACT:           This article profiles the development and characteristics of an innovative pregnancy-HIV-sexually transmitted disease prevention curriculum tailored to the needs of youths in out-of-home care. The Power Through Choices program focuses on self-improvement and the consequences of choice on a person s future. Participants attend 10 interactive 90-minute sessions that address choices regarding sexual behavior, utilizing local resources, communication skills, contraceptive use, risk reduction strategies, and goals. Promising results from an implementation study suggest the need for further dissemination and rigorous testing. 20 references. (Author abstract modified)

 

KEY TERMS:         foster children;  sex education;  educational programs;  prevention programs;  pregnancy;  venereal diseases;  program evaluation;  outcomes

 

PUBLICATION TYPE:         Journal Article

 

INTERNET URL:   http://www.cwla.org

 

 

TITLE:                    How Sexual Abuse Interviews Go Astray: Implications for Prosecutors, Police, and Child Protection Services.

 

AUTHOR:               Wood, J. M.;  Garven, S.

 

PUBLICATION YEAR:        2000

 

JOURNAL TITLE:    Child Maltreatment

 

AUTHOR AFFILIATION:    Texas Univ., El Paso. Dept. of Psychology.

 

SOURCE:                5(2): pp. 109-118;  Sage Publications, Inc., Thousand Oaks, CA., May 2000;  p. 304

 

ABSTRACT:           This article argues that child sexual abuse interviews can go astray in two different ways: improper interviewing has the potential to elicit false allegations from children and clumsy interviewing does not typically produce false allegations, but may have other negative consequences, particularly for child victims. The article clarifies the distinction between the two kinds of bad interviewing and suggests that clumsy interviewing is the more common of the two. The potential negative consequences of both improper and clumsy interviewing are described, along with implications for prosecutors, police, and child protection services. Improper interviewing can probably be eliminated rather easily, but clumsy interviewing may be considerably more resistant to change. 65 references. (Author abstract)

 

KEY TERMS:         sexual abuse;  interviews;  investigations;  child witnesses;  sequelae;  leading questions;  methods;  false allegations

 

PUBLICATION TYPE:         Journal Article

 

 

TITLE:                    Fifteen Years of Dissociation in Maltreated Children: Where Do We Go From Here.

 

AUTHOR:               Silberg, J. L.

 

PUBLICATION YEAR:        2000

 

JOURNAL TITLE:    Child Maltreatment

 

AUTHOR AFFILIATION:    Sheppard Pratt Health System, Baltimore, MD.

 

SOURCE:                5(2): pp. 119-136;  Sage Publications, Inc., Thousand Oaks, CA., May 2000;  p. 305

 

ABSTRACT:           Controversies have centered on the prevalence of dissociative symptoms and disorders in children and adolescents, recommended treatment approaches, and the potential effects of suggestive interpersonal influences. Convergence among diverse practitioners describing dissociative children and adolescents with similar symptoms and maltreatment histories supports the occurrence of these symptom patterns. Although prevalence information has not been well studied, dissociative symptoms may be found in children from a variety of settings across a continuum of severity. There is not yet agreement on exact treatment protocols, but successful treatment outcomes have been reported. A challenge for future research is to develop assessment protocols that are derived from multiple sources of data, and to incorporate the latest developmental research findings into theory development that addresses psychobiological, family, and cultural factors. The study of dissociation in children and adolescents has the potential to clarify some puzzling child and adolescent presentations and to identify a process by which some children respond and adapt to traumatic environments. Numerous references. (Author abstract)

 

KEY TERMS:         dissociation;  prevalence;  symptoms;  etiology;  intervention strategies;  research needs;  resilience;  child abuse research

 

PUBLICATION TYPE:         Journal Article

 

INTERNET URL:   http://www.sagepub.com/

 

 

TITLE:                    Childhood Sexual Abuse History and Role Reversal in Parenting.

 

AUTHOR:               Alexander, P. C.;  Teti, L.;  Anderson, C. L.

 

PUBLICATION YEAR:        2000

 

JOURNAL TITLE:    Child Abuse and Neglect

 

AUTHOR AFFILIATION:    Maryland Univ., College Park. Dept. of Psychology.

 

SOURCE:                24(6): pp. 829-838;  Elsevier Science Ltd., New York, NY., June 2000;  p. 340

 

ABSTRACT:           This study explored the main and interactive effects of sexual abuse history and relationship satisfaction on self-reported parenting, controlling for histories of physical abuse and parental alcoholism. The community sample consisted of 90 mothers of 5- to 8-year old children. The sample was limited to those mothers currently in an intimate relationship, 19 of whom reported a history of childhood sexual abuse. Participants completed the Child Behavior Checklist, the Parenting Stress Inventory, the Family Cohesion Index, and questions assessing parent-child role reversal, history of abuse and parental alcoholism, and current relationship satisfaction. Results of analyses and multivariate analyses of covariance suggested that sexual abuse survivors with an unsatisfactory intimate relationship were more likely than either sexual abuse survivors with a satisfactory relationship or nonabused women to endorse items on a questionnaire of role reversal (defined as emotional overdependenceupon one s child). Role reversal was not significantly predicted by histories of physical abuse or parental alcoholism or child s gender. While parenting stress was inversely predicted by the significant main effect of relationship satisfaction, neitherparenting stress nor child behavior problems were predicted by the main effect of sexual abuse history or by the interaction between sexual abuse history and relationship satisfaction. These results suggest the unique relevance of sexual abuse history and relationship satisfaction in the prediction of a specific type of parent-child role reversal namely, a mother s emotional overdependence upon her child. 35 references and 1 table. (Author abstract)

 

KEY TERMS:         sexual abuse;  child abuse history;  adults abused as children;  role reversal;  parental behavior;  alcoholism;  substance abusing parents;  child abuse research

 

PUBLICATION TYPE:         Journal Article

 

 

TITLE:                    The Relationship of Social Support to Physically Abused Children's Adjustment.

 

AUTHOR:               Ezzell, C. E.;  Swenson, C. C.;  Brondino, M. J.

 

PUBLICATION YEAR:        2000

 

JOURNAL TITLE:    Child Abuse and Neglect

 

AUTHOR AFFILIATION:    Medical Univ. of South Carolina, Charleston. Dept. of Psychiatry and Behavioral Sciences.

 

SOURCE:                24(5): pp. 641-651;  Elsevier Science Ltd., New York, NY., May 2000;  p. 356

 

ABSTRACT:           With a growing body of research linking increased levels of social support with reduced adjustment difficulties in children experiencing chronic stressors, this study used data from a sample of physically abused children and their primary caretakers to address fundamental questions regarding the relationship between social support and child adjustment. Specifically, the study had three goals: to assess physically abused children's perceptions of teacher, peer, and family support; to determine whether the levels of perceived support differ according to the person's social role; and to assess which sources of social support show stronger associations with adjustment in a physically abused sample. Participants included 37 Medicaid-eligible physically abused children and their self-identified primary parent or caregiver. Methodology included a shortened version of the Survey of Children's Social Support, and answers were indexed by child and parent reports of child depression, anxiety, and anger. Results showed that children reported receiving a high level of support from all three sources, with families rated as providing significantly greater levels of support than teachers, while family and peer, and teacher andpeer support levels did not differ significantly. In regression analyses, perceived peer support was significantly negatively related to children's and parent's reports of children's depression and anxiety. Perceived family support was significantly negatively associated with child-reported depression. Results suggest that peer and family support are particularly important for physically abused children's psychological functioning, particularly for internalizing problems. Thirty-two references. (Author abstract modified.)

 

KEY TERMS:         child abuse;  perceptions;  support systems;  family relationships;  adjustment problems;  research;  data analysis;  therapists role

 

PUBLICATION TYPE:         Journal Article

 

 

TITLE:                    Dissociation as a Mediator Between Child Abuse History and Adult Abuse Potential.

 

AUTHOR:               Narang, D. S.;  Contreras, J. M.

 

PUBLICATION YEAR:        2000

 

JOURNAL TITLE:    Child Abuse and Neglect

 

AUTHOR AFFILIATION:    Kent State Univ., OH. Dept. of Psychology.

 

SOURCE:                24(4): pp. 653-665;  Elsevier Science Ltd., New York, NY., May 2000;  p. 357

 

ABSTRACT:           It has been commonly found that abused children are at risk for later becoming abusive parents and observational learning has been discussed as a mechanism that perpetuates this integrational cycle of abuse. However, two-thirds of abused children do not become abusive. This study examines whether dissociation functions as a possible intervening variable explaining the relation between a history of physical child abuse and physically abusive tendencies. A cross-sectional design wasused to examine physical abuse history, dissociation, and physical abuse potential, using a sample of 190 college students who responded to a questionnaire. Findings indicated that the three constructs were intercorrelated. Specifically, a newly established association was found between disassociation and physical abuse potential. The primary finding was that the relation between physical abuse history and physical abuse potential was significantly mediated by level of dissociation, with dissociation accounting for nearly half of the observed relation between history of abuse and abuse potential. Results suggested that dissociation might be one mechanism that helps to perpetuate the intergenerational cycle of abuse. Although dissociationpromotes psychological survival during children's abuse experiences, it may result in the development of abusive tendencies later in life. Recommendations suggest that reducing parental dissociation may assist clinicians in preventing or ending physicalchild abuse. One table; one figure; numerous references. (Author abstract modified.)

 

KEY TERMS:         child abuse history;  dissociation;  abusive parents;  research;  data collection;  data analysis;  mental health;  models

 

PUBLICATION TYPE:         Journal Article

 

 

TITLE:                    Criminal Investigation of Child Sexual Abuse: A Comparison of Cases Referred to the Prosecutor to Those Not Referred.

 

AUTHOR:               Stroud, D. D.;  Martens, S. L.;  Barker, J.

 

PUBLICATION YEAR:        2000

 

JOURNAL TITLE:    Child Abuse and Neglect

 

AUTHOR AFFILIATION:    New Mexico Univ., Albuquerque. Dept. of Psychology.

 

SOURCE:                24(5): pp. 689-700;  Elsevier Science Ltd., New York, NY., May 2000;  p. 359

 

ABSTRACT:           This study sought to identify characteristics of child sexual abuse cases that differentiate cases referred for criminal prosecution from those not referred. Related research had indicated that sexually abused children not involved in the criminal court process had experienced much greater distress, depression, and anxiety and were more likely to have a family member as the alleged perpetrator. The authors conducted an exploratory analysis of children who completed a forensic interview to determine the differentiation in cases that were referred to prosecution and those who were not. The study sample consisted of 1,043 children, of which 587, or 56 percent, had cases referred for criminal prosecution and 45, or 44 percent, did not. Differences between criminal action and dropped cases were found in relation to the children (age, sex, and ethnicity), the alleged offenders (age, sex, and relationship to child), and the case characteristics (disclosure and injury to the child). Conclusions suggest that due to the adversarial nature of the U.S. criminal justice system, problems still exist when criminally prosecuting sexual abuse charges, particularly when the offender involved is related to the victim. Recommendations include that regular notification of criminal investigation status be required to the children and families involved, in support of all children involved in sexual abuse receiving a forensic interview. Three tables, one figure, 19 references.

 

KEY TERMS:         investigations;  sexual abuse;  criminal justice system;  sampling studies;  data analysis;  courts;  child protective services;  families

 

PUBLICATION TYPE:         Journal Article

 

 

TITLE:                    A History of Abuse and Negative Life Events in Patients With a Sexually Transmitted Disease in a Community Sample.

 

AUTHOR:               Pitzner, J. K.;  McGarry-Long, J.;  Drummond, P. D.

 

PUBLICATION YEAR:        2000

 

JOURNAL TITLE:    Child Abuse and Neglect

 

AUTHOR AFFILIATION:    Murdoch Univ., Perth, WA (Australia). School of Psychology.

 

SOURCE:                24(5): pp. 715-731;  Elsevier Science Ltd., New York, NY., May 2000;  p. 361

 

ABSTRACT:           This study investigated the psychological impact of abuse and negative life events during childhood, adolescence and adulthood in-patients at a sexual health clinic. Data were obtained from 62 patients with a sexually transmitted disease, which were matched on age and sex with a community sample. Forty-two patients without a sexually transmitted disease formed another control group. Subjects self-reported their trauma histories and current psychological distress. Results showed that compared to controls, categories of abuse and negative life events were more prevalent in patients with sexually transmitted diseases, particularly physical/sexual abuse in adolescence and adulthood. Both within the STD and community samples, a negative life event category that measured illness/death of loved ones during childhood and adolescence predicted current psychological distress. In addition, control abuse, a form of psychological abuse involving selfish manipulation and deprivation, was noted in childhood and adolescence that strongly predicted current psychological stress in STD patients. In general, effects were stronger in females than in males. Psychological/verbal abuse did not independently predict current psychological distress, but accompanied other abuse types and possibly amplified their adverse effects. Conclusions suggest that multiple types of abuse and negative life events increase the risk of STD infection, perhaps by increasing the likelihood of multiple sexual partners. These patients may ignore social conventions of sexual behavior because they are bitter about past life experiences. Alternatively, they may persistently search for affection to compensate for a lack of affection in the past. Four tables; three figures; numerous references. (Author abstract modified.)

 

KEY TERMS:         child abuse history;  sexually transmitted diseases;  sexual behavior;  sexual abuse;  psychological abuse;  data collection;  data analysis;  trauma

 

PUBLICATION TYPE:         Journal Article

 

 

TITLE:                    Woman Abuse and Child Protection: A Tumultuous Marriage.

 

AUTHOR:               Mills, L. G.

 

PUBLICATION YEAR:        2000

 

JOURNAL TITLE:    Children and Youth Services Review

 

AUTHOR AFFILIATION:    New York Univ., NY. School of Social Work.

 

SOURCE:                22(3-4): pp. 199-205;  Elsevier Science Ltd., New York, NY., March-April 2000;  p. 362

 

ABSTRACT:           Protecting children and their mothers from spouse abuse in the context of child welfare practice constitutes the focus of this article, the first of several volumes exploring these issues. The author explores the conflicting demands facing mothers and child welfare workers in sorting out how to best protect children at risk. She describes the issues involved, including cultural differences, intergenerational transmission of abuse, and the specific clinical needs of abused women and their children, and provides a context for moving the woman abuse/child protection conflict beyond whether the abused mother deserves custody of her children at a particular point. The volumes described in this article reflect a growing awareness of the experiences of abused mothers and their children and the importance of presenting options to women that recognize their dilemmas. The findings suggest that while there is the usual urgency to interrupt patterns of intimate violence, the state's child welfare agency has a heightened responsibility to respond to abused women in ways that serve the combined interests of mothers and their children. Nineteen references.

 

KEY TERMS:         spouse abuse;  child protection;  child welfare services;  professional training;  intervention strategies;  children at risk;  child custody;  state role

 

PUBLICATION TYPE:         Journal Article

 

 

TITLE:                    When Moms Are Incarcerated: The Needs of Children, Mothers, and Caregivers.

 

AUTHOR:               Young, D. S.;  Smith, C. J.

 

PUBLICATION YEAR:        2000

 

JOURNAL TITLE:    Families in Society

 

AUTHOR AFFILIATION:    Syracuse Univ., NY. School of Social Work.

 

SOURCE:                81(2): pp. 130-141;  Families International, Inc., Milwaukee, WI., March-April 2000;  p. 364

 

ABSTRACT:           Women in prison, their children, and the children's caretakers present a special population with unique life experiences that warrant the attention of practitioners from a number of fields. The members of this triad experience a varietyof behavioral, emotional, health-related, and practical difficulties related to the mother-child separation. This paper examines the needs within this triad from an ecological theoretical perspective, shifting attention away from the cause-effect relationships to mutual influence, and suggests rehabilitative interventions when mothers go to prison. Key findings from evaluation studies of programs designed to strengthen families affected by maternal imprisonment are presented, noting that while few in number, nonetheless provide evidence that services targeted toward imprisoned women for the purpose of enhancing their relationship with their children and strengthening their parenting skills produce positive results. It also focuses on interventions that seek to enhance adaptive exchanges among imprisoned women, their families, and their communities, with the goal of challenging practitioners to think creatively and collaboratively about ways to positively assist these families. One table; numerous references.

 

KEY TERMS:         imprisoned women;  kinship care;  caretakers;  african americans;  ecological

 

PUBLICATION TYPE:         Journal Article

 

INTERNET URL:   http://www.manticore.ca

 

 

TITLE:                    Developmental, Familial, and Peer Determinants to Adoption Placement.

 

AUTHOR:               Weir, K. N.

 

PUBLICATION YEAR:        2000

 

JOURNAL TITLE:    Adoption Quarterly

 

AUTHOR AFFILIATION:    University of Southern California, Los Angeles. Marriage and Family Therapy Program.

 

SOURCE:                3(3): pp. 25-50;  Haworth Press, Inc., Binghamton, NY., 2000;  p. 404

 

ABSTRACT:           This article focuses on the developmental, familial, and peer deterrents that form barriers to adoption placement among teen mothers in a residential facility. An Eriksonian developmental model is used to explore developmental issues ofidentity, projective identification, and industry among teens. The findings suggest that family cutoffs and re-admissions also serve as deterrents to adoption placement. Additionally, peer pressure from residents of the facility form barriers to adoption placement. The teen mothers interviewed for the study expressed how they were deterred from adoption placement and constrained into child-rearing as pregnancy resolution strategies. This qualitative study suggests that family therapy interventions can facilitate adoption placement by addressing the constraints teen mothers face. 40 references. (Author abstract)

 

KEY TERMS:         barriers;  adoption research;  adoption;  adolescent child bearing;  adolescent parents;  pregnancy counseling;  family therapy;  intervention strategies

 

PUBLICATION TYPE:         Journal Article

 

INTERNET URL:   http://www.haworthpressinc.com

 

 

TITLE:                    SB 2030 Child Welfare Services Workload Study.

 

INST. AUTHOR:    American Humane Association, Englewood, CO;  Walter R. McDonald and Associates, Inc., Rockville, MD.

 

PUBLICATION YEAR:        2000

 

SOURCE:                American Humane Association, Englewood, CO., April 2000;  p. 409

 

ABSTRACT:           California state law, SB 2030, required an evaluation of the methodology used by the California State Department of Social Services to allocate funds statewide and to local child welfare programs. Currently, the state agency calculates +; caseload standards and average monthly case counts to determine the number of workers needed to serve children and families. The state Senate mandated the review of the methodology to clarify the duties of child welfare workers and the time needed to +; complete those activities, as well as to determine the time required to implement best practices and related budgeting methods. An advisory group of caseworkers, administrators, and stakeholders provided input into the evaluation process. Information for+; the assessment was obtained from workload study data from all 58 counties, a review of laws and policies, and focus groups. Significant differences were found between the current standard/expectation of time required and number of cases per month, to +; the actual reported by caseworkers, and the minimum and optimum requirements identified by laws and policies. The evaluation suggests that the minimum recommended standards be implemented for at least some programs with the optimum standard prioritized +; for future application. In addition, the state should consider training and staff development time in available staff hours, implement a recruitment plan, and continue the current budgeting methodology, substituting minimum standards for the older +; standards. However, the cost-sharing ratios with the counties should be evaluated. The program evaluation also reviewed specific considerations for kinship home assessment, health and education passports, multilingual services, independent living, and +; response to domestic violence. 66 references, 7 figures, and 23 tables.

 

KEY TERMS:         child welfare services;  program evaluation;  california;  program costs;  funding;  caseload;  case management;  budgeting

 

PUBLICATION TYPE:         Final Report

 

INTERNET URL:   http://www.americanhumane.org

 

 

TITLE:                    Children Don't Do Sex With Adults for Pleasure: Sri Lankan Children's Views on Sex and Sexual Exploitation.

 

AUTHOR:               Miles, G. M.

 

PUBLICATION YEAR:        2000

 

JOURNAL TITLE:    Child Abuse and Neglect

 

AUTHOR AFFILIATION:    Tearfund, Middlesex (United Kingdom).

 

SOURCE:                24(7): pp. 995-1003;  Elsevier Science Ltd., New York, NY., July 2000;  p. 415

 

ABSTRACT:           A sample of 145 Sri Lankan school children aged 13 to 17 years were surveyed to ascertain the prevalence, attitudes and practice of sexual behavior in young adolescent school children at risk of sexual exploitation. Ten percent of children said they had participated in sexual acts, 8 percent with other children their age, 5 percent with adults, and 6 percent with adults for money. Most children felt that it was not acceptable for children to do sexual things with adults. Children appeared to be strongly against the damage they felt it could do to children and their communities. Only a small proportion of children said they learned about sex from school or their parents. They had a number of misconceptions on AIDS and although a third had been taught about the disease, nearly half said they wanted to be learn about it. Children had creative ideas on intervention, but most of their suggestions focused on what adults could do to address police attitudes that place the blame on thechild rather than the adult. 12 references and 2 tables. (Author abstract)

 

KEY TERMS:         sri lanka;  sexual exploitation;  sex education;  child abuse research;  sexual abuse;  prevention;  childs attitudes;  public opinion

 

PUBLICATION TYPE:         Journal Article

 

 

TITLE:                    Perinatal Complications and Child Abuse in a Poverty Sample.

 

AUTHOR:               Zelenko, M.;  Lock, J.;  Kraemer, H. C.;  Steiner, H.

 

PUBLICATION YEAR:        2000

 

JOURNAL TITLE:    Child Abuse and Neglect

 

AUTHOR AFFILIATION:    Stanford Univ. School of Medicine, CA. Div. of Child Psychiatry and Human Development.

 

SOURCE:                24(7): pp. 939-950;  Elsevier Science Ltd., New York, NY., July 2000;  p. 422

 

ABSTRACT:           Perinatal medical illness has been associated with child maltreatment. Using a Child Protective Service (CPS) report as the defining event, this study explores to what extent perinatal morbidity is a risk factor for maltreatment. Medical charts of 206 children ages 0-3 years old were reviewed. Data regarding birth history were collected and analyzed in three groups of children: children whose medical record indicated a report to CPS based on prenatal findings (Early Maternal Inadequacy group- EMI), children whose medical record indicated a report to CPS based only on postnatal findings (Child Maltreatment group-CM), and a control group without CPS report (NM). Compared to the CM and the NM groups, children in the EMI group showed significantly lower birth weight and higher neonatal morbidity as measured by Apgar scores, frequency of oxygen requirement and intubation at birth, frequency of admission to Neonatal Intensive Care unit, and frequency of neonatal medical problems. There was no significant difference between the CM and the NM groups in birth weight, gestational age, and other measures of morbidity. The results of the study suggest that perinatal complications are associated with prenatal maltreatment. Previously reported strong associations between neonatal morbidity and child abuse are more likely a result of antecedent prenatal maternal behaviors (early maternal inadequacy). Early maternal inadequacy, a clinically and demographically distinct phenomenon, is important due to serious health, development, and financial implications and deserves further exploration. 51 references and 6 tables. (Author abstract)

 

KEY TERMS:         risk factors;  perinatal period;  poverty;  health status;  medical history;  newborn infants;  child abuse research;  maternal behavior

 

PUBLICATION TYPE:         Journal Article

 

 

TITLE:                    Sexual Abuse Characteristics Associated With Survivor Psychopathology.

 

AUTHOR:               Ruggiero, K. J.;  McLeer, S. V.;  Dixon, J. F.

 

PUBLICATION YEAR:        2000

 

JOURNAL TITLE:    Child Abuse and Neglect

 

AUTHOR AFFILIATION:    West Virginia Univ., Morgantown. Dept. of Psychology.

 

SOURCE:                24(7): pp. 951-964;  Elsevier Science Ltd., New York, NY., July 2000;  p. 423

 

ABSTRACT:           Eighty sexually abused children were administered a structured diagnostic interview and a variety of rating-scale instruments designed to examine predictors of psychopathology in non-clinically referred, sexually abused children, ages 6-16 years, 30-60 days following abuse disclosure and termination. Several forms of psychopathology were assessed, including posttraumatic stress, global functioning, anxiety, depression, and externalizing behavior. Abuse interviews also were used to guide the collection of demographic (victim age, gender) and abuse-related information (e.g., frequency of abuse). Abuse-related factors and demographic variables accounted for greater than half of the variance predicting global functioning, and accurately predicted posttraumatic stress disorder (PTSD) status for 86 percent of the participants. Also, analyses yielded significant predictors of parent-reported attention problems and sexual behavior. Of additional importance, none of the abuse-related and demographic variables predicted scores on measures of general anxiety, depression, and externalizing behavior. Specific demographic and sexual abuse information may, to some extent, be used to identify children who are at increased riskfor short-term post-abuse psychopathology. Although the present findings suggest that such information may not be useful in the prediction of general anxiety, depression, and externalizing behavior, demographic and abuse-related variables importantly appear to account for significant variance in the prediction of global functioning, posttraumatic stress, attentiveness, and sexual behavior. Additional research is needed to improve mental health professionals' ability to identify sexually abused children who are at high risk for psychopathology. 61 references and 1 table. (Author abstract)

 

KEY TERMS:         sexual abuse;  psychopathology;  predictor variables;  sequelae;  posttraumatic stress disorder;  depression;  child behavior;  child abuse research

 

PUBLICATION TYPE:         Journal Article

 

 

TITLE:                    Sexual Offenders' Implicit Planning: A Conceptual Model.

 

AUTHOR:               Ward, T.;  Hudson, S. M.

 

PUBLICATION YEAR:        2000

 

JOURNAL TITLE:    Sexual Abuse: A Journal of Research and Treatment.

 

AUTHOR AFFILIATION:    Melbourne Univ., Parkville, VIC (Australia). Dept. of Criminology.

 

SOURCE:                12(3): pp. 189-201;  Kluwer Academic-Plenum Publishers, Dordrecht (The Netherlands)., 2000;  p. 437

 

ABSTRACT:           In recent years, empirical research, clinical observation, and theoretical models about sexual offending have emphasized the importance of problem solving and decision making throughout different phases in the offense chain. This work suggests that sometimes offense planning is explicit, systematic, and analytical, while at other times it appears to be implicit and intuitive. This article attempts to provide an explanation of offenders' implicit decision making and suggests two socialcognitive mechanisms capable of generating these types of decisions. It is believed that implicit decision making in offenders has the appearance of automaticity, that is, decision making that is implicit, fast, relatively autonomous, frequently associated with a lack of control, effortless, and occurring without conscious awareness. Drawing from diverse theoretical sources, the article hypothesizes that these types of decisions are generated by underlying automatic goal dependent action plans. More specifically, it suggests that there are at least two types of automatic goal-dependent plans evident in offenders' decision making: offense scripts and mental simulations. Implications for generating future hypotheses and suggestions for future research are outlined. 25 references. (Author abstract)

 

KEY TERMS:         sex offenders;  characteristics of abuser;  decision making;  cognitive processes;  cognitive abilities;  biosocial theories;  psychological theories;  sexual abuse

 

PUBLICATION TYPE:         Journal Article

 

INTERNET URL:   http://www.wkap.nl

 

 

TITLE:                    Developmental Antecedents of Sexual Coercion in Juvenile Sexual Offenders.

 

AUTHOR:               Johnson, G. M.;  Knight, R. A.

 

PUBLICATION YEAR:        2000

 

JOURNAL TITLE:    Sexual Abuse: A Journal of Research and Treatment

 

AUTHOR AFFILIATION:    Brandeis Univ., Waltham, MA. Dept. of Psychology.

 

SOURCE:                12(3): pp. 165-178;  Kluwer Academic-Plenum Publishers, Dordrecht (The Netherlands)., 2000;  p. 441

 

ABSTRACT:           Previous research has linked adult sex offending behavior to a multiplicity of variables, including juvenile delinquency and the experience of childhood abuse. The purpose of this study was to explore developmental pathways among childhood abuse, juvenile delinquency, and personality dimensions possibly conducive to adolescent sexual coercion. Using a retrospective self-report inventory, the extent to which juvenile sexual offenders experienced childhood trauma, engaged in adolescent delinquency, and exhibited particular dispositions and cognitive biases was measured. The effects of childhood and adolescent antecedents on sexual coerciveness were then analyzed through simultaneous multiple regression path analyses. Resultssuggest that sexual compulsivity and hypermasculinity, through misogynistic fantasy behavior, significantly discriminate verbally and physically coercive juvenile offenders from those offenders who do not report using force in their offenses. Results also suggest that alcohol abuse may play a more salient role in the expression of coercive juvenile sexual coercion than previously hypothesized. 30 references, 2 figures, and 2 tables. (Author abstract)

 

KEY TERMS:         adolescent sex offenders;  sex offenses;  predictor variables;  child development;  child abuse history;  juvenile delinquency;  alcohol abuse;  psychological characteristics

 

PUBLICATION TYPE:         Journal Article

 

INTERNET URL:   http://www.wkap.nl

 

 

TITLE:                    General Practitioners and Child Protection Case Conference Participation: Reasons for Non-Attendance and Proposals For a Way Forward.

 

AUTHOR:               Polnay, J. C.

 

PUBLICATION YEAR:        2000

 

JOURNAL TITLE:    Child Abuse Review

 

AUTHOR AFFILIATION:    Nottingham City Hospital (United Kingdom).

 

SOURCE:                9(2): pp. 108-123;  John Wiley and Sons, Ltd., Chichester, West Sussex (United Kingdom)., 2000;  p. 448

 

ABSTRACT:           General practitioners' (GPs) attitudes about child protection case conferences were explored in the belief that commonly cited practical reasons, such as inconvenient timing, fail to provide a complete explanation for poor participation. Twelve GPs took part in a preliminary investigation by telephone interview and a postal questionnaire was then sent to 112 GPs in the Nottingham area. The response rate was 100 percent for the preliminary study and 82 percent for the questionnaire. The postal survey showed that nearly half the respondents agreed there were too many other tasks of higher priority than case conference attendance, confirming that previously mentioned constraints alone did not account for poor participation. Contrary to previous research, issues such as confidentiality and parental attendance do not stop the majority of GPs from contributing. Suggestions that might improve participation, such as facility to stay for the first half hour of a conference and guidance on content of reports, had favorable responses. It was concluded that it may be more fruitful to concentrate on improving report submission rate and content because of GPs' priorities. Improved education of GPs and social workers with respect to each other's role and responsibilities would facilitate communication in case conferences. 25 references and 8 tables. (Author abstract)

 

KEY TERMS:         physicians role;  child protection;  multidisciplinary teams;  physicians attitudes;  case plans;  great britain;  child welfare research

 

PUBLICATION TYPE:         Journal Article

 

INTERNET URL:   http://www.wiley.com

 

 

TITLE:                    Identification and Care of HIV-Exposed and HIV-Infected Infants, Children, and Adolescents in Foster Care.

 

INST. AUTHOR:    American Academy of Pediatrics, Elk Grove Village, IL. Committee on Pediatric AIDS.

 

PUBLICATION YEAR:        2000

 

JOURNAL TITLE:    Pediatrics

 

SOURCE:                106(1): pp. 149-153;  American Academy of Pediatrics, Elk Grove Village, IL., July 2000;  p. 451

 

ABSTRACT:           As a consequence of the expanding human immunodeficiency virus (HIV) epidemic and major advances in medical management of HIV-exposed and HIV-infected persons, the American Academy of Pediatrics revised its recommendations for HIV testing of infants, children, and adolescents in foster care. In general, the association of pediatricians and other professional organizations suggest that all pregnant women be tested for HIV. In addition, all foster children with symptoms of HIV or who have been sexually abused should also be tested. Updated recommendations are provided for the care of HIV-exposed and HIV-infected persons who are in foster care. 38 references. (Author

 

KEY TERMS:         hiv infection;  identification;  diagnostic tests;  foster children;  foster care;  protocols;  medical treatment;  medical societies

 

PUBLICATION TYPE:         Journal Article

 

INTERNET URL:   http://www.pediatrics.org

 

 

TITLE:                    Questioning the Child Witness: What Can We Conclude From the Research Thus Far?

 

AUTHOR:               Quas, J. A.;  Goodman, G. S.;  Ghetti, S.;  Redlich, A. D.

 

PUBLICATION YEAR:        2000

 

JOURNAL TITLE:    Trauma, Violence, and Abuse

 

AUTHOR AFFILIATION:    California Univ., Irvine. Dept. of Psychology and Social Behavior.

 

SOURCE:                1(3): pp. 223-249;  Sage Publications Inc., Thousand Oaks, CA., July 2000;  p. 461

 

ABSTRACT:           In recent years increasing numbers of studies have investigated children's memory, suggestibility, and false event reports. This article highlights key findings from and implications of this research for interviewing child witnesses. First, developmental changes in children s memory and suggestibility are discussed, spanning from the early childhood years through middle childhood, suggesting that the most consistent and robust predictor of differences in children's performance is age. Second, theory and research concerning relations between emotional distress and children's memory are reviewed, with an emphasis on methodological differences that have led to varied results across studies and sheds light on the degree to which emotional distress helps versus hinders children ' memory and suggestibility. Third is a description of factors associated with the context of an interview that may influence children's susceptibility to false suggestions, in particular discussing the implications of questioning tactics and contextual features of forensic interviews. Fourth, recent studies are discussed concerning individual differences in children's mnemonic capabilities, suggestibility, and false memories. Finally, recommendations are provided about what can and cannot be concluded from research on questioning child witnesses, with an eye on aiding professionals in understanding the research and its capabilities and limitations. Numerous references. (Author abstract modified.)

 

KEY TERMS:         child witnesses;  research;  false allegations;  memory;  suggestibility;  stress;  risk factors;  literature review

 

PUBLICATION TYPE:         Journal Article

 

INTERNET URL:   http://www.sagepub.com/

 

 

TITLE:                    Improving the Effectiveness of Sexual Offender Treatment.

 

AUTHOR:               Marshall, W. L.;  Serran, G. A.

 

PUBLICATION YEAR:        2000

 

JOURNAL TITLE:    Trauma, Violence, and Abuse

 

AUTHOR AFFILIATION:    Queen's Univ., Kingston, ON (Canada). Bath Institution Sexual Offender's Program.

 

SOURCE:                1(3): pp. 203-222;  Sage Publications, Inc., Thousand Oaks, CA., July 2000;  p. 462

 

ABSTRACT:           The development of cognitive behavioral treatment programs for sexual offenders is outlined in this article, with an appraisal of various issues concerning these treatments. The authors operate on the premise that while the sensible goal of the treatment of sexual offenders is harm reduction rather than complete elimination of offending, and the complete abstinence by all treated offenders remains a desirable, if unrealistic, target, anything that can be done to improve the efficacyof treatment of sexual offenders is laudable. The authors make suggestions for modifying the extent of such treatment and question certain assumptions underlying present treatments. For example, the authors consider the need to address all instances of offending and the relevance of planning and deviant fantasizing, and examine the empirical bases for these issues. Suggestions are made concerning several components and targets of treatment, and additional targets are identified. In particular, the process of treatment, rather than simply the procedures, is emphasized, and proposals are offered for maximizing the value of these influences. Numerous references. (Author abstract modified.)

 

KEY TERMS:         treatment programs;  sex offenders;  cognitive abilities;  risk factors;  denial;  self esteem;  coping skills;  prevention

 

PUBLICATION TYPE:         Journal Article

 

 

TITLE:                    An Evaluation of a Biopsychosocial Treatment Model For Drug Dependent Pregnant and Parenting Women.

 

AUTHOR:               Simons, L.

 

PUBLICATION YEAR:        2000

 

JOURNAL TITLE:    Source

 

AUTHOR AFFILIATION:    Temple Univ., Philadelphia, PA. Diagnostic Rehabilitation Center.

 

SOURCE:                10(1): pp. 6-10;  National Abandoned Infants Assistance Resource Center, Berkeley, CA., Spring 2000;  p. 465

 

ABSTRACT:           The author states that few programs are designed specifically for drug-dependent pregnant and/or parenting women, and evaluations of these programs are even rarer. As a result, women face barriers in addiction treatment that are exacerbated when they are pregnant or parents of dependent children. The author proposes a biopsychosocial model treatment program that may be more suitable for these women. The program was developed from focus groups with drug-dependent women with children and previous research investigations; the majority of participants were African-American women, average age 35, with at least two dependent children with them in treatment. Treatment consisted of assessment and evaluation; individual, group, family, and psychoeducational modalities within a nine-month period, and aftercare and follow-up services after program completion. Findings suggest that factors from biological, psychological, and social paradigms should be addressed in treatment in order to understand the coping progress of drug-dependent women with histories of childhood abuse. Program development and evaluation should focus on treating drug-dependent women with children from a multi-system point of view. Future investigations should incorporate rigorous evaluation methods for biopsychosocial and gender-specific models. One figure; one table; 15 references.

 

KEY TERMS:         treatment programs;  models;  substance abusing mothers;  drug addiction;  incest;  child abuse;  barriers;  coping skills

 

PUBLICATION TYPE:         Journal Article

 

INTERNET URL:   http://socrates.berkeley.edu/~aiarc

 

 

TITLE:                    Characteristics of Crimes Against Juveniles.

 

AUTHOR:               Finkelhor, D.;  Ormrod, R.

 

PUBLICATION YEAR:        2000

 

JOURNAL TITLE:    Juvenile Justice Bulletin

 

AUTHOR AFFILIATION:    New Hampshire Univ., Durham. Crimes Against Children Research Center.

 

SOURCE:                (NCJ179034): pp. 1-11;  Office of Juvenile Justice and Delinquency Prevention (DOJ), Washington, DC., June 2000;  p. 469

 

ABSTRACT:           This report from the U.S. Department of Justice reviews data from the Federal Bureau of Investigation's National Incident-Based Reporting System data file that pertain to adolescent victims. That report revealed that while adolescents made up 26 percent in the population of the 12 states participating in the study, they accounted for only 12 percent of the reported crime victims, while 71 percent of all sex crime victims and 38 percent of all kidnapping victims reported to NIBRS were adolescents. Conclusions of the review suggest that if patterns of crime against adolescents in the rest of the country parallel the patterns from the reporting jurisdictions, it would appear that crimes against adolescents constitute about one-eighth ofall crimes currently reported to law enforcement officials. However, these crimes carry special burdens. Crimes against children involve special investigatory and prosecutorial challenges. Some of these relate to the ages of the victims, and some relateto the intimate character of the perpetrators, 20 percent of who are family and 61 percent of who are acquaintances. The database offers opportunities for analyzing and tracking these categories of crime victims, such as in analyzing changes in crime victimization patterns across the state of childhood. It may also be able to highlight some needs for law enforcement attention or training, and in improving public policies toward adolescent victims. Thirteen figures; three tables; seven references.

 

KEY TERMS:         crimes;  child abuse;  victimization;  adolescents;  generational cycle of child abuse;  federal government;  statistical data;  interdisciplinary approach

 

PUBLICATION TYPE:         Journal Article

 

INTERNET URL:   http://www.ncjrs.org

 

 

TITLE:                    Cultural Strengths and Challenges in Implementing a System of Care Model in American Indian Communities.

 

AUTHOR:               Cross, T. L.;  Earle, K.;  Solie, H. E. H.;  Manness, K.

 

PUBLICATION YEAR:        2000

 

AUTHOR AFFILIATION:    National Indian Child Welfare Association, Portland, OR.

 

SOURCE:                Volume 1. American Institutes for Research, Washington, DC. Center for Effective Collaboration and Practice., 2000;  p. 470

 

ABSTRACT:           Reports show that mental health services for American Indian children are inadequate even though Indian children are known to have more serious mental health problems than all other ethnic groups in the United States. This monograph examines five American Indian children's mental health projects funded by the Center for Mental Health Services. The goal of the projects was to examine promising practice that implements traditional American Indian helping and healing methods that are rooted in their culture, and represents the strength and challenges of community-based service designs that draw on culture as a primary resource. Pertinent literature is reviewed, suggesting that the American Indian sites described here are not alone intheir pursuit of culturally based mental health methods. As a framework, the authors use the relational model often associated with the medicine wheel based on the traditional American Indian worldview. It describes mental health as a balance among context, mind, body, and spirit. Data from four of the five sites were obtained from focus groups and key informant interviews; data from the other site were gathered from written materials. In reviewing the responses of each site, several recurring themes were identified; those themes revealed 18 identifiable promising practices that address the integration of culture as a resource for helping children and their families. Conclusions suggest that these community based, culturally rooted programs, with 24-hour wraparound service availability, result in substantial cost savings by preventing more costly out-of-home services. Numerous references; two appendixes.

 

KEY TERMS:         american indians;  cultural values;  barriers;  program models;  grants;  mental health;  wraparound services;  community based services

 

PUBLICATION TYPE:         Technical Report

 

INTERNET URL:   http://cecp.air.org/

 

 

TITLE:                    Keeping Foster Children Connected to Their Biological Parents: The Impact of Foster Parent Training and Support.

 

AUTHOR:               Sanchirico, A.;  Jablonka, K.

 

PUBLICATION YEAR:        2000

 

JOURNAL TITLE:    Child and Adolescent Social Work Journal

 

AUTHOR AFFILIATION:    New York State Univ., Albany. Professional Development Program.

 

SOURCE:                17(3): pp. 185-203;  Kluwer Academic-Human Sciences Press, Dordrecht (The Netherlands)., June 2000;  p. 478

 

ABSTRACT:           The primary objective of this study is to test a hypothesis that specialized training and agency support increases foster care parent involvement in the parent-child connection. It focuses on the primary goal of the foster care system to reunite foster children with their birth parents. The authors suggest that although the hypothesized relationship appears to be both logical and intuitive, the actual impact of training and support on foster parent involvement remains unexamined and unknown. The study is essentially exploratory in nature and represents a first step toward achieving greater understanding. The data used in the study were drawn from a survey of New York State foster parents conducted in 1993, involving 650 respondents.The findings supported the hypothesis. Respondents who received both specialized training and ongoing support performed significantly more visitation, non-visitation, and total activities than those who received neither training nor support. The analysis also indicated that the combined effects of training and support were far greater than those of any other variable in the model, including being birth family-oriented and being related to the foster child. The results suggest that agencies should require specialized training for all foster parents who are responsible for keeping foster children connected to their biological parents. The authors also assert that agencies do not view training and support as either necessary or complementary.Five tables; two notes; 28 references.

 

KEY TERMS:         foster children;  reunification;  birth parents;  out of home care;  foster parent training;  foster parent support groups;  parent child relationships;  data analysis

 

PUBLICATION TYPE:         Journal Article

 

INTERNET URL:   http://www.wkap.nl

 

 

TITLE:                    Thinking Clearly About Evaluations of Suspected Child Abuse.

 

AUTHOR:               Leventhal, J. M.

 

PUBLICATION YEAR:        2000

 

JOURNAL TITLE:    Clinical Child Psychology and Psychiatry

 

AUTHOR AFFILIATION:    Yale Univ., New Haven, CT. Dept. of Pediatrics.

 

SOURCE:                5(1): pp. 139-147;  Sage Publications, Inc., Thousand Oaks, CA., 2000;  p. 481

 

ABSTRACT:           Challenges face professionals who determine whether an injury in a young child is due to child abuse. Although much has been written about the types of injuries that are due to abuse, little information is available about the processes of gathering data and making clinical decisions. This article describes an approach to providing effective evaluations and offers 14 suggestions focused on the process of conducting an evaluation and eight focused on decision-making. The 14 suggestions for conducting an evaluation are as follows: 1. Clarify who you are (so that parents understand why you are conducting the evaluation. 2. Arrange to have another clinician present at the interview of the parents. 3. Consider separate interviews of the parents, to get the parents' views of each other. 4. Listen to the parents' whole story. 5. Determine who was actually present at the time of the injury. 6. Ask helpful questions designed to provide answers about the parents' relationship. 7. Observe theeffect of the questions on the behavior of parents. 8. Do not ignore the parent-child relationship. 9. A single history can be repeated five times in the record. 10. Review the x-rays with the attending radiologist. 11. Talk to the primary care clinician, who may know the family well. 12. Meet with the clinicians caring for the child and other consultants. 13. Keep the parents informed. 14. Do not ignore your own feelings or those of your colleagues or staff. The eight suggestions for decision-making are as follows: 1. Minor injuries in children are common, and not necessarily indications of abuse. 2. Unusual events do happen to children, so automatically disbelieving a story because it seems strange may not be the correct path. 3. Others are often present when an accident occurs. 4. Be worried about abuse when others are being blamed for causing the injuries. 5. Be worried about abuse when the father cares for the child alone. 6. Be cautious when there is an underlying medical problem, noting that pediatricians often make a single diagnosis whenever possible. 7. Pay attention to the history so that the details are understood and to the injuries because sometimes the words lie. 8. You cannot be right every time. Eight references.

 

KEY TERMS:         child abuse;  evaluation methods;  decision making;  injuries;  clinical methods training;  guidelines;  child protective services;  professionals role

 

PUBLICATION TYPE:         Journal Article

 

INTERNET URL:   http://www.sagepub.com/

 

 

TITLE:                    Harsh Physical Discipline in Childhood and Violence in Later Romantic Involvements: The Mediating Role of Problem Behaviors.

 

AUTHOR:               Swinford, S. P.;  DeMaris, A.;  Scernkovich, S. A.;  Giordano, P. C.

 

PUBLICATION YEAR:        2000

 

JOURNAL TITLE:    Journal of Marriage and Family

 

AUTHOR AFFILIATION:    Montana State Univ., Bozeman. Dept. of Sociology and Anthropology.

 

SOURCE:                62(2): pp. 508-519;  Allen Press, Inc., Lawrence, KS. Alliance Communications Group., May 2000;  p. 498

 

ABSTRACT:           This study examines the impact that experiencing harsh physical discipline in childhood and engaging in problem behaviors during adolescence and young adulthood have on experiencing and perpetrating violence. Testing involved a model +; based on social learning theory, Freudian theory, and theories of deviance. Analysis involved 608 cases from a longitudinal study of adolescents conducted in 1982 and in 1992-1993. Results suggest that harsh physical punishment in childhood is directly +; related to greater perpetration of violence against an intimate partner later in life. The enactment of problem behaviors in adolescence and young adulthood was also found to increase the level of perpetration of violence against an intimate partner. +; Additionally, harsh physical punishment in childhood was found to be indirectly but significantly related to increased perpetration via the intervening variables of adolescent and young adult problem behavior. The authors hypothesize that perpetration +; and victimization are significantly related to one another bi-directionally, but the results only support that greater levels of perpetration lead to increased levels of victimization. One figure; one table; numerous references. (Author abstract +; modified.)

 

KEY TERMS:         child abuse;  discipline;  deviant behavior;  spouse abuse;  longitudinal studies;  data analysis;  victimization;  social values

 

PUBLICATION TYPE:         Journal Article

 

INTERNET URL:   http://ncfr.allenpress.com

 

 

TITLE:                    The Impact of Prenatal Substance Exposure: Research Findings and Their Implications for

 

AUTHOR:               Freundlich, M.

 

PUBLICATION YEAR:        2000

 

AUTHOR AFFILIATION:    Evan B. Donaldson Adoption Institute, New York, NY.

 

SOURCE:                In: Barth, R. P.; Freundlich, M.; and Brodzinsky, D. (Editors). Adoption and Prenatal Alcohol and Drug Exposure: Research, Policy, and Practice. Child Welfare League of America,, 2000;  p. 503

 

ABSTRACT:           Significant increases in the number of pregnant women abusing drugs and alcohol have prompted researchers to examine the short- and long-term effects of prenatal exposure to substances. Early research in the 1970s and 1980s investigatedthe prenatal and perinatal effects of alcohol and heroin use. Several conditions related to substance exposure were identified, including fetal alcohol syndrome, fetal alcohol effects, and neonatal withdrawal syndrome. Research conducted after 1993 found variations in the impact of prenatal exposure that depend on the type of substance used, the stage of fetal development, the duration of exposure, other maternal characteristics, and characteristics of the fetus. Typical short-term effects include small head size at birth and oversensitivity to stimuli. However, long-term studies suggest that the effects decrease with time and that many children can achieve normal levels of development in certain skills. Early intervention, especially in a nurturing environment, can help children achieve their academic and social potential. Originally considered to be unadoptable because of their difficult behavior, prenatally-exposed children who have been adopted have been able to establish close relationships and improve their functioning using adoptive social skill techniques. Longitudinal studies demonstrate the important role of postnatal environmental factors in the healthy development of substance-exposed adopted children. 49 references and1 table.

 

KEY TERMS:         prenatal drug exposure;  research reviews;  sequelae;  child development;  adoption process;  adoption preparation;  counseling;  adoption support

 

PUBLICATION TYPE:         Chapter in Book

 

INTERNET URL:   http://www.cwla.org

 

 

TITLE:                    Evaluating Child Abuse Prevention Programs.

 

AUTHOR:               Tomison, A. M.

 

PUBLICATION YEAR:        2000

 

AUTHOR AFFILIATION:    Australian Institute of Family Studies, Melbourne, VIC. National Child Protection Clearinghouse.

 

SOURCE:                Paper Number 12. Australian Institute of Family Studies, Melbourne, VIC. National Child Protection Clearinghouse., Autumn 2000;  p. 508

 

ABSTRACT:           This paper provides an overview of the current state of program evaluation as it is applied to the field of child abuse prevention, the extent to which empirical evidence has been used, and the degree to which programs have been shown +; to be effective. Some of the problems that hamper the rigorous evaluation of real world applied social programs are discussed. A developmental framework for the comprehensive evaluation prevention programs is described, as are some alternative approaches+; that are capable of providing a more flexible response to the demands of evaluation. The author suggests that in spite of the general acceptance that the evaluation of programs should be a core element of service provision, and that rigorous, scientific+; evaluation is essential for the determination of casual relationship, the difficulties associated with applying such methods in situ have meant that very few gold standard evaluations have been done in Australia, or internationally. He also states that +; the majority of evaluations will be modest, internally focused studies that assess client satisfaction, document the services delivered, describe program implementation and if possible, the immediate effects of service provision. Finally, the author +; notes the importance of adequately grounding evaluation by ensuring the documentation of program activity. Three notes; numerous references.

 

KEY TERMS:         child abuse;  prevention programs;  program evaluation;  barriers;  outcomes;  australia;  theories;  social policies

 

PUBLICATION TYPE:         Technical Report

 

INTERNET URL:   http://www.aifs.org.au/

 

 

TITLE:                    Ethnicity and Placement: Beginning the Debate.

 

AUTHOR:               Small, J.

 

PUBLICATION YEAR:        2000

 

JOURNAL TITLE:    Adoption and Fostering

 

AUTHOR AFFILIATION:    West Indies Univ., Jamaica.

 

SOURCE:                24(1): pp. 9-14;  British Agencies for Adoption and Fostering, London (England)., Spring 2000;  p. 520

 

ABSTRACT:           This article is based on an interview with John Small, a lecturer in social work at the University of the West Indies, Jamaica, on the importance of racial identity and the value of placements with black caretakers. The interview +; examines racial identity issues, discussing psychological research that shows what constitutes self and how self-image is derivative of the messages obtained from others. Identity issues in Jamaica are discussed, noting that there, unlike the United +; Kingdom, the population has generally overcome psychological messages based on colonial rule that tout the superiority of whites and the inferiority of blacks. The merits of placements with black caretakers and white caretakers are discussed, noting that+; white families are generally not equipped to understand the history and conditions of blacks in the United Kingdom. The reluctance in the U.K. to place black children with black caretakers is examined, suggesting that racism, personal agendas, and fear +; and guilt play major roles. Small suggests that the way forward is multifaceted, requiring recruitment of black workers, panel members, and caretakers, with black and white social workers working together for institutional and political change, both to +; improve placement practice and to eliminate racism. The restating of the original concepts that fueled the placement of some black children with black caretakers both sets the record straight and provides a basis for widening the debate. Ten +; references.

 

KEY TERMS:         ethnic identity;  child placement;  transracial adoption;  social worker role;  united kingdom;  jamaica;  racism;  recruitment

 

PUBLICATION TYPE:         Journal Article

 

INTERNET URL:   http://www.baaf.org.uk

 

 

TITLE:                    Why Black Carers Are Deterred From Adoption.

 

AUTHOR:               Sunmonu, Y.

 

PUBLICATION YEAR:        2000

 

JOURNAL TITLE:    Adoption and Fostering

 

SOURCE:                24(1): pp. 59-60;  British Agencies for Adoption and Fostering, London (England)., Spring 2000;  p. 530

 

ABSTRACT:           Within the black community in the United Kingdom there are a disproportionate number of mixed-race and black children waiting for adoptive families. The situation becomes more urgent, the authors assert, when reports suggest that blacksare not coming forward to adopt. The United Kingdom's national black newspaper conducted a mini-survey to obtain readers opinions on adoption. The survey generated 150 responses. The results reinforced key issues found in previously covered research andthrow light on additional topics that need to be addressed if more black people are to come forward to adopt or foster black children. The underlying factor is that black people are not receiving enough information on the process and that few respondents take the opportunity to ask about it because they feel deterred from doing so. Some respondents still believed that to have any chance of success, they must have a high income, own their own home and be married. Ten percent asked for further information about adoption and fostering. Overall, the survey shows the strength and importance of the extended black family within black communities and highlights the need for comparative research to assess whether long-term fostering is successful. Italso shows that there is much to be done to convince blacks that local authorities can be accessible and that adoption is a viable option. One reference.

 

KEY TERMS:         minority adoption;  caretakers;  minority recruitment;  united kingdom;  surveys;  barriers;  foster care;  cultural issues

 

PUBLICATION TYPE:         Journal Article

 

INTERNET URL:   http://www.baaf.org.uk

 

 

TITLE:                    Workplace Violence: Perceptions and Experiences of Local Public Assistance and Child Support Enforcement Staff and Managers.

 

INST. AUTHOR:    Office of Inspector General (DHHS), Washington, DC. Office Evalulation and Inspections.

 

PUBLICATION YEAR:        2000

 

SOURCE:                Office of Inspector General (DHHS), Washington, DC. Office of Evaluation and Inspections., March 2000;  p. 534

 

ABSTRACT:           The Office of the Inspector General of the U.S. Department of Health and Human Services submitted this final report on worker safety. The report summarizes information the department gathered about workplace violence from local welfare +; and child support enforcement staff. Interestingly, worker safety was not the original objective of the collection of data; instead the topic was raised during a pre-inspection process as the department gathered information about how local offices deal +; with clients who might experience spouse abuse. Staff from 99 local child support offices and 103 local welfare offices in California, Georgia, Illinois, New Jersey, Texas, and Virginia provided information. Seventy-eight percent of local child support +; enforcement and 61 percent of local welfare managers reported that they have had reason to fear for the safety of workers in their office. However, they also reported that the actual incidences of violence in their offices have been rare. Staff reported +; that the nature of their work often contributes to stress levels of the individuals they serve, potentially leading to threats of violence or actual violence. Conclusions suggest that while local office safety is primarily the responsibility of the +; states, the federal Administration for Children and Families should discuss the extent and severity of worker safety with its state partners with a view to promoting the development and sharing of strategies that effectively address the issue. One +; appendix.

 

KEY TERMS:         us department of health and human services;  data analysis;  worker safety;  spouse abuse;  child welfare workers;  child support;  prevention;  welfare

 

PUBLICATION TYPE:         Final Report

 

INTERNET URL:   http://www.hhs.gov/oig/oei/

 

 

TITLE:                    PTSD Scale of the Child Behavior Checklist: Concurrent and Discriminant Validity With Non-Clinic-Referred Sexually Abused Children.

 

AUTHOR:               Ruggiero, K. J.;  McLeer, S. V.

 

PUBLICATION YEAR:        2000

 

JOURNAL TITLE:    Journal of Traumatic Stress

 

AUTHOR AFFILIATION:    West Virginia Univ., Morgantown. Dept. of Psychology.

 

SOURCE:                13(2): pp. 287-299;  Kluwer Academic-Plenum Publishers, Dordrecht (The Netherlands)., 2000;  p. 537

 

ABSTRACT:           Several assessment instruments include measures that are purported to assess characteristics of posttraumatic stress disorder (PTSD). Although these measures are used often by researchers and clinicians, few are supported by extensive validity data. The PTSD scale of the Child Behavior Checklist (CBCL) is one that has not yet encountered significant challenges to its validity. This study examined the concurrent and discriminant validity of the CBCL-PTSD scale. Participants included 63non-clinic-referred sexually abused children, 60 non-sexually abused psychiatric outpatient children, and 61 non-sexually abused, non-clinic-referred schoolchildren. Results revealed questionable concurrent validity for this scale, and suggest poor discriminant validity between sexually abused children and non-sexually abused psychiatric outpatients. 21 references and 6 tables. (Author abstract)

 

KEY TERMS:         posttraumatic stress disorder;  child behavior;  assessment;  measures;  validity;  behavior rating scales;  sexual abuse;  sequelae

 

PUBLICATION TYPE:         Journal Article

 

INTERNET URL:   http://www.wkap.nl

 

 

TITLE:                    Grandparent Caregivers' Perception of the Stress of Surrogate Parenting.

 

AUTHOR:               Sands, R. G.;  Goldberg-Glen, R. S.

 

PUBLICATION YEAR:        2000

 

JOURNAL TITLE:    Journal of Social Service Research

 

AUTHOR AFFILIATION:    Pennsylvania Univ., Phildelphia. School of Social Work.

 

SOURCE:                26(3): pp. 77-95;  Haworth Press, Inc., Binghamton, NY., 2000;  p. 558

 

ABSTRACT:           This paper examined the relationship between sociodemographic factors, stressors, and resources, and the perception of stress by grandparents caring for their grandchildren. A sample of 129 grandparents had face-to-face interviews. A +; hierarchical block regression analysis produced a model that accounted for 49 percent of the variance. For the first block (sociodemographic factors) younger age and being white were significant, but in the context of the second block, these variables +; disappeared and being employed, having conflict with the children's parent, and grandchild problems were significant. The final block, in which resources were added, found that being employed, having conflict with the children's parent, grandchild +; problems, and lack of family resources were associated with high perception of stress. These findings suggest strategies for social work intervention. 37 references and 3 tables. (Author abstract)

 

KEY TERMS:         grandparents;  kinship care;  parental stress;  family characteristics;  child welfare research;  parental surrogates;  stress;  demography

 

PUBLICATION TYPE:         Journal Article

 

INTERNET URL:   http://www.haworthpressinc.com

 

 

TITLE:                    Sexual Abuse Litigation: A Practical Resource for Attorneys, Clinicians, and Advocates.

 

AUTHOR:               Rix, R. (Editor)

 

PUBLICATION YEAR:        2000

 

SOURCE:                Haworth Press, Inc., Binghamton, NY., 2000;  p. 607

 

ABSTRACT:           The articles in this reference provide an overview of considerations in the legal representation of adults who were sexually abused in childhood. The majority of the text focuses on lawsuits filed by adults who have repressed memories of abuse. Chapters present a history of trauma research and delayed discovery statutes and review sexual abuse litigation, the admissibility of scientific evidence regarding delayed memories, and accessing insurance for payment of damages. The role of expert witnesses and the importance of collaboration with clinicians are also described. Appendices include a state by state analysis of requirements regarding statutes of limitations in cases of child sexual abuse; questions for plaintiff forensic experts; and selections of the testimony of Elizabeth Loftus, PhD about memory and suggestibility.

 

KEY TERMS:         sexual abuse;  lawsuits;  adults abused as children;  lawyers responsibility;  memory;  expert witnesses;  false memory syndrome;  evidence presentation

 

PUBLICATION TYPE:         Book

 

INTERNET URL:   http://www.haworthpressinc.com

 

 

TITLE:                    Intergenerational Continuity: Transmission of Beliefs and Culture.

 

AUTHOR:               Kopera-Frye, K.;  Wiscott, R.

 

PUBLICATION YEAR:        2000

 

AUTHOR AFFILIATION:    Akron Univ., OH. Dept. of Psychology.

 

SOURCE:                In: Hayslip, B.; Goldberg-Glen, R. (Editors). Grandparents Raising Grandchildren: Theoretical, Empirical and Clinical Perspectives. Springer Publishing Co., Inc., New York, NY., 2000;  p. 617

 

ABSTRACT:           Undergraduate psychology students were surveyed for this study of the influence of grandparents on belief and value formation, relationship quality, and intergenerational sharing of culture. The sample included 246 students, 78 percent Caucasian, 16 percent African American, and 6 percent other. Measures included the Grandparenting Shared Activities Scale, the Belief Development Scale, and the Bengston Positive Affect Scale, as well as three scales created specifically for the study toassess shared cultural activities, attitudes about grandparenting, and attitudes about the transmission of culture. Overall, the participants reported moderately strong relationships with their grandparents and the shared activities schedule was positively related to shared beliefs and relationship quality. Shared cultural activities typically included cultural customs, listening to stories about the grandparent's life, and looking at family photographs. Although race had no correlation to relationship quality, African American grandchildren had significantly more positive responses to shared everyday activities and cultural activities. Women were more likely to have been influenced by their grandparents than men. Grandparents had the greatest impact on religious beliefs and values regarding family, education, work, and personal identity. These findings suggest that custodial grandparents who have more opportunities for sharing than non-custodial grandparents may have even greater influence on the values and beliefs of their grandchildren. 49 references and 1 table.

 

KEY TERMS:         kinship care;  grandparents;  parental role;  child custody;  cultural values;  cultural identity;  identity development;  child welfare research

 

PUBLICATION TYPE:         Chapter in Book

 

INTERNET URL:   http://www.uakron.edu/

 

 

TITLE:                    A Comparison of Low-Income Caregivers in Public Housing: Differences in Grandparent and Nongrandparent Needs and Problems.

 

AUTHOR:               Kauffman, S.;  Goldberg-Glen, R. S.

 

PUBLICATION YEAR:        2000

 

AUTHOR AFFILIATION:    Widener Univ., Chester, PA. Center for Social Work Education.

 

SOURCE:                In: Hayslip, B.; Goldberg-Glen, R. (Editors). Grandparents Raising Grandchildren: Theoretical, Empirical and Clinical Perspectives. Springer Publishing Co., Inc., New York, NY., 2000;  p. 634

 

ABSTRACT:           This chapter describes the public housing service system and presents the findings of an assessment of the needs of 82 public housing residents in Chester, Pennsylvania. The needs of grandparent caregivers, parent caregivers, and non-child households are compared. Each study participant was interviewed about the composition of the family, economic issues, attitudes, service needs, and barriers to service. Grandparent caregivers reported fewer problems with transportation, unemployment, juvenile crime, family violence, financial stress, and mental illness, but they indicated that they had more health problems and conflicts among children. Teenage children were more difficult for grandparents to manage and more grandparent caregivers reported the arrest of a family member. The findings suggest that grandparent caregivers may be better off financially than other public housing residents, but need assistance with managing child behavior and coping with the arrest of a child and sudden caregiving responsibilities. 9 references and 2 tables.

 

KEY TERMS:         grandparents;  public housing;  low income groups;  needs assessment;  kinship care;  child custody;  social services;  service delivery

 

PUBLICATION TYPE:         Chapter in Book

 

INTERNET URL:   http://www.springerpub.com

 

 

TITLE:                    The Ultimate Search Book: Worldwide Adoption, Genealogy, and Other Search Secrets.

 

AUTHOR:               Carangelo, L.

 

PUBLICATION YEAR:        2000

 

AUTHOR AFFILIATION:    Americans for Open Records, Palm Desert, CA.

 

SOURCE:                2001 Edition. Access Press, Palm Desert, CA., 2000;  p. 648

 

ABSTRACT:           This guide describes strategies for searching for any individual, from birth relatives to former classmates. The first chapter offers 40 simple search tips and resource suggestions for beginners, such as Internet and telephone directories, department of motor vehicle records, the Social Security Administration locator service, courthouse records, voter registrations, the national census, and the Freedom of Information Act and the Privacy Act. The remaining chapters address specific search strategies for missing and runaway children, genealogical research, separations related to adoption or divorce, and computerized searches. The second part of the book provides information about search resources in all 50 states, the District of Columbia, United States possessions, and numerous other countries. Each profile includes contact information for vital records offices and adoption search and support groups, as well a summary of adoption disclosure laws and excerpts from letters from searchers in that jurisdiction.

 

KEY TERMS:         adoption records access;  search for birth parents;  search for birth children;  runaway children;  family structure;  intercountry adoption;  search guides;  search support

 

PUBLICATION TYPE:         Book

 

INTERNET URL:   http://www.accesspressbooks.com

 

 

TITLE:                    Community-Based Sex Offender Management: Combining Parole Supervision and Treatment to Reduce Recidivism.

 

AUTHOR:               Wilson, R. J.;  Stewart, L.;  Stirpe, T.;  Barrett, M.;  Cripps, J. E.

 

PUBLICATION YEAR:        2000

 

JOURNAL TITLE:    Canadian Journal of Criminology

 

AUTHOR AFFILIATION:    Correctional Service of Canada, Toronto, ON. Central Ontario District.

 

SOURCE:                42(2): pp. 177-188;  Canadian Criminal Justice Association, Ottawa, ON (Canada)., April 2000;  p. 669

 

ABSTRACT:           This article describes a community-based sexual offender management protocol implemented by the Central Ontario District (Toronto) over an eight year period. The program combines parole supervision and relapse prevention treatment at two levels depending on the risk of reoffense. High risk offenders received individual and group counseling from the forensic division of a psychiatric hospital, and low-risk offenders were treated and supervised within a maintenance program. A review of107 sexual offenders revealed overall rates of 21.0 percent for general reoffending, 10.2 percent for violence reoffending, and 3.7 percent for sexual reoffending. Recidivism rates were lower among offenders in the maintenance program than the high riskprogram. These results are compared with outcomes found in other treatment sites. The study suggests that valid risk assessment, in combination with a well-defined supervision strategy (i.e., collaboration of community-based relapse prevention treatmentand knowledgeable parole supervision) is an effective method for the management of sexual recidivism in the community. 11 references and 2 tables. (Author abstract modified)

 

KEY TERMS:         sex offenders therapy;  intervention strategies;  recidivism;  model programs;  community based services;  protocols;  laws enforcement;  outcomes

 

PUBLICATION TYPE:         Journal Article

 

INTERNET URL:   http://home.istar.ca/~ccja/angl/index.shtml

 

 

TITLE:                    Loss and Grief in Adoption: The Impact of Contact.

 

AUTHOR:               Courtney, A.

 

PUBLICATION YEAR:        2000

 

JOURNAL TITLE:    Adoption and Fostering

 

SOURCE:                24(2): pp. 33-44;  British Agencies for Adoption and Fostering, London (United Kingdom)., 2000;  p. 732

 

ABSTRACT:           Adopted children experience the loss of significant attachment relationships, based on the internal working models of their parents that were formed from birth. Their memories of their relationship with their parents can strongly affectthem throughout childhood. This article suggests that before children can move on to the next stage of mourning their losses, those original models have to be understood. One method for resolving the birth parent-child relationship is to incorporate thebirth parent in some way into the daily life and relationships of the child after he or she is adopted. The likely effect of contact is discussed in the article, as is the role of the adoptive parent and possible therapeutic intervention. 45 references.(Author abstract)

 

KEY TERMS:         attachment;  adjustment problems;  post adoption contact;  birth families;  visitation;  loss;  therapeutic intervention;  sequelae

 

PUBLICATION TYPE:         Journal Article

 

INTERNET URL:   http://www.baaf.org.uk

 

 

TITLE:                    Adoption With Contact: A Study of Adoptive Parents and the Impact of Continuing Contact With Families of Origin.

 

AUTHOR:               Sykes, M.

 

PUBLICATION YEAR:        2000

 

JOURNAL TITLE:    Adoption and Fostering

 

AUTHOR AFFILIATION:    Wiltshire Mental Health Care NHS Trust (United Kingdom).

 

SOURCE:                24(2): pp. 20-32;  British Agencies for Adoption and Fostering, London (United Kingdom)., 2000;  p. 735

 

ABSTRACT:           Adoption practice in the 1990s has seen a substantial increase in adoptive families where there continues to be contact with families of origin. This study examines the impact of contact experiences for adoptive parents at least two years after placement. Thirty adoptive parents in 17 families completed a written questionnaire about their experience and about half of the respondents were interviewed for more information. The analysis of the narratives from the interviews considered the impact on parenthood, specifically themes of control, entitlement to parent, communication, bonding, and ownership, as well as the relationships between adoptive and birth parents. The findings suggest that the passage of time and a greater sense of control assist in establishing confidence, while adopters develop a more empathic view towards birth mothers. This has emotional costs to the adoptive mother. The study suggests that contact is more likely to be sustained where adoptive parents are able to develop a coherence in their understanding of their own past experiences. The implications for practice are discussed. 43 references. (Author abstract)

 

KEY TERMS:         adoption research;  post adoption contact;  open adoption;  sequelae;  birth mothers;  visitation;  emotional response;  parental attitudes

 

PUBLICATION TYPE:         Journal Article

 

INTERNET URL:   http://www.baaf.org.uk

 

 

TITLE:                    Pituitary-Adrenal and Autonomic Responses to Stress in Women After Sexual and Physical Abuse in Childhood.

 

AUTHOR:               Heim, C.;  Newport, D. J.;  Heit, S.;  Graham, Y. P.;  et al.

 

PUBLICATION YEAR:        2000

 

JOURNAL TITLE:    Journal of the American Medical Association

 

AUTHOR AFFILIATION:    Trier Univ. (Germany). Center for Psychobiological and Psychosomatic Research.

 

SOURCE:                284(5): pp. 592-597;  American Medical Association, Chicago, IL., August 2, 2000;  p. 740

 

ABSTRACT:           This study was conducted to determine whether early-life stress in the form of childhood sexual abuse results in a persistent sensitization of the hypothalamic-pituitary-adrenal axis to mild stress in adulthood, thereby contributing to vulnerability to psychopathological conditions. Forty-nine healthy women aged 18 to 45 years participated in a prospective controlled study from May 1997 to July 1999 at the General Clinical Research Center of Emory University Hospital. Four study groupswere formed: 12 women with no history of childhood abuse or psychiatric disorder (controls); 13 women with diagnosis of current major depression who were sexually or physically abused as children; 14 women without current major depression who were sexually or physically abused as children; and 10 women with a diagnosis of current major depression and no history of childhood abuse. Adrenocorticotropic hormone (ACTH) and cortisol levels and heart rate responses to a standardized psychosocial laboratory stressor were compared among the four study groups. Women with a history of childhood abuse exhibited increased pituitary-adrenal and autonomic responses to stress compared with controls. This effect was particularly robust in women witn current symptoms of depression and anxiety. Women with a history of childhood abuse and a current major depression diagnosis exhibited a more than 6-fold greater ACTH response to stress than age-matched controls. These findings suggest that hypothalamic-pituitary-adrenal axis and autonomic nervous system hyperreactivity, presumably due to CRF hypersecretion, is a persistent consequence of childhood abuse that may contribute to the diathesis for adulthood psychopathological conditions related to early-life stress. 46 references, 1 figure, and 1 table. (Author abstract)

 

KEY TERMS:         sexual abuse;  adults abused as children;  female victims;  sequelae;  stress;  psychopathology;  neurology;  neurological impairments

 

PUBLICATION TYPE:         Journal Article

 

 

TITLE:                    The Stability of Child Abuse Reports: A Longitudinal Study of the Reporting Behaviour of Young Adults.

 

AUTHOR:               Fergusson, D. M.;  Horwood, L. J.;  Woodward, L. J.

 

PUBLICATION YEAR:        2000

 

JOURNAL TITLE:    Psychological Medicine

 

AUTHOR AFFILIATION:    Christchurch School of Medicine (New Zealand). Health and Development Study.

 

SOURCE:                30(3): pp. 529-544;  Cambridge Univ. Press, Oxford (United Kingdom)., 2000;  p. 752

 

ABSTRACT:           The aims of this study were to use longitudinal report data on physical and sexual abuse to examine the stability and consistency of abuse reports. The study was based on the birth cohort of young people studied in the Christchurch Health and Development Study. At ages 18 and 21 years, these young people were questioned about their childhood exposure to physical punishment and sexual abuse. Concurrent with these assessments, sample members were also assessed on measures of psychiatric disorder and suicidal behavior. Reports of childhood sexual abuse and physical punishment were relatively unstable and the values of kappa for test-retests of abuse reporting were in the region of .45. Inconsistencies in reporting were unrelated to the subject's psychiatric state. Latent class analyses suggested that those who were not abused did not falsely report being abused; and that those who were abused provided unreliable reports in which the probability of a false negative response was approximately 50 percent. Different approaches to classifying subjects as abused led to wide variations in the estimated prevalence of abuse but estimates of the relative risk of psychiatric adjustment problems conditional on abuse exposure remained relatively stable. These findings suggest that estimates of abuse prevalence based on a single report are likely to seriously underestimate the true prevalence of abuse, while estimates of the relative risk of psychiatric adjustment problems conditional on abuse appear to be robust to the effects of reporting errors. 49 references and 6 tables. (Author abstract)

 

KEY TERMS:         child abuse research;  disclosure;  longitudinal studies;  child abuse reporting;  reliability;  prevalence;  sequelae;  mental disorders

 

PUBLICATION TYPE:         Journal Article

 

INTERNET URL:   http://www.cup.org

 

 

TITLE:                    Reconsidering the Recent History of Child Sexual Abuse, 1910-1960.

 

AUTHOR:               Smart, C.

 

PUBLICATION YEAR:        2000

 

JOURNAL TITLE:    Journal of Social Policy

 

AUTHOR AFFILIATION:    Leeds, Univ. (United Kingdom). Dept. of Sociology and Social Policy.

 

SOURCE:                29(1): pp. 55-71;  Cambridge Univ. Press, Oxford (United Kingdom)., 2000;  p. 771

 

ABSTRACT:           This paper explores how different discursive sites have sought to define and/or deny the actuality and harm of child sexual abuse in the first half of the twentieth century in England and Wales. Primary data from journal and archival sources suggest that there were a range of competing accounts of sexual abuse (usually referred to as sexual assaults or even just as outrages). It is argued that there was not a monolithic silencing of this abuse but a context over the meaning of childhood, over the sexual innocence of girls, and even over the significance of discovering venereal diseases in babies and in children's homes. The paper suggests that there has been an overemphasis on the silencing potential of psychoanalytic discourses during this period, and insufficient attention paid to the role of the legal establishment and the practices of the criminal justice system in the persistent, but multifaceted, inability to define adult/child sexual contact as abusive or harmful. 39 references. (Author abstract)

 

KEY TERMS:         sexual abuse;  child abuse research;  historical perspective;  great britain;  social policies;  public policy;  social values;  literature reviews

 

PUBLICATION TYPE:         Journal Article

 

INTERNET URL:   http://www.cup.org

 

 

TITLE:                    Mass Media and Disclosures of Child Abuse in the Perspective of Secondary Prevention: Putting Ideas Into Practice.

 

AUTHOR:               Hoefnagels, C.;  Mudde, A.

 

PUBLICATION YEAR:        2000

 

JOURNAL TITLE:    Child Abuse and Neglect

 

AUTHOR AFFILIATION:    Free Univ., Amsterdam (The Netherlands).

 

SOURCE:                24(8): pp. 1091-1101;  Elsevier Science, Inc., New York, NY., 2000;  p. 792

 

ABSTRACT:           Most strategies intended to lower the prevalence of child abuse are based on the exchange of information and communication within an interpersonal setting. These strategies are limited, though, because of the reduced chance of reaching at-risk populations and the tendency of families at risk to refuse to cooperate. This article attempts to provide insight into the developmental process of a mass-media campaign aimed at the enhancement of children's disclosure of abuse by describing thevarious phases in development and implementation, summarizing the different goals and means, and discussing the shortcomings of the process and campaign. A case study is presented which describes and analyzes the organization and program development of a Dutch mass-media intervention aimed at the enhancement of disclosure of abuse by 8- to 15-year-old children. Results showed that in the developmental process, several shortcomings were observed with respect to problem analysis, goal setting, and the assessment of unplanned effects. The authors criticize the program's intervention density, and the input and output of financial and human resources. Conclusions suggest that the program described could serve as an example of an ecological approach that goes beyond the micro-system, extending the potential in preventing ongoing abuse. One table; two figures; 44 references. (Author abstract modified.)

 

KEY TERMS:         child abuse;  disclosure;  mass media;  secondary prevention;  intervention;  strategic planning;  program development;  netherlands

 

PUBLICATION TYPE:         Journal Article

 

 

TITLE:                    Is Sexual Abuse of Children With Disabilities Disclosed? A Retrospective Analysis of Child Disability and the Likelihood of Sexual Abuse Among Those Attending Norwegian Hospitals.

 

AUTHOR:               Kvam, M. H.

 

PUBLICATION YEAR:        2000

 

JOURNAL TITLE:    Child Abuse and Neglect

 

AUTHOR AFFILIATION:    SINTEF Unimed, Oslo (Norway).

 

SOURCE:                24(8): pp. 1073-1084;  Elsevier Science Inc., New York, NY., 2000;  p. 794

 

ABSTRACT:           According to North American studies, disabled children are two-to-three times more likely to be sexually abused than non-disabled children. The authors hypothesize that if the risk ratio for disabled children in Norway is similar, and the disclosure of sexual abuse is the same for disabled as for non-disabled, one should expect disabled children to constitute 2-3 times the 11 percent they constitute in the general population. The research aimed to investigate if this is the case for Norwegian children, and to find characteristics within the handicapped group suspected of being sexually abused. A questionnaire was distributed to all Norwegian pediatric hospitals. Of interest were numbers of children having a medical examination for possible sexual assault in the years 1994-1996, the number with a smaller or severe disability, a description of the disability, age and sex, and the conclusion of the examination as to the likelihood of sexual abuse. Results showed that severely disabled children constituted only 1.7 percent of the 1,293 children. Altogether, 6.4 percent of the children had a smaller or severe disability. T