... puts a child at risk of harm. Child abuse can be physical, sexual or emotional. Neglect, or not providing for a child's needs, is also a form of abuse. Most abused children suffer greater emotional than physical ...
... or become violent. An older child may use drugs or alcohol, try to run away or abuse others. Child abuse is a serious problem. If you suspect a child is being abused or neglected, call the police or your local child welfare agency.
Wilson, Timothy L.-Y.
The purpose of this paper was to elaborate on the definitions of child abuse in order to improve the understanding of child abuse. The definitions given by the U.S. House Joint Committee on Child Abuse in the Child Abuse Prevention and Treatment Act, and in research by Holden (1984), are cited. These definitions refer to the nature of abusive acts…
Sexual abuse is one form of child abuse. It includes a wide range of actions between a child ... to children or pressuring them for sex is sexual abuse. Using a child for pornography is also sexual ...
Milner, Joel S.; Gold, Ruth G.
Investigated the ability of the Child Abuse Potential Inventory to screen for child abuse in a group of spouse abusers. The completed, valid protocols revealed that 36.5 percent of the spouse abusers had elevated child abuse scores, while only 9.1 percent of the nonabusers had elevated abuse scores. (Author/BL)
Alvy, Kerby T.
Focuses on two major and general approaches to analyzing the problems of child abuse; briefly discusses the prevention implications; deals with the individual physical abuse of children, with particular emphasis on the relationship between theoretical formulations of the causes of individual physical abuse and preventative programs; and, finally,…
Woika, Shirley; Bowersox, Carissa
Teachers and teachers-in-training are mandated reporters; they are legally required to report any suspected child abuse or neglect. This article describes: (1) How to file a report; (2) How prevalent child abuse is; (3) What abuse is; (4) What it means to be a mandated reporter; (5) When the report should be made; and (6) What to do if abuse is…
Pennsylvania State Dept. of Public Welfare, Harrisburg.
As mandated by Pennsylvania's Child Protective Services Law (Act 124), the document presents the Department of Public Welfare's 1979 report on child abuse. Following an introductory section is a brief section on the nature and scope of the problem. Section III outlines the past year's activities of the Department of Public Welfare's Office of…
Okeahialam, T C
Although child abuse occurs in Nigeria, it has received little attention. This is probably due to the emphasis placed on the more prevalent childhood problems of malnutrition and infection. Another possible reason is the general assumption that in every African society the extended family system always provides love, care and protection to all children. Yet there are traditional child rearing practices which adversely affect some children, such as purposeful neglect or abandonment of severely handicapped children, and twins or triplets in some rural areas. With the alteration of society by rapid socioeconomic and political changes, various forms of child abuse have been identified, particularly in the urban areas. These may be considered the outcome of abnormal interactions of the child, parents/ guardians and society. They include abandonment of normal infants by unmarried or very poor mothers in cities, increased child labour and exploitation of children from rural areas in urban elite families, and abuse of children in urban nuclear families by childminders . Preventive measures include provision of infrastructural facilities and employment opportunities in the rural areas in order to prevent drift of the young population to the cities. This would sustain the supportive role of the extended family system which is rapidly being eroded. There is need for more effective legal protection for the handicapped child, and greater awareness of the existence of child abuse in the community by health and social workers. PMID:6232976
... AACAP Facts for Families Guide Skip breadcrumb navigation Child Abuse - The Hidden Bruises Quick Links Facts For Families ... 5; Updated November 2014 The statistics on physical child abuse are alarming. It is estimated hundreds of thousands ...
... victim of prolonged sexual abuse usually develops low self-esteem, a feeling of worthlessness and an abnormal or ... can help abused children regain a sense of self-esteem, cope with feelings of guilt about the abuse, ...
Broadhurst, Diane D.
The booklet provides an overview on the school-related issues involved in child abuse and neglect. Definitions, causes, and effects of abuse and neglect are reviewed in the first chapter; guidelines for identifying physical and sexual abuse, neglect, and emotional maltreatment are offered in chapter 2. Aspects of reporting abuse are noted as are…
Durall, John K.
Defines child abuse, including the three categories: physical, sexual, and psychological. Presents characteristics and behaviors of each type of abuse, and long-term effects. Discusses how to handle abuse that occurs at camp, and the effects on the camp. Sidebars present abuse statistics, 15 activities that promote psychological wellness, and 8…
Wasserman, Nora M.
This paper examines definitions of child abuse and neglect as put forth by the Child Abuse Prevention and Treatment Act and the Child Abuse Amendments of 1984. Four types of child abuse and neglect are identified and briefly described: physical abuse, child neglect, sexual abuse, and mental injury (also referred to as emotional/psychological…
... Clinical Assistant Professor of Pediatrics, University of Washington School of Medicine, Seattle, WA. Also reviewed by David Zieve, MD, MHA, Isla Ogilvie, PhD, and the A.D.A.M. Editorial team. Related MedlinePlus Health Topics Child Abuse Browse the Encyclopedia A.D.A.M., Inc. ...
Grayson, Joann, Ed.; Bartlette, Don
Literature indicating high rates of abuse in this population is reviewed, as is literature indicating high rates of developmental disabilities in child victims of abuse. Problems in data collecting practices are noted. Reasons for these children's greater risk for abuse are identified, including child attributes, stress, parent vulnerabilities,…
In 1993, the U.S. Advisory Board on Child Abuse and Neglect declared a child protection emergency. Between 1985 and 1993, there was a 50 percent increase in reported cases of child abuse. Three million cases of child abuse are reported in the United States each year. Treatment of the abuser has had only limited success and child protection agencies are overwhelmed. Recently, efforts have begun to focus on the primary prevention of child abuse. Primary prevention of child abuse is defined as any intervention that prevents child abuse before it occurs. Primary prevention must be implemented on many levels before it can be successful. Strategies on the societal level include increasing the "value" of children, increasing the economic self-sufficiency of families, discouraging corporal punishment and other forms of violence, making health care more accessible and affordable, expanding and improving coordination of social services, improving the identification and treatment of psychologic problems, and alcohol and drug abuse, providing more affordable child care and preventing the birth of unwanted children. Strategies on the familial level include helping parents meet their basic needs, identifying problems of substance abuse and spouse abuse, and educating parents about child behavior, discipline, safety and development. PMID:10193598
Newlands, Mary; Emery, John S.
A search was made of confidential health department records in Great Britain for abused children, or children at risk for abuse, with siblings who had died of Sudden Infant Death Syndrome (SIDS). An association was found between child abuse and about 10 percent of deaths of children diagnosed as SIDS. (BRM)
... depressed, shows bizarre behavior, or uses alcohol or drugs WHAT YOU CAN DO TO HELP If you think a child is in immediate danger because of abuse or neglect, call 911. Call the Childhelp National Child Abuse Hotline (1-800-4-A-CHILD). Know that ...
Pfohl, Stephen J.
Surveys the history of social reaction to child abuse, discusses the cultural values promoting the protection of children, points out how much pediatric radiology benefited from its "discovery" of "the battered child syndrome" in the early sixties, and concludes that the labeling of child abusers as "sick" has shielded them from criminal…
Healey, Jean B.
Peer abuse in the form of bullying is now recognised as an endemic feature of school life and in terms of impact, outcomes and intervention requirements can be equated with other forms of child abuse. It is argued in the light of data presented here that the parallels between peer abuse and more generally accepted forms of child abuse must be…
Dietrich, Dorothee; And Others
Interviews with 73 abusive caretakers were analyzed to determine aspects of the caretakers' situation and the interaction with the abused child that contributed to their belief that the abuse was justified or not. Justification was related to defiance of the child and environmental stressors on the abuser. (Author/JDD)
This book provides a description for all the known radiological alterations occurring in child abuse. This allows for precise interpretation of findings by radiologists. It also helps eliminate the confusion among both clinicians and non-medical personnel involved in the diagnosis, management, and legal issues related to child abuse. CONTENTS: Introduction; Skeletal trauma: general considerations; Extremity trauma; Bony thoracic trauma; Spinal trauma; Dating fractures; Visceral trauma; Head trauma; Miscellaneous forms of abuse and neglect; The postmortem examination; Differential diagnosis of child abuse; Legal considerations; Psychosocial considerations; Technical considerations and dosimetry.
Collins, James L.; Hamlin, Willie T.; Minor, Marie A.; Knasel, Ann Lowe
Child sexual abuse was examined nationally and in the Washington, DC and Howard University Hospital area. In an attempt to describe this widespread problem, two case histories are presented which reflect some of the typical characteristics of child sexual abuse cases seen at Howard University Hospital. Pertinent literature is reviewed citing the prevalence rates and the personality and environmental factors which may contribute to the sexual abuse of children in this country. Finally, the role of the physician in identifying and treating the physical and emotional effects of child abuse are discussed. PMID:7120485
Though the child abuse syndrome is usually considered to have been first described in the middle of the present century, references to child abuse occur throughout history and in the 19th century, detailed descriptions were published in the French medical literature. PMID:3514400
Explains problems with child visiting in cases of domestic abuse. Data on domestic abuse, child care concerns, and child adjustment problems were collected from 25 mothers and 22 fathers at a child visiting program serving separated and abusive families. Psychological abuse of mothers correlated with child adjustment problems. (BB)
Schilling, Samantha; Christian, Cindy W
This article provides an overview of child physical abuse and neglect, and describes the magnitude of the problem and the triggers and factors that place children at risk for abuse and neglect. After examining the legal and clinical definitions of child abuse and neglect, common clinical outcomes and therapeutic strategies are reviewed, including the lifelong poor physical and mental health of victims and evidence-supported treatment interventions. Mandated reporting laws, and facilitating collaboration among child welfare, judicial, and health care systems are considered. Important tools and resources for addressing child maltreatment in clinical practice are discussed, and future approaches posited. PMID:24656582
De Almeida, Helena Nunes; André, Isabel Margarida; De Almeida, Ana Nunes
The objective of this study is to carry out a current survey of the situation of child abuse in the family. It is based on a national survey conducted in 1996, which was addressed to childcare professionals (in the areas of health, education and social services). This survey was based, on the one hand, on a wide-ranging definition of child abuse, including within it not just active forms of physical and psychic violence against the child, but also forms of (both material and affective) privation, omission or negligence which affect the child's growth and development. On the other hand, this study also favoured a contextual approach to child abuse. 1,126 institutions in Portugal were contacted and 755 valid survey responses were received. This report outlines some of the results obtained, namely by providing a description of the sample of the 755 child abuse victims, the respective social and family contexts to which they and the aggressors belong, as well as the types of abuse which have been committed against them; and a typology of forms of abuse and negligence, describing not just the internal aspects that make up child abuse directly, but also its relationship to the child's social and family contexts of belonging. The typology was derived from the statistical handling of the data gathered (factorial analysis of multiple matches, followed by a hierarchical analysis into clusters). A number of key concepts are summarised in the conclusion. Children of all age groups and of both sexes, and from all types of families and social backgrounds, regardless of their place in the phratry, are subject to abuse in Portugal. But different types of abuse and negligence are associated with the contexts to which the children and their families belong. Healthcare professionals are irreplaceable when it comes to detecting the wide variety of types of child abuse, and are an essential look-out post for two types of abuse which often slip through the net of other professionals
... Abuse Cases A recent report from the Indianapolis Star has revealed multiple occasions in which allegations of ... Gymnastics. In many of the cases that the Star investigated, complaint… Read more Who we are Prevent ...
... also may fall prey to strangers who take advantage of their cognitive impairment. Types of abuse Signs ... property) to his or her disadvantage or the advantage of someone else Sexual abuse: touching, fondling or ...
Al Odhayani, Abdulaziz; Watson, William J.; Watson, Lindsay
Abstract Objective To discuss the consequences of abuse on childhood behavioural development, to highlight some behavioural clues that might alert physicians to ongoing child abuse, and to explore the specific role of the family physician in this clinical situation. Sources of information A systematic search was used to review relevant research, clinical review articles, and child protection agency websites. Main message A child’s behaviour is an outward manifestation of inner stability and security. It is a lens through which the family physician can observe the development of the child throughout his or her life. All types of abuse are damaging to children—physically, emotionally, and psychologically—and can cause long-term difficulties with behaviour and mental health development. Family physicians need to be aware of and alert to the indicators of child abuse and neglect so that appropriate interventions can be provided to improve outcomes for those children. Conclusion Child abuse might cause disordered psychological development and behaviour problems. Family physicians have an important role in recognizing behaviour clues that suggest child abuse and in providing help to protect children. PMID:23946022
Bays, Jan; Chadwick, David
This article on medical diagnosis of the sexually abused child summarizes clinical research on physical findings in nonabused children, abused children, and abused children with independent confirmation of abuse. A classification of physical findings is proposed along a continuum of certainty that sexual abuse has occurred. (Author/JDD)
Randolph, Mickey; Nagle, Richard J.
This paper reviews information regarding the incidence, demographic characteristics, family characteristics, and immediate/ongoing characteristics of incest victims. The characteristics reported include behavioral indicators of abuse, such as acting-out behavior, self-destructive behaviors, and provocative and inappropriate sexual behaviors;…
McMillen, Curtis; And Others
Studies adult perceptions of benefit from child sexual abuse in 154 low-income women who were sexually abused as children. Almost half reported some perceived benefit. Benefits fell into four main categories: protecting children from abuse, self-protection, increased knowledge of child sexual abuse, and having a stronger personality. Degree of…
Robboy, Juliet; Anderson, Kristen G
Many studies have investigated the consequences of child sexual abuse (CSA) but few have examined the intergenerational effects of poly- victimization and maladaptive coping. The purpose of this investigation was to examine patterns of maltreatment and maladaptive coping among second-generation CSA survivors. It is hypothesized that: (a) maternal CSA history would be associated with a higher incidence of poly-victimization and maladaptive coping and (b) experiencing more forms of abuse would mediate the relation between maternal CSA history and maladaptive coping behaviors. The method used was a chart review of 139 sexually abused females aged 12 to 17, examining maternal abuse history, maladaptive coping behaviors, and child maltreatment. The results showed that poly-victimization differed as a function of maternal CSA history but maladaptive coping did not. Experiencing more types of abuse was associated with both self-injurious behaviors and substance use. In conclusion, results support the hypothesis that second generation CSA survivors are more likely to experience poly-victimization. Future research should address how intergenerational patterns of abuse might affect presenting symptomatology and treatment outcome. PMID:21602207
... page: https://medlineplus.gov/news/fullstory_160478.html Child Abuse May Shorten Some Women's Lives Extreme stress ... 300 middle-aged U.S. adults, female survivors of child abuse were more likely to die over the ...
... Are Here: Home → Multiple Languages → All Health Topics → Child Abuse URL of this page: https://medlineplus.gov/languages/ ... V W XYZ List of All Topics All Child Abuse - Multiple Languages To use the sharing features on ...
Presents the Child Abuse Storm Scale as a method for assessing the potential for false reports of child abuse resulting in prosecutions. Focuses on the prosecutorial techniques that contribute to false-report errors. Maintains that safeguarding the separation of the responsibilities of protective service workers and therapists from…
Krowchuk, H V
This article reports the results of an investigation of nurses' stereotypes of child abusers. Ninety-four registered nurses completed a questionnaire that measured subjects' knowledge of child abuse; professional contact with perpetrators and victims of abuse; knowledge of the causes of child abuse; and child abuser stereotypes. Results reveal a consensus among the subjects as to the stereotypes associated with child abusers. This study supports the notion that nurses stereotype individuals on the basis of demographic characteristics. This study also raises questions regarding the bias that may result from the use of child abuser stereotypes. Clinical decision-making processes could become compromised if biased judgements are used in planning nursing care for clients diagnosed as child abusers. PMID:2930179
Yell, Mitchell L.
This article reviews federal and state legal mandates to report child abuse. It addresses the issue of immunity from civil suit and criminal prosecution for reporting suspected child abuse or neglect, along with the criminal prosecution that may result if suspected child abuse or neglect is not reported. (CR)
US Department of Health and Human Services, 2006
Each State provides its own definitions of child abuse and neglect based on minimum standards set by Federal law. This fact sheet provides the answers to the following questions: (1) How is child abuse and neglect defined in Federal law?; and (2) What are the major types of child abuse and neglect? Additional resources are listed. (Contains 2…
Robboy, Juliet; Anderson, Kristen G.
Many studies have investigated the consequences of child sexual abuse (CSA) but few have examined the intergenerational effects of poly-victimization and maladaptive coping. The purpose of this investigation was to examine patterns of maltreatment and maladaptive coping among second-generation CSA survivors. It is hypothesized that: (a) maternal…
Higgins, Judith; Davis, Gwendolyn
A variety of books, pamphlets, periodical articles and audiovisual materials on child abuse provide basic information on the problem and different approaches to its solutions. Primary sources are cited for the rental and purchase of films, but the nearest university rental library or regional film center may offer quicker access. (Author/RK)
... Clinical Assistant Professor of Pediatrics, University of Washington School of Medicine, Seattle, WA. Also reviewed by David Zieve, MD, MHA, Isla Ogilvie, PhD, and the A.D.A.M. Editorial team. Related MedlinePlus Health Topics Child Abuse Browse the Encyclopedia A.D.A.M., Inc. ...
Herzberger, Sharon D.; Tennen, Howard A.
The lack of uniform definition of child abuse has caused researchers and practitioners to center debate on whether abuse should be defined according to the characteristics of the parental act or its consequences to the child. To examine how the situational context and the characteristics of the individual applying the label of abuse affect…
When the sexual abuse of children is revealed, it is often found that other nonabusing adults were aware of the abuse but failed to act. During the past twenty years or so, the concealment of child sexual abuse (CSA) within organizations has emerged as a key challenge for child protection work. Recent events at Pennsylvania State University (PSU)…
Kenny, Maureen C.
A survey of 197 teachers found 73 percent had never made a report of child abuse. Eleven percent reported instances in which they believed abuse may have occurred but failed to report due to such reasons as fear of making an inaccurate report, feeling that child protective services do not help families, and lacking physical signs of abuse.…
Burland, J. Alexis; And Others
The records of 28 abused or severely neglected children, as reviewed and analyzed, show the importance of meeting the child's and parent's dependency needs, rather than focusing exclusively on the abuse itself. (Author/CS)
Fukunaga, T; Tanegashima, A; Yamamoto, H; Saijoh, K
We report the case of a 9-year-old girl who died from sepsis from cellulitis of the neck caused by a right ear injury. The autopsy findings showed severe involution of the thymus and atrophy of lymphoid tissues. The impairment of T- and B-cell functions was demonstrated both histologically and immunohistologically. Thymic involution caused by child abuse might lead to secondary immunodeficiency. PMID:15335522
Cheah, I G; Kasim, M S; Shafie, H M; Khoo, T H
Intracranial haemorrhage is a major cause of severe morbidity and mortality in child abuse cases in developed countries. However, similar data are not available in most developing countries. This study therefore aimed to determine the incidence of intracranial haemorrhage amongst all cases of child physical abuse, the nature of the injuries incurred, and the morbidity and mortality resulting therefrom. Among 369 cases of physical abuse seen over a 4-year period, 41 (11.4%) had intracranial haemorrhage, of whom 37 (90%) were 2 years old or less. A history of trauma was present in only eight (20%), of which only two were compatible with the injuries incurred. Subdural haemorrhages accounted for 80% of the cases, with skull fractures present in only nine cases. Fifty-four per cent of the 37 children aged 2 years of age or less had no external signs of trauma, but 11 of them had retinal haemorrhages. This is in contrast to the children older than 2 years of age who all had external signs of trauma. The overall prognosis was dismal with an early mortality of almost 30% (13 cases) and at least seven cases with severe neurological sequelae. These findings are comparable with studies from developed countries which have established that non-accidental injury must be considered as a cause of intracranial haemorrhage in any young child, despite the absence of external signs of trauma. PMID:7880096
The booklet presents basic facts about child abuse. It is intended for the person who knows very little about the problem but wants to get involved in finding some solutions for the future. Initial sections touch on the nature and scope of abuse. Physical, emotional, sexual, social, and educational types of abuse are examined, and myths related to…
McIntyre, Thomas C.
Results of surveying 440 teachers indicated most teachers believed they had never had an abused or neglected child in class, that they would recognize signs of physical abuse but not sexual abuse, and that they knew their responsibilities under law (though few would report suspected cases if parents or principal objected). (DB)
Rupp, Wolf-Rüdiger; Faller-Marquardt, Maria; Henke, Peter
While playing, a 33/4-year-old girl was hiding in a tumble dryer, which had been running before and started the drying process with rotation of the drum again after the girl had climbed into the machine and shut the door. The child suffered multiple haematomas, especially on the back and the lower arms, as well as second-degree burns on body regions not covered by the clothing. The injury pattern was consistent with the properties of the appliance, and the initial suspicion that the child had been physically abused could not be maintained. PMID:16696230
Foynes, Melissa Ming; Freyd, Jennifer J.; DePrince, Anne P.
Objective: The current study tested several hypotheses about disclosure of childhood sexual, physical, and emotional abuse derived from Betrayal Trauma Theory [Freyd, J. J. (1996). Betrayal trauma: The logic of forgetting childhood abuse. Cambridge, MA: Harvard University Press]. We predicted that the duration of time from abuse to its disclosure…
Scherer, E A; Scherer, Z A
Assisting abused children may cause discomfort and raise doubts. The present literature review, which includes periodicals, books and the Child's and Adolescent's Statute, was conducted to serve as reference to professionals and researchers involved with the child abuse problem. The authors introduce the subject of abuse, present its legal and ethical implications, the difficulties to diagnose it, its effects, the necessity to understand and treat its perpetrator as well as the role and background of the professionals who assist children victimized by abuse. As final considerations, the authors suggest preventive steps as well as the improvement of formal systematic research on abused children. PMID:11235234
Levenson, Jill S.; Morin, John W.
Despite continuing improvements in risk assessment for child protective services (CPS) and movement toward actuarial prediction of child maltreatment, current models have not adequately addressed child sexual abuse. Sexual abuse cases present unique and ambiguous indicators to the investigating professional, and risk factors differ from those…
Davidson, Howard A.
Examines the developments in child abuse reporting laws and related legislation since the battered child syndrome was first identified in 1962. Discusses statistics and identifies areas in which legislative and judicial reform are necessary. Includes a list of American Bar Association publications dealing with child abuse and neglect. (GEA)
Gellert, George A.
Discusses legal and psychological issues involved in erroneous reporting of child abuse. Addresses whether the child protection field will have the vision and initiative to address the problem proactively from within or whether regulation and restriction of activity will be imposed from without. Explores ideas to make child abuse detection more…
Administration on Children, Youth, and Families (DHHS/ACF), Washington, DC. Children's Bureau.
Child abuse is a national tragedy, taking the lives of three children every day and affecting millions of children and families every year. To mark the 20th anniversary of the first presidential proclamation of Child Abuse Prevention Month, the U.S. Department of Health and Human Services' Children's Bureau, Office on Child Abuse and Neglect,…
Afifi, Tracie O.; MacMillan, Harriet L.; Boyle, Michael; Taillieu, Tamara; Cheung, Kristene; Sareen, Jitender
Background: Nationally representative Canadian data on the prevalence of child abuse and its relation with mental disorders are lacking. We used contemporary, nationally representative data to examine the prevalence of 3 types of child abuse (physical abuse, sexual abuse and exposure to intimate partner violence) and their association with 14 mental conditions, including suicidal ideation and suicide attempts. Methods: We obtained data from the 2012 Canadian Community Health Survey: Mental Health, collected from the 10 provinces. Respondents aged 18 years and older were asked about child abuse and were selected for the study sample (n = 23 395). The survey had a multistage stratified cluster design (household response rate 79.8%). Results: The prevalence of any child abuse was 32% (individual types ranged from 8% to 26%). All types of child abuse were associated with all mental conditions, including suicidal ideation and suicide attempts, after adjustment for sociodemographic variables (adjusted odds ratios ranged from 1.4 to 7.9). We found a dose–response relation, with increasing number of abuse types experienced corresponding with greater odds of mental conditions. Associations between child abuse and attention deficit disorder, suicidal ideation and suicide attempts showed stronger effects for women than men. Interpretation: We found robust associations between child abuse and mental conditions. Health care providers, especially those assessing patients with mental health problems, need to be aware of the relation between specific types of child abuse and certain mental conditions. Success in preventing child abuse could lead to reductions in the prevalence of mental disorders, suicidal ideation and suicide attempts. PMID:24756625
Christian, Cindy W
Child physical abuse is an important cause of pediatric morbidity and mortality and is associated with major physical and mental health problems that can extend into adulthood. Pediatricians are in a unique position to identify and prevent child abuse, and this clinical report provides guidance to the practitioner regarding indicators and evaluation of suspected physical abuse of children. The role of the physician may include identifying abused children with suspicious injuries who present for care, reporting suspected abuse to the child protection agency for investigation, supporting families who are affected by child abuse, coordinating with other professionals and community agencies to provide immediate and long-term treatment to victimized children, providing court testimony when necessary, providing preventive care and anticipatory guidance in the office, and advocating for policies and programs that support families and protect vulnerable children. PMID:25917988
Wurtele, Sandy K.; Schmitt, Ann
This study examined the knowledgeability of child care workers (n=97) regarding their rights and responsibilities in reporting suspected child sexual abuse. Day care personnel knew significantly less about procedures for reporting suspected abuse and their protection under the law (when compared to child sexual abuse experts). (Author/DB)
Fischler, Ronald S.
Child abuse and neglect among American Indians is a political as well as a clinical problem, as the victims belong to one cultural group and health professionls who detect maltreatment generally belong to another. Reluctance to diagnose and report child abuse, although universal, is probably more significant in Indian communities for several…
Mapes, Bruce E.
Intended to help in the forensic investigation of child abuse allegations, this book explores several issues related to children's allegations of sexual abuse and subsequent testimony. Chapter 1 presents an overview of: the informational needs of child welfare agencies and the courts; the scope of the forensic assessment; and the standards and…
A district attorney of Middlesex County, Massachusetts, argues that prosecution is the most effective and appropriate response to child abuse cases. Two basic premises are advanced. First, anyone who physically abuses, sexually assaults, or rapes a child has committed a serious crime, regardless of the relationship of the victim to the offender.…
Newberger, Eli H.; Bourne, Richard
The authors propose that theoretical confusion and clinical inadequacy regarding child abuse is due, in part, from medical and legal ambiguity concerning child abuse and from dilemmas surrounding social policy and the professional response toward families and children. The dilemmas of social policy (family autonomy versus coercive intervention)…
Objective: Most research on child abuse in Tanzania and Kenya is unpublished in the international literature. The purpose of this paper is to examine the various commentaries and reports extant, toward an overview of the nature and frequency of child sexual abuse in Tanzania and Kenya. Methods: Contacts were made with academics, government…
Bolen, Rebecca M.
Current child sexual abuse prevention programs assume that, by targeting potential victims, they can reduce the prevalence of child sexual abuse. This article presents findings that suggest this assumption is flawed. Suggests instead that potential offenders are more appropriate targets of prevention programs. (Contains 39 references.)
Friedrich, William N.
This paper on the behavioral manifestations of child sexual abuse first reviews previous research concerning child variables, parent/family variables, sexual abuse in combination with other maltreatment, and physiological outcomes. Criteria for future research are offered and specific research needs in the areas of developmental progression,…
Berkowitz, Carol D.
Reviews the research on medical sequelae of child sexual abuse; identifies unanswered questions; and suggests areas of research, including prospective studies of child sexual abuse, follow-up of victims, studies of nonclinic populations, studies of male victims, examination of additional variables (such as regional variation and age), diseases…
Alexander, Randell A.
This volume is the first of a two-part special issue detailing state of the art practice in medical issues around child sexual abuse. The six articles in this issue explore methods for medical history evaluation, the rationale for when sexual examinations should take place, specific hymenal findings that suggest a child has been sexually abused,…
Downing, C. Jerry
Describes the organization and training of a parent support group to prevent child abuse. Initial training assisted group members to become aware of their attitudes toward child abusers. Training also focused on developing listening skills, procedures for making referrals, and the handling of confidential information. (RC)
The monograph considers the role of teachers in child abuse prevention and reporting from the perspective of a New Zealand educator. A 1985 study of the author is summarized in which a training program resulted in commitment by 80% of teachers involved to identify and report child abuse and by 60% of teachers to further educate themselves in child…
The role of the principal in identifying and reporting child abuse and neglect is discussed in this bulletin. Although all 50 states and the District of Columbia have laws that require educators to report cases in which they have knowledge or reasonable cause to suspect child abuse, passage of legislation does not always lead to compliance.…
Fontes, Lisa Aronson; Plummer, Carol
Cultural norms affect the likelihood that child sexual abuse will be discovered by an adult or disclosed by a child. Cultural norms also affect whether abused children's families will report child sexual abuse to authorities. This article explores the ways ethnic and religious culture affect child sexual abuse disclosure and reporting, both in the United States and internationally. Guidelines for culturally sensitive child abuse interviewing are provided to facilitate disclosures of abuse from culturally diverse children in formal settings. PMID:20924908
Warner, S L
Child abuse is one of the difficult social phenomena with which the technologist directly deals as a part of his professional responsibilities. To be able to respond to all of the child's needs, radiologic technologists need to understand not only the physical effects, but also the psychological effects of the child. Understanding also helps the technologist deal with his own feelings when interacting with either the abused child or the child's parents. The Draw-A-Person test (DAP) was utilized in this study to illustrate visually the effect of abuse on the child's self-image. The subsequent personality characteristics of these children include low self-esteem, withdrawal, extreme forms of impulse control, and self-destructive behavior. Using the DAP, the abused child's self-portrait frequently showed body distortion, lack of detailing and poor sexual identification. In addition, the personality pattern of abusing parents was found to have many of the same characteristics as the personalities of abused children, because many times abusing parents were themselves abused as children. PMID:331392
Edwards, George A
Choking is one of the alternative explanations of abusive head trauma in children that have been offered in courtroom testimony and in the media. Most of these explanations - including choking - are not scientifically supported. This article highlights four points. (1) The origins of choking as an explanation for intracranial and retinal hemorrhages are speculative. (2) Choking has been used in high profile court testimony as an explanation for the death of a child thought to have been abused. (3) A case report that proposes choking as an alternative explanation for the death of a child diagnosed with abusive head trauma includes omissions and misrepresentations of facts. (4) There was a decision by the editor of the journal that published the case report that it was not necessary to include all the facts of the case; moreover, the editor indicated that facts are not required when presenting an alternative explanation. The use of scientifically unsupported alternative explanations for abusive head trauma based on inaccurate and biased information constitutes further victimization of the abused child and represents a travesty of justice. PMID:26344456
The literature review examines issues of child abuse and neglect, attempts to define child abuse, and gives information on: incidence figures; symptoms of abuse; characteristics of the abused and their families; knowledge level of educators; and the role of the schools in preventing, detecting, and reporting abuse or neglect. Teachers often do not…
Rayman, Salim; Dincer, Elvir; Almas, Khalid
Child abuse and neglect are prevalent issues that permeate all ethnic, cultural and socioeconomic segments of society. Parents of abused children frequently change physicians in order to prevent detection, but they are more likely to continue to visit the child's dentist. Most states recognize four major types of maltreatment: neglect; physical abuse; psychological maltreatment; and sexual abuse. The American Academy of Pediatric Dentistry defines dental neglect as "the willful failure of parent or guardian to seek and follow through with treatment necessary to ensure a level of oral health essential for adequate function and freedom from pain and infection." The oral health practitioner must uphold his or her legal and ethical responsibility if there is suspicion, record and report the incidence. It may help save a child from further abuse. PMID:24027895
Fontes, Lisa Aronson; Plummer, Carol
Cultural norms affect the likelihood that child sexual abuse will be discovered by an adult or disclosed by a child. Cultural norms also affect whether abused children's families will report child sexual abuse to authorities. This article explores the ways ethnic and religious culture affect child sexual abuse disclosure and reporting, both in the…
Through feminist research in the study of sport, the issue of child sexual abuse has been driven onto the agenda of sports organisations, resulting in considerable practical reform (Brackenridge, 2001). However, the flip-side to this development is that the experience of sexually abused males has been largely ignored. In 1990, Struve claimed, "a…
Brassard, Marla R.; Fiorvanti, Christina M.
Child abuse is a leading cause of emotional, behavioral, and health problems across the lifespan. It is also preventable. School-based abuse prevention programs for early childhood and elementary school children have been found to be effective in increasing student knowledge and protective behaviors. The purpose of this article is to help school…
Schloesser, Patricia; And Others
Birth and death certificates were correlated with information in the state Child Abuse and Neglect Registry on 104 abuse-related fatalities. Significant findings included young age of parents at first pregnancy; high rate of single parenthood; and lower educational achievement among mothers. A model for data collection is discussed. (Author/BRM)
Mitchell, Mark W.
Child Sexual Abuse is a growing epidemic. In the United States, 1 in 6 boys and 1 in 4 girls will be sexually abused before reaching adulthood. From a legal standpoint, inappropriate sexual relations between a faculty/staff member and a student are a growing national concern. In 1991, the Supreme Court heard the Franklin v. Gwinnett County Public…
Martin, Harold P.
The biologic and developmental problems of abused children are usually thought of etiologically in relation to the physical trauma which has been suffered. Indeed, physical trauma can cause death, brain damage, developmental delays and deviations in personality development. The environment in which the abused child grows and develops is a most…
Spinetta, John J.
Demonstrated that abusing parents differ from nonabusing parents in personality variables. Mothers differed in relationship to one's parents, tendency to become upset, tendency toward loneliness, expectations of one's children, inability to separate parental and child feelings, and fear of external threat. Abusers scored at the highest risk levels…
Green, A H
Child abuse, a problem that has plagued societies for centuries, has been largely ignored by psychiatrists, the author asserts. He traces the relatively recent interest in the problem of other medical specialists such as pediatricians and radiologists and maintains that it is time for psychiatrists to become more involved. He explains how problems of confidentiality, the patient's lack of motivation for treatment, and other factors have discouraged many psychiatrists from treating child abusers. He demonstrates ways psychiatrists can treat both the abused child and his family if they are willing to use non-traditional services such as home intervention. PMID:90001
Lynch, Margaret A.
Reviews the prognosis for abused children in terms of death, re-injury, permanent physical damage, growth failure, intellectual retardation, and personality and behavior problems. Discusses problems of collecting data and inadequacies of intervention treatments. (JB)
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India is home to the largest child population in the world, with almost 41 % of the total population under 18 y of age. The health and security of the country's children is integral to any vision for its progress and development. Doctors and health care professionals are often the first point of contact for abused and neglected children. They play a key role in detecting child abuse and neglect, provide immediate and longer term care and support to children. Despite being important stakeholders, often physicians have a limited understanding on how to protect these vulnerable groups. There is an urgent need for systematic training for physicians to prevent, detect and respond to cases of child abuse and neglect in the clinical setting. The purpose of the present article is to provide an overview of child abuse and neglect from a medical assessment to a socio-legal perspective in India, in order to ensure a prompt and comprehensive multidisciplinary response to victims of child abuse and neglect. During their busy clinical practice, medical professionals can also use the telephone help line (CHILDLINE telephone 1098) to refer cases of child abuse, thus connecting them to socio-legal services. The physicians should be aware of the new legislation, Protection of Children from Sexual Offences (POCSO) Act, 2012, which requires mandatory reporting of cases of child sexual abuse, failing which they can be penalized. Moreover, doctors and allied medical professionals can help prevent child sexual abuse by delivering the message of personal space and privacy to their young patients and parents. PMID:25465678
Spiegel, Lawrence D.
Describes child abuse phenomenon and history of current public hysteria concerning child abuse. Discusses trend of high numbers of false reports of child abuse and neglect and need for counselors to be cognizant of problems of overzealous reporting, professionals looking for abuse in otherwise innocuous situations, and parents using accusations of…
Child Care Law Center, San Francisco, CA.
This booklet provides answers to 12 questions about the rights and responsibilities of child care providers in California concerning the issue of child abuse. The questions are (1) Who is a "Child Care Custodian?" (2) How do I decide whether or not to report? (3) How do I recognize 'abuse' and 'neglect'? (4) How and when should I tell the parent…
Koc, Feyza; Oral, Resmiye; Butteris, Regina
Child abuse and neglect is a public health problem and usually associated with family dysfunction due to multiple psychosocial, individual, and environmental factors. The diagnosis of child abuse may be difficult and require a high index of suspicion on the part of the practitioners encountering the child and the family. System-related factors may also enable abuse or prevent the early recognition of abuse. Child abuse and neglect that goes undiagnosed may give rise to chronic abuse and increased morbidity-mortality. In this report, we present two siblings who missed early diagnosis and we emphasize the importance of systems issues to allow early recognition of child abuse and neglect. PMID:25084799
Csorba, Roland; Lampé, Rudolf; Póka, Róbert
The evaluation of a child presenting with an anogenital complaint or lesion can be challenging for both the clinician and the patient. The doctor met the real possibility that a diagnosis of a condition caused by sexual abuse will affect significantly the child and the family. A misdiagnosis of abuse or failure to recognize a treatable condition can also have detrimental consequences. Most primary care physicians are not trained to recognize the variety of systemic and dermatologic problems that affect the anogenital area. Dermatologists and other specialists often do not appreciate the possibility of sexual abuse. In this article we present a systematic approach to the child with anogenital complaints which may mimic sexual abuse. PMID:19939783
Lau, Joseph T. F.; Liu, Joseph L. Y.; Yu, Aaron; Wong, C. K.
A survey of 1,001 Hong Kong adults found a discrepancy between perceived prevalence and the ability to name different child abuse types without prompting. Only about 40 percent would report abuse cases to authorities. Those who would not report abuse were less likely to classify abuse situations as abusive. (Author/CR)
Myers, John E. B.
Discusses issues in the adjudication of child sexual abuse allegations and reviews research about the believability of child witnesses. It also examines accommodations for children that could assist the child witness and encourage accurate testimony, while continuing to protect the rights of the accused. Criminal, juvenile, and divorce court…
... Child Abuse and Neglect Fatalities 2014: Statistics and Interventions Series Title: Numbers and Trends Author(s): Child Welfare ... Child Abuse and Neglect Fatalities 2014: Statistics and Interventions Series: Numbers and Trends Year Published: 2016 https:// ...
Ben-Amitay, Galit; Kimchi, Nir; Wolmer, Leo; Toren, Paz
Sexual abuse has physiological and emotional implications. The purpose of this study is to evaluate the neurobiological sequels of childhood sexual trauma by monitoring physiological variables among sexually abused girls and women compared to controls. We assessed posttrauma and traumatic life events of 35 females sexually abused in their childhood (age range 7-51 years) and 25 control females (age range 7-54 years). Electroencephalography, frontalis electromyography, electrodermal activity, and heart rate parameters were recorded while watching sets of pictures representing neutral and trauma-suggestive stimuli. A minority of participants met the Diagnostic and Statistical Manual of Mental Disorders criteria for post-traumatic stress disorder. Abused females displayed significant elevations in heart rate, electromyography, and electroencephalography while viewing allusive stimuli and elevated heart rate while viewing neutral stimuli. The dysfunctional regulation of the physiological stress system associated with child sexual abuse may endanger the victims with various stress and anxiety disorders. PMID:26934544
Chan, Ko Ling
The present study developed the Child Abuse Risk Assessment Scale (CARAS), an actuarial instrument for the assessment of the risk of physical child abuse. Data of 2,363 Chinese parents (47.7% male) living in Hong Kong were used in the analyses. Participants were individually interviewed with a questionnaire assessing their perpetration of child…
McGregor, Kim; Julich, Shirley; Glover, Marewa; Gautam, Jeny
This study reports on a postal questionnaire, conducted in 2004, with female survivors of historic child sexual abuse. The questionnaire explored their experiences of health professionals' responsiveness to disclosure of child sexual abuse history. Of 61 participants, aged between 22 and 65, 69% had disclosed to health professionals. Those who had…
Little, Allison Dare
A modern form of abuse of children by parents and foster parents is to use the identity of children in their care for their own financial benefit, such as accessing their unused social security numbers to secure credit. This article reviews examples and implications of this identity theft.
Alaggia, Ramona; Turton, Jennifer V.
Although the co-occurrence of woman abuse and child sexual abuse is high little research exists exploring the impact of woman abuse on maternal response to child sexual abuse (CSA). Findings from two qualitative studies indicate the form of woman abuse to have differential impact on maternal response. Mothers who were abused in non-physical ways,…
Alexander, Randell A
This volume is the first of a two-part special issue detailing state of the art practice in medical issues around child sexual abuse. The six articles in this issue explore methods for medical history evaluation, the rationale for when sexual examinations should take place, specific hymenal findings that suggest a child has been sexually abused, the healing of genital injuries, approaches to interpretation of medical findings, and the neurological harm of sexual abuse. From the initial history to the process of the medical examination, the mechanics of what a genital examination might show, and the neurobiological consequences, it is demonstrated that the harm of sexual abuse is has more effect on the brain than the genital area. PMID:21970641
Dhooper, Surjit Singh; And Others
A survey of 742 Kentucky adults revealed that they had a good understanding of the characteristics of abused children and child abusers, but a majority considered abusers as abnormal and intractable. Only a third of those aware of instances of child abuse actually reported it to authorities. (Author/JDD)
Texas Child Care, 2002
Delineates signs of physical abuse, neglect, and sexual abuse in young children for child caregivers, and provides suggestions for recognizing abusive adults. Describes the law and procedures for reporting suspected abuse or neglect in Texas. Discusses the types of response from police or child protective services and how to continue working with…
Randolph, M. K.; Gold, C. A.
Evaluates teacher-training programs on child-sexual-abuse prevention developed by Hazzard, Kleemeir, Pohl, and Webb (1986). Trained teachers demonstrated significant increase in knowledge about child sexual abuse, attitudes regarding prevention, identifying behavioral indicators of abuse, and appropriate intervention in potential abuse cases.…
Martindale, Jennifer; Swenson, Alice; Coffman, Jamye; Newton, Alice W; Lindberg, Daniel M
Physically abused children may be repeatedly reported to child protection services and undergo multiple medical evaluations. Less is known about recurrent evaluations by hospital-based child abuse teams for possible abuse. The objectives of this study were to determine the frequency of repeated consultations by child abuse teams and to describe this cohort in terms of injury pattern, perceived likelihood of abuse, disposition plan, and factors related to repeat consultation. This was a prospectively planned, secondary analysis of data from the Examining Siblings to Recognize Abuse (ExSTRA) research network. Subjects included children younger than 10 years of age who were referred to child abuse subspecialty teams at one of 20 U.S. academic centers. Repeat consultations occurred in 101 (3.5%; 95% CI 2.9-4.2%) of 2890 subjects. The incidence of death was 4% (95% CI 1-9%) in subjects with repeated consults and 3% (95% CI 2-3%) in subjects with single consults. Perceived likelihood of abuse from initial to repeat visit remained low in 33% of subjects, remained high in 24.2% of subjects, went from low to high in 16.5%, and high to low in 26.4% of subjects. Themes identified among the subset of patients suspected of repeated abuse include return to the same environment, failure to comply with a safety plan, and abuse in foster care. Repeated consultation by child abuse specialists occurs for a minority of children. This group of children may be at higher risk of subsequent abuse and may represent an opportunity for quality improvement. PMID:24726050
Newberger, Eli H.; Hyde, James N., Jr.
This paper summarizes data and experience with child abuse pertinent to child health practice. It goal is to foster sound and rational medical management. Because of the complex origins of child abuse, however, and of the institutional and social changes which shall have to accompany excellent practice if child abuse is effectively to be treated…
Lehto, Neil J.
The article examines the Landeros decision (which ruled that a doctor who fails to report a child abuse victim can be held liable for subsequent injuries inflicted on the child) and discusses three theories of proving civil liability for the failure to report child abuse victims. Addressed are the following topics: the problem of child abuse and…
DC Action for Children, 2011
The number of substantiated cases of child abuse and neglect in the District rose by 27 percent in FY 2009. This dramatic spike came after two consecutive years of decline in the number of substantiated cases reported the D.C. Child and Family Services Agency (CFSA). In FY 2010, the number of closed, substantiated cases dropped back down to 1,691,…
Firestone, Robert W.
Emotional child abuse is virtually inevitable in the context of the traditional nuclear family and often has a more detrimental effect on children than other, more widely publicized forms of maltreatment. This paper documents clinical, statistical, and empirical evidence showing that "normative" child-rearing practices in our culture have…
Needleman, H L
The dental profession has a legal, ethical and moral responsibility to report suspected cases of abuse and neglect. The risk to the child is significant. In non-fatal cases of abuse, 35 percent will be abused again within one year. To this end, dentists should discuss child abuse and neglect at staff meetings and establish office procedures if a case is identified. Encourage staff to discuss concerns they have regarding possible abuse they suspect in the office. Keep the child abuse hotline number or local agency responsible for receiving reports in the office rolodex. Abuse and neglect is a real problem in all neighborhoods and dentistry can make a difference. PMID:8051332
Widom, C S
Using a prospective cohorts design, a large sample of physical and sexual abuse cases was compared to a matched control group. Overall, abused and neglected subjects had higher rates than did controls for adult criminality and arrests for violent offenses, but not for adult arrests for child abuse or neglect. Findings are discussed in the context of intergenerational transmission of violence, and directions for future research are suggested. PMID:2764070
Bahali, Kayhan; Akçan, Ramazan; Tahiroglu, Aysegul Y; Avci, Ayse
The purpose of this study was to determine the socio-demographic characteristics of sexually abused children. The records of 101 cases of child sexual abuse (CSA) were retrospectively evaluated. Socio-demographic characteristics of the victims, type of sexual abuse, and psychiatric diagnosis were studied. Of the victims, 56.4% (n = 57) were female and 43.6% (n = 44) were male. The mean age was 9.57 +/- 3.5, with a range of 4-17 years. Ninety-three (92.1%) of the victims had been admitted as part of the legal process. The majority (66.3%) of the victims had been abused by an acquaintance, while 33.7% had been abused by a stranger. Anal or vaginal penetration was reported in 48.5% of the cases. Post-traumatic stress disorder was the most common (54.5%) psychiatric diagnosis established after sexual abuse. Descriptive data related to the abused children and an understanding of the consequences of CSA will help authorities in planning prevention. PMID:20345776
The aim of this paper is to explore the ways in which the concept of evil has been invoked in relation to child abuse. First, the scene is set by juxtaposing professional discourses which have eschewed the concept of evil and public opinion which is affronted by the evil of child abuse. Second, I will discuss the work of some therapists in the USA whose work with perpetrators and survivors has led them to frame the causes and consequences of child abuse in terms of moral evil. Third, I will draw upon case studies of Satanic abuse and spirit possession in the UK to illustrate that some social workers and religious communities have interpreted child abuse as an outcome of or as an antidote to metaphysical evil. Finally, there is a critical appraisal of the merits of referencing moral and metaphysical evil in the discourses of caring professionals, with a suggestion that a mythical-metaphorical conception of evil could be a more flexible and fruitful resource for therapeutic work. PMID:24908583
Egu, Chizoma Linda; Weiss, David J.
In the United States, reported child abuse rates vary dramatically with race. We employed a scenario methodology to examine whether teachers, whose professional obligations include reporting suspected instances of abuse, exhibit bias in evaluating a possibly abused child. Each teacher (180 White, 180 Black, and 180 Hispanic) read one of six…
Starr, R. H., Jr.
The article reports on an ongoing, controlled study of factors related to the occurrence of child abuse, family factors related to heroin addiction, and the overall relationship between child abuse and drug abuse in 240 families. Journal availability: see EC 111 256. (DLS)
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Pierce, Lois; Bozalek, Vivienne
Objective: The purpose of this study was to explore which of 17 categories of child maltreatment South Africans evaluated as most serious and to determine if those working with abuse and neglect evaluated abuse and neglect differently from those who did not. Method: A revised version of Giovannoni and Becerra's [Giovannoni, J., & Becerra, R.…
Bornstein, Brian H.; Kaplan, Debra L.; Perry, Andrea R.
Objective: The purpose was to explore the effects of victim and perpetrator gender, type of abuse, and victim-perpetrator relationship on university students' and non-students' perceptions of different kinds of child abuse. Method: One hundred and ninety-nine participants (including university students and non-student adults) evaluated each of 24…
Clauß, D; Richter, C; Klohs, G; Heide, S
Medical child protection includes besides interdisciplinary diagnostics and treatment of physical and psychological symptoms also a discussion that looks at the ensuing legal consequences.This study analyses 21 criminally investigated cases of suspected child abuse from a 2 year study period and compares severity of injury to legal outcome.7 of those 21 criminal proceedings were already dropped by the prosecution and never went to trial. 4 of the 8 cases that led to a trial ended with a conviction. In all of the 4 cases that resulted in an acquittal the judges had been convinced that the child had been abused but found themselves unable to exactly identify the perpetrator. Our study's cases did not show a positive correlation between severity of injury and legal outcome.Diagnosing and treating children and minors within the context of medical child protection should always also include the ques-tion of possible legal consequences. The judicial process in cases of serious child abuse requires high medical expertise. Such expertise particularly includes the ability to determine the time of injury as exactly as possible and to provide precise written documentation of any medical findings. However, our study also shows that medical assessment is only one of many aspects in the legal response to child abuse. PMID:23975849
Kairys, Steven; Ricci, Laurence; Finkel, Martin A
This article delineates the current fiscal management and reimbursement for child abuse examinations. These financial issues are high priority for child abuse programs because most programs lack the revenues to meet the demands for service, education, advocacy and research. Programs may share medical protocols and standards but have yet to share management solutions. The authors present the administrative details of 75 child abuse evaluation programs and highlight innovative approaches to increase funding and stabilize the funding for the programs. They present information on billing, contracts, costs of care, and state-based initiatives that can be reproduced by other programs and states. PMID:16595851
Mullins, J B
This article discusses the relationship of child abuse, including neglect and sexual abuse, to the presence of handicapping conditions, both physical and psychological. Child abuse can cause physical and psychological disabilities in children who otherwise would have been normal. Studies show that children who are handicapped, or otherwise perceived as different by potentially abusive parents, are at high risk for abuse. Evidence also indicates that the handicaps of some children who were diagnosed originally as disabled are exacerbated by abuse. While cause and effect are not easily determined in specific cases, researchers agree that a pervasive relationship exists between handicapping conditions and abuse. Abused children are overrepresented in special education classes and handicapped children are overrepresented in the abused population. Many abused children become abusers as adults. Several suggestions concerning the problem are offered for school personnel. PMID:2937963
Di Giacomo, Ester; Alamia, Alberto; Cicolari, Federica; Cimolai, Valentina; Clerici, Massimo
The aim of this review was to provide the state of art of child sexual abuse and its psychophysical consequences. We assessed the evidence-based literature derived from PubMed, Embase, Medline, PsychINFO databases, including a thorough analysis of what has been published in the last 5 years, not neglecting previous publications essential to the argument for their scientific validity (methodological accuracy, recruited survey). Child sexual abuse is ubiquitous both regarding victims' gender and socio-economic conditions. The important consequences linked to what they suffered--either immediately or with adolescent or adult onset--are mediated by age and family support to trauma reprocessing as well as by the frequency of repetition of the abuse or familiarity with the abuser. These factors appear to be of primary importance--both at a physical and psychic level--and may be expressed in multiple manifestations, hence it is of utmost importance to pay timely attention to possible alarm signals revealing suspected abuse suffered by any underage person. Special emphasis is addressed towards some of the consequences for which child sexual abuse is considered to be a primary cause (e.g. post-traumatic stress disorder) and the perpetuation of such abuse, both short-term as well as long-term. Poor training, regarding this field, of various professionals (pediatricians, teachers, etc.) who each day work with minors, as well as the paucity of available treatment options point to an urgent need for prevention (including in-depth diagnosis/therapy) and early intervention. PMID:24056826
Briggs, Freda; Potter, Gillian K.
Prior to attending seminars on child abuse and domestic violence, 86 kindergarten and 64 special education (early childhood) teachers completed a questionnaire seeking views relating to the accuracy of statements relating to all forms of child abuse. This was designed to identify the accuracy of teachers' knowledge of child abuse and neglect…
National Council of Jewish Women, New York, NY.
The manual was written by the National Council of Jewish Women to provide guidelines for volunteer legislative action and community service for individuals in the area of child abuse and neglect. After an overview which details some of the causes of child abuse, information on child abuse and neglect legislation in each state is presented.…
DeMaria, Michael B.
Uses case vignettes to explore poetry as phenomenological access point to the world of the abused child, serving a threefold function: (1) a window into the child's world; (2) a way to track the abused child's progress along the recovery process; and (3) a tool for transforming abused children's worlds, by allowing them to find their own unique…
Kemp, Donna R.; And Others
Child abuse is a major problem in the United States. Policy concerning child abuse involves a criminal justice approach, a treatment approach, and a prevention approach. Prevention programs have focused on identifying and serving high-risk groups and on preventive education. A study was conducted to examine issues related to child abuse. Four…
Johnson, Becca Cowan
This guidebook provides specific information about child abuse to recreational staff, camp staff, childcare workers, and others who provide programs and services for minors. Part I describes the prevalence and causes of physical abuse, sexual abuse, emotional abuse, and neglect; outlines physical and behavioral indicators that can alert staff…
Ullman, Sarah E.; Filipas, Henrietta H.
This research examines the understudied issue of race/ethnicity in relation to child sexual abuse experiences (CSA) in a cross-sectional convenience sample of 461 female college students completing a survey. Comparisons of students' abuse experiences revealed ethnic differences in sexual abuse prevalence, severity of abuse, the victim-offender…
Rudin, Margaret M.; And Others
Comparison of 87 child abuse victims of lone female perpetrators with 93 victims of lone male perpetrators found that female perpetrators abused children 3.3 years younger than male perpetrators. Both female and male perpetrators abused more girls than boys and did not differ in severity of abuse. (Author/DB)
Martone, Mary; And Others
This study of police and hospital records for 451 intrafamilial/caretaker child sexual abuse allegations in Chicago, Illinois, found that few children had to appear as witnesses, as 95% of cases were resolved through plea bargaining. Trial resolution took 12 to 16 months. Of 77 felony complaints initiated, 48 ended in convictions, with 43 convicts…
Flanagan, Clyde; And Others
A study involving 22 fathers and 21 mothers was conducted to explore several personality characteristics of child abusive parents which may set them apart from nonabusive peers. A social history was taken, and each parent completed both the Motivation Analysis Test (MAT) and the Minnesota Multiphasic Personality Inventory (MMPI). Among findings…
Blass, Rosanne J.; And Others
The legal obligation of Ohio school employees to report situations of suspected child abuse and neglect has generated a need for school districts to adopt a written policy together with guidelines and procedures to assure school personnel are aware of the mandate to report and have a structural procedure to do so. The written policy should: (1)…
McElvaney, Rosaleen; Greene, Sheila; Hogan, Diane
This study reports a grounded theory study of the process of how children tell of their experiences of child sexual abuse from the perspectives of young people and their parents. Individual interviews were conducted with 22 young people aged 8 to 18, and 14 parents. A theoretical model was developed that conceptualises the process of disclosure as…
Herner and Co., Washington, DC.
The thesaurus contains approximately 4,000 terms used in indexing material for the National Center on Child Abuse and Neglect. It is explained that the descriptor compilation was first developed in 1975 from existing thesauri and dictionaries. Descriptors are arranged in alphabetic, permuted and group displays, and listings include references to…
Krugman, Richard D.
Efforts to prevent the abuse and neglect of children requires: professionals and citizens who care to make a difference; development of multidisciplinary units, teams, or organizations to deal with specific parts of the problem; a clear statement of child protection policy; programs that work; commitment to research and program evaluation; and a…
Socolar, Rebecca R. S.
A survey of physicians (n=113) concerning their knowledge about child sexual abuse found several areas of inadequate knowledge, including assessment of chlamydia infection, Tanner staging, and documentation of historical and physical exam findings. Factors associated with better knowledge scores were physician participation in continuing medical…
Lee, Shawna J.; Guterman, Neil B.; Lee, Yookyong
Objective: This study uses the developmental-ecological framework to examine a comprehensive set of paternal factors hypothesized to be linked to risk for paternal child abuse (PCA) among a diverse sample of fathers. Attention was given to fathers' marital status and their race/ethnicity (White, African American, and Hispanic). Methods: Interviews…
Newberger, Eli H.; Bourne, Richard
Presented in part at the Second World Conference of the International Society on Family Law in 1977, the article discusses child abuse management from a critical sociological point of view, focusing on some of the professional conflicts between the medical and legal perspectives. (DLS)
Duffy, Catrina; Keenan, Mickey; Dillenburger, Karola
Child sex abuse increasingly is recognised as a societal problem that can no longer be ignored. In this paper definitions, prevalence, trends, assessment, and available diagnostic procedures are described and critically evaluated. It is argued that the lack of reliable diagnostic procedures remains one of the main difficulties in dealing…
Land, Helen M.
Assesses the relationship between treatment intensity and rehabilitation of 89 child abusers whose MMPI (Minnesota Multiphasic Personality Inventory) profiles revealed high levels of psychological distress. The relationship was positive and statistically significant. The client receiving intense weekly treatment for longer durations was assessed…
Kratcoski, Peter C.
An Ohio study found that a significant percentage of adolescents arrested for violent crimes had been victims of severe child abuse and were likely to behave violently toward family members and caretakers. Findings are discussed in relation to the culture of violence, learning, and stress theories of delinquency. (Author/MP)
Palusci, Vincent J.; Cox, Edward O.; Shatz, Eugene M.; Schultze, Joel M.
Background: Immediate medical assessment has been recommended for children after sexual abuse to identify physical injuries, secure forensic evidence, and provide for the safety of the child. However, it is unclear whether young children seen urgently within 72 hours of reported sexual contact would have higher frequencies of interview or…
Singh Kocher, Mininder; Dichtel, Laura
The differential diagnosis of child abuse includes osteogenesis imperfecta (OI). Mild phenotypes of OI may be misdiagnosed as child abuse. The purpose of this study was to review the experience of families in which OI was misdiagnosed as child abuse. Sixty-one potential cases of misdiagnosis were identified from a lay support organization. Upon review of the medical records, 33 cases were identified with a confirmed diagnosis of OI (skin biopsy or DNA blood test). Questionnaires were given to families to describe their condition and experiences. There were 19 male and 14 female children. Mean age at presentation was 7.1 months (range: 1-23 months). All patients had fractures and the presenting symptoms included pain (n=14), swelling (n=7), decreased limb movement (n=5), or unusual limb position (n=2). Abnormal radiograph findings consistent with OI were found in 19 of 33 patients (58%), clinical findings of OI were present in 23 of 33 patients (70%), and a family history that could be supportive of OI was present in 18 of 33 families (55%). Children were removed from the family in 70% of cases and older siblings were removed from the family in 62% of cases. The mean age at the time of diagnosis of OI was 10.5 months (range: 3-35 months). The consequences of misdiagnosis of OI as child abuse are devastating to the family. OI should be considered in all cases of suspected child abuse. In children with any clinical, radiographic, or family history features of OI, early involvement of a bone specialist and performance of laboratory testing should be considered to establish a timely and accurate diagnosis. PMID:21716141
If the abuse of a child were at the hands of a schoolyard bully or lurking pedophile, parents most likely would applaud intervention. However, precisely because most cases involve an abusive parent, intervention is almost automatically deemed a dicey proposition. The law, however, now requires teachers to report cases of suspected child abuse or…
National Center on Child Abuse and Neglect (DHHS/OHDS), Washington, DC.
The purpose of this publication is to help the reader understand the problems of child abuse and neglect and become familiar with prevention and intervention efforts. Introductory pages define child abuse and neglect, suggest the scope of the problem, delineate reasons for its occurrence, and explain how to recognize abuse or neglect. This section…
Jason, Janine M.
The effect of the human immunodeficiency virus (HIV) epidemic on child abuse prevention is considered on two levels: its indirect effect as resources for child abuse prevention are diverted to meet increased demands for health care, social service, and public assistance systems; and direct effects in terms of abuse and neglect of HIV-infected…
Sinanan, Allison N.
School personnel, particularly educators and school psychologists, are a first line of defense in protecting children from abuse. Teachers play an important role in the detection and reporting of child abuse. The relationship established between teachers and their students can facilitate the identification of child abuse. By virtue of their work,…
Cromer, Lisa DeMarni; Goldsmith, Rachel E.
Child sexual abuse myths comprise incorrect beliefs regarding sexual abuse, victims, and perpetrators. Relations among myth acceptance, responses to disclosure, legal decisions, and victims' subsequent psychological and health outcomes underscore the importance of understanding child sexual abuse myths. Despite accurate knowledge regarding child…
Martin, Mary Porter; Klaus, Susan L.
The review of research on child abuse and neglect presents brief abstracts of studies collected by the Clearinghouse of the National Center on Child Abuse and Neglect. Material is organized into five subject areas (sample subtopics in parentheses): definition of abuse and neglect; incidence (national and selected geographic estimates);…
Semidei, Joseph; Radel, Laura Feig; Nolan, Catherine
Examines the prevalence of substance abuse among families involved with the child welfare system and the impact of substance abuse on child welfare practice. Discusses how both the Adoption and Safe Families Act of 1997 and welfare reform legislation intensify the need to address parental substance abuse effectively. Considers strategies for…
Aspects of elementary school teachers' work that are problematic in identifying child abuse were studied in Ontario (Canada). Interviews with 10 teachers and questionnaires completed by 500 teachers and 100 principals show that abuse detection is affected by concern with academic learning and lack of information about child abuse. (SLD)
Kenny, Maureen C.
Fifty-six recently trained physicians and teachers were compared on rates and knowledge of child abuse reporting and responses to vignettes of sexual abuse. Results demonstrated differences between the groups with physicians making significantly more reports and assisting in child abuse reporting more often than teachers. Physicians reported…
Kleemeier, Carol; And Others
The effectiveness of a six-hour teacher training workshop on child sexual abuse prevention was evaluated. Findings indicated that trained teachers demonstrated significant increases in knowledge about child sexual abuse and pro-intervention opinions. Trained teachers were better able to identify behavioral indicators of abuse and suggest…
... nih.gov/medlineplus/news/fullstory_157492.html Paid Family Leave Tied to Decline in Child Abuse California ... 2016 FRIDAY, Feb. 26, 2016 (HealthDay News) -- Paid family leave might lead to reduced risk of abuse- ...
Dombrowski, Stefan C.; Ahia, C. Emmanuel; McQuillan, Kathleen
Explains legal reporting requirements for child abuse and neglect. Describes legal standards for reasonable suspicion and indicators of various types of abuse. Details what should be included in a report and discusses implications for school personnel. (Contains 49 references.) (SK)
Romero-Martínez, A; Figueiredo, B; Moya-Albiol, L
It has been suggested that being physically abused leads to someone becoming a perpetrator of abuse which could be associated to parents' gender, timing of the physical abuse and specific socio-demographic variables. This study aims to investigate the role the parents' gender, timing of childhood abuse and socio-demographic variables on the relationship between parents' history of childhood physical abuse and current risk for children. The sample consisted of 920 parents (414 fathers, 506 mothers) from the Portuguese National Representative Study of Psychosocial Context of Child Abuse and Neglect who completed the Childhood History Questionnaire and the Child Abuse Potential Inventory. The results showed that fathers had lower current potential risk of becoming physical abuse perpetrators with their children than mothers although they did not differed in their physical victimization history. Moreover, the risk was higher in parents (both genders) with continuous history of victimization than in parents without victimization. Prediction models showed that for fathers and mothers separately similar socio-demographic variables (family income, number of children at home, employment status and marital status) predicted the potential risk of becoming physical abuses perpetrators. Nevertheless, the timing of victimization was different for fathers (before 13 years old) and mothers (after 13 years old). Then our study targets specific variables (timing of physical abuse, parents' gender and specific socio-demographic variables), which may enable professionals to select groups of parents at greater need of participating in abuse prevention programs. PMID:24269330
Tonella, A; Zuppinger, K
Pediatricians form part of children's and young people's most important extra-familial relations. They are thus especially well placed: first, to discover abuse of any kind, and second to put in motion the first years of measures of assistance for the children and their families. The first years of life are decisive for effective prevention of abuse and neglect, and for the development of a healthy personality. In this part of life, pediatricians are virtually the only "social outposts". Nevertheless, in Swiss pediatrics the concept of child protection is still in the initial stages. While we should warmly welcome the fact this problem was at last the main theme of an annual meeting, it must be remembered that this was only the first time. For a long time now no one has doubted that in our, thus far socially privileged country, a frighteningly large number of children and adolescents are victims of abuse. Since the publication of the report "Mauvais traitements des enfants en Suisse" (1992) a representative questionnaire to parents has shown that in this country and now, as before, over a third of parents use corporal punishment on their children. It has been calculated that e.g. 21,800 babies aged between 0 and 2.5 years are beaten, 4800 of them even with implements. There are no data on psychological and sexual maltreatment. Despite this shocking incidence of abuse, only a total of 72 cases (6% of all recorded cases) were reported over one year by pediatric practitioners in the "1989 prospective study". We cannot accept that this reflects a lack of social concern. Many other shortcomings appear to be involved: lack of briefing on the problems of child abuse during medical training, post-graduate and continuing studies, inadequate arrangements for interdisciplinary work, discouragement and early delegation to pseudo-experts, distrust of the efficacy of available aids (but sometimes overestimation of one's own possibilities) and last but not least, a still highly
Annerback, E. M.; Sahlqvist, L.; Svedin, C. G.; Wingren, G.; Gustafsson, P. A.
Objective: To examine the associations between child physical abuse executed by a parent or caretaker and self-rated health problems/risk-taking behaviors among teenagers. Further to evaluate concurrence of other types of abuse and how these alone and in addition to child physical abuse were associated with bad health status and risk-taking…
Ryan, Joseph P.; Marsh, Jeanne C.; Testa, Mark F.; Louderman, Richard
Alcohol and other drug abuse is a major problem for children and families involved with public child welfare. Substance abuse compromises appropriate parenting practices and increases the risk of child maltreatment. A substantial proportion of substantiated child abuse and neglect reports involve parental substance abuse. Once in the system,…
Wadhera, Raman; Kalra, Vijay; Gulati, Sat Paul; Ghai, Anju
The incidents of foreign body ingestion in infants and children are usually viewed as accidents, but these events may be a form of child abuse. We are reporting a case of child abuse who presented with multiple foreign bodies in the gastrointestinal tract. Physicians are required to report abuse when they have reason to believe or to suspect that it occurred. The purpose of reporting is not punishment of the perpetrator - it is the protection of the child. It is certainly in the best interest of the child, because child abuse is a recurrent and usually escalating problem that exposes the child to substantial risk. PMID:23164499
Coxe, Ray; Holmes, William
This study of 147 sex offenders on probation explores whether there is support for the cycle of abuse theory among child molesters. Results indicate that being abused as a child is related to being a child molester. It was also found that the MMPI-2 did not predict the status of the subjects in regard to being abused as a child and having a victim…
Abtahi-Naeini, Bahareh; Shapouri, Javad; Masjedi, Mohsen; Saffaei, Ali; Pourazizi, Mohsen
Context: Child abuse is a serious problem, and its physical manifestations can be mimicked by certain diseases and conditions. These conditions can include genetic, congenital and other disorders that may result in poor weight gain, bone fractures or skin lesions that look like bruises or burns. Case Report: This paper reports the case of a seven-year-old girl with Ehlers-Danlos Syndrome (EDS), which was misdiagnosed as child abuse. This child was referred to us for treatment of an unexplained facial scar that was alleged to be the result of child abuse. Conclusion: When unusual skin presentations are observed, dermatologists should consider the possibility of child abuse to protect the child. Furthermore, they should be aware of the cutaneous abnormalities that mimic injuries associated with abuse to avoid the unnecessary reporting of child abuse. PMID:25535610
Gabaeff, Steven C
There is a controversy in child abuse pediatrics between an established corps of child abuse pediatricians aligned with hospital colleagues and law enforcement, and a multi-specialty challenger group of doctors and other medical professionals working with public interest lawyers. The latter group questions the scientific validity of the core beliefs of child abuse pediatricians and believes that there are a substantial number of false accusations of abuse occurring. An unproven primary hypothesis, crafted around 1975 by a small group of pediatricians with an interest in child abuse, lies at the foundation of child abuse pediatrics. With no scientific study, it was hypothesized that subdural hemorrhage (SDH) and retinal hemorrhage (RH) were diagnostic of shaking abuse. That hypothesis became the so-called "shaken baby syndrome." Through the period 1975-1985, in a coordinated manner, these child abuse specialists coalesced under the American Academy of Pediatrics and began working with district attorneys and social workers, informing them of the ways in which their hypothesis could be applied to prosecutions of child abuse and life-altering social service interventions. In a legal context, using then-prevailing evidentiary rules which treated scientific expert testimony as valid if it was "generally accepted" in the field, they represented falsely that there was general acceptance of their hypothesis and therefore it was valid science. As the ability to convict based on this unproven prime hypothesis (SDH and RH equals abuse) increased, some defense attorneys were professionally compelled by their own doubts to reach out to experts from other fields with experience with SDH and RH, trauma, and biomechanics, for second opinions. Medical and legal challenges to the established thinking soon emerged, based on both old and new evidenced-based literature. As the intensity of the controversy increased, the probability of false accusation became more apparent and the need
Davis, Deborah Winders; Pressley-McGruder, Gloria; Jones, V Faye; Potter, Deborah; Rowland, Michael; Currie, Melissa; Gale, Bruce
Child sexual abuse poses a serious threat to public health and is often unreported, unrecognized, and untreated. Prevention, early recognition, and treatment are critically important to reduce long-term effects. Little data are available on effective methods of preventing child sexual abuse. The current research demonstrates a unique approach to promoting awareness and stimulating discussion about child sexual abuse. Qualitative methods have rarely been used to study child sexual abuse prevention. Qualitative inductive analyses of interviews from 20 key informants identified both positive and negative assessments with six emergent themes. The themes revealed inherent tensions in using narrative accounts to represent the complex cultural context within which child sexual abuse occurs. More research is needed, but the program shows potential as a methodology to raise awareness of child sexual abuse. PMID:23682765
Diamond, Linda J.; Jaudes, Paula K.
Of 86 cerebral-palsied children (six months-eight years old) in one care center, 17 had been abused. Eight of these children's cerebral palsy was a result of abuse. Findings suggest a high incidence of child abuse among children with cerebral palsy. Journal Availability: See DC 152 470. (Author/CL)
Schonberg, Ila J.
Child sexual abuse continues to be a problem despite efforts towards prevention. The burden of protecting children still falls mainly on women, yet society's general attitudes take away from women the tools they need to do this job. Mothers of sexually abused children have been blamed for their daughters' abuse because of their emotional…
Vernon, Irene S.; Bubar, Roe
Victims of child abuse are at risk for contracting sexually transmitted diseases, including AIDS, not only directly through sexual abuse, but also because they engage in more high-risk behaviors. Because American Indian youth experience higher rates of sexual abuse and have less access to treatment and counseling, they are especially at risk.…
Elam, George A.; Kleist, David M.
Explores recent quantitative and qualitative studies of the long-term effects of child abuse, specifically, how abuse in childhood affects adulthood. Many studies associate various forms of abuse experienced in childhood with a wide range of psychological, behavioral, and relational problems in adulthood. Articles reviewed may inform marriage and…
Oates, R. Kim; Donnelly, Anne Cohn
Child protection professionals (N=242) were surveyed regarding their picks for the best papers or book chapters in the field. A citation search was also conducted. Eight papers appeared in the top 15 of both the professional survey and the citation search, with "The Battered Child Syndrome" (Kempe, et al., 1962) appearing at the top of both lists.…
Márquez-Flores, María Mercedes; Márquez-Hernández, Verónica V; Granados-Gámez, Genoveva
Child sexual abuse is one of the main types of abuse still to be addressed within the field of education, yet the education system itself can serve as a primary tool for its prevention. A better understanding of teachers' knowledge and beliefs about child sexual abuse will allow us to establish key starting points from which to utilize the system for prevention. Four hundred and fifty teachers participated in this study, completing a questionnaire regarding their knowledge and beliefs about child sexual abuse. The study revealed that over half the teachers, 65.3% (n = 294), had never received any type of training in child sexual abuse education and that the majority were not familiar with methods of identifying child sexual abuse, 90.7% (n = 279). Various mistaken beliefs were identified among the participating teachers, such as pathological profiles of abusers, that the vast majority of child sexual abuse implies violent behavior, and that there cannot be abusers the same age as the victim. These results indicate that knowledge deficiencies do exist about child sexual abuse among teachers and highlight the need for training in this field. PMID:27472508
Walsh, Kerryann; Brandon, Leisa; Chirio, Lisa
Two hundred and twelve Australian mothers completed an online survey examining features of mother-child communication about child sexual abuse prevention. Two-thirds (67.5%) of respondents had discussed child sexual abuse prevention with their children, with proportions varying according to age range (highest for mothers with children aged 5-12…
Dinwiddie, Stephen H.; Bucholz, Kathleen K.
Subjects who self-reported episodes of abusing a child were compared to those without a history of child battery. It was concluded that self-identified child abusers have increased lifetime rates of antisocial personality disorder, alcoholism, and depression. (DB)
Feng, Jui-Ying; Jezewski, Mary Ann; Hsu, Tsung-Wei
The purpose of this study was to explore nurses' experiences and perspectives regarding child abuse in Taiwan. Semistructured interviews with Taiwanese nurses were audiotaped and transcribed verbatim for this descriptive study. The method of category development proposed by the grounded theory method was used to develop categorical themes that reflected the nurses' experiences and perspectives. From the 18 registered nurses interviewed, four major categorical themes emerged that were integral to nurses' experiences working with abused children: the meaning of child abuse, conflict, feeling frustrated, and nurses' roles. Findings provide a base for understanding child abuse from the perspectives of nurses and a beginning understanding of interventions needed to improve identification and reporting of child abuse in Taiwan. Although nurses have considerable awareness and concern about child abuse, additional education related to this issue is needed. PMID:15764637
Sigad, Laura I; Davidov, Jonathan; Lev-Wiesel, Rachel; Eisikovits, Zvi
The purpose of the present article is to examine the multiple ways in which the private lives of professionals are affected by involvement with child abuse intervention and prevention. Using a descriptive-phenomenological perspective and 40 in-depth interviews with professionals to present a model based on qualitative data, we studied the ways in which child abuse professionals conceptualize, understand, and integrate their experiences into their personal and family lives. We find that the process of internalizing child abuse knowledge occurs in two domains: One affirms or denies the existence of the phenomenon; the other concerns the strategies used to contend with the effects of working in abuse. Knowledge of child abuse is toxic, in the sense that it serves as a catalyst leading to the alteration of one's self-perception and parental identity. We present a typology of self-alteration resulting from child abuse knowledge and describe the mechanism of this change. PMID:25381277
Kline, Donald F.; Hopper, Mark A.
Reviewed in terms of a concept analysis is the literature on child abuse, and presented is an annotated bibliography of approximately 550 journal articles, 18 books, 6 dissertations, and 40 pamphlets on child abuse. Briefly reviewed is the historical context of child abuse. A concept analysis of child abuse is offered which suggests that any…
Gambrill, E D
The range of factors identified as related to child maltreatment has expanded over the years. The literature clearly calls for an ecological approach in which individual, family, community, and societal factors are considered. The behavioral literature to date reflects an unevenness in terms of acceptance of such an approach. Studies are also uneven concerning the faithfulness with which hallmarks of a behavioral approach have been applied. These include individually tailored assessment and intervention based on empirical data and planning for generalization and maintenance. Most intervention programs do attend to positive as well as negative parent behaviors. Little attention is devoted to environmental characteristics, such as poverty level incomes and impoverished social support systems that may contribute to maltreatment. Lack of comprehensive assessment and intervention programs is no doubt responsible for the modest changes described in many reports. Behavioral studies suffer from uncritical acceptance of the term "abuse" or "at risk" in a number of ways, one of which is a failure to clearly describe the nature of the alleged maltreatment and the immediate situational context. Another is in the assumption that one particular factor is responsible for the maltreatment, such as ineffective parenting skills. Too often a label identifies only one characteristic of a person, ignoring other attributes and related factors. Like all deviant labels, the poor and minority groups are more likely to receive negative labels (Newberger et al., 1976). Investigaters have not taken advantage of relevant literature in the area of child welfare. Familiarity with this material would be helpful in avoiding myths in the field to which many have fallen prey, such as the myth of classlessness of child maltreatment. Acceptance of this myth interferes with the development of programs that deal with difficult environmental problems. Reports suggest that a behavioral approach is
are shown; one concerns the relation of abuser to child, while the other concerns the action taken on abuse cases. PMID:12291112
Department of Health, Education, and Welfare, Washington, DC.
Proceedings of a workshop on the need to establish a close working relationship between the medical, legal, and social work professions in the management of child abuse is presented. An introduction by Frank Beal is followed by welcoming remarks by Pennsylvania Governor Milton Shapp. Speeches by Elizabeth Davoren, Eli Newberger, and Vincent…
Crespo, Manuela; Andrade, David; Alves, Ana La-Salete; Magalhães, Teresa
Child Abuse is a frequent problem worldwide that surpasses ethnicity, religion, culture, economic and social classes. In the United States of America child protective services account, per year, over one million cases of child abuse or neglect. In Portugal, the incidence of the problem is unknown but each year thousands of abused children are accompanied by the Commissions for the Protection of Children and Youth at Risk. This abuse threatens children's physical, emotional and intellectual development, as well as their dignity, security, well-being and even their own lives. The body regions most frequently affected in physical abuse, are the cranium, neck and orofacial region, in fact, about 50% of the injuries arising from child abuse occur in the orofacial region. These data place the dentist in a privileged position to make the detection, diagnosis and report of child abuse. Therefore, these professionals must be prepared to recognize, diagnose and report their suspicions to the appropriate authorities, which play a key role in victims protection and criminal investigation. This review intends to stress the important role of the dentist in the detection, diagnosis and report of child abuse, systematizing child abuse risk factors and indicators essential to the intervention of these professionals. This problem's approach is multidisciplinary, involving particularly dentists, who must obtain continuing education and training in this area. PMID:22863503
Stirling, John; Amaya-Jackson, Lisa; Amaya-Jackson, Lisa
Children who have suffered early abuse or neglect may later present with significant behavior problems including emotional instability, depression, and a tendency to be aggressive or violent with others. Troublesome behaviors may persist long after the abusive or neglectful environment has changed or the child has been in foster care placement. Neurobiological research has shown that early abuse results in an altered physiological response to stressful stimuli, a response that deleteriously affects the child's subsequent socialization. Pediatricians can assist caregivers by helping them recognize the abused or neglected child's altered responses, formulate more effective coping strategies, and mobilize available community resources. PMID:18762538
Hart, Heledd; Rubia, Katya
Childhood maltreatment is a stressor that can lead to the development of behavior problems and affect brain structure and function. This review summarizes the current evidence for the effects of childhood maltreatment on behavior, cognition and the brain in adults and children. Neuropsychological studies suggest an association between child abuse and deficits in IQ, memory, working memory, attention, response inhibition and emotion discrimination. Structural neuroimaging studies provide evidence for deficits in brain volume, gray and white matter of several regions, most prominently the dorsolateral and ventromedial prefrontal cortex but also hippocampus, amygdala, and corpus callosum (CC). Diffusion tensor imaging (DTI) studies show evidence for deficits in structural interregional connectivity between these areas, suggesting neural network abnormalities. Functional imaging studies support this evidence by reporting atypical activation in the same brain regions during response inhibition, working memory, and emotion processing. There are, however, several limitations of the abuse research literature which are discussed, most prominently the lack of control for co-morbid psychiatric disorders, which make it difficult to disentangle which of the above effects are due to maltreatment, the associated psychiatric conditions or a combination or interaction between both. Overall, the better controlled studies that show a direct correlation between childhood abuse and brain measures suggest that the most prominent deficits associated with early childhood abuse are in the function and structure of lateral and ventromedial fronto-limbic brain areas and networks that mediate behavioral and affect control. Future, large scale multimodal neuroimaging studies in medication-naïve subjects, however, are needed that control for psychiatric co-morbidities in order to elucidate the structural and functional brain sequelae that are associated with early environmental adversity
Cahill, L T; Kaminer, R K; Johnson, P G
There is growing interest in the neurologic, behavioral, and cognitive effects of child abuse and neglect. This article explores the literature on the short and long term sequelae of physically and sexually abused and neglected children, along with controversies generated by the studies themselves. Recommendations are made for swift and ongoing intervention in cases of child abuse to protect young victims from potentially devastating effects. PMID:10553206
Several research questions raises when physicians are confronted with a possible case of child abuse. First, there is a problem of professional secrecy. In most European countries, physicians have the right to speak when confronted with a state of emergency. In other countries, physicians have a duty to speak and alert the police when the life or physical integrity of a person is at stake. A second topic to be discussed involves the possible liability of physicians who do not report child abuse. By not reporting a case of possible child abuse, the physician is respecting the family life of the parents, even though the child might continue to suffer damages. Third and essentially, I analyse the possible liability of physicians who do inform the prosecutor ofa suspected child abuse. Specific criteria are elaborated to establish negligence when physicians report child abuse to the prosecutor. PMID:23984493
de Paul, Joaquin; Domenech, Leticia
Two matched groups (24 adolescents and 24 adults) of pregnant mothers were followed for 20 months. During pregnancy, memories of child maltreatment were evaluated. Although adolescent and adult mothers showed no differences in memories of childhood physical or emotional abuse, adolescent mothers and physically abused mothers showed higher child…
In recent decades, the history of childhood and history of education have gained status as political concerns through the establishment of numerous truth commissions and inquiries into historical institutional child abuse. This article discusses the methodological and ethical dilemmas that arise when writing the history of abused children with the…
Schober, Daniel J.; Fawcett, Stephen B.; Bernier, Jetta
This case study describes the Enough Abuse Campaign, a multidisciplinary, statewide effort to prevent child sexual abuse in Massachusetts. The study uses the Institute of Medicine's Framework for Collaborative Community Action on Health to provide a systematic description of the campaign's process of implementation, which includes: (a) developing…
Cohen, Judith A.; Mannarino, Anthony P.; Zhitova, Aren C.; Capone, Margery E.
Objective: Child abuse is a risk factor for developing Posttraumatic Stress Disorder (PTSD) and subsequent Substance Use Disorder (SUD). The purpose of this review is to summarize current knowledge about effective treatments for adolescent abuse-related PTSD, SUD, and the co-occurrence of these conditions. Method: The literature on empirical…
ABSTRACT. This article discusses child sexual abuse by a person in a position of authority, such as the child's teacher, guardian, relative, sports coach, or other person with authority over a child because of his/her particular position. The article tracks the recent trend toward recognizing position of authority in both state legislation and judicial precedent. Understanding the confusion and intimidation surrounding a child's experiences as a result of being sexually abused by a person in a position of authority often explains why children often fail to report or delay in reporting such abuse. Thus, existence of a perpetrator's position of authority in a particular case of child sexual abuse should influence a court's rulings on the elements of sexual abuse or assault in particular state statutes, as well as what evidence should be admissible. Ultimately, the author concludes that all states should recognize position of authority in their child abuse statutes, that such statutes should be interpreted broadly by the courts, and, finally, that evidence of the defendant's prior acts of sexual abuse should almost always be admissible at trial. PMID:16221632
Briere, John N.; Elliott, Diana M.
Summarizes what is currently known about the potential, immediate, and long-term impact of child sexual abuse. The various problems and symptoms described in the literature on child sexual abuse are reviewed in a series of broad categories including posttraumatic stress, cognitive distortions, emotional pain, avoidance, an impaired sense of self,…
... Ask these questions to find out if preventing child sexual abuse is a priority for your child’s youth-sports ... Does staff receive training on recognizing and reporting child sexual abuse? How often? Is there a staff code of ...
Kotch, Jonathan B.
Analysis of 92 cases of fatally assaulted and 393 cases of intentionally injured children in New Zealand indicates that fatal child abuse is substantially underdiagnosed in official sources of mortality data and that there is an association between the race of the victim and whether the intentional injury is labeled child abuse. (Author/JDD)
Kline, Donald F.
Intended for such school personnel as teachers, administrators, school board members, school bus drivers, cafeteria workers, and parent-teacher organizations, the volume provides basic information on child abuse and neglect. Sections cover the following topics: child abuse and neglect as an historical phenomenon, causes (including characteristics…
Children's Hospital of the District of Columbia, Washington, DC.
Presented are key addresses and workshop summaries of the National Conference on Child Abuse (1973). Stressed by key speakers was the need for a coordinated, multidisciplinary effort at federal, state, and local levels in the areas of prevention, identification, and treatment of child abuse and neglect. Considered in the workshop summaries were…
Trocme, Nico; And Others
Discusses the Ontario Incidence Study of Reported Child Abuse and Neglect (OIS), which is based on a survey of child protection workers involved in 2,447 abuse and neglect investigations. OIS found an incidence rate of reported maltreatment of 21 per 1,000 children and a 27% substantiation rate. Includes comparisons with incidence rates for the…
Slep, Amy M. Smith; Heyman, Richard E.; Snarr, Jeffery D.
Objective: Research on and intervention for child emotional abuse and emotional aggression toward children have been severely hampered because there have been no agreed-upon, clinically usable definitions. Methods: We have (a) proposed and field-tested a set of criteria to operationally define child emotional abuse for clinical settings and (b)…
Feng, Jui-Ying; Huang, Tzu-Yi; Wang, Chi-Jen
Objective: The objectives were to examine factors associated with reporting child abuse among kindergarten teachers in Taiwan based on the Theory of Planned Behavior (TPB). Method: A stratified quota sampling technique was used to randomly select kindergarten teachers in Taiwan. The Child Abuse Intention Report Scale, which includes demographics,…
Cooper, Sharon W.
Analysis of child sexual abuse images, commonly referred to as pornography, requires a familiarity with the sexual maturation rating of children and an understanding of growth and development parameters. This article explains barriers that exist in working in this area of child abuse, the differences between subjective and objective analyses,…
Lawson, Michael A.; Alameda-Lawson, Tania; Byrnes, Edward C.
Objectives: The purpose of this study is to examine the extent to which participation in a county-wide prevention program leads to improvements in protective factors associated with child abuse prevention (CAP) and whether improvements in measured protective factors relate to decreased odds of child abuse. Method: Using multilevel growth modeling,…
Bryant, Jill K.
A study was done to investigate school counselors' child abuse reporting behaviors and perceptions regarding the child abuse reporting process. Participants were randomly selected from the American School Counselor Association membership database with 193 school counselors returning questionnaires. Overall, school counselors indicated that they…
Davis, Deborah Winders; Pressley-McGruder, Gloria; Jones, V. Faye; Potter, Deborah; Rowland, Michael; Currie, Melissa; Gale, Bruce
Child sexual abuse poses a serious threat to public health and is often unreported, unrecognized, and untreated. Prevention, early recognition, and treatment are critically important to reduce long-term effects. Little data are available on effective methods of preventing child sexual abuse. The current research demonstrates a unique approach to…
Feng, Jui-Ying; Wu, Yow-Wu B.; Fetzer, Susan; Chang, Hsin-Yi
Child abuse is underreported for children with socioeconomic inequalities. The impact of geographic location combined with sociocultural characteristics on teachers' reports of child abuse remains unclear. A national survey of 572 kindergarten teachers from 79 schools in Taiwan used hierarchical linear modeling to investigate the contribution of…
Child abuse is largely recognized as a significant issue within the school system and the larger society. In the schools, incidents of child abuse can take any of physical, sexual and psychological forms. This paper would restrict itself to bullying, by more specifically providing a clearer understanding of the concept of bullying, its prevalence,…
Malloy, Lindsay C.; Lyon, Thomas D.; Quas, Jodi A.
Objective: Controversy abounds regarding the process by which child sexual abuse victims disclose their experiences, particularly the extent to which and the reasons why some children, once having disclosed abuse, later recant their allegations. This study examined the prevalence and predictors of recantation among 2- to 17-year-old child sexual…
Nelson, Mary, Ed.; Clark, Kay, Ed.
This collection of articles was created to give professionals and educators an informed overview of current issues in the field of child sexual abuse prevention. Articles are grouped under the headings of Introduction, Issues in Child Sexual Abuse Prevention, and Guidelines for Prevention Education and include: (1) "Prevention Education in…
Simons, Dominique A.; Wurtele, Sandy K.; Durham, Robert L.
Objective: The aim of this study is to identify the distinct developmental experiences associated with child sexual abuse and rape. Method: For 269 sexual offenders (137 rapists and 132 child sexual abusers), developmental experiences were recorded from a behavioral checklist, a parental-bonding survey, and a sexual history questionnaire. Offender…
Breiner, Sander J.
Most child abuse has a violent quality. A review of the research on child abusers reveals some interesting psychosocial and historical characteristics. Research has shown violence to be more likely in less stable populations, in persons with poor driving records and histories of severe accidents, and in those who are undereducated and unsuccessful…
Daro, Deborah; Huang, Lee Ann; English, Brianna
The Duke Endowment launched its Child Abuse Prevention Initiative in 2002 by funding two program sites, the Durham Family Initiative in Durham, North Carolina, and Strong Communities in Greenville, South Carolina. Both sites aimed to reduce rates of child abuse, improve parenting practices and behaviors, strengthen community service systems, and…
This article talks about a model child abuse prevention approach called, "Supporting Teachers, Strengthening Families." It is NAEYC's professional development initiative to help early childhood educators play leading roles in preventing child abuse and neglect through family strengthening efforts. It focuses on six strategies that high-quality…
Dorman, Rebekah L.; Moore, Douglas J.; Schaerfl, Caroline A.
Preventing child abuse is an endeavor that requires equal parts of caring, optimism, and pragmatism. Drawing on the experiences of more than 100 child abuse prevention projects, this field-tested manual integrates the abstract principles of program development and prevention with the real world experiences and challenges faced by prevention…
The article 'Help in raising concerns about child abuse' (features April 27) focuses on escalation processes at the expense of providing practical advice about how professionals should respond in the event of a child disclosing an allegation of abuse. PMID:27206196
Cramer, Robert J.; Adams, Desiree D.; Brodsky, Stanley L.
Child sex abuse cases have been the target of considerable psycho-legal research. The present paper offers an analysis of psychological constructs for jury selection in child sex abuse cases from the defense perspective. The authors specifically delineate general and case-specific jury selection variables. General variables include…
Jones, Karyn Dayle
Many counselors attend graduate courses and seminars on the treatment of child abuse and neglect. Educators and trainers need to focus on the feelings and reactions elicited from exposure to the content of these courses. This article provides information on the impact of learning about the trauma of child abuse. (Author)
Burns, John L.
This paper addresses moderate- to long-term psychological effects of child abuse. It begins by discussing characteristics of effective and ineffective parenting to provide a background of potential contributors to child abuse within the family system. Belsky's (1984) developmental model of determinants of parenting behavior is explained and his…
National Center on Child Abuse and Neglect (DHHS/OHDS), Washington, DC.
This publication provides basic information on the nature of child abuse and neglect, including chapters on: (1) the definition of relevant terms (physical abuse, neglect, emotional abuse, and sexual abuse); (2) the scope and magnitude of the problem of child abuse and neglect; (3) the causes of child maltreatment and the most common…
Parents are warned about the dangers of child sexual abuse and child pornography. To recognize potential threats, parents should know their children well, take time to communicate with them, and watch for changes in personality patterns. (PP)
Buckingham, E Taylor; Daniolos, Peter
Childhood abuse and neglect (child maltreatment) represent a common and significant public health burden. The consequences of maltreatment can be seen immediately, in the short term and in the long term. Determination of the exact prevalence of childhood maltreatment is difficult, as many cases go unreported; however in reported cases there is an estimated $124 billion annual burden on the US health-care system. The evaluation of potential maltreatment is difficult as many of the initial symptoms are subtle and can be explained with alternative illnesses or injuries. Potential immediate and short-term effects include brain injury, shaken baby syndrome and behavioral regression. The potential long-term sequelae of child maltreatment are explored in detail here and include increased risks of the development of mental health disorders, substance use disorders and chronic physical complaints during development and adulthood. Lastly, the review provides an overview of current treatment approaches for victims of childhood maltreatment. PMID:23307564
Rogers, D J; Roberts, R E
Whenever a child is seen in a genitourinary clinic the possibility that the child is the victim of child sexual abuse must be considered. This article considers the definition and postulated prevalence of child sexual abuse in England and Wales. A proposed management plan is then detailed with a review of the significance of the medical findings. Finally consideration is given to the ethical dilemmas which such cases pose. Images PMID:7750955
Johnson, Charles F.; Coury, Daniel L.
Two case histories illustrate the difficulty in evaluating abuse/neglect in children with bleeding problems such as hemophilia. Discussed are guidelines for diagnosis and prevention of abuse, including: screening techniques, the need for protection from environmental trauma, parental stress, evaluation of parents' disciplinary methods, and the…
Barnes, Peter M; Norton, Catherine M; Dunstan, Frank D; Kemp, Alison M; Yates, David W; Sibert, Jonathan R
Diagnosis of abuse in children with internal abdominal injury is difficult because of limited published work. We aimed to ascertain the incidence of abdominal injury due to abuse in children age 0-14 years. 20 children (identified via the British Paediatric Surveillance Unit) had abdominal injuries due to abuse and 164 (identified via the Trauma Audit and Research Network) had injuries to the abdomen due to accident (112 by road-traffic accidents, 52 by falls). 16 abused children were younger than 5 years. Incidence of abdominal injury due to abuse was 2.33 cases per million children per year (95% CI 1.43-3.78) in children younger than 5 years. Six abused children died. 11 abused children had an injury to the gut (ten small bowel) compared with five (all age >5 years) who were injured by a fall (relative risk 5.72 [95% CI 2.27-14.4]; p=0.0002). We have shown that small-bowel injuries can arise accidentally as a result of falls and road-traffic accidents but they are significantly more common in abused children. Therefore, injuries to the small bowel in young children need special consideration, particularly if a minor fall is the explanation. PMID:16023514
Medical child abuse or its better known name, Munchausen's Syndrome by Proxy, is a form of child maltreatment combining physical and emotional abuse as well as child neglect. As in other forms of child abuse and neglect that pediatricians encounter, the diagnosis is medical and is based on the existence of actual or potential harm to the child. A high index of suspicion is necessary when the medical team is faced with inexplicable findings as well as repeated treatment failure. There is extensive variability in the manifestation of this syndrome as well as a wide range of severity including the risk to the patient's life. In this article we describe medical child abuse and the means of diagnosing the syndrome. It is also stressed that, as in the case of any other form of child maltreatment, reporting is mandatory. PMID:19899249
... as drugged driving, violence, stress, and child abuse. Drug abuse can lead to homelessness, crime, and missed work or problems with keeping a job. It harms unborn babies and destroys families. There are different types of treatment for drug abuse. But the best is to prevent drug ...
COSTACURTA, M.; BENAVOLI, D.; ARCUDI, G.; DOCIMO, R.
SUMMARY Aim The aim of this report is to identify the main oral and dental aspects of physical and sexual abuse and dental neglect in childhood, contributing to the precocious identification and diagnosis in a dental practice. Methods The oral and dental manifestations were divided and classified according to the type of child abuse: physical abuse, sexual abuse, neglect. Physical abuse Several studies in the literature have shown that oral or facial trauma occurs in about 50% of physically abused children; the oral cavity may be a central focus for physical abuse. Oro-facial manifestations of physical abuse include bruising, abrasions or lacerations of tongue, lips, oral mucosa, hard and soft palate, gingiva, alveolar mucosa, frenum; dental fractures, dental dislocations, dental avulsions; maxilla and mandible fractures. Sexual abuse Although the oral cavity is a frequent site of sexual abuse in children, visible oral injuries or infections are rare. Some oral signs may represent significant indications of sexual abuse, as erythema, ulcer, vescicle with purulent drainage or pseudomembranus and condylomatous lesions of lips, tongue, palate and nose-pharynx. Furthermore, if present erythema and petechiae, of unknown etiology, found on soft and hard palates junction or on the floor of the mouth, can be certainly evident proofs of forced oral sex. Dental neglect Oral signs of neglect are easily identifiable and are: poor oral hygiene, halitosis, Early Childhood Caries (ECC), odontogenous infections (recurrent and previous abscesses), periodontal disease, aptha lesions as a consequence of a nutritional deficiency status. Moreover, it is analyzed the assessment of bite marks because often associated with child abuse, the identification and collection of clinical evidence of this type of injury. Conclusion A precocious diagnosis of child abuse, in a dental practice, could considerably contribute in the identification of violence cases and in an early intervention. PMID
Wolfe, David A.
This book examines the role child abuse plays within a victim's individual development from childhood through their adult life. It begins by describing the different types of child abuse, prevalence rates, and risk factors. It also describes four types of child maltreatment that include: physical abuse, neglect, sexual abuse, and emotional abuse.…
Paci, A; Migliaccio, P; Paci, G
At the beginning of the statement the authors point out some lesser aspects of child's ill-treatment (previously suggested by them in other occasions) as expressions of very strict educational systems which strongly limit childrens' freedom or impose them several extrascholastic activities (such as: athletics, music with participation in competitive examination, studies of foreign languages, Latin and so on) where the child must excel in (composex of the "leader-child"). Then these authors suggest using the term "abuse" to mean lexically every excessive, undue, arbitrary use and not only "sexual". They point out the seriousness of abuse as far as juvenile exploitation is concerned both in case of manual labour and prostitution. But the pay particularly attention to the problem of sport when it is gone in for too intensively (as athletics). These authors infact sum up the harms that sport can cause when it is gone in for during the age under the stabilized puberty. Physical harms may occur especially during the practice of risky sports such as: Alpine skiing, cycling on the road, swimming combined with diving, fencing, boxing) and during tiring condition, while psychic harms can entail a fall in scholastic performances, irritability, insomnia, anxiety. The authors depreciate the behaviour of those parents who stimulate their children' aggressiveness during competitions and scold them when their performances are insufficient, or give them forbidden stimulants of hormonal anabolic drugs instead of taking care of their children in order to keep away from the arms mentioned above. However, after all these observations and considerations about competitive sports in juvenile age, these authors can firmly state that all this could be meant as an important aspects of the juvenile exploitation that must be taken in great consideration. PMID:11293144
A long-term study on child abuse and neglect in Greece is being carried out at the Institute of Child Health, Athens. A multidisciplinary team is investigating the nature of the problem in Greece, is trying a system of therapeutic intervention to families, is evaluating the adequacy of child protection as it is used in child abuse and neglect, and is examining the efficacy of the law. During a one year period, 5 children cared for in institutions were referred to the program. All were boys. All were children with minor or major handicaps. Two of died from the abusive incident. A study of the circumstances of the injury, and of the conditions in Greek institutions, supports the idea that institutional and family child abuse share many common characteristics. Special mention is made of the Greek circumstances pertaining to child protection and the law. PMID:6226340
Fegert, J M; Hoffmann, U; Spröber, N; Liebhardt, H
The article provides an overview of the research on sexual abuse and the current political developments in Germany. First, the terminology of sexual child abuse is discussed, followed by the presentation of epidemiological data. The section on diagnostics and therapy shows that--because of mostly nonspecific indicators--the diagnosis of child sexual abuse is very difficult to define. Child sexual abuse is discussed as a traumatic experience for children and adolescents with different psychiatric and physical diseases. Current studies have shown that especially cognitive behavioral therapeutic-oriented approaches are effective in curing posttraumatic stress disorders. Based on the new German Child Protection Act, the focus lies on the clarification of confidentiality for medical professionals and their right to consulting services for child protection. In conclusion, guidelines and minimum standards for a child prevention and protection model are presented as well as institutional recommendations addressed to all institutions (also clinical) that take care of or treat children and adolescents. PMID:23361204
Mapp, Susan C.
Objective: The potential path from sexual abuse as a child to the current risk of physical abuse by mothers was assessed. Ontogenic variables including the experience of the parent's sexual abuse as a child and current depression or substance abuse were expected to have a greater impact on the risk of child abuse than microsystem and exosystem…
Isaacs, C D
Child abuse has probably existed as a social problem as long as parents and children have lived under the same roof, and in recent years it has received tremendous attention. Most of the research has focused on etiology rather than treatment, leaving large gaps in our knowledge about remediating abuse. Behavioral scientists have only begun to formulate a conceptual framework from which to work. Many theoretical questions are yet unanswered, particularly the question of what constitutes abuse. Burgess (1978) believes that conceptual problems exist because abuse falls along a continuum of parent-child relationships--a continuum that at one end might include verbal punishment (e.g., threats, ridicule) or milder forms of physical punishment (e.g., slap on the hand, spanking), and at the other end include extreme forms of physical punishment that exceed community mores (for example, hitting a child with a closed fist, scalding a child in hot water, torturing or killing a child). Thus, the question-- where does discipline stop and abuse begin?-- faces every researcher who must operationally define abuse. Identifying the consequences of abuse in a child's development is another area of inquiry that remains untreated. Most of the literature is filled with the subjective impressions of professionals speculating that abused children become the juvenile delinquents and the child abusers of the future; however, as yet no longitudinal studies have been conducted that compare the developmental outcomes of abused and non-abused children from early childhood to later adulthood. What if there were no differences? How might this influence our approaches to the treatment of abuse? Answers to these and other questions will take years of study. Increased awareness of the problem of child abuse has led to greater efforts to remediate the problem. Treatment efforts with abusive families are still in the initial stages, but, undoubtedly, information from these early programs can be the
Pirdehghan, Azar; Vakili, Mahmood; Rajabzadeh, Yavar; Puyandehpour, Mohammad; Aghakoochak, Arezoo
Background Child abuse is a serious social health problem all over the world with important adverse effects. Objectives The aim of this study was to extend our understanding of the relation between mental disorders and child abuse. Materials and Methods The study was designed as a cross-sectional survey on 700 students in secondary schools using multiple cluster sampling in Yazd, Iran in 2013. We applied 2 self reported questionnaires: DASS (depression anxiety stress scales)-42 for assessing mental disorders (anxiety, stress and depression) and a standard self-reported valid and reliable questionnaire for recording child abuse information in neglect, psychological, physical and sexual domains. The collected data was analyzed using SPSS software. P-values < 0.05 were considered as significant. Results There was a statically significant correlation between mental disorder and child abuse score (Spearman rho: 0.2; P-value < 0.001). The highest correlations between mental disorders and child abuse were found in psychological domain, Spearman’s rho coefficients were 0.46, 0.41 and 0.36 for depression, anxiety and stress respectively (P-value < 0.001). Based on the results of logistic regression for mental disorder, females, last born adolescents and subjects with drug or alcohol abuser parents had mental disorder odds of 3, 0.4 and 1.9 times compared to others; and severe psychological abuse, being severely neglected and having sexual abuse had odds 90, 1.6 and 1.5 respectively in another model. Conclusions Programming for mandatory reporting of child abuse by physicians and all health care givers e.g. those attending schools or health centers, in order to prevent or reduce its detrimental effects is useful and success in preventing child abuse could lead to reductions in the prevalence of mental disorders. PMID:27437096
Salvation Army. New York, NY.
This Leader's Guide prepared for the Salvation Army's Home League aims at helping community groups (particularly those which are church related) recognize the symptoms of child abuse and determine their course of action in preventing such abuse. Six forms of child abuse are cited: physical abuse, physical neglect, emotional abuse, emotional…
This guide for Colorado educators and other school personnel is intended to help define child abuse and neglect and develop appropriate policy and training programs. Sections address the following topics: identifying child abuse and neglect; identifying physical abuse; identifying neglect and emotional abuse; identifying sexual abuse; responding…
Singh, Mannat Mohanjeet; Parsekar, Shradha S.; Nair, Sreekumaran N.
Child sexual abuse (CSA) is a universal problem with grave life-long outcomes. The estimates vary widely depending on the country under study, the definitions used, the type of CSA studied, the extent of coverage, and quality of data. This study intended to assess the magnitude and the issues related to CSA. We searched databases such as PubMed, Google scholar, web (newspaper reports), and government websites. The relevant data was extracted from these sources for gathering evidence on CSA and secondary data analysis was done. The prevalence of CSA was found to be high in India as well as throughout the world. CSA is an extensive problem and even the lowest prevalence includes a huge number of victims. It also has various adverse effects on the psychological, physical, behavioral, and interpersonal well-being of the victim. Hence, stringent measures should be taken for the prevention and control of this hidden public health issue. PMID:25657958
... 5 Administrative Personnel 2 2010-01-01 2010-01-01 false Amounts subject to child abuse judgment... Under the Child Abuse Accountability Act Availability of Funds § 838.1111 Amounts subject to child abuse... child abuse enforcement orders only if all of the conditions necessary for payment of the...
Pereda, Noemi; Guilera, Georgina; Forns, Maria; Gomez-Benito, Juana
Objective: The purpose of this paper was to compare the prevalence rates of child sexual abuse reported by [Finkelhor, D. (1994). "The international epidemiology of child sexual abuse." "Child Abuse & Neglect," 18 (5), 409-417] with those found in recent publications in order to confirm the widespread prevalence of child sexual abuse. Methods:…
... 5 Administrative Personnel 2 2012-01-01 2012-01-01 false Amounts subject to child abuse judgment... Under the Child Abuse Accountability Act Availability of Funds § 838.1111 Amounts subject to child abuse... child abuse enforcement orders only if all of the conditions necessary for payment of the...
... 5 Administrative Personnel 2 2011-01-01 2011-01-01 false Amounts subject to child abuse judgment... Under the Child Abuse Accountability Act Availability of Funds § 838.1111 Amounts subject to child abuse... child abuse enforcement orders only if all of the conditions necessary for payment of the...
... 5 Administrative Personnel 2 2013-01-01 2013-01-01 false Amounts subject to child abuse judgment... Under the Child Abuse Accountability Act Availability of Funds § 838.1111 Amounts subject to child abuse... child abuse enforcement orders only if all of the conditions necessary for payment of the...
Himelein, Melissa J.; McElrath, Jo Ann V.
Two studies examined coping strategies associated with resilience in a nonclinical sample of young adult child sexual abuse survivors. Survivors were likely to engage in positive illusions or such cognitive strategies as disclosing and discussing the abuse, minimization, positive reframing, and refusing to dwell on the experience. Results support…
As a result of the recent publicity given problems of physical and sexual child abuse, society now expects teachers to be fully informed, to educate both children and parents, and to actively intercede in abuse cases. Guidelines are given to help middle level teachers cope with these and related developments. (DCS)
Baurley, Marion E.; Street, Matthew H.
Designed to provide the reader with general background information in the area of American Indian child abuse and neglect law and to present a framework in which individual abuse or neglect cases may be analyzed, this report is divided into four sections. The first section describes features of the jurisdictional conflicts encountered in American…
Underwager, Ralph; Wakefield, Hollida
The investigation and adjudication of cases of alleged sexual abuse of children can cause as much or more trauma to a child as the sexual abuse itself. Such secondary victimization may occur when children are subjected to repeated interviews, questionable techniques, intrusive physical examinations, inappropriate reactions and overreactions by…
Kutsal, Ebru; Pasli, Figen; Isikli, Sedat; Sahin, Figen; Yilmaz, Gokce; Beyazova, Ufuk
This study aims to provide preliminary findings on the validity of Child Abuse Potential Inventory (CAP Inventory) on Turkish sample of 23 abuser and 47 nonabuser parents. To investigate validity in two groups, Minnesota Multiphasic Personality Inventory (MMPI) Psychopathic Deviate (MMPI-PD) scale is also used along with CAP. The results show…
Saunders, Daniel G.
Reviews literature comparing risk that battered women and men who batter will physically abuse their children. Challenges several tenets of social work practice lore and cautions practitioners about use of psychological tests and profiles to judge child abuse potential and parenting ability. Discusses hazards of mediation and joint custody and…
Duty, Diane Scott
Sexual abuse of children has been recognized as a major problem. Attempts have been made to elicit descriptions of the abuse of children. A variety of interview methods for obtaining descriptions have been used. Methods of interviewing depend on the age of the child, the purpose of the interview, and the training and philosophy of the interviewer.…
The process of reporting abuse can be challenging, traumatic, and at times, overwhelming. In order for school counselors to be effective helpers for children, it is essential that they know how to recognize and prevent child abuse and neglect. The purpose of this article is to provide professional school counselors with information they can use to…
Osborne, Sandy; Seibel, Donnie
Analysis of data from 138 women, infants, children participants who completed Child Abuse Potential Inventory showed mothers with higher educational attainment appeared less likely to be abusive regardless of such factors as low income, single parenthood, or large family size. Mothers who did not complete high school were at greater risk for…