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Sample records for child protection case

  1. Child Protection Decision Making: A Factorial Analysis Using Case Vignettes

    ERIC Educational Resources Information Center

    Stokes, Jacqueline; Schmidt, Glen

    2012-01-01

    This study explored decision making by child protection social workers in the province of British Columbia, Canada. A factorial survey method was used in which case vignettes were constructed by randomly assigning a number of key characteristics associated with decision making in child protection. Child protection social workers (n = 118) assessed…

  2. Criminal investigations in child protective services cases: an empirical analysis.

    PubMed

    Cross, Theodore P; Chuang, Emmeline; Helton, Jesse J; Lux, Emily A

    2015-05-01

    This study analyzed the frequency and correlates of criminal investigation of child maltreatment in cases investigated by child protective service (CPS), using national probability data from the National Survey of Child and Adolescent Well-Being. Criminal investigations were conducted in slightly more than 25% of cases. Communities varied substantially in percentage criminally investigated. Sexual abuse was the most frequent type of maltreatment criminally investigated followed by physical abuse. Logistic regression results indicated that criminal investigations were more likely when caseworkers perceived greater harm and more evidence; when CPS conducted an investigation rather than an assessment; when a parent or a legal guardian reported the maltreatment; and when cases were located in communities in which CPS and police had a memorandum of understanding (MOU) governing coordination. Most variation between communities in criminal investigation remained unexplained. The findings suggest the potential of MOUs for communities wanting to increase criminal investigation.

  3. Child Protection and Justice Systems Processing of Serious Child Abuse and Neglect Cases

    ERIC Educational Resources Information Center

    Sedlak, Andrea J.; Schultz, Dana; Wells, Susan J.; Lyons, Peter; Doueck, Howard J.; Gragg, Frances

    2006-01-01

    Objective: The aim of this study was to examine the trajectory of cases through four systems: child protection, law enforcement, the dependency courts, and the criminal courts. Method: This study focused on a county selected from a 41-county telephone survey conducted for the National Incidence Study of Child Abuse and Neglect (NIS-3). For this…

  4. Examining Racial Disproportionality in Child Protective Services Case Decisions

    PubMed Central

    Font, Sarah A.; Berger, Lawrence M.; Slack, Kristen S.

    2012-01-01

    Using a national sample of 1,461 child protective services (CPS) investigations in the United States, we examine differences between black and white families with regard to caseworker ratings of risk and harm to the child, as well as the probability that a case is substantiated for maltreatment. We employ difference-in-difference methods to identify whether gaps in outcomes for black and white families are equivalent when black and white CPS workers conduct the investigation, and Blinder-Oaxaca decomposition methods to identify the portion of the black-white difference in outcomes that is attributable to differences in case characteristics (risk factors) versus differences in associations between these characteristics and the outcomes by race (differential treatment). We find no differences in outcomes by child race after adjusting for case characteristics. At the same time, we find that relative to white caseworkers, black caseworkers are more likely to rate black children at subjectively higher risk of harm than white children and are also more likely to substantiate black families for maltreatment. The decomposition results suggest that—even after accounting for caseworker race—differences in outcomes for black and white children are primarily explained by differences in family and case circumstances rather than differential treatment. Thus, our analyses suggest that interventions addressing maltreatment-related risk factors that disproportionately affect black families may have greater utility for reducing racial disparities in CPS involvement than current emphases on cultural competence training. PMID:22984321

  5. Discourses of Education, Protection, and Child Labor: Case Studies of Benin, Namibia and Swaziland

    ERIC Educational Resources Information Center

    Nordtveit, Bjorn Harald

    2010-01-01

    This article analyses discontinuities between local, national and international discourse in the fields of education, protection of children, and child labor, using Benin, Namibia and Swaziland as case studies. In Benin, child abuse and child labor are related to poverty, whereas in Namibia and Swaziland they are also interrelated with HIV/AIDS.…

  6. Child custody mediation in cases of domestic violence: empirical evidence of a failure to protect.

    PubMed

    Johnson, Nancy E; Saccuzzo, Dennis P; Koen, Wendy J

    2005-08-01

    Mediation of child custody disputes is mandated in several states. Investigators have averred that victims of domestic violence (DV) are greatly disadvantaged in mediation. The present study empirically evaluated outcomes and found that mediators failed to recognize and report DV in 56.9% of the DV cases. The court's screening form failed to indicate DV in at least 14.7% of the violent cases. Mediation resulted in poor outcomes for DV victims in terms of protections, such as supervised visitation and protected child exchanges. Mediator capacity to focus on the child's best interest was called into question. Child custody mediation should not be mandated in cases of DV.

  7. Re-Referral to Child Protective Services: The Influence of Child, Family, and Case Characteristics on Risk Status

    ERIC Educational Resources Information Center

    Connell, Christian M.; Bergeron, Natasha; Katz, Karol H.; Saunders, Leon; Tebes, Jacob Kraemer

    2007-01-01

    Introduction: This study examines child, family, and case characteristics that impact rates of re-referral to Child Protective Services (CPS) using data on all closed CPS investigations for the state of Rhode Island between 2001 and 2004. Method: A longitudinal dataset of all referrals to CPS was created using state submissions to the National…

  8. Mediation in Child Protection Cases: An Alternative to the Adversary System.

    ERIC Educational Resources Information Center

    Palmer, Sally E.

    1989-01-01

    Discusses two concerns regarding adverse effects of increased litigation in child protection cases: (1) fallout from the adversarial process on agencies' work with families; and (2) dissonance between the approaches of social workers and lawyers to decision-making about families. Recommends mediation to prevent less serious cases from going to…

  9. Data Surveillance in Child Protection Systems Development: An Indonesian Case Study

    ERIC Educational Resources Information Center

    Boothby, Neil; Stark, Lindsay

    2011-01-01

    Objectives: Successful implementation of child protection program interventions and child and family welfare services is contingent upon the availability and use of good quality information, as emphasized by the recent Convention on the Rights of the Child's General Comment 13. Yet, the role of information within child protection is not well…

  10. "I Made Her Realise that I Could Be There for Her, that I Could Support Her": Child Protection Practices with Women in Domestic Violence Cases

    ERIC Educational Resources Information Center

    Lapierre, Simon; Cote, Isabelle

    2011-01-01

    This article presents findings from a study that investigated child protection policies and practices, and focuses on data gathered in a child protection agency located in Quebec, Canada. This research project draws upon a qualitative case-study methodology, involving a documentary analysis of both national and local child protection policies, as…

  11. Child Protection Assessment in Humanitarian Emergencies: Case Studies from Georgia, Gaza, Haiti and Yemen

    ERIC Educational Resources Information Center

    Ager, Alastair; Blake, Courtney; Stark, Lindsay; Daniel, Tsufit

    2011-01-01

    Objectives: The paper reviews the experiences of conducting child protection assessments across four humanitarian emergencies where violence and insecurity, directly or indirectly, posed a major threat to children. We seek to identify common themes emerging from these experiences and propose ways to guide the planning and implementation of…

  12. Systematically Identifying Relevant Research: Case Study on Child Protection Social Workers' Resilience

    ERIC Educational Resources Information Center

    McFadden, Paula; Taylor, Brian J.; Campbell, Anne; McQuilkin, Janice

    2012-01-01

    Context: The development of a consolidated knowledge base for social work requires rigorous approaches to identifying relevant research. Method: The quality of 10 databases and a web search engine were appraised by systematically searching for research articles on resilience and burnout in child protection social workers. Results: Applied Social…

  13. Locating Child Protection in Preservice Teacher Education

    ERIC Educational Resources Information Center

    Walsh, Kerryann; Laskey, Louise; McInnes, Elspeth; Farrell, Ann; Mathews, Ben; Briggs, Freda

    2011-01-01

    A recent report delivered by the Australian Centerer for Child Protection has highlighted the need for empirical evidence of effective pedagogies for supporting teaching and learning of child protection content in Australian teacher education programs (Arnold & Mai-Taddeo, 2007). This paper advances this call by presenting case study accounts of…

  14. Child Protective Services: Research for the Future.

    ERIC Educational Resources Information Center

    Wells, Susan J.

    1994-01-01

    Discusses the legal context of child protective services that provides the framework for all inquiries and knowledge-building in the field. From this foundation, analyzes the definition of a child protective services case, describes who is served by the system, evaluates current system functioning, and identifies outcome measures. Makes…

  15. Rethinking Compassion Fatigue Through the Lens of Professional Identity: The Case of Child-Protection Workers.

    PubMed

    Geoffrion, Steve; Morselli, Carlo; Guay, Stéphane

    2016-07-01

    Compassion fatigue is currently the dominant model in work-related stress studies that explain the consequences of caring for others on child-protection workers. Based on a deterministic approach, this model excludes the role of cognition a priori and a posteriori in the understanding of the impact of caregiving or providing social support. By integrating the notion of professional identity, this article adds a subjective perspective to the compassion fatigue model allowing for the consideration of positive outcomes and takes into account the influence of stress caused by accountability. Mainly, it is argued that meanings derived from identity and given to situations may protect or accelerate the development of compassion fatigue or compassion satisfaction. To arrive at this proposition, the notions of compassion fatigue and identity theory are first reviewed. These concepts are then articulated around four work-related stressors specific to child-protection work. In light of this exercise, it is argued that professional identity serves as a subjective interpretative framework that guides the understanding of work-related situations. Therefore, compassion fatigue is not only a simple reaction to external stimuli. It is influenced by meanings given to the situation. Furthermore, professional identity modulates the impact of compassion fatigue on psychological well-being. Practice, policy, and research implications in light of these findings are also discussed.

  16. [Autism and child protection].

    PubMed

    Coron, Guillaume

    2014-01-01

    The fostering of an autistic child deemed to be a child at risk leads one to question one's professional practices. In a children's home, an approach guided by psychoanalysis can recognise the benefits of behavioural or cognitive approaches. The aim of the professional's particular educational position is therefore to construct a relationship with each child.

  17. Commentary on "How Child Protective Service Investigators Decide to Substantiate Mothers for Failure-to-Protect in Sexual Abuse Cases"

    ERIC Educational Resources Information Center

    Vieth, Victor I.

    2006-01-01

    As this author traveled around the country, many university professors and domestic violence advocates told him that prosecuting or even intervening with social services is morally "wrong" in cases in which parents fail to protect their children. There are two problems with these arguments. First, these arguments assume that mothers should "never"…

  18. Risk Assessment in Child Sexual Abuse Cases

    ERIC Educational Resources Information Center

    Levenson, Jill S.; Morin, John W.

    2006-01-01

    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…

  19. Children with Disabilities in the Child Protective Services System: An Analog Study of Investigation and Case Management

    ERIC Educational Resources Information Center

    Manders, Jeanette E.; Stoneman, Zolinda

    2009-01-01

    Objective: The study used a series of vignettes to investigate how the presence of three disabilities (cerebral palsy, intellectual disabilities, emotional/behavioral disabilities) affects the processes and outcomes of child abuse investigations at two levels of child injury severity (moderate, severe). Method: Seventy-five CPS case workers…

  20. Prevention and the Child Protection System

    ERIC Educational Resources Information Center

    Waldfogel, Jane

    2009-01-01

    The nation's child protection system (CPS) has historically focused on preventing maltreatment in high-risk families, whose children have already been maltreated. But, as Jane Waldfogel explains, it has also begun developing prevention procedures for children at lower risk--those who are referred to CPS but whose cases do not meet the criteria for…

  1. Adoption and Child Welfare Protection in France

    ERIC Educational Resources Information Center

    Dumaret, Annick-Camille; Rosset, Dominique-Jeanne

    2005-01-01

    This article presents the French Child Protection system, which is managed by Child Welfare of the local authorities (Aide Sociale a l'Enfance) and by Judicial Juvenile Protection depending on the central government (Protection Judiciaire de la Jeunesse) Children's judges are involved in child protection. The majority of children in care live in…

  2. A qualitative case study of child protection issues in the Indian construction industry: investigating the security, health, and interrelated rights of migrant families

    PubMed Central

    2013-01-01

    Background Many of India’s estimated 40 million migrant workers in the construction industry migrate with their children. Though India is undergoing rapid economic growth, numerous child protection issues remain. Migrant workers and their children face serious threats to their health, safety, and well-being. We examined risk and protective factors influencing the basic rights and protections of children and families living and working at a construction site outside Delhi. Methods Using case study methods and a rights-based model of child protection, the SAFE model, we triangulated data from in-depth interviews with stakeholders on and near the site (including employees, middlemen, and managers); 14 participants, interviews with child protection and corporate policy experts in greater Delhi (8 participants), and focus group discussions (FGD) with workers (4 FGDs, 25 members) and their children (2 FGDs, 9 members). Results Analyses illuminated complex and interrelated stressors characterizing the health and well-being of migrant workers and their children in urban settings. These included limited access to healthcare, few educational opportunities, piecemeal wages, and unsafe or unsanitary living and working conditions. Analyses also identified both protective and potentially dangerous survival strategies, such as child labor, undertaken by migrant families in the face of these challenges. Conclusions By exploring the risks faced by migrant workers and their children in the urban construction industry in India, we illustrate the alarming implications for their health, safety, livelihoods, and development. Our findings, illuminated through the SAFE model, call attention to the need for enhanced systems of corporate and government accountability as well as the implementation of holistic child-focused and child-friendly policies and programs in order to ensure the rights and protection of this hyper-mobile, and often invisible, population. PMID:24044788

  3. Child Protection in Military Communities. The User Manual Series.

    ERIC Educational Resources Information Center

    Broadhurst, Diane D.; And Others

    Intended for use by military personnel involved in child advocacy efforts and by Child Protective Services personnel working in conjunction with the military, this manual describes programs, procedures, and regulations developed to facilitate intervention in cases of child abuse and neglect among military personnel. Initially, an overview of child…

  4. Child protective services and domestic violence.

    PubMed

    Findlater, J E; Kelly, S

    1999-01-01

    Studies estimate that domestic violence is present in at least one-third of the families involved in child protective services (CPS). Yet, until recently, CPS has not directly addressed domestic violence in its handling of child abuse and neglect cases. By the same token, domestic violence programs have historically emphasized services for battered women, with limited understanding of the child safety goals of CPS. Despite these historical differences, collaborative efforts between CPS and domestic violence service programs are emerging based on a common goal of safety from violence for all family members. Innovative strategies include the use of domestic violence specialists in a variety of child protection settings for case consultation and for support to the battered women, direct referrals of battered women from domestic violence programs to family preservation services, and cross-training of CPS workers and domestic violence service providers. A survey of state CPS administrators and domestic violence coalition directors conducted for this article revealed that although there is mutual interest in greater collaboration, such efforts remain limited. New forums, such as CPS citizen review panels and community-based CPS partnerships, hold promise for further collaboration. Critical to successful strategies are supportive agency leadership, greater trust and understanding across systems, a recognition of common goals, and a willingness to change policies and practice.

  5. Mothers, domestic violence, and child protection.

    PubMed

    Douglas, Heather; Walsh, Tamara

    2010-05-01

    This article explores the relationship between understandings of domestic violence and the child protection response drawing on material gathered in focus groups with workers who support mothers dealing with both domestic violence and child protection issues. The interviewees expressed concern that the dynamics of domestic violence are often misunderstood and inappropriately responded to by child protection workers. This article critically examines the interviewees' concerns and concludes that to properly protect children, it is crucial that child protection workers have a clear understanding of the dynamics of and issues related to domestic violence.

  6. Trends in Child Protection Laws--1979.

    ERIC Educational Resources Information Center

    Education Commission of the States, Denver, CO.

    This booklet presents a summary of state child protection statutes that have been enacted, amended or revised through the 1978 legislative session. Reporting statutes of each of the 50 states were analyzed and 13 elements of the child abuse reporting process were identified and discussed: (1) what elements of child abuse must be reported, (2) who…

  7. Child Protection: A Neglected Area of Pediatric Residency Training

    ERIC Educational Resources Information Center

    Ward, M.G.K.; Bennett, S.; Plint, A.C.; King, W.J.; Jabbour, M.; Gaboury, I.

    2004-01-01

    Background:: Child maltreatment is prevalent in Canadian society, and medical professionals are frequently required to provide care in these cases. Physician knowledge and training in child protection have been questioned. This study examined the experience, perceived adequacy of training, and perceived competency of Canadian pediatric residents…

  8. Keeping Children Safe: OJJDP's Child Protection Division.

    ERIC Educational Resources Information Center

    Cullen, Thomas

    More than two decades of research have pointed to the connection between childhood maltreatment and delinquency. In addition, recent research confirms that harm is inflicted on children who are subjected to family and community violence. The Child Protection Division was created in an effort to bring child protection to the forefront and to…

  9. Child protection decisions to substantiate hospital child protection teams' reports of suspected maltreatment.

    PubMed

    Jedwab, Merav; Benbenishty, Rami; Chen, Wendy; Glasser, Saralee; Siegal, Gil; Lerner-Geva, Liat

    2015-02-01

    The present study focuses on the way child protection officers (CPOs) in Israel assess suspected abuse and neglect (SCAN) reports made by hospital child protection teams (CPTs), to determine whether the alleged maltreatment is substantiated. The study was conducted in six medical centers and included 358 reports investigated by CPOs for SCAN. A structured questionnaire was completed by hospital CPTs to capture all relevant information on each child referred to the CPTs. Structured phone interviews were conducted with each of the CPOs who received a CPT report. Bivariate associations and multivariate logistic regressions were conducted to estimate the substantiation rate of cases reported by CPTs and the types of maltreatment substantiated, as well as to identify case characteristics of the child and the family that were associated with the CPOs' substantiation decision. CPO follow-up investigations revealed a substantiation rate of 53.5%. The maltreatment type most commonly substantiated was neglect. The case characteristics associated with substantiation included socio-demographic background, parents' health and functioning, previous contact with social services, characteristics of the hospital referral, medical findings and an assessment of the parents' behaviors. The findings of the study highlighted the importance of cooperation between the health and welfare services and the policy makers. This cooperation is essential for identifying early signs of maltreatment. Enhanced cooperation and effective information transfer between various professionals would help prevent or at least reduce the recurrence of maltreatment and would ensure that the children and their families are treated appropriately. PMID:25550100

  10. Children, Child Abuse and Child Protection: Placing Children Centrally.

    ERIC Educational Resources Information Center

    1999

    This book provides an overview of the political, moral, and social context within which British child welfare practitioners and managers attempt to work with children, families, and others. The book reviews the development of improved policy and practices in child protection. Placing children at the center of policy, practice, and discourse, it…

  11. [Legal consequences in cases of child abuse].

    PubMed

    Clauß, D; Richter, C; Klohs, G; Heide, S

    2013-09-01

    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

  12. [Legal consequences in cases of child abuse].

    PubMed

    Clauß, D; Richter, C; Klohs, G; Heide, S

    2013-09-01

    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.

  13. Racial Disparity in Minnesota's Child Protection System

    ERIC Educational Resources Information Center

    Johnson, Erik P.; Clark, Sonja; Donald, Matthew; Pedersen, Rachel; Pichotta, Catherine

    2007-01-01

    Minnesota has been recognized by several studies as a state with a significant amount of racial disparity in its child protection system. This study, using 2001 data from Minnesota's Social Services Information Service, was conducted to determine at which of the six decision points in Minnesota's child welfare system racial disparities are…

  14. Child protection: a 50-year perspective.

    PubMed

    Skellern, Catherine Yvette

    2015-01-01

    It has been 50 years since Kempe et al. published 'The Battered Child Syndrome', describing harm from inflicted injury mechanisms derived from parents and care givers. Since then, there has emerged a rapidly expanding literature on paediatric forensic medicine and child protection, which has offered new insights into injury mechanisms, informed us of the sequelae of abuse and neglect, aided diagnosis and guided clinical practice in the treatment and management of children who become involved in the child protection system. Through the scrutiny of government inquiries and at times uncomfortable media exposure, there have been improvements in child protection and forensic practices resulting in recognition of need for specialised forensic training, improved funding, development of resources and development of professional standards that support accountable, objective, safe and robust practice. From the perspective of an Australian child protection paediatrician, this paper chronicles some of the most significant and at times controversial research in the last 50 years in child protection that have played a key role in shaping our current understanding of child abuse and neglect.

  15. History of Child Welfare and Protection Social Work in Northern Ireland: Finding Continuity amongst Discontinuity in Case Files from 1950 to 1968

    ERIC Educational Resources Information Center

    Skehill, Caroline

    2010-01-01

    This article reports on research carried out on 189 child welfare files from the largest welfare authority in Northern Ireland from 1950 to 1968. The literature review provides a commentary on some of the major debates surrounding child welfare and protection social work from the perspective of its historical development. The report of the…

  16. Distinguishing neglect from abuse and accident: analysis of the case files of a hospital child protection team in Israel.

    PubMed

    Davidson-Arad, Bilha; Benbenishty, Rami; Chen, Wendy; Glasser, Saralee; Zur, Shmuel; Lerner-Geva, Liat

    2010-11-01

    The study compares the characteristics of children assessed as neglected, physically abused, or accident victims by a hospital child protection team (CPT) and identifies the information on which the CPT based its assessments. The comparison is based on content analysis of records of 414 children examined by the CPT in a major hospital in Israel between 1991 and 2006, of whom 130 (31.4%) were neglected, 54 (13.0%) were physically abused, and 230 (55.6%) were accident victims. Findings of three hierarchical logistic regressions show that the children classified as neglected had the most early development problems, but were the least likely to have received psychological treatment, and that that their families were the most likely to be receiving state financial support and to have had prior contact with the social services. They also show that the CPT had received the least information indicative of maltreatment about these children from the community and that their medical and physical examinations aroused the least suspicion. Finally, they show that the impressions the hospital staff and CPT had of the parents during the hospital visit had greater power to distinguish between the groups than the children's characteristics or the parents' socio-demographic background. The findings attest to the ability of the CPT to differentiate between neglect victims and physical abuse or accident victims. With this, they also point to ambiguities in the classification process that should be addressed by further research and training and to the need for detailed and thorough documentation of the information and observations on which the CPT's assessments are based.

  17. Is radiation protection for the unborn child guaranteed by radiation protection for female workers?

    PubMed

    Nosske, D; Karcher, K

    2003-01-01

    ICRP Publication 88 recommends doses to the embryo and fetus from intakes of radionuclides by the mother for various intake scenarios. Mainly by answering the question 'Is radiation protection for the unborn child guaranteed by radiation protection for female workers?' it has been assessed if the intake scenarios given in ICRP Publication 88 are adequate for radiation protection purposes. This is generally the case, but the consideration of an additional chronic intake scenario for early pregnancy would be helpful. It is demonstrated that following chronic intake by inhalation, for most radionuclides radiation protection for (female) workers is also adequate for protection of the unborn child, considered as a member of the public. However, there are a number of radionuclides for which possible intakes in routine operations should be more restricted (up to 1% of the annual limits on intake for workers in the case of nickel isotopes) to ensure radiation protection for the unborn child. PMID:14526969

  18. Child B: a case of just care?

    PubMed

    Sellman, D

    1997-12-01

    The case of Child B as she became known (UK) brought the issue of resource allocation into the public spotlight. Resource allocation is, however, only one of a number of issue raised by the events of this case of a little girl with leukaemia. Child B appeared on, and was the subject of, a BBC Panorama current affairs documentary broadcast in the UK which made it clear that she was neither informed about her prognosis nor about the ensuing legal battle. The little girl was 10 years old. Adults have a duty to protect and promote the interests of children but a suspicion remains that this child's views might usefully have been sought before the clinical decision not to offer further treatment was taken. Even without this it is difficult to justify withholding the decision from her. It is the purpose of this paper to consider some of the moral tensions inherent in nursing someone in this child's position. The ethical arguments that appeared in the press were predictably deontological and utilitarian (relating to duty and the greater good respectively). Watching Child B tell her story served as a reminder that moral decisions are about the lives of people. The case of Child B would seem to be a case to support an ethic of care.

  19. Defining Child Neglect Based on Child Protective Services Data

    ERIC Educational Resources Information Center

    Dubowitz, H.; Pitts, S.C.; Litrownik, A.J.; Cox, C.E.; Runyan, D.; Black, M.M.

    2005-01-01

    Objectives:: To compare neglect defined by Child Protective Services official codes with neglect defined by a review of CPS narrative data, and to examine the validity of the different neglect measures using children's functioning at age 8 years. Methods:: Data are from 740 children participating in a consortium of longitudinal studies on child…

  20. Role Definitions and Boundary Problems in Child Protection Evaluations.

    ERIC Educational Resources Information Center

    Gottlieb, Michael C.

    Specific ethical problems caused by the multiple roles of the psychologist in cases involving child protection are discussed. Psychologists may serve as consultants, evaluators, therapists, reporters, or monitors for the client and/or the court. When more than one person in the family is involved, or the court orders an additional role for the…

  1. Burnout Stress Syndrome in Child Protection.

    ERIC Educational Resources Information Center

    Verstraete, Patricia A.

    1994-01-01

    Burnout stress syndrome is a complex concept reflecting a failure in both the individual's defense mechanism and in the work environment. Since child protection agencies cannot afford the costs of staff burnout, time and money spent by the organization to reduce employee stress is an investment in better service delivery. (TJQ)

  2. 25 CFR 63.33 - What must an application for Indian child protection and family violence prevention program funds...

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... responsible for the investigation of reported cases of child abuse and child neglect, the treatment and... 25 Indians 1 2010-04-01 2010-04-01 false What must an application for Indian child protection and..., DEPARTMENT OF THE INTERIOR TRIBAL GOVERNMENT INDIAN CHILD PROTECTION AND FAMILY VIOLENCE PREVENTION...

  3. 25 CFR 63.33 - What must an application for Indian child protection and family violence prevention program funds...

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... responsible for the investigation of reported cases of child abuse and child neglect, the treatment and... 25 Indians 1 2013-04-01 2013-04-01 false What must an application for Indian child protection and..., DEPARTMENT OF THE INTERIOR TRIBAL GOVERNMENT INDIAN CHILD PROTECTION AND FAMILY VIOLENCE PREVENTION...

  4. 25 CFR 63.33 - What must an application for Indian child protection and family violence prevention program funds...

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... responsible for the investigation of reported cases of child abuse and child neglect, the treatment and... 25 Indians 1 2012-04-01 2011-04-01 true What must an application for Indian child protection and..., DEPARTMENT OF THE INTERIOR TRIBAL GOVERNMENT INDIAN CHILD PROTECTION AND FAMILY VIOLENCE PREVENTION...

  5. 25 CFR 63.33 - What must an application for Indian child protection and family violence prevention program funds...

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... responsible for the investigation of reported cases of child abuse and child neglect, the treatment and... 25 Indians 1 2014-04-01 2014-04-01 false What must an application for Indian child protection and..., DEPARTMENT OF THE INTERIOR TRIBAL GOVERNMENT INDIAN CHILD PROTECTION AND FAMILY VIOLENCE PREVENTION...

  6. 25 CFR 63.33 - What must an application for Indian child protection and family violence prevention program funds...

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... responsible for the investigation of reported cases of child abuse and child neglect, the treatment and... 25 Indians 1 2011-04-01 2011-04-01 false What must an application for Indian child protection and..., DEPARTMENT OF THE INTERIOR TRIBAL GOVERNMENT INDIAN CHILD PROTECTION AND FAMILY VIOLENCE PREVENTION...

  7. [Respecting minors' autonomy in child custody cases].

    PubMed

    Santa Rosa, Bárbara; Corte-Real, Francisco; Vieira, Duarte Nuno

    2013-01-01

    Child custody decisions are among the most difficult for judges to make. The possibility of child abuse allegations or parents' deviant/ psychopathologic behaviours within this context, make the decision further complicated. Based on jurisprudence the listening of children opinion is a way to protect their best interest. In fact children have the right to express an opinion in all matters affecting their life. It should be given proper consideration to children opinion according with his/her age and maturity. Nonetheless custody disputes are emotionally draining issues. Asking the child to express an opinion during a public hearing, most likely in the presence of both parents, its not recommended because this is a potential stressful experience. Child interviews should take place in a proper environment and be set to their age. Medicine and Psychology have an important role in assessing children cognitive, emotional and volitional abilities, which is essential to properly account their opinions according to autonomy degree. This essay analyses the contribution of medico-legal and/or psychological exams to respect the autonomy of the child in cases of regulation of parental responsibilities. The conclusion is the need to establish a symbiotic relationship between the medical and legal perspectives of the (open) concept of child's best interests.

  8. [Respecting minors' autonomy in child custody cases].

    PubMed

    Santa Rosa, Bárbara; Corte-Real, Francisco; Vieira, Duarte Nuno

    2013-01-01

    Child custody decisions are among the most difficult for judges to make. The possibility of child abuse allegations or parents' deviant/ psychopathologic behaviours within this context, make the decision further complicated. Based on jurisprudence the listening of children opinion is a way to protect their best interest. In fact children have the right to express an opinion in all matters affecting their life. It should be given proper consideration to children opinion according with his/her age and maturity. Nonetheless custody disputes are emotionally draining issues. Asking the child to express an opinion during a public hearing, most likely in the presence of both parents, its not recommended because this is a potential stressful experience. Child interviews should take place in a proper environment and be set to their age. Medicine and Psychology have an important role in assessing children cognitive, emotional and volitional abilities, which is essential to properly account their opinions according to autonomy degree. This essay analyses the contribution of medico-legal and/or psychological exams to respect the autonomy of the child in cases of regulation of parental responsibilities. The conclusion is the need to establish a symbiotic relationship between the medical and legal perspectives of the (open) concept of child's best interests. PMID:24388247

  9. Relationship between child abuse exposure and reported contact with child protection organizations: results from the Canadian Community Health Survey.

    PubMed

    Afifi, Tracie O; MacMillan, Harriet L; Taillieu, Tamara; Cheung, Kristene; Turner, Sarah; Tonmyr, Lil; Hovdestad, Wendy

    2015-08-01

    Much of what is known about child abuse in Canada has come from reported cases of child abuse and at-risk samples, which likely represent the most severe cases of child abuse in the country. The objective of the current study is to examine the prevalence of a broad range of child abuse experiences (physical abuse, sexual abuse, and exposure to IPV) and investigate how such experiences and sociodemographic variables are related to contact with child protection organizations in Canada using a representative general population sample. Data were drawn from the 2012 Canadian Community Health Survey: Mental Health collected from the 10 provinces using a multistage stratified cluster design (n=23,395; household response rate=79.8%; aged 18 years and older). Physical abuse only (16.8%) was the most prevalent child abuse experience reported with the exposure to specific combinations of two or more types of child abuse ranging from 0.4% to 3.7%. Only 7.6% of the adult population with a history of child abuse reported having had contact with child protection organizations. Experiencing all three types of child abuse was associated with the greatest odds of contact with child protection organizations (AOR=15.8; 95% CI=10.1 to 24.6). Physical abuse only was associated with one of the lowest odds of contact with child protection organizations. Preventing child abuse is widely acknowledged as an important, but challenging public health goal. Strategies to increase reporting of child abuse may help to protect children and to connect families with necessary services. One obvious priority would be physical abuse.

  10. Should Child Protection Services Respond Differently to Maltreatment, Risk of Maltreatment, and Risk of Harm?

    ERIC Educational Resources Information Center

    Fallon, Barbara; Trocme, Nico; MacLaurin, Bruce

    2011-01-01

    Objective: To examine evidence available in large-scale North American datasets on child abuse and neglect that can assist in understanding the complexities of child protection case classifications. Methods: A review of child abuse and neglect data from large North American epidemiological studies including the Canadian Incidence Study of Reported…

  11. Should states require child passenger protection?

    PubMed

    1981-06-01

    Motor vehicle accidents are the leading cause of death and injury in children over one year of age in the United States. In response to this problem, bills have been introduced in the legislatures of more than twenty states that would require children to be restrained when riding in motor vehicles. Details such as age limits and types of allowable restraint devices have varied with the individual proposals. Laws have been passed in Tennessee and Rhode Island requiring child passengers to be restrained under certain circumstances. In both these states, as well as in many other states where similar laws have been proposed, objections have been raised on the basis of individual and family rights. A state legislative commission has drafted a Proposed Model Law: Every driver transporting a child under the age of five years in a motor vehicle registered in this state and operated on the roadways, streets, or highways of this state shall provide for the protection of the child by properly using a child passenger restraint system meeting applicable Federal Motor Vehicle Safety Standards. Is such a law a necessary protection, or does it violate due process, privacy, and the right of parents to raise children as they see fit? Does it also discriminate economically? PMID:7239892

  12. Predictive analytics and child protection: constraints and opportunities.

    PubMed

    Russell, Jesse

    2015-08-01

    This paper considers how predictive analytics might inform, assist, and improve decision making in child protection. Predictive analytics represents recent increases in data quantity and data diversity, along with advances in computing technology. While the use of data and statistical modeling is not new to child protection decision making, its use in child protection is experiencing growth, and efforts to leverage predictive analytics for better decision-making in child protection are increasing. Past experiences, constraints and opportunities are reviewed. For predictive analytics to make the most impact on child protection practice and outcomes, it must embrace established criteria of validity, equity, reliability, and usefulness. PMID:26142916

  13. Predictive analytics and child protection: constraints and opportunities.

    PubMed

    Russell, Jesse

    2015-08-01

    This paper considers how predictive analytics might inform, assist, and improve decision making in child protection. Predictive analytics represents recent increases in data quantity and data diversity, along with advances in computing technology. While the use of data and statistical modeling is not new to child protection decision making, its use in child protection is experiencing growth, and efforts to leverage predictive analytics for better decision-making in child protection are increasing. Past experiences, constraints and opportunities are reviewed. For predictive analytics to make the most impact on child protection practice and outcomes, it must embrace established criteria of validity, equity, reliability, and usefulness.

  14. Interagency Collaboration between Child Protection and Mental Health Services: Practices, Attitudes and Barriers

    ERIC Educational Resources Information Center

    Darlington, Yvonne; Feeney, Judith A.; Rixon, Kylie

    2005-01-01

    Objective: The aim of this paper is to examine some of the factors that facilitate and hinder interagency collaboration between child protection services and mental health services in cases where there is a parent with a mental illness and there are protection concerns for the child(ren). The paper reports on agency practices, worker attitudes and…

  15. Applying the Recovery Approach to the Interface between Mental Health and Child Protection Services

    ERIC Educational Resources Information Center

    Duffy, Joe; Davidson, Gavin; Kavanagh, Damien

    2016-01-01

    There is a range of theoretical approaches which may inform the interface between child protection and adult mental health services. These theoretical perspectives tend to be focused on either child protection or mental health with no agreed integrating framework. The interface continues to be identified, in research, case management reviews and…

  16. Adjudication of Child Sexual Abuse Cases.

    ERIC Educational Resources Information Center

    Myers, John E. B.

    1994-01-01

    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…

  17. Child protection: legal and ethical obligation regarding the report of child abuse in four different countries.

    PubMed

    Cukovic-Bagic, Ivana; Welbury, Richard R; Flander, Gordana Buljan; Hatibovic-Kofman, Sahza; Nuzzolese, Emilio

    2013-12-01

    Child protection is the duty of every single member of the society. Health professionals who work with children, such as members of dental team, are in the unique position to recognize signs of physical, sexual and emotional abuse as well as (dental) neglect. They should report any suspected case where a child is or may be in need of welfare. The professional responsibility is regulated by legal and ethical obligations. In this preliminary work the authors investigate the legal and ethical Acts, and the similarities vs. differences in obligations regarding reporting child abuse and neglect (CAN) cases in four countries: Croatia, United Kingdom, Italy and Canada. In all four countries all health professionals have a duty to report their suspicion if a child is in a harmful situation. All of them who fail to report, or even neglect or delay to report a suspicion, are liable on conviction to a pecuniary fine which varies from country to country. Depending on the country, if a professional has reasonable grounds to suspect that a child is or may be in need of protection, must report to: CAS (children's aid society), to CSS (center for social services), to police, to a Juvenile Court, or to the ombudsman. In all four countries, dentists are not asked to diagnose 'child maltreatment', but simply report the suspicion with supportive evidence. Ethical obligation comes from medical and dental ethical codes regulated by the Chamber or Council of Dentists. In all four countries legal and ethical obligations in reporting CAN are similar. Differences are related mostly to fines for nonreporting or a delay in reporting. Expanded investigation through other European countries and standard operational procedures is needed, in order to harmonize policies and guidelines for reporting CAN and maximize children protection. PMID:24776437

  18. Doing Harm While Doing Good: The Child Protection Paradox

    ERIC Educational Resources Information Center

    Ainsworth, Frank; Hansen, Patricia

    2012-01-01

    Every Australian citizen expects state and territory governments to protect children from child abuse and neglect. Protecting children from harm is seen as good. This however is not a simple matter. The ultimate act in protecting children is to remove them from parental care. This causes trauma for the child and pain and distress for parents no…

  19. Child custody disputes within the context of child protection investigations: secondary analysis of the Canadian Incident Study of Reported Child Abuse and Neglect.

    PubMed

    Saini, Michael A; Black, Tara; Fallon, Barbara; Marshall, Alena

    2013-01-01

    This national study of child custody disputes within the context of child protection investigations confirms and reinforces the perception in the field that child custody disputes are more likely to reopen for investigations, include higher rates of malicious referrals and involve a higher proportion of children with emotional and functioning issues compared to non-custody-related investigations. Future research might consider the reasons for these higher rates so to improve the identification of these cases and to make more informed decisions about how best to respond to these families. The greatest contribution of this study is that it provides important new evidence to reinforce the need to prioritize child custody disputes within the context of child protection services given the unique challenges and opportunities for making well-informed case plan decisions.

  20. Developing a Template for National Child Protection Index Reports

    ERIC Educational Resources Information Center

    Ager, Alastair; Stark, Lindsay; Chu, Erin; Dewan, Shweta; Boothby, Neil

    2011-01-01

    Objectives: What impact does the strengthening of child rights have on the experience and circumstances of children? CRC General Comment 13 emphasizes that defining measurable targets for improvements in child protection is a key element of efforts to strengthen child rights and well-being across the world. This paper describes an attempt to…

  1. Child Protective Services: A Bibliography with Partial Annotation and Cross-Indexing -- 1976.

    ERIC Educational Resources Information Center

    Naughton, M. James; And Others

    Contained in the bibliography are citations for 1500 publications concerned with child abuse and neglect of which 700 include abstracts. Titles are listed alphabetically by author under the following broad subjects or child protective service case types: generalized abuse/neglect, generalized abuse, generalized neglect, physical abuse, physical…

  2. The Munro Review of Child Protection: An Appraisal

    ERIC Educational Resources Information Center

    Parton, Nigel

    2012-01-01

    Over the last 40 years child protection systems in all Advanced Western Societies have been subject to high profile criticisms and regular major reviews. In many respects the Munro Review of Child Protection (2011) in England, is very different to those which have gone before. This paper summarises the main findings and recommendations of The…

  3. The Role of School Psychologists in Child Protection and Safeguarding

    ERIC Educational Resources Information Center

    Woods, Kevin; Bond, Caroline; Tyldesley, Kath; Farrell, Peter; Humphrey, Neil

    2011-01-01

    Child protection and safeguarding are important aspects of work for all professionals working with children. The current article outlines the international context of school psychologists' work in relation to child protection and safeguarding and describes the United Kingdom context in more detail. Given the relatively recent broadening of the UK…

  4. Citizen Review Panels for Child Protective Services: A National Profile

    ERIC Educational Resources Information Center

    Jones, Blake L.; Royse, David

    2008-01-01

    Citizen Review Panels (CRPs) for Child Protective Services are groups of citizen-volunteers throughout the United States who are federally mandated to evaluate local and state child protection systems. This study presents a profile of 332 CRP members in 20 states with regards to their demographic information, length of time on the panel, and …

  5. NASW Standards for Social Work Practice in Child Protection.

    ERIC Educational Resources Information Center

    National Association of Social Workers, Washington, DC.

    This document presents the standards for social work in the field of child protective services created by the National Association of Social Workers (NASW). The first section describes the relationship between the social work profession and child protective services. Section II describes the goals and objectives of the standards. Section III…

  6. Measuring the Impact of Child Protection through Activation States

    ERIC Educational Resources Information Center

    Brackenridge, Celia H.; Pawlaczek, Zofia; Bringer, Joy D.; Cockburn, Claudi; Nutt, Gareth; Pitchford, Andy; Russell, Kate

    2005-01-01

    Child protection (CP) has risen to the top of the UK sports policy agenda in the past four years and the Football Association has invested in this major strategy as part of its commitment to "use the power of football to build a better future" (Football Association, 2000a). Evidencing the impact of child protection is, however, a complex task,…

  7. Pediatric Response to a Large-Scale Child Protection Intervention

    ERIC Educational Resources Information Center

    Lukefahr, James L.; Kellogg, Nancy D.; Anderst, James D.; Gavril, Amy R.; Wehner, Karl K.

    2011-01-01

    Objective: In a rural area of the US state of Texas, in April 2008, the Texas Department of Family and Protective Services (DFPS) responded to evidence of widespread child abuse in an isolated religious compound by removing 463 individuals into state custody. This mass child protection intervention is the largest such action that has ever occurred…

  8. Child advocacy center multidisciplinary team decision and its association to child protective services outcomes.

    PubMed

    Brink, Farah W; Thackeray, Jonathan D; Bridge, Jeffrey A; Letson, Megan M; Scribano, Philip V

    2015-08-01

    Limited studies exist evaluating the multidisciplinary team (MDT) decision-making process and its outcomes. This study evaluates the MDT determination of the likelihood of child sexual abuse (CSA) and its association to the outcome of the child protective services (CPS) disposition. A retrospective cohort study of CSA patients was conducted. The MDT utilized an a priori Likert rating scale to determine the likelihood of abuse. Subjects were dichotomized into high versus low/intermediate likelihood of CSA as determined by the MDT. Clinical and demographic characteristics were compared based upon MDT and CPS decisions. Fourteen hundred twenty-two patients were identified. A high likelihood for abuse was determined in 997 cases (70%). CPS substantiated or indicated the allegation of CSA in 789 cases (79%, Kappa 0.54). Any CSA disclosure, particularly moderate risk disclosure (AOR 59.3, 95% CI 26.50-132.80) or increasing total number of CSA disclosures (AOR 1.3, 95% CI 1.11-1.57), was independently associated with a high likelihood for abuse determination. Specific clinical features associated with discordant cases in which MDT determined high likelihood for abuse and CPS did not substantiate or indicate CSA included being white or providing a low risk CSA disclosure or other non-CSA disclosure. MDT determination regarding likelihood of abuse demonstrated moderate agreement to CPS disposition outcome. CSA disclosure is predictive of the MDT determination for high likelihood of CSA. Agreement between MDT determination and CPS protection decisions appear to be driven by the type of disclosures, highlighting the importance of the forensic interview in ensuring appropriate child protection plans. PMID:25957751

  9. Child advocacy center multidisciplinary team decision and its association to child protective services outcomes.

    PubMed

    Brink, Farah W; Thackeray, Jonathan D; Bridge, Jeffrey A; Letson, Megan M; Scribano, Philip V

    2015-08-01

    Limited studies exist evaluating the multidisciplinary team (MDT) decision-making process and its outcomes. This study evaluates the MDT determination of the likelihood of child sexual abuse (CSA) and its association to the outcome of the child protective services (CPS) disposition. A retrospective cohort study of CSA patients was conducted. The MDT utilized an a priori Likert rating scale to determine the likelihood of abuse. Subjects were dichotomized into high versus low/intermediate likelihood of CSA as determined by the MDT. Clinical and demographic characteristics were compared based upon MDT and CPS decisions. Fourteen hundred twenty-two patients were identified. A high likelihood for abuse was determined in 997 cases (70%). CPS substantiated or indicated the allegation of CSA in 789 cases (79%, Kappa 0.54). Any CSA disclosure, particularly moderate risk disclosure (AOR 59.3, 95% CI 26.50-132.80) or increasing total number of CSA disclosures (AOR 1.3, 95% CI 1.11-1.57), was independently associated with a high likelihood for abuse determination. Specific clinical features associated with discordant cases in which MDT determined high likelihood for abuse and CPS did not substantiate or indicate CSA included being white or providing a low risk CSA disclosure or other non-CSA disclosure. MDT determination regarding likelihood of abuse demonstrated moderate agreement to CPS disposition outcome. CSA disclosure is predictive of the MDT determination for high likelihood of CSA. Agreement between MDT determination and CPS protection decisions appear to be driven by the type of disclosures, highlighting the importance of the forensic interview in ensuring appropriate child protection plans.

  10. Testing if Social Services Prevent Fatal Child Maltreatment Among a Sample of Children Previously Known to Child Protective Services.

    PubMed

    Douglas, Emily M

    2016-08-01

    The purpose of this article was to examine the potential impact of child welfare services on the risk for fatal child maltreatment. This was conducted using a subsample of children who were identified as "prior victims" in the National Child Abuse and Neglect Data System from 2008 to 2012. At the multivariate level, the analyses show that case management services act to protect children from death as do family support services, family preservation services, and foster care, but that the results vary by type of maltreatment experienced. The author recommends that before strong conclusions are drawn, additional research in this area is warranted.

  11. Testing if Social Services Prevent Fatal Child Maltreatment Among a Sample of Children Previously Known to Child Protective Services.

    PubMed

    Douglas, Emily M

    2016-08-01

    The purpose of this article was to examine the potential impact of child welfare services on the risk for fatal child maltreatment. This was conducted using a subsample of children who were identified as "prior victims" in the National Child Abuse and Neglect Data System from 2008 to 2012. At the multivariate level, the analyses show that case management services act to protect children from death as do family support services, family preservation services, and foster care, but that the results vary by type of maltreatment experienced. The author recommends that before strong conclusions are drawn, additional research in this area is warranted. PMID:27412527

  12. An ethical approach to resolving value conflicts in child protection.

    PubMed

    Webb, E; Moynihan, S

    2010-01-01

    Child protection professionals working in diverse societies are regularly faced with value conflicts. Recognising these, and resolving them in the best interests of children, is a task that requires child protection specialists to make complex judgements and decisions. In this paper the philosophical concepts of absolutism and relativism to child abuse are applied, and it explores how this approach has practical relevance to solving ethical dilemmas in child protection. Children's interests are best served by erring towards an absolutist approach to the diagnosis and recognition of maltreatment and towards a relativistic approach in determining how services respond to a harmful incident or situation. Absolutism and relativism are not alternatives, but part of a continuous process of recognising and negotiating ever-changing community, national and global norms. At the service level the dichotomy transpires into the need to be culturally competent in handling the conflicting needs, rights and values of children, families, communities and professionals, whilst retaining the skill of child advocacy.

  13. Child protection and the conception of parental responsibility.

    PubMed

    Mass, Mili; van Nijnatten, Carolus

    2005-04-01

    The legal discourse on child protection that is characterized by the normalization-moralization paradigm focuses more on society's response to parental failure than on the predicament of the child. Findings from texts of legal discourse in Israel and in Holland portray an alliance between the respective legal systems and an epistemology of normality with regard to parenting that thereby turns normality into normalization. Both sets of texts are guided by an ontology of moral judgment that protects societal morale rather than the child. Morality is turned into moralization. To focus on the protection of the child, the article proposes a paradigm wherein the definition of morality is derived from concern for the other and relies on constructs that represent the evolving transaction between parent and child. PMID:15839759

  14. The Significance of Animal Cruelty in Child Protection Investigations

    ERIC Educational Resources Information Center

    Girardi, Alberta; Pozzulo, Joanna D.

    2012-01-01

    The purpose of this study was to investigate the frequency with which child protection workers (CPWs) in Ontario, Canada, seek information about animal cruelty during investigations of child maltreatment and the extent to which they consider information about animal cruelty when making decisions about whether intervention is required. The CPWs (N…

  15. The "Good Enough" Parent: Implications for Child Protection

    ERIC Educational Resources Information Center

    Choate, Peter W.; Engstrom, Sandra

    2014-01-01

    Child protection workers must determine under what conditions a child should be sustained within the family system. A standard that is often referred to is "good enough" parenting or minimal parenting competence. Research and clinical literature fails to offer workers guidance on the practical application of this terminology. Such…

  16. Reporting Child Abuse: Pediatricians' Experiences with the Child Protection System.

    ERIC Educational Resources Information Center

    Vulliamy, Anne P.; Sullivan, Richard

    2000-01-01

    A study of 26 Canadian pediatricians explored their reluctance to adhere to a legal mandate to report suspected child abuse. While respondents were generally positive about their experience in filing a report, they were less positive about the dearth of feedback they received about their report. (Contains references.) (Author/CR)

  17. Protective Informal Social Control of Child Maltreatment and Child Abuse Injury in Seoul.

    PubMed

    Emery, Clifton R; Eremina, Tatiana; Yang, Hye Lin; Yoo, Changgeun; Yoo, Jieun; Jang, Ja Kyung

    2015-11-01

    Previous findings on the relationship between neighborhood informal social control and child abuse have been mixed. We implemented a scale created by Emery, Trung, and Wu to study protective informal social control of child maltreatment (ISC_CM) by neighbors in a three-stage random cluster sample of 541 families in Seoul, South Korea. Random-effects regression models found that protective ISC_CM significantly moderated the relationship between very severe abuse and child injuries. Very severe abuse was associated with fewer injuries when levels of protective ISC_CM were higher. Implications are discussed.

  18. Child slavery in Hong Kong: case report and historical review.

    PubMed

    Lee, A C W; So, K T

    2006-12-01

    An 11-year-old girl was admitted with multiple injuries sustained during a 1-year servitude of domestic labour. She was acquired from her parents in Mainland China by a relative in Hong Kong. The child's parents received a sum of money that the child had to repay with work. Her hardship was characterised by long hours of incessant labour and physical torture when she failed to meet the demands of her mistress or her mistress' children. This case resembles Mui Tsai, a form of child slavery and exploitative domestic labour that was rife in Hong Kong a century ago, and illustrates the new challenges to child rights and protection consequent to the increasing social and economic integration between the Hong Kong Special Administrative Region and Mainland China.

  19. Comparing Child Protective Investigation Performance between Law Enforcement Agencies and Child Welfare Agencies

    ERIC Educational Resources Information Center

    Jordan, Neil; Yampolskaya, Svetlana; Gustafson, Mara; Armstrong, Mary; McNeish, Roxann; Vargo, Amy

    2011-01-01

    This study examines the comparative effectiveness of using law enforcement agencies for child protective investigation (CPI), in contrast with the traditional approach of CPI conducted by the public child welfare agency. The analysis uses 2006-2007 data from a natural experiment conducted in Florida to show modest differences in performance and…

  20. Child Abuse, Child Protection, and Defensive "Touch" in PE Teaching and Sports Coaching

    ERIC Educational Resources Information Center

    Piper, Heather; Garratt, Dean; Taylor, Bill

    2013-01-01

    This text introduces recently completed research on "no touch" sports coaching, by placing it in a broader social context which problematises the way child abuse and child protection (or safeguarding) are conceived and discussed in terms of policy and practice. It also provides a brief indicative summary of the research findings and…

  1. The Impact of Child, Family, and Child Protective Services Factors on Reports of Child Sexual Abuse Recurrence

    ERIC Educational Resources Information Center

    Sinanan, Allison N.

    2011-01-01

    This study identified selected child factors (e.g., age, gender, race/ethnicity, disabilities, prior victimization, and relationship to perpetrator of abuse), family risk factors (e.g., substance abuse, domestic violence, inadequate housing, and financial problems), and services provided by child protective services that likely increased reports…

  2. [Secondary traumatization while under care of child protective services].

    PubMed

    Schmitt, A

    1999-01-01

    Quality management is in everybody's mouth. Actually there is only few evaluation research in child protection, and almost no evaluated practice. The paper takes a perspective of "errors", not of "effectiveness". It roughly assesses the frequency of secondary traumas maltreated children experience when they are in care of the helping system. Examples and statistics from the "Vienna Child Protection Center" are used. The client's risk of experiencing a secondary trauma is about 1:3. In about 10% of all cases, the traumas are important and enduring; they range from psychotic episode to massive suicidality and long-lasting feelings of guilt and anxiety. Comparatively, the risk of being traumatized by psychotherapy is about 1:6. Psychotherapy leads to important and positive changes in about one third of all clients; similar effectiveness is attributed to those helping maltreated children. Causes of secondary traumas are: Helpers act too quickly in the heat of affect; they lack specialized knowledge (e.g. self-experience, crisis management); they seldom consult with neutral experts; they have few insight in the effects of their ideological and ethical back-ground; they deal with clients in a distrust enhancing way. On the structural level, I discuss sensationalism and scandalism of massmedia; bureaucratic procedures and their slowness, unaccessibility, inconsistency and indifference to the single case; policy of damage control when errors of the helping system become public; parallelism of decreasing financial/personal support and increasing numbers of customers; badly organized practice in criminal justice. The paper ends by demanding (more) quality circles and supervision. PMID:10500408

  3. Child protection. Accident prevention: a community approach.

    PubMed

    Roberts, H

    1991-07-01

    Child accidents are the main cause of death and a considerable cause of morbidity in children, as well as anxiety to adults. Attempts to tackle this major health problem have tended to rely on campaigns of education and exhortation; public health strategies remain underdeveloped. Health visitors are well placed to pursue child safety strategies which build on parents' own knowledge and experience. Helen Roberts describes an initiative based not on the question, why did that accident happen? but the more intriguing question of how is it that most parents manage to keep their children safe most of the time and what can we learn from them?

  4. Nurses' Perceived Training Needs in Child Protection Issues

    ERIC Educational Resources Information Center

    Crisp, Beth R.; Lister, Pam Green

    2006-01-01

    Purpose: The purpose of this research is to explore nurses' perceptions of their current skills and knowledge and training needs to identify cases of child abuse and their understanding of their roles and responsibilities in relation to child abuse. Nurses, including health visitors and midwives, have been recognised as having a key role in the…

  5. How to Protect Kids from Child Molesters

    ERIC Educational Resources Information Center

    Ayers, Lauren

    2007-01-01

    When one mother was asked how often she worried about her child's safety, she replied, "Every time she goes out the door." Many parents rely on school abuse prevention programs to teach kids how to stay safe. But what if these programs actually increase the risk of sex crimes that target kids? What happens if parental efforts to safeguard kids…

  6. Current and historical involvement of dentistry in child protection and a glimpse of the future.

    PubMed

    Park, C M; Welbury, R

    2016-10-01

    Dental teams have been involved with child protection for over 40 years. This brief review summarises their involvement in the detection of various types of child abuse and goes on to discuss the gap between the proportions of dental professionals who suspect child abuse or neglect in their paediatric patients and those who refer such cases on. Potential reasons for this discrepancy are discussed, and a glimpse of the future is given as to where further research may be necessary to tackle this existing gap. PMID:27027280

  7. Recurrent rhabdomyolysis in a child. Case presentation.

    PubMed

    Ertuğrul, Sabahattin; Yolbaş, İlyas; Aktar, Fesih; Yılmaz, Kamil; Tekin, Recep

    2016-06-01

    Viral myositis associated with infections rarely may cause rhabdomyolysis. There is no any pediatric case with severe recurrent rhabdomyolysis triggered by infections in the literature. We reported a two-year-old boy who was hospitalized three times due to severe rhabdomyolysis associated with viral myositis in the winter months. This is the first child case presentation with severe rhabdomyolysis triggered by infections. Prednisolone and intravenous immunoglobulin treatments were ineffective in this case.

  8. Parental Cognitive Impairment, Mental Health, and Child Outcomes in a Child Protection Population

    ERIC Educational Resources Information Center

    Feldman, Maurice; McConnell, David; Aunos, Marjorie

    2012-01-01

    Parents with cognitive impairments (CI) are overrepresented in child custody cases and their children are at risk for adverse outcomes. Ecological-transactional researchers propose that child outcomes are a function of the interaction of multiple distal, intermediate, and proximal risk and resilience factors. This study tested the fit of, and…

  9. Risk and Protective Factors of Child Delinquency. OJJDP Child Delinquency Bulletin Series.

    ERIC Educational Resources Information Center

    Wasserman, Gail A.; Keenan, Kate; Tremblay, Richard E.; Coie, John D.; Herrenkohl, Todd I.; Loeber, Rolf; Petechuck, David

    Sparked by high-profile cases involving children who commit violent crimes, public concerns regarding child delinquents have escalated. Compared with juveniles who first become involved in delinquency in their teens, child delinquents (offenders younger than age 13) face a much greater risk of becoming serious, violent, and chronic juvenile…

  10. Are Battered Women Responsible for Protection of Their Children in Domestic Violence Cases?

    ERIC Educational Resources Information Center

    Wilson, Charles

    1998-01-01

    Describes past perceptions of battered women's protection of their children. Examines the role of the child protection service worker in cases where an abused mother does not leave or returns to a household with an abusive male. Discusses the differences in the roles of child protection service professional and domestic violence professionals.…

  11. "International Criminalisation and Child Welfare Protection": The Optional Protocol to the Convention on the Rights of the Child

    ERIC Educational Resources Information Center

    Buck, Trevor

    2008-01-01

    The Optional Protocol to the Convention on the Rights of the Child (CRC) on the Sale of Children, Child Prostitution and Child Pornography has two overall aims: (i) to strengthen international criminalisation and (ii) to provide welfare protection for child victims. This article reviews the context of the Protocol including the work of the Special…

  12. Legal Outcomes of Sexually Abused Children Evaluated at the Philippine General Hospital Child Protection Unit

    ERIC Educational Resources Information Center

    Sugue-Castillo, Mariella

    2009-01-01

    Objectives: To describe the legal outcomes and factors associated with case reaching court and conviction for sexual abuse of children seen at the Philippine General Hospital Child Protection Unit (PGH-CPU) from 1997 to 2000. Methods: Mixed transdisciplinary research design combined longitudinal cohort with qualitative methods. Data were obtained…

  13. Doulas' Perceptions on Single Mothers' Risk and Protective Factors, and Aspirations Relative to Child-Birth

    ERIC Educational Resources Information Center

    Arat, Gizem

    2013-01-01

    This study the author aims to explore the perceptions of doulas on single mothers' risk and protective factors, and aspirations relative to child-birth in the postpartum care. The current study was conducted by semi-structured questions, case file reviews, field notes, and twelve home visits via utilizing Grounded Theory. These mothers receive…

  14. Why Is Sexual Abuse Declining? A Survey of State Child Protection Administrators.

    ERIC Educational Resources Information Center

    Jones, Lisa M.; Finkelhor, David; Kopiec, Kathy

    2001-01-01

    Interviews were conducted with child protection administrators in 43 states. More than half in states with large declines of cases of substantiated sexual abuse were unaware of any discussion of the declines within their agency or state. Possible causes for decline included increased evidentiary requirements and increased caseworker caution.…

  15. Infant oral mutilation - a child protection issue?

    PubMed

    Girgis, S; Gollings, J; Longhurst, R; Cheng, L

    2016-04-01

    Infant oral mutilation (IOM) is a primitive traditional practice involving the 'gouging out' of an infant's healthy primary tooth germs. This can lead to transmission of blood-borne diseases such as HIV/ AIDS, septicaemia and death. Other complications include eradication and/ or malformation of the child's permanent dentition. IOM is usually performed by village healers in low income countries as an accepted remedy for common childhood illness. The gingival swelling of the unerupted teeth is mistakenly thought to indicate the presence of 'tooth worms'. Crude methods to remove these are employed using unsterile tools. IOM has been reported in many African countries. More recently, some immigrants living in high income countries, such as the UK, have shown signs of IOM. Our aim is to raise awareness among clinicians about the existence of IOM practice being carried out among respective African immigrant groups. We encourage clinicians, particularly those working with paediatric patients to inform parents and carers of children with a history of IOM about the risks and consequences. As part of child safeguarding policies, dental practitioners and health care professionals should intervene if they are aware of any perceived plan that IOM is to be carried out in the future. PMID:27056520

  16. Establishment of Interdisciplinary Child Protection Teams in Turkey 2002-2006: Identifying the Strongest Link Can Make a Difference!

    ERIC Educational Resources Information Center

    Agirtan, Canan A.; Akar, Taner; Akbas, Seher; Akdur, Recep; Aydin, Cahide; Aytar, Gulsen; Ayyildiz, Suat; Baskan, Sevgi; Belgemen, Tugba; Bezirci, Ozdecan; Beyazova, Ufuk; Beyaztas, Fatma Yucel; Buken, Bora; Buken, Erhan; Camurdan, Aysu D.; Can, Demet; Canbaz, Sevgi; Canturk, Gurol; Ceyhan, Meltem; Coskun, Abdulhakim; Celik, Ahmet; Cetin, Fusun C.; Coskun, Ayse Gul; Dagcinar, Adnan; Dallar, Yildiz; Demirel, Birol; Demirogullari, Billur; Derman, Orhan; Dilli, Dilek; Ersahin, Yusuf; Esiyok, Burcu; Evinc, Gulin; Gencer, Ozlem; Gokler, Bahar; Hanci, Hamit; Iseri, Elvan; Isir, Aysun Baransel; Isiten, Nukhet; Kale, Gulsev; Karadag, Ferda; Kanbur, Nuray; Kilic, Birim; Kultur, Ebru; Kurtay, Derya; Kuruoglu, Asli; Miral, Suha; Odabasi, Aysun B.; Oral, Resmiye; Orhon, Filiz Simsek; Ozbesler, Cengiz; Ozdemir, Dilsad Foto; Ozkok, M. Selim; Ozmert, Elif; Oztop, Didem B.; Ozyurek, Hamit; Pasli, Figen; Peksen, Yildiz; Polat, Onur; Sahin, Figen; Sahin, Ahmet Rifat; Salacin, Serpil; Suskan, Emine; Tander, Burak; Tekin, Deniz; Teksam, Ozlem; Tiras, Ulku; Tomak, Yilmaz; Tumer, Ali Riza; Turla, Ahmet; Ulukol, Betul; Uslu, Runa; Tas, Fatma V.; Vatandas, Nilgun; Velipasaoglu, Sevtap; Yagmur, Fatih; Yagmurlu, Aydin; Yalcin, Songul; Yavuz, Sukruye; Yurdakok, Kadriye

    2009-01-01

    Objectives: The University of Iowa Child Protection Program collaborated with Turkish professionals to develop a training program on child abuse and neglect during 2002-2006 with the goals of increasing professional awareness and number of multidisciplinary teams (MDT), regional collaborations, and assessed cases. This paper summarizes the 5-year…

  17. An ethical approach to resolving value conflicts in child protection.

    PubMed

    Webb, E; Moynihan, S

    2010-01-01

    Child protection professionals working in diverse societies are regularly faced with value conflicts. Recognising these, and resolving them in the best interests of children, is a task that requires child protection specialists to make complex judgements and decisions. In this paper the philosophical concepts of absolutism and relativism to child abuse are applied, and it explores how this approach has practical relevance to solving ethical dilemmas in child protection. Children's interests are best served by erring towards an absolutist approach to the diagnosis and recognition of maltreatment and towards a relativistic approach in determining how services respond to a harmful incident or situation. Absolutism and relativism are not alternatives, but part of a continuous process of recognising and negotiating ever-changing community, national and global norms. At the service level the dichotomy transpires into the need to be culturally competent in handling the conflicting needs, rights and values of children, families, communities and professionals, whilst retaining the skill of child advocacy. PMID:19531523

  18. Commission on Child Online Protection (COPA) Report to Congress. Appendices.

    ERIC Educational Resources Information Center

    2000

    The appendices for the Commission on Child Online Protection (COPA) Report to Congress, October 20, 2000, include the following: Commission overview, which includes scope and timeline, original statute, amended statute, technologies and methods, and biographies of the commissioners; Commission finances; Commission meetings for the year 2000;…

  19. Learning Organisations and Child Protection Agencies: Post-Fordist Techniques?

    ERIC Educational Resources Information Center

    Reich, Ann

    2002-01-01

    A study of child protection agencies in New South Wales shows how reforms involving a neoliberal interpretation of the learning organization, rather than encouraging teamwork and employee participation, are used to govern and control. Such new "technologies of training" demand changes in the character and identity of workers. (SK)

  20. Veteran Parents in Child Protective Services: Theory and Implementation

    ERIC Educational Resources Information Center

    Nilsen, Wendy J.; Affronti, Melissa L.; Coombes, Margaret L.

    2009-01-01

    "Veteran parents" (VPs), or parents who have experienced challenges concerning their children's health and then mentor other families through similar situations, are widely used for parent support. This model has been adopted by Child Protective Services (CPS) to increase parent engagement. Here, we expand the theoretical discussion of VPs in CPS…

  1. Adolescent Fathers Involved with Child Protection: Social Workers Speak

    ERIC Educational Resources Information Center

    Gordon, Derrick M.; Watkins, Natasha D.; Walling, Sherry M.; Wilhelm, Sara; Rayford, Brett S.

    2011-01-01

    This study examined adolescent paternity through structured interviews with their social workers. It adds to the literature by exploring if there were young men involved with the child protection services (CPS) system who are fathers, identifying their unique needs, and beginning discussions on working with these young men. CPS social workers from…

  2. Child protection network and the intersector implementation of the circle of security as alternatives to medication☆

    PubMed Central

    Becker, Ana Laura Martins M.M.; de Souza, Paulo Haddad; de Oliveira, Mônica Martins; Paraguay, Nestor Luiz Bruzzi B.

    2014-01-01

    Objectives: To describe the clinical history of a child with aggressive behavior and recurring death-theme speech, and report the experience of the team of authors, who proposed an alternative to medication through the establishment of a protection network and the inter-sector implementation of the circle of security concept. Case description: A 5-year-old child has a violent and aggressive behavior at the daycare. The child was diagnosed by the healthcare center with depressive disorder and behavioral disorder, and was medicated with sertraline and risperidone. Side effects were observed, and the medications were discontinued. Despite several actions, such as talks, teamwork, psychological and psychiatric follow-up, the child's behavior remained unchanged. Remarks: A unique therapeutic project was developed by Universidade Estadual de Campinas' Medical School students in order to establish a connection between the entities responsible for the child's care (daycare center, healthcare center, and family). Thus, the team was able to develop a basic care protection network. The implementation of the inter-sector circle of security, as well as the communication and cooperation among the teams, produced very favorable results in this case. This initiative was shown to be a feasible and effective alternative to the use of medication for this child. PMID:25479857

  3. A developmental approach to the risk of a first recurrence in child protective services.

    PubMed

    Hélie, Sonia; Laurier, Catherine; Pineau-Villeneuve, Catherine; Royer, Marie-Noële

    2013-12-01

    The objective of this study is to estimate the risk of a first recurrence over a five-year period following initial child protective services (CPS) intervention and identify the characteristics associated with the risk of recurrence for three different age groups. Recurrence is defined as the first substantiated report within the observation period after initial services have ended. The study involved a cohort of 25,897 Quebec children who received postinvestigation services for the first time and whose cases were closed between 2005 and 2009. Survival analysis was used to estimate the five-year risk of recurrence and Cox regression to model the risk of recurrence for three age groups. The covariates introduced into the regression analyses were characteristics of the child and initial services. The risk of recurrence in the five years following termination of initial CPS services was 36% for the entire cohort and varied depending on the child's age at the time of case closure. Children aged 6-11 when their cases were closed had the highest risk of recurrence. Although Aboriginal descent and prior CPS investigations have a consistent effect on the risk of recurrence in all three age groups, the effects of other covariates, such as out-of-home placement and court involvement, vary or are even reversed, depending on the child's age. These findings highlight the need to adopt a differential approach that takes into account the child's age, both in the provision of protective services and in research involving the population receiving such services.

  4. Social Security Child Protection Act of 2011

    THOMAS, 112th Congress

    Rep. Marchant, Kenny [R-TX-24

    2011-09-22

    09/28/2011 Referred for a period ending not later than September 28, 2011, (or for a later time if the Chairman so designates) to the Subcommittee on Social Security, in each case for consideration of such provisions as fall within the jurisdiction of the subcommittee concerned. (All Actions) Tracker: This bill has the status IntroducedHere are the steps for Status of Legislation:

  5. [Child protection measures in other countries].

    PubMed

    Hurni, L

    1980-06-01

    The goal of measures for the protection of children is to help parents to behave toward their children in physically and psychologically nonviolent ways. In this article, a distinction is made between organisations devoted to field work and those devoted to public education. Examples are given from the Netherlands, England, the United States, and the Federal Republic of Germany. The care of families at risk is often in the hands of persons having already friendly contacts with the family. This type of lay helpers receive special training, and it seems that they gain more easily access to the parents than public agencies. In several countries there are interdisciplinary therapeutic centres where children, youth, or entire families find temporary acceptance. Therapy of this type aims primarily at providing an experience of nonviolent human interaction. In public education, the accent is on information of the public. A predominant aim is a change of attitude toward violent parents, in the sense of help being more important than punishment. In most instances, there is also a need to better make known the helping organizations. Finally, some postulates for primary prevention of cruelty to children are summarized, and reference is made to the "Fourth World Movement".

  6. How do public child healthcare professionals and primary school teachers identify and handle child abuse cases? A qualitative study

    PubMed Central

    2013-01-01

    Background Public child healthcare doctors and nurses, and primary school teachers play a pivotal role in the detection and reporting of child abuse, because they encounter almost all children in the population during their daily work. However, they report relatively few cases of suspected child abuse to child protective agencies. The aim of this qualitative study was to investigate Dutch frontline workers’ child abuse detection and reporting behaviors. Methods Focus group interviews were held among 16 primary school teachers and 17 public health nurses and physicians. The interviews were audio recorded, transcribed, and thematically analyzed according to factors of the Integrated Change model, such as knowledge, attitude, self-efficacy, skills, social influences and barriers influencing detection and reporting of child abuse. Results Findings showed that although both groups of professionals are aware of child abuse signs and risks, they are also lacking specific knowledge. The most salient differences between the two professional groups are related to attitude and (communication) skills. Conclusion The results suggest that frontline workers are in need of supportive tools in the child abuse detection and reporting process. On the basis of our findings, directions for improvement of child abuse detection and reporting are discussed. PMID:24007516

  7. Child Protection, Public Services and the Chimera of Market Force Efficiency.

    ERIC Educational Resources Information Center

    Barker, Richard W.

    1996-01-01

    Describes child protection systems in England and ongoing changes in their services. Considers effects of a market force approach on the organization of child protection services in relation to coordination versus fragmentation and profit versus professionalism. Concludes that the idea that a market force approach to child protection will lead to…

  8. What can psychiatry learn from the Munro Review of Child Protection?

    PubMed

    Cohen, Mark

    2016-02-01

    The Munro Review of Child Protection approached the problem of child protection from an understanding based upon systems analysis. Risk assessment in psychiatry has similarities to the assessment by social workers of child protection issues. Psychiatry as a profession could learn from the Review, and, in doing so, be supported in recovering and communicating the requirements for good clinical practice.

  9. Specialist Advocacy Services for Parents with Learning Disabilities Involved in Child Protection Proceedings

    ERIC Educational Resources Information Center

    Tarleton, Beth

    2008-01-01

    Parents with learning disabilities frequently become involved with child protection and judicial proceedings. Parents report not understanding and being disempowered by the child protection system. This paper presents fourteen parents' views regarding how two specialist advocacy services supported them during child protection. The parents believed…

  10. Social support and child protection: Lessons learned and learning.

    PubMed

    Thompson, Ross A

    2015-03-01

    Social support has been a topic of research for nearly 50 years, and its applications to prevention and intervention have grown significantly, including programs advancing child protection. This article summarizes the central conclusions of the 1994 review of research on social support and the prevention of child maltreatment prepared for the U.S. Advisory Board on Child Abuse and Neglect, and surveys advances in the field since its publication. Among the lessons learned twenty years ago are (a) the diversity of the social support needs of at-risk families and their association with child endangerment, (b) the need to supplement the emotionally affirmative aspects of social support with efforts to socialize parenting practices and monitor child well-being, (c) the desirability of integrating formal and informal sources of social support for recipients, and (d) the importance of considering the complex recipient reactions to receiving support from others. The lessons we are now learning derive from research exploring the potential of online communication to enhance social support, the neurobiology of stress and its buffering through social support, and the lessons of evaluation research that are identifying the effective ingredients of social support interventions. PMID:25043921

  11. Social support and child protection: Lessons learned and learning.

    PubMed

    Thompson, Ross A

    2015-03-01

    Social support has been a topic of research for nearly 50 years, and its applications to prevention and intervention have grown significantly, including programs advancing child protection. This article summarizes the central conclusions of the 1994 review of research on social support and the prevention of child maltreatment prepared for the U.S. Advisory Board on Child Abuse and Neglect, and surveys advances in the field since its publication. Among the lessons learned twenty years ago are (a) the diversity of the social support needs of at-risk families and their association with child endangerment, (b) the need to supplement the emotionally affirmative aspects of social support with efforts to socialize parenting practices and monitor child well-being, (c) the desirability of integrating formal and informal sources of social support for recipients, and (d) the importance of considering the complex recipient reactions to receiving support from others. The lessons we are now learning derive from research exploring the potential of online communication to enhance social support, the neurobiology of stress and its buffering through social support, and the lessons of evaluation research that are identifying the effective ingredients of social support interventions.

  12. Female offenders in child sexual abuse cases: a national picture.

    PubMed

    McLeod, David Axlyn

    2015-01-01

    Female sexual offenders are significantly underrepresented in the literature. Largely due to a failure of our society to recognize women as offenders, we allow them to avoid detection, prosecution, and interventions like tracking, registration, or mandated treatment. This could be partially due to differences that exist in their offending behaviors, victim profiles, and personal characteristics that set them apart from male offenders, to whom our systems have become more attuned. This article features an examination of virtually every substantiated child sexual abuse case reported to child protective services in the United States for 2010. Findings detail observed differences between male and female offenders on multiple domains and affirm female sexual offenders to be distinctly different from their male counterparts.

  13. Victim Resistance in Child Sexual Abuse: A Look into the Efficacy of Self-Protection Strategies Based on the Offender's Experience

    ERIC Educational Resources Information Center

    Leclerc, Benoit; Wortley, Richard; Smallbone, Stephen

    2011-01-01

    This study examines the efficacy, as experienced by offenders with their victim, of self-protection strategies used in child sexual abuse cases. It also investigates whether the efficacy of self-protection varies according to victim characteristics. The sample consists of 94 adult offenders who sexually abused a single child and who agreed to…

  14. Schools as Agencies of Protection in Namibia and Swaziland: Can They Prevent Dropout and Child Labor in the Context of HIV/AIDS and Poverty?

    ERIC Educational Resources Information Center

    Nordtveit, Bjorn Harald

    2010-01-01

    This article addresses a particular area of research in the field of education and child protection: the protective role of schools in the contexts of HIV/AIDS and poverty. Such adverse situations may lead children not to enroll in school or to drop out of school and subsequently to be subjected to abusive child labor and, in some cases, the worst…

  15. Media coverage of the Child B case.

    PubMed Central

    Entwistle, V. A.; Watt, I. S.; Bradbury, R.; Pehl, L. J.

    1996-01-01

    The case of a girl with leukaemia, known as Child B, hit the headlines in March 1995 when her father refused to accept the advice of doctors who counselled against further treatment and took Cambridge and Huntingdon Health Authority to court for refusing to fund chemotherapy and a second bone transplant for her in the private sector. British national newspapers varied greatly in the way they covered the case. Some paid little attention to clinical considerations and presented the case as an example of rationing based on financial considerations. Their selective presentations meant that anyone reading just one newspaper would have received only limited and partial information. If members of the public are to participate in debates about treatment decisions and health care rationing, means other than the media will need to be found to inform and involve them. Images p1587-a PMID:8664671

  16. Factors That Influence the Effectiveness of Child Protection Teams

    PubMed Central

    Kistin, Caroline J.; Tien, Irene; Bauchner, Howard; Parker, Victoria; Leventhal, John M.

    2013-01-01

    OBJECTIVES More than $55 million is spent on hospital-based child protection teams (CPTs) annually, but there is no consensus on what makes CPTs effective. The objective of this study was to create expert consensus on tasks that CPTs should perform and factors that contribute to effectiveness. METHODS A modified Delphi approach was used to create expert consensus among professionals with experience working on or with hospital-based CPTs. Three initial rounds of surveys were conducted; a first round of open-ended questions generated topics related to CPT tasks and factors related to team effectiveness. A Likert scale (range: 1–7) determined rank. In the fourth round, participants ranked the top 5 variables associated with effectiveness. RESULTS Twenty-six (90%) of 29 participants completed the first 3 rounds, and 20 (67%) completed the final ranking. Experts believed that CPTs should provide communication of findings to appropriate agencies (mean Likert score: 7.0), court testimony (7.0), medical consultations (6.9), multidisciplinary case review (6.6), and forensic interviews (6.0). CPT success should be determined by professionals who use CPT services (6.6) and CPT members (6.5). Variables that were ranked most often as critical to effectiveness included interdisciplinary collaboration (95% of participants), provision of resources (80%), and team collegiality (75%). Variables that were ranked as most detrimental included inadequate staffing (85%) and lack of collegiality (80%). CONCLUSIONS A multidisciplinary team working in a collegial atmosphere seems to be the major key to CPT effectiveness. In addition to providing services, CPTs should focus on improving collegiality and interdisciplinary collaboration and should seek performance feedback from referring professionals and CPT members. PMID:20587674

  17. Identifying the characteristics of child sexual abuse cases associated with the child or child's parents withdrawing the complaint.

    PubMed

    Christensen, Larissa S; Sharman, Stefanie J; Powell, Martine B

    2016-07-01

    Most child sexual abuse cases do not result in a full trial or guilty plea; rather, case attrition occurs at earlier stages of the criminal justice system. One reason for the attrition of these cases is the withdrawal of complaints, by children or their caregivers. The aim of the current study was to determine the case characteristics associated with complaint withdrawal in child sexual abuse cases by the child or his or her parents once a report has been made to authorities. All child sexual abuse incidents reported to authorities in one jurisdiction of Australia in 2011 were analyzed (N=659). A multinomial logistic regression was used to predict the following case outcomes: (1) withdrawn by the child or his or her parents, (2) exited for other reasons (e.g., the alleged offender was not identified, the child refused to be interviewed), and (3) resulted in a charge. Five predictors significantly added to the prediction of case outcome: child age, suspect gender, suspect age, child-suspect relationship, and abuse frequency. These results should contribute to the design of interventions in order to reduce complaint withdrawals if these withdrawals are not in the child's best interests. PMID:27318035

  18. Exploring Demand and Provision in English Child Protection Services

    PubMed Central

    Hood, Rick; Goldacre, Allie; Grant, Robert; Jones, Ray

    2016-01-01

    This paper presents the results of an exploratory study linking the national data-sets for all children in need and child protection services in England. The study was informed by an emerging literature on systems thinking in public services, and aimed to examine variations and patterns of response in local authorities to demand for child welfare services in their area. One hundred and fifty-two local authority census returns and other statistical indicators covering up to a thirteen-year period were combined into a single data-set. Statistical analysis was undertaken to explore the characteristics of demand, workload and workforce, trends over time and variations between local authorities. The results showed that the overall system has become increasingly geared towards protective interventions, especially since the Baby P scandal of 2008. Deprivation levels continue to be the key driver of referrals and other categories of demand, and are strongly associated with variations in service response, particularly in the initial stages of referral and assessment. Implications are considered for the current organisation of child welfare services in light of recent reviews and reforms. PMID:27559206

  19. Child health promotion and protection among Mexican mothers.

    PubMed

    Gallagher, Martina Raquel; Gill, Sara; Reifsnider, Elizabeth

    2008-08-01

    For numerous reasons, children of Mexican descent experience many health disparities. One strategy for addressing these disparities is to increase health promotion and protection behaviors that mothers use with their preschool children. Limited literature is available on such practices used by mothers of Mexican descent with their healthy preschool children. This study explored child health promotion and protection practices used by mothers of Mexican descent. A naturalistic design, guided by Spradley's ethnographic interview techniques, was selected for this study. The sample included 9 Mexican-descent mothers from an urban U.S. community with healthy preschool children. Despite significant challenges, participants promoted and protected the health of their preschool children by al cuidado (taking care) and by being al pendiente (being mindful) of balancing the health of their children's bodies, minds, and souls. Understanding these mothers' approaches allows the creation of culturally sensitive health programs that can build on existing maternal strengths.

  20. Effectiveness of Child Protection Training for Pre-Service Early Childhood Educators

    ERIC Educational Resources Information Center

    McKee, Bronagh E.; Dillenburger, Karola

    2012-01-01

    International evidence confirms that early childhood educators can enter professional practice unprepared for child protection due to inadequate pre-service preparation. This paper makes an original contribution by using the Child Protection Questionnaire for Educators (CPQE) to examine the pre- and post-intervention child maltreatment and…

  1. Child Protection in Sport: Implications of an Athlete-Centered Philosophy

    ERIC Educational Resources Information Center

    Kerr, Gretchen A.; Stirling, Ashley E.

    2008-01-01

    As sport is a highly child-populated domain, the establishment of child-protection measures to reduce the potential for child maltreatment in sport is critical. Concern for the protection of children in sport has a history that is as old as modern sport itself; however, it is only recently that concern has been established about children's…

  2. Decision making in child protection: An international comparative study on maltreatment substantiation, risk assessment and interventions recommendations, and the role of professionals' child welfare attitudes.

    PubMed

    Benbenishty, Rami; Davidson-Arad, Bilha; López, Mónica; Devaney, John; Spratt, Trevor; Koopmans, Carien; Knorth, Erik J; Witteman, Cilia L M; Del Valle, Jorge F; Hayes, David

    2015-11-01

    Child welfare professionals regularly make crucial decisions that have a significant impact on children and their families. The present study presents the Judgments and Decision Processes in Context model (JUDPIC) and uses it to examine the relationships between three independent domains: case characteristic (mother's wish with regard to removal), practitioner characteristic (child welfare attitudes), and protective system context (four countries: Israel, the Netherlands, Northern Ireland and Spain); and three dependent factors: substantiation of maltreatment, risk assessment, and intervention recommendation. The sample consisted of 828 practitioners from four countries. Participants were presented with a vignette of a case of alleged child maltreatment and were asked to determine whether maltreatment was substantiated, assess risk and recommend an intervention using structured instruments. Participants' child welfare attitudes were assessed. The case characteristic of mother's wish with regard to removal had no impact on judgments and decisions. In contrast, practitioners' child welfare attitudes were associated with substantiation, risk assessments and recommendations. There were significant country differences on most measures. The findings support most of the predictions derived from the JUDPIC model. The significant differences between practitioners from different countries underscore the importance of context in child protection decision making. Training should enhance practitioners' awareness of the impact that their attitudes and the context in which they are embedded have on their judgments and decisions.

  3. Decision making in child protective services: a risky business?

    PubMed

    Camasso, Michael J; Jagannathan, Radha

    2013-09-01

    Child Protective Services (CPS) in the United States has received a torrent of criticism from politicians, the media, child advocate groups, and the general public for a perceived propensity to make decisions that are detrimental to children and families. This perception has resulted in numerous lawsuits and court takeovers of CPS in 35 states, and calls for profound restructuring in other states. A widely prescribed remedy for decision errors and faulty judgments is an improvement of risk assessment strategies that enhance hazard evaluation through an improved understanding of threat potentials and exposure likelihoods. We examine the reliability and validity problems that continue to plague current CPS risk assessment and discuss actions that can be taken in the field, including the use of receiver operating characteristic (ROC) curve technology to improve the predictive validity of risk assessment strategies.

  4. Jury Selection in Child Sex Abuse Trials: A Case Analysis

    ERIC Educational Resources Information Center

    Cramer, Robert J.; Adams, Desiree D.; Brodsky, Stanley L.

    2009-01-01

    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…

  5. The effect of material hardship on child protective service involvement.

    PubMed

    Yang, Mi-Youn

    2015-03-01

    This study employs four waves of survey data on 1,135 families from the Illinois Families Study, a longitudinal panel study of Temporary Assistance for Needy Families in Illinois. This study explores the following issues within this low-income population: (1) whether material hardships are associated with child protective services (CPS) investigations, (2) whether the effect of material hardship on CPS differs by the type of child maltreatment investigated, and (3) whether psychological distress mediates the association between material hardship and CPS involvement. Results from pooled and fixed effects logistic regressions suggest that caregivers who experience material hardship are more likely to become involved in CPS. In general, investigated neglect reports are responsive to particular types of hardship such as housing and food, while investigated physical abuse reports are responsive to levels of hardship regardless of specific types. The association between material hardship and CPS involvement is not fully explained by depressive symptoms or parenting stress. The study results suggest that in order to prevent child maltreatment, it may be necessary to address a family's unmet material needs through economic support interventions.

  6. A developmental approach to the risk of a first recurrence in child protective services.

    PubMed

    Hélie, Sonia; Laurier, Catherine; Pineau-Villeneuve, Catherine; Royer, Marie-Noële

    2013-12-01

    The objective of this study is to estimate the risk of a first recurrence over a five-year period following initial child protective services (CPS) intervention and identify the characteristics associated with the risk of recurrence for three different age groups. Recurrence is defined as the first substantiated report within the observation period after initial services have ended. The study involved a cohort of 25,897 Quebec children who received postinvestigation services for the first time and whose cases were closed between 2005 and 2009. Survival analysis was used to estimate the five-year risk of recurrence and Cox regression to model the risk of recurrence for three age groups. The covariates introduced into the regression analyses were characteristics of the child and initial services. The risk of recurrence in the five years following termination of initial CPS services was 36% for the entire cohort and varied depending on the child's age at the time of case closure. Children aged 6-11 when their cases were closed had the highest risk of recurrence. Although Aboriginal descent and prior CPS investigations have a consistent effect on the risk of recurrence in all three age groups, the effects of other covariates, such as out-of-home placement and court involvement, vary or are even reversed, depending on the child's age. These findings highlight the need to adopt a differential approach that takes into account the child's age, both in the provision of protective services and in research involving the population receiving such services. PMID:23768933

  7. Reported Contact with Child Protection Services among Those Reporting Child Physical and Sexual Abuse: Results from a Community Survey

    ERIC Educational Resources Information Center

    MacMillan, Harriet L.; Jamieson, Ellen; Walsh, Christine A.

    2003-01-01

    Objective: This study uses results from a large community survey to examine the relationship between a history of child maltreatment and self-reports of contact with Child Protection Services (CPS). Methods: The Ontario Health Supplement was a province-wide, probability-based survey of household dwellings in the province of Ontario, Canada. A…

  8. The forensic role of the child psychiatrist in child abuse and neglect cases.

    PubMed

    Leavitt, Willis T; Armitage, David T

    2002-10-01

    Child psychiatrists play important roles in the legal system. By training and experience, they have unique insight into the emotional life of the child, the dynamics of the family system, and the relationship between child and parent. They help provide objective information to the judge and jury for making difficult legal decisions in child abuse and neglect-related cases. Functioning in various roles, child psychiatrists must reach a clear understanding with the hiring party as to the reason for the consultation, what materials and interviews are necessary for a comprehensive evaluation, the charges involved, and ethical principles to be followed. They must recognize and negotiate the challenges for objectivity in these forensic evaluations. Finally, they should understand that the role of the child psychiatrist in forensic issues is a dynamic one that is shaped by the ever-evolving response of society, law, and the medical profession to the phenomena of child abuse and neglect.

  9. Social protection for all ages? Impacts of Ethiopia's Productive Safety Net Program on child nutrition.

    PubMed

    Porter, Catherine; Goyal, Radhika

    2016-06-01

    We investigate the impact of a large-scale social protection scheme, the Productive Safety Net Program (PSNP) in Ethiopia, on child nutritional outcomes. Children living in households that receive cash transfers should experience improved child nutrition. However, in the case of the PSNP, which for the majority of participants is a public works program, there are several potential threats to finding effects: first, without conditionality on child inputs, increased household income may not be translated into improved child nutrition. Second, the work requirement may impact on parental time, child time use and calories burned. Third, if there is a critical period for child human capital investment that closes before the age of 5 then children above this age may not see any improvement in medium-term nutritional outcomes, measured here as height-for-age. Using a cohort study that collected data both pre-and post-program implementation in 2002, 2006 and 2009, we exploit several novel aspects of the survey design to find estimates that can deal with non-random program placement. We present both matching and difference-in-differences estimates for the index children, as well as sibling-differences. Our estimates show an important positive medium-term nutritional impact of the program for children aged 5-15 that are comparable in size to Conditional Cash Transfer program impacts for much younger children. We show indicative evidence that the program impact on improved nutrition is associated with improved food security and reduced child working hours. Our robustness checks restrict the comparison group, by including only households who were shortlisted, but never received PSNP, and also exclude those who never received aid, thus identifying impact based on timing alone. We cannot rule out that the nutritional impact of the program is the same for younger and older children.

  10. Home Work: A Case for Social Protection.

    ERIC Educational Resources Information Center

    Schneider de Villegas, Gisela

    1990-01-01

    Wage work done at home has existed for more than a century. It is performed mainly by women and the disabled and can be a concealed form of child labor. This article examines the main aspects of the subject and advocates increased legal protection. (JOW)

  11. Female Sexual Abuse and Criminal Justice Intervention: A Comparison of Child Protective Service and Criminal Justice Samples

    ERIC Educational Resources Information Center

    Bader, Shannon M.; Scalora, Mario J.; Casady, Thomas K.; Black, Shannon

    2008-01-01

    Objective: The current study compared a sample of female perpetrators reported to Child Protective Services (CPS) to a sample of women from the criminal justice system. Instead of examining a clinical or criminal justice sample in isolation, this comparison allows a more accurate description of female sexual offending. Methods: Cases were drawn…

  12. Measuring the Effectiveness of Routine Child Protection Services: The Results from an Evidence Based Strategy

    ERIC Educational Resources Information Center

    O'Brien, Michael

    2011-01-01

    Most of what is known about the effectiveness of child welfare is found in studies of specific programs. Little is known about the effectiveness of the routine services provided in child protection systems. Family and Children's Services of Renfrew County is a Canadian child welfare agency that decided to expand its mission beyond protecting…

  13. The Continuing Child Protection Emergency: A Challenge to the Nation. Third Report.

    ERIC Educational Resources Information Center

    United States Advisory Board on Child Abuse and Neglect, Washington, DC.

    Three years after the release of its original report (1990), the U.S. Advisory Board on Child Abuse and Neglect reports that the child protection emergency has clearly deepened in all parts of the nation. Reports of child abuse and neglect have continued to climb; an inordinate number of children continue to die at the hands of caretakers; and…

  14. Developing Evidence-Based Child Protection Practice: A View from Germany

    ERIC Educational Resources Information Center

    Kindler, Heinz

    2008-01-01

    The child welfare system in Germany has been described as family service-oriented because families in need are entitled to request family support services. If there is any form of child maltreatment, there may be some kind of mandatory state intervention to protect the child. Using trends in the number of children affected by maltreatment, the…

  15. Protecting the interests of the child bone marrow donor.

    PubMed

    Terry, Louise M; Campbell, Anne

    2004-01-01

    At a time when designer babies have been created to act as cord blood donors to sick siblings, ethical debate has focused predominantly on the extent to which it is acceptable to create one human being to assist another. However, children are frequently used this way, by their families and doctors who extract their bone marrow, to try to save the life of another, usually a sibling. With any life-threatening illness, there is the possibility that the urgency of the sick sibling's need means that the short-term welfare of the donor child receives less attention than it should by parents and doctors. This article suggests ways to protect the interests of such children and empower them within the decision-making process and concludes that the drive to save life must be tempered by recognition of the intrinsic worth of donor children and their rights not to be exploited.

  16. Protecting the interests of the child bone marrow donor.

    PubMed

    Terry, Louise M; Campbell, Anne

    2004-01-01

    At a time when designer babies have been created to act as cord blood donors to sick siblings, ethical debate has focused predominantly on the extent to which it is acceptable to create one human being to assist another. However, children are frequently used this way, by their families and doctors who extract their bone marrow, to try to save the life of another, usually a sibling. With any life-threatening illness, there is the possibility that the urgency of the sick sibling's need means that the short-term welfare of the donor child receives less attention than it should by parents and doctors. This article suggests ways to protect the interests of such children and empower them within the decision-making process and concludes that the drive to save life must be tempered by recognition of the intrinsic worth of donor children and their rights not to be exploited. PMID:15685919

  17. Child Sexual Abuse: Psychosocial Aspects of 101 Cases Seen in an Urban Malaysian Setting.

    ERIC Educational Resources Information Center

    Kassim, Kasmini; Kasim, Mohd. Sham

    1995-01-01

    Analysis of 101 cases of child sexual abuse in Kuala Lumpur (Malaysia) found overrepresentation of the Indian ethnic group and a mean age of children involved of 6 to 8 years. Associated psychosocial factors included the absence of a protective adult at home, unemployment, and history of perpetrator drug abuse. (DB)

  18. [Child maltreatment prevention: the pediatrician's function. Part 1: Overview, evidence, risk factors, protective factors and triggers].

    PubMed

    Mouesca, Juan P

    2015-12-01

    Child maltreatment is a common and serious problem. It harms children in the short and long term, affecting their future health and their offspring. Primary, secondary, tertiary and quaternary preventing interventions target on child abuse are described. Evidence-based recommendations on child abuse prevention and examples of researches with proven efficacy are detailed. Risk factors, protective factors and triggers of child abuse and their relationships are described.

  19. Decision-making in Child Protective Services: Influences at multiple levels of the social ecology

    PubMed Central

    Font, Sarah A.; Maguire-Jack, Kathryn

    2015-01-01

    Decision-making in the child protection system is influenced by multiple factors; agency and geographic contexts, caseworker attributes, and families' unique circumstances all likely play a role. In this study, we use the second cohort of the National Survey of Child and Adolescent Well-Being to explore how these factors are associated with two key case decisions—substantiation and removal to out-of-home care. Analyses are conducted using weighted hierarchical linear models. We find that substantiation is strongly influenced by agency factors, particularly constraints on service accessibility. Substantiation is less likely when agencies can provide services to unsubstantiated cases and when collaboration with other social institutions is high. This supports the concept that substantiation may be a gateway to services in some communities. Agency factors contributed less to the probability of removal among substantiated cases, though time resources and constraints on decision-making had some influence. For both substantiation and removal risks, county, caseworker, and child characteristics were less influential than agency characteristics and family risk factors. PMID:25726323

  20. Conducting Research with Children: The Limits of Confidentiality and Child Protection Protocols

    ERIC Educational Resources Information Center

    Williamson, Emma; Goodenough, Trudy; Kent, Julie; Ashcroft, Richard

    2005-01-01

    This paper addresses the issue of child protection protocols within research conducted with children. Based partly on primary data this paper raises questions about the role of ethics committees in defining the limits of confidentiality in relation to child protection protocols within research, the perceptions of both children and parents about…

  1. Child Protection in Primary Schools: A Contradiction in Terms or a Potential Opportunity?

    ERIC Educational Resources Information Center

    Buckley, Helen; McGarry, Kathryn

    2011-01-01

    This paper deals with the topic of child protection in Irish primary schools, and reports on a recently completed survey of newly qualified teachers' knowledge of and familiarity with their school's child protection policies and procedures. The study was undertaken by means of a questionnaire survey, and conducted with 103 teachers from different…

  2. Commission on Child Online Protection (COPA) Report to Congress [and] Personal Statements of COPA Commissioners.

    ERIC Educational Resources Information Center

    2000

    In October, 1998, Congress enacted the Child Online Protection Act and established the Commission on Online Child Protection (COPA) to study methods to help reduce access by minors to certain sexually explicit material, defined in the statute as harmful to minors. Congress directed the Commission to evaluate the accessibility, cost, and…

  3. Adult-Child Incest: A Sample of Substantiated Cases.

    ERIC Educational Resources Information Center

    Vander Mey, Brenda J.; Neff, Ronald L.

    1984-01-01

    Describes adult-child incest involving 16 victims. Cases were analyzed and discussed in relationship to previous studies. Emphasis is placed on replicated and newly identified risk factors including alcohol dependency, spouse abuse, other (nonsexual) child abuse or neglect, inadequate housing, social isolation, birth order, and other family…

  4. Insect Repellents: Protect Your Child from Insect Bites

    MedlinePlus

    ... Español Text Size Email Print Share Choosing an Insect Repellent for Your Child Page Content Article Body Mosquitoes , ... sunscreen needs to be reapplied often. Reactions to Insect Repellents If you suspect that your child is having ...

  5. Correlates of joint child protection and police child sexual abuse investigations: results from the Canadian Incidence Study of Reported Child Abuse and Neglect–2008

    PubMed Central

    Tonmyr, L.; Gonzalez, A.

    2015-01-01

    Abstract Introduction: Our study examines the frequency of joint investigations by child protection workers and the police in sexual abuse investigations compared to other maltreatment types and the association of child-, caregiver-, maltreatment- and investigation-related characteristics in joint investigations, focussing specifically on investigations involving sexual abuse. Methods: We analyzed data from the Canadian Incidence Study of Reported Child Abuse and Neglect–2008 using logistic regression. Results: The data suggest that sexual abuse (55%), and then physical abuse, neglect and emotional maltreatment, are most often co-investigated. Substantiation of maltreatment, severity of maltreatment, placement in out-of-home care, child welfare court involvement and referral of a family member to specialized services was more likely when the police were involved in an investigation. Conclusion: This study adds to the limited information on correlates of joint child protection agency and police investigations. Further research is needed to determine the effectiveness of these joint investigations. PMID:26605560

  6. A new age for child protection--General Comment 13: why it is important, how it was constructed, and what it intends?

    PubMed

    Hart, Stuart N; Lee, Yanghee; Wernham, Marie

    2011-12-01

    Children continue to be subjected to high levels of violence (i.e., physical, psychological and sexual maltreatment) throughout the world. International concern about violence against children has increased significantly during the last decade. A Study on Violence Against Children, encouraged by the UN Committee on the Rights of the Child, conducted under the auspices of the United Nations Secretary General and reported in 2006, has become a rallying call to improve child protection. Child protection practices and systems have been judged to be generally inadequate and, in some cases, destructive. It is widely recognized that business as usual-more of the same-will not do. A General Comment (guide to fulfilling obligations) for Article 19, the central conceptualization of child protection of the UN Convention on the Rights of the Child, has the potential to promote a worldwide reformulation of child protection priorities, policies, and practices by virtue of the infusion of a child rights approach. It can be a mechanism for framing and promoting the transformational change needed - for a genuine paradigm shift. Here, explication is given for the historical context, rationale, centrality of child rights, process of development, holistic nature, and primary elements of General Comment 13 (GC13): The child's right to freedom from all forms of violence. GC13 embodies and champions a child rights approach to child protection entailing strong support for proactive primary prevention, promotion of good child care, and a commitment to secure the rights and well-being of all children. A child rights-based, comprehensive coordinating framework is recommended for the implementation of GC13.

  7. The Need for a General Comment for Article 19 of the UN Convention on the Rights of the Child: Toward Enlightenment and Progress for Child Protection

    ERIC Educational Resources Information Center

    Bennett, Susan; Hart, Stuart N.; Svevo-Cianci, Kimberly Ann

    2009-01-01

    Objective: To present the need and plan for development of a General Comment for the UN Convention on the Rights of the Child Article 19 which has the potential to transform and advance child protection through the infusion of a child rights approach. Methods: The Committee on the Rights of the Child (Committee) authorized ISPCAN and IICRD to…

  8. 28 CFR 541.23 - Protection cases.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 28 Judicial Administration 2 2010-07-01 2010-07-01 false Protection cases. 541.23 Section 541.23 Judicial Administration BUREAU OF PRISONS, DEPARTMENT OF JUSTICE INSTITUTIONAL MANAGEMENT INMATE DISCIPLINE AND SPECIAL HOUSING UNITS Inmate Discipline and Special Housing Units § 541.23 Protection cases....

  9. Fetal protection in Wisconsin's revised child abuse law: right goal, wrong remedy.

    PubMed

    De Ville, K A; Kopelman, L M

    1999-01-01

    Authors examine Wisconsin's recent revision of its child abuse and protection laws to address substance abuse by pregnant women. The new statute enables the state to take the fetus into protective custody. Authors argue that approaching fetal protection using a child abuse model creates a series of symbolic, conceptual, and practical problems of such severity as to undermine its justifiability as a public health measure. PMID:11067615

  10. A Survey of Health Care and Child Protective Services Provider Knowledge Regarding the Toe Tourniquet Syndrome.

    ERIC Educational Resources Information Center

    Biehler, Jefry L.; And Others

    1994-01-01

    Health and child welfare professionals reviewed a history and photographic findings of a child with toe tourniquet syndrome. More than 50% of respondents (n=84) indicated that they would report the case as suspected abuse. Child welfare workers were more likely to make a referral for suspected abuse than osteopathic physicians, allopathic…

  11. Parental Levels of Empathy as Related to Risk Assessment in Child Protective Services.

    ERIC Educational Resources Information Center

    Rosenstein, Paula

    1995-01-01

    This review of the literature and of 29 child abuse cases resulted in the conclusion that a complete assessment of risk of child physical abuse must include a measure of parental empathy, such as the Adult-Adolescent Parent Inventory. Child physical abuse was predicted by a negative correlation between parental empathy and stress in the…

  12. Child maltreatment syndrome: demographics and developmental issues of inpatient cases

    PubMed Central

    Ngiam, Xin Ying; Kang, Ying Qi; Aishworiya, Ramkumar; Kiing, Jennifer; Law, Evelyn Chung Ning

    2015-01-01

    INTRODUCTION This study aimed to describe the demographic, social, developmental and behavioural profile of children hospitalised for alleged child maltreatment syndrome (CMS). METHODS This study was a retrospective review of the consecutive inpatient records of children (0–16 years) admitted to the National University Hospital, Singapore, for alleged CMS over a three-year period. Descriptive data on the demographic characteristics, alleged maltreatment, medical and developmental histories, and family background of these children were collected and analysed. Chi-square statistics were used to test whether family factors were associated with the type of maltreatment and the presence of developmental disorders. RESULTS A total of 89 children, who accounted for 90 admission cases, were studied. Physical abuse (70.0%) was the most common, followed by neglect (11.1%) and sexual abuse (7.8%). Child protection services had already been involved in 29.2% of the cases prior to the child’s admission. Children who were victims of abuse were more likely to come from homes with a prior history of domestic violence (p = 0.028). Financial difficulty was found to be a risk factor for neglect (p = 0.005). Among the 89 children, 15.7% were found to have developmental disorders and 10.1% had mental health diagnoses. Children who had developmental disorders were more likely to have a parent with a mental health disorder (p = 0.002). CONCLUSION A sizeable proportion of the children admitted for alleged CMS had developmental or behavioural disorders. Clinicians have a role in ensuring that these children have appropriate follow-up plans. Children from high-risk families should be screened for maltreatment. PMID:26668405

  13. 25 CFR 63.31 - Can both the Bureau of Indian Affairs and tribes operate Indian child protection and family...

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... Indian child protection and family violence prevention programs? 63.31 Section 63.31 Indians BUREAU OF INDIAN AFFAIRS, DEPARTMENT OF THE INTERIOR TRIBAL GOVERNMENT INDIAN CHILD PROTECTION AND FAMILY VIOLENCE PREVENTION Indian Child Protection and Family Violence Prevention Program § 63.31 Can both the Bureau...

  14. 25 CFR 63.31 - Can both the Bureau of Indian Affairs and tribes operate Indian child protection and family...

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... Indian child protection and family violence prevention programs? 63.31 Section 63.31 Indians BUREAU OF INDIAN AFFAIRS, DEPARTMENT OF THE INTERIOR TRIBAL GOVERNMENT INDIAN CHILD PROTECTION AND FAMILY VIOLENCE PREVENTION Indian Child Protection and Family Violence Prevention Program § 63.31 Can both the Bureau...

  15. 25 CFR 63.31 - Can both the Bureau of Indian Affairs and tribes operate Indian child protection and family...

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... Indian child protection and family violence prevention programs? 63.31 Section 63.31 Indians BUREAU OF INDIAN AFFAIRS, DEPARTMENT OF THE INTERIOR TRIBAL GOVERNMENT INDIAN CHILD PROTECTION AND FAMILY VIOLENCE PREVENTION Indian Child Protection and Family Violence Prevention Program § 63.31 Can both the Bureau...

  16. 25 CFR 63.31 - Can both the Bureau of Indian Affairs and tribes operate Indian child protection and family...

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... Indian child protection and family violence prevention programs? 63.31 Section 63.31 Indians BUREAU OF INDIAN AFFAIRS, DEPARTMENT OF THE INTERIOR TRIBAL GOVERNMENT INDIAN CHILD PROTECTION AND FAMILY VIOLENCE PREVENTION Indian Child Protection and Family Violence Prevention Program § 63.31 Can both the Bureau...

  17. 25 CFR 63.31 - Can both the Bureau of Indian Affairs and tribes operate Indian child protection and family...

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... Indian child protection and family violence prevention programs? 63.31 Section 63.31 Indians BUREAU OF INDIAN AFFAIRS, DEPARTMENT OF THE INTERIOR TRIBAL GOVERNMENT INDIAN CHILD PROTECTION AND FAMILY VIOLENCE PREVENTION Indian Child Protection and Family Violence Prevention Program § 63.31 Can both the Bureau...

  18. Gray cases of child abuse: Investigating factors associated with uncertainty.

    PubMed

    Chaiyachati, Barbara H; Asnes, Andrea G; Moles, Rebecca L; Schaeffer, Paula; Leventhal, John M

    2016-01-01

    Research in child abuse pediatrics has advanced clinicians' abilities to discriminate abusive from accidental injuries. Less attention, however, has been paid to cases with uncertain diagnoses. These uncertain cases - the "gray" cases between decisions of abuse and not abuse - represent a meaningful challenge in the practice of child abuse pediatricians. In this study, we describe a series of gray cases, representing 17% of 134 consecutive children who were hospitalized at a single pediatric hospital and referred to a child abuse pediatrician for concerns of possible abuse. Gray cases were defined by scores of 3, 4, or 5 on a 7-point clinical judgment scale of the likelihood of abuse. We evaluated details of the case presentation, including incident history, patient medical and developmental histories, family social histories, medical studies, and injuries from the medical record and sought to identify unique and shared characteristics compared with abuse and accidental cases. Overall, the gray cases had incident histories that were ambiguous, medical and social histories that were more similar to abuse cases, and injuries that were similar to accidental injuries. Thus, the lack of clarity in these cases was not attributable to any single element of the incident, history, or injury. Gray cases represent a clinical challenge in child abuse pediatrics and deserve continued attention in research. PMID:26615776

  19. Gray cases of child abuse: Investigating factors associated with uncertainty.

    PubMed

    Chaiyachati, Barbara H; Asnes, Andrea G; Moles, Rebecca L; Schaeffer, Paula; Leventhal, John M

    2016-01-01

    Research in child abuse pediatrics has advanced clinicians' abilities to discriminate abusive from accidental injuries. Less attention, however, has been paid to cases with uncertain diagnoses. These uncertain cases - the "gray" cases between decisions of abuse and not abuse - represent a meaningful challenge in the practice of child abuse pediatricians. In this study, we describe a series of gray cases, representing 17% of 134 consecutive children who were hospitalized at a single pediatric hospital and referred to a child abuse pediatrician for concerns of possible abuse. Gray cases were defined by scores of 3, 4, or 5 on a 7-point clinical judgment scale of the likelihood of abuse. We evaluated details of the case presentation, including incident history, patient medical and developmental histories, family social histories, medical studies, and injuries from the medical record and sought to identify unique and shared characteristics compared with abuse and accidental cases. Overall, the gray cases had incident histories that were ambiguous, medical and social histories that were more similar to abuse cases, and injuries that were similar to accidental injuries. Thus, the lack of clarity in these cases was not attributable to any single element of the incident, history, or injury. Gray cases represent a clinical challenge in child abuse pediatrics and deserve continued attention in research.

  20. Child starvation and neglect: a report of two fatal cases.

    PubMed

    Solarino, Biagio; Grattagliano, Ignazio; Catanesi, Roberto; Tsokos, Michael

    2012-04-01

    Fatal starvation is a rare cause of death in industrialised countries. In such cases, investigation of death is never an easy task for forensic pathologists who need to couple autopsy findings with full investigation of the crime scene and family record to establish if death results from deliberate neglect, maltreatment and withholding of food. The present article describes two cases of death caused by child neglect. The first case involved a 16-month-old female who died from starvation with dehydration as a contributing factor. In the second case a 7-year-old girl died from ultimate aspiration of stomach contents that had been vomited during the child's last meal because of the fecal concretions blocking the intestinal passage. In both cases macroscopic and histological findings revealed severe chronic malnutrition; crime scene investigations confirmed stories of child maltreatment and neglect. PMID:22391005

  1. Tips for Protecting Child Athletes from Sexual Abuse

    MedlinePlus

    ... 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 ...

  2. Moya moya disease in a child: a case report.

    PubMed

    Goyal, Jagdish P; Rao, Sanjeev S; Trivedi, Sangita

    2011-01-01

    We report a case of 8-year-old female child who was admitted at our hospital with complaints of transient ischemic attacks and left-sided hemiparesis. On MR angiography, the child was diagnosed to have Moya Moya disease. Moya Moya disease is a rare cause of cerebral stroke in children. The patient was treated conservatively and referred to a higher centre for specific neurosurgery. Neurosurgical revascularization process leads to favourable outcome.

  3. A Randomized Trial of Wraparound Facilitation versus Usual Child Protection Services

    ERIC Educational Resources Information Center

    Browne, Dillon T.; Puente-Duran, Sofia; Shlonsky, Aron; Thabane, Lehana; Verticchio, Dominic

    2016-01-01

    Objective: To evaluate whether the addition of a wraparound facilitator to regular child protection services improved child and family functioning over 20 months. Method: A single blind randomized controlled trial with concealment and stratification across three sites (N = 135 eligible families with substantiated maltreatment). Results: Based on 2…

  4. Children's Experiences of Domestic Violence: Developing an Integrated Response from Police and Child Protection Services

    ERIC Educational Resources Information Center

    Stanley, Nicky; Miller, Pam; Richardson Foster, Helen; Thomson, Gill

    2011-01-01

    Police notifications of incidents of domestic violence to child protection services constitute an acknowledgement of the harm that domestic violence inflicts on children. However, these notifications represent a substantial demand on child welfare services and the outcomes for children and victims of domestic violence have been questioned. This…

  5. Describing Maltreatment: Do Child Protective Service Reports and Research Definitions Agree?

    ERIC Educational Resources Information Center

    Runyan, Desmond K.; Cox, Christine E.; Dubowitz, Howard; Newton, Rae R.; Upadhyaya, Mukund; Kotch, Jonathan B.; Leeb, Rebecca T.; Everson, Mark D.; Knight, Elizabeth D.

    2005-01-01

    Objective: The National Research Council identified inadequate research definitions for abuse and neglect as barriers to research in child maltreatment. We examine the concordance between child protective services (CPS) classifications of maltreatment type with the determinations of type from two research coding systems. We contrast the two coding…

  6. Protective Longitudinal Paths Linking Child Competence to Behavioral Problems among African American Siblings

    ERIC Educational Resources Information Center

    Brody, Gene H.; Kim, Sooyeon; Murry, Velma McBride; Brown, Anita C.

    2004-01-01

    A 4-wave longitudinal design was used to examine protective links from child competence to behavioral problems in first- (M=10.97 years) and second- (M=8.27 years) born rural African American children. At 1-year intervals, teachers assessed child behavioral problems, mothers reported their psychological functioning, and both mothers and children…

  7. What Criteria Do Child Protective Services Investigators Use to Substantiate Exposure to Domestic Violence?

    ERIC Educational Resources Information Center

    Coohey, Carol

    2007-01-01

    The primary purpose of this study is to determine whether child protective services investigators apply a recognizable set of criteria to substantiate batterers and victims of battering for exposing their children to domestic violence. Although domestic violence occurred in 35% of the 1,248 substantiated incidents of child maltreatment, only 31…

  8. Children at Risk of Neglect: Challenges Faced by Child Protection Practitioners in Guatemala City

    ERIC Educational Resources Information Center

    Coope, Caroline M.; Theobald, Sally

    2006-01-01

    Objectives: The objectives were to (1) delineate the definition, common forms, and perceived risk factors contributing to child neglect in Guatemala from the perspective of different stakeholders and (2) identify the challenges faced by child protection practitioners in identifying children at risk of neglect within the context of Guatemala.…

  9. Effectiveness of a Parent Training Program "Incredible Years" in a Child Protection Service

    ERIC Educational Resources Information Center

    Letarte, Marie-Josee; Normandeau, Sylvie; Allard, Julie

    2010-01-01

    Objective: This study aims to evaluate the effectiveness of a parent training program in improving parenting practices, parents' feeling of self-efficacy and parents' perception of their child's behavior, implemented in a child protection service, with trained professionals from the agency acting as facilitators. Method: Thirty-five parents…

  10. Timely and Needed Perspectives on Differential Response in Child Protective Services

    ERIC Educational Resources Information Center

    Ellett, Alberta J.

    2013-01-01

    This article is an invited commentary and analysis of the authors' completed systematic evaluation of Child Protective Services (CPS) differential response (DR) models. I write this commentary based on 25 years of public child welfare experience followed by 13 years as a social work professor and researcher. In their review of DR, the…

  11. The relevance of the Goudge inquiry to the practice of child protection/forensic paediatrics.

    PubMed

    Skellern, Catherine; Donald, Terence

    2014-10-01

    In 2008 Ontario, Canada the Goudge Inquiry arose following increasing concerns about practices surrounding forensic pathology and the investigation of paediatric deaths. Some of the considerations and recommendations have relevance to child protection/forensic paediatricians, particularly in relation to their responsibilities in opinion formulation and as expert witnesses. By examining the Inquiry recommendations, this paper applies them in relation to child protection/forensic paediatrics by discussing forensic medicine and its legal context, how interpretation of published reports and data should be used in opinion formulation; issues of 'diagnosis' versus 'opinion'; issues specific to child protection paediatrics; quality control; aspects of report writing and terminological considerations. It concludes with an adaptation of key recommendations directly from those of Goudge, applied to the context of paediatric forensic medicine undertaken in child protection assessments.

  12. Reactions by Native American Parents to Child Protection Agencies: Cultural and Community Factors.

    ERIC Educational Resources Information Center

    Horejsi, Charles; And Others

    1992-01-01

    Explains characteristics and behaviors of Native American parents who react to child protection services with extreme aggressiveness, passivity, or avoidance. Discusses appropriate behaviors for social workers to use with such parents. (BG)

  13. 25 CFR 20.516 - How are child abuse, neglect or exploitation cases to be handled?

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 25 Indians 1 2010-04-01 2010-04-01 false How are child abuse, neglect or exploitation cases to be... FINANCIAL ASSISTANCE AND SOCIAL SERVICES PROGRAMS Child Assistance Foster Care § 20.516 How are child abuse, neglect or exploitation cases to be handled? Reported child abuse, neglect or exploitation cases and...

  14. Enhancing the child survival agenda to promote, protect, and support early child development.

    PubMed

    Jensen, Sarah K G; Bouhouch, Raschida R; Walson, Judd L; Daelmans, Bernadette; Bahl, Rajiv; Darmstadt, Gary L; Dua, Tarun

    2015-08-01

    High rates of child mortality and lost developmental potential in children under 5 years of age remain important challenges and drivers of inequity in the developing world. Substantive progress has been made toward Millennium Development Goal (MDG) 4 to improve child survival, but as we move into the post-2015 sustainable development agenda, much more work is needed to ensure that all children can realize their full and holistic physical, cognitive, psychological, and socio-emotional development potential. This article presents child survival and development as a continuous and multifaceted process and suggests that a life-course perspective of child development should be at the core of future policy making, programming, and research. We suggest that increased attention to child development, beyond child survival, is key to operationalize the sustainable development goals (SDGs), address inequities, build on the demographic dividend, and maximize gains in human potential. An important step toward implementation will be to increase integration of existing interventions for child survival and child development. Integrated interventions have numerous potential benefits, including optimization of resource use, potential additive impacts across multiple domains of health and development, and opportunity to realize a more holistic approach to client-centered care. However, a notable challenge to integration is the continued division between the health sector and other sectors that support child development. Despite these barriers, empirical evidence is available to suggest that successful multisectoral coordination is feasible and leads to improved short- and long-term outcomes in human, social, and economic development. PMID:26234921

  15. Enhancing the child survival agenda to promote, protect, and support early child development.

    PubMed

    Jensen, Sarah K G; Bouhouch, Raschida R; Walson, Judd L; Daelmans, Bernadette; Bahl, Rajiv; Darmstadt, Gary L; Dua, Tarun

    2015-08-01

    High rates of child mortality and lost developmental potential in children under 5 years of age remain important challenges and drivers of inequity in the developing world. Substantive progress has been made toward Millennium Development Goal (MDG) 4 to improve child survival, but as we move into the post-2015 sustainable development agenda, much more work is needed to ensure that all children can realize their full and holistic physical, cognitive, psychological, and socio-emotional development potential. This article presents child survival and development as a continuous and multifaceted process and suggests that a life-course perspective of child development should be at the core of future policy making, programming, and research. We suggest that increased attention to child development, beyond child survival, is key to operationalize the sustainable development goals (SDGs), address inequities, build on the demographic dividend, and maximize gains in human potential. An important step toward implementation will be to increase integration of existing interventions for child survival and child development. Integrated interventions have numerous potential benefits, including optimization of resource use, potential additive impacts across multiple domains of health and development, and opportunity to realize a more holistic approach to client-centered care. However, a notable challenge to integration is the continued division between the health sector and other sectors that support child development. Despite these barriers, empirical evidence is available to suggest that successful multisectoral coordination is feasible and leads to improved short- and long-term outcomes in human, social, and economic development.

  16. Child abuse: A classic case report with literature review

    PubMed Central

    Kemoli, Arthur M.; Mavindu, Mildred

    2014-01-01

    Child abuse and neglect are serious global problems and can be in the form of physical, sexual, emotional or just neglect in providing for the child's needs. These factors can leave the child with serious, long-lasting psychological damage. In the present case report, a 12-year-old orphaned boy was physically abused by a close relative who caused actual bodily and emotional trauma to the boy. After satisfactorily managing the trauma and emotional effects to the patient, in addition to the counseling services provided to the caregiver, the patient made a steady recovery. He was also referred to a child support group for social support, and prepare him together with his siblings for placement in a children's home in view of the hostile environment in which they were living. PMID:24963259

  17. Responding to abuse: Children's experiences of child protection in a central district, Uganda.

    PubMed

    Child, Jennifer Christine; Naker, Dipak; Horton, Jennifer; Walakira, Eddy Joshua; Devries, Karen M

    2014-10-01

    Part of a comprehensive response to violence against children involves child protection systems, but there are few data available on such systems in low-income countries. This study describes the characteristics and help seeking behavior of children referred to local child protection services and the quality of the first-line response in one district in Uganda. Participants included 3,706 children from 42 primary schools who participated in a baseline survey on violence as part of the Good Schools Study (NCT01678846, clinicaltrial.gov). Children who disclosed violence were referred according to predefined criteria based on the type, severity, and timeframe of their experiences. Children were followed up to 4 months after the study ended. First-line responses by receiving agencies were classified into 3 categories: plan for action only, some action taken, and no plan and no action taken. Appropriateness of responses was based on which agency responded, timeliness of the response, quality of the documentation, and final status of the case. From the baseline survey, 529 children (14%) were referred. Girls were more likely to be referred and to meet the criteria for a serious case (9% girls, 4% boys). In total, 104 referrals (20%) had some kind of concrete action taken, but only 20 (3.8%) cases met all criteria for having received an adequate response. Nearly half (43%) of referred children had ever sought help by disclosing their experiences of violence prior to the baseline survey. In our study areas, the first-line response to children's reports of abuse was poor even though some referral structures are in place.

  18. Predictors of re-entry into the child protection system in Singapore: a cumulative ecological-transactional risk model.

    PubMed

    Li, Dongdong; Chu, Chi Meng; Ng, Wei Chern; Leong, Wai

    2014-11-01

    This study examines the risk factors of re-entry for 1,750 child protection cases in Singapore using a cumulative ecological-transactional risk model. Using administrative data, the present study found that the overall percentage of Child Protection Service (CPS) re-entry in Singapore is 10.5% based on 1,750 cases, with a range from 3.9% (within 1 year) to 16.5% (within 8 years after case closure). One quarter of the re-entry cases were observed to occur within 9 months from case closure. Seventeen risk factors, as identified from the extant literature, were tested for their utility to predict CPS re-entry in this study using a series of Cox regression analyses. A final list of seven risk factors (i.e., children's age at entry, case type, case closure result, duration of case, household income, family size, and mother's employment status) was used to create a cumulative risk score. The results supported the cumulative risk model in that higher risk score is related to higher risk of CPS re-entry. Understanding the prevalence of CPS re-entry and the risk factors associated with re-entry is the key to informing practice and policy in a culturally relevant way. The results from this study could then be used to facilitate critical case management decisions in order to enhance positive outcomes of families and children in Singapore's care system.

  19. 25 CFR 63.30 - What is the purpose of the Indian child protection and family violence prevention program?

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... family violence prevention program? 63.30 Section 63.30 Indians BUREAU OF INDIAN AFFAIRS, DEPARTMENT OF THE INTERIOR TRIBAL GOVERNMENT INDIAN CHILD PROTECTION AND FAMILY VIOLENCE PREVENTION Indian Child Protection and Family Violence Prevention Program § 63.30 What is the purpose of the Indian child...

  20. 25 CFR 63.30 - What is the purpose of the Indian child protection and family violence prevention program?

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... family violence prevention program? 63.30 Section 63.30 Indians BUREAU OF INDIAN AFFAIRS, DEPARTMENT OF THE INTERIOR TRIBAL GOVERNMENT INDIAN CHILD PROTECTION AND FAMILY VIOLENCE PREVENTION Indian Child Protection and Family Violence Prevention Program § 63.30 What is the purpose of the Indian child...

  1. 25 CFR 63.30 - What is the purpose of the Indian child protection and family violence prevention program?

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... family violence prevention program? 63.30 Section 63.30 Indians BUREAU OF INDIAN AFFAIRS, DEPARTMENT OF THE INTERIOR TRIBAL GOVERNMENT INDIAN CHILD PROTECTION AND FAMILY VIOLENCE PREVENTION Indian Child Protection and Family Violence Prevention Program § 63.30 What is the purpose of the Indian child...

  2. 25 CFR 63.30 - What is the purpose of the Indian child protection and family violence prevention program?

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... family violence prevention program? 63.30 Section 63.30 Indians BUREAU OF INDIAN AFFAIRS, DEPARTMENT OF THE INTERIOR TRIBAL GOVERNMENT INDIAN CHILD PROTECTION AND FAMILY VIOLENCE PREVENTION Indian Child Protection and Family Violence Prevention Program § 63.30 What is the purpose of the Indian child...

  3. 25 CFR 63.30 - What is the purpose of the Indian child protection and family violence prevention program?

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... family violence prevention program? 63.30 Section 63.30 Indians BUREAU OF INDIAN AFFAIRS, DEPARTMENT OF THE INTERIOR TRIBAL GOVERNMENT INDIAN CHILD PROTECTION AND FAMILY VIOLENCE PREVENTION Indian Child Protection and Family Violence Prevention Program § 63.30 What is the purpose of the Indian child...

  4. Child, Caregiver, and Family Characteristics Associated with Emergency Department Use by Children Who Remain at Home after a Child Protective Services Investigation

    ERIC Educational Resources Information Center

    Schneiderman, Janet U.; Hurlburt, Michael S.; Leslie, Laurel K.; Zhang, Jinjin; Horwitz, Sarah McCue

    2012-01-01

    Objectives: To examine emergency department (ED) use among children involved with child protective services (CPS) in the US but who remain at home, and to determine if ED use is related to child, caregiver and family characteristics as well as receipt of CPS services. Method: We analyzed data on 4,001 children in the National Survey of Child and…

  5. 25 CFR 63.35 - How may Indian child protection and family violence prevention program funds be used?

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... treatment programs. (c) Develop and implement multidisciplinary child abuse investigation and prosecution...) Purchase equipment to assist in the investigation of cases of child abuse and child neglect. (f) Develop..., courts of competent jurisdiction, and related agencies to ensure investigations of child abuse cases...

  6. 25 CFR 63.35 - How may Indian child protection and family violence prevention program funds be used?

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... treatment programs. (c) Develop and implement multidisciplinary child abuse investigation and prosecution...) Purchase equipment to assist in the investigation of cases of child abuse and child neglect. (f) Develop..., courts of competent jurisdiction, and related agencies to ensure investigations of child abuse cases...

  7. 25 CFR 63.35 - How may Indian child protection and family violence prevention program funds be used?

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... treatment programs. (c) Develop and implement multidisciplinary child abuse investigation and prosecution...) Purchase equipment to assist in the investigation of cases of child abuse and child neglect. (f) Develop..., courts of competent jurisdiction, and related agencies to ensure investigations of child abuse cases...

  8. 25 CFR 63.35 - How may Indian child protection and family violence prevention program funds be used?

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... treatment programs. (c) Develop and implement multidisciplinary child abuse investigation and prosecution...) Purchase equipment to assist in the investigation of cases of child abuse and child neglect. (f) Develop..., courts of competent jurisdiction, and related agencies to ensure investigations of child abuse cases...

  9. 25 CFR 63.35 - How may Indian child protection and family violence prevention program funds be used?

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... treatment programs. (c) Develop and implement multidisciplinary child abuse investigation and prosecution...) Purchase equipment to assist in the investigation of cases of child abuse and child neglect. (f) Develop..., courts of competent jurisdiction, and related agencies to ensure investigations of child abuse cases...

  10. A Call for Field-Relevant Research about Child Forensic Interviewing for Child Protection

    ERIC Educational Resources Information Center

    Olafson, Erna

    2012-01-01

    This article reviews some sensitivity versus specificity imbalances in forensic investigations of child sexual abuse. It then proposes the development or further testing of additional approaches for those children who do not respond to the current, single-interview National Institute of Child Health and Human Development (NICHD) protocol. Although…

  11. Treatment of Concurrent Substance Dependence, Child Neglect and Domestic Violence: A Single Case Examination Involving Family Behavior Therapy

    PubMed Central

    Romero, Valerie; Allen, Daniel N.

    2012-01-01

    Although child neglect and substance abuse co-occur in greater than 60% of child protective service cases, intervention outcome studies are deplorably lacking. Therefore, a home-based Family Behavior Therapy is described in the treatment of a woman evidencing child neglect, substance dependence, domestic violence and other co-occurring problems. Treatment included contingency management, self control, stimulus control, communication and child management skills training exercises, and financial management components. Results indicated improvements in child abuse potential, home hazards, domestic violence, and drug use, which were substantiated by objective urinalysis testing, and tours of her home. Validity checks indicated the participant was being truthful in her responses to standardized questionnaires, and assessors were “blind” to study intent. Limitations (i.e., lack of experimental control and follow-up data collection) of this case example are discussed in light of these results. PMID:23226920

  12. Fractures in children younger than age 1 year: importance of collaboration with child protection services.

    PubMed

    Banaszkiewicz, Paul A; Scotland, Thomas R; Myerscough, Elizabeth J

    2002-01-01

    The medical records of all children less than 1 year of age presenting to the Accident and Emergency Department over a 5-year period (1995-1999) with a fracture were retrospectively reviewed for possible abuse. Seventy-four children presented with fractures during the study period, with a mean age at presentation of 5 months (range 2 weeks to 1 year). Of these children, 46 had skull fractures and 28 had long bone fractures. Children were classified into one of seven categories: definite abuse, likely abuse, suspicious, likely accident, definite accident, neglect, or unknown cause. A three-tier system of grading for possible abuse was then used to analyze variance. The first tier consisted of the initial assessment by staff clinicians, the second retrospectively by an orthopaedic registrar, and the third retrospectively by a designated doctor in child protection (consultant pediatrician), all using the same information from the case notes. The use of the three-tier system of grading demonstrated a variance in the diagnosis of nonaccidental injury. The possibility of abuse was underestimated at the time of the original injury in over a quarter of cases (28.4%) when compared with the assessment by the consultant pediatrician. In 34 children (46%), there was no written documentation that nonaccidental injury was ever considered. While management depends on local guidelines and arrangements, the authors would advise that all children under 1 year of age with a fracture should be admitted to the hospital and referred to a pediatrician for child protection assessment. PMID:12409899

  13. Investigation laws and practices in child protective services.

    PubMed

    Kopels, Sandra; Charlton, Taliah; Wells, Susan J

    2003-01-01

    This study was triggered by the experience of one state agency when a state audit found that its investigation response and completion rates of child abuse and neglect reports did not reach 100%. At compliance rates of 99.6% and 97.58%, respectively, the auditors and news media reported a lack of compliance by the state child welfare agency. This article reviews the approaches legislatures and agencies have used to address and resolve problems of ensuring agency responsiveness without setting standards and expectations that are impossible to meet. PMID:14736029

  14. Transitional Probability Analysis of Two Child Behavior Analytic Therapy Cases

    ERIC Educational Resources Information Center

    Xavier, Rodrigo Nunes; Kanter, Jonathan William; Meyer, Sonia Beatriz

    2012-01-01

    This paper aimed to highlight the process of therapist direct contingent responding to shape client behavior in two Child Behavior Analytic Therapy (CBAT) cases using transitional probabilities. The Functional Analytic Psychotherapy Rating Scale (FAPRS) was used to code client behaviors and the Multidimensional System for Coding Behaviors in…

  15. Solution-Focused Interviewing with Child Protective Services Clients.

    ERIC Educational Resources Information Center

    Corcoran, Jacqueline

    1999-01-01

    Discusses the use of a solution-focused approach by child welfare workers to interviewing children and families in crisis and risk situations. Notes that this practice accepts a systemic view, acknowledging the importance of context on people and their problems; holds a belief in client self-determination; and indicates respect for individuals.…

  16. Protecting Our Own. Community Child Passenger Safety Programs.

    ERIC Educational Resources Information Center

    National Highway Traffic Safety Administration (DOT), Washington, DC.

    This manual provides information on implementing a local child passenger safety program. It covers understanding the problems and solutions; deciding what can be done; planning and carrying out a project; providing adequate, accurate, and current technical information; and reaching additional sources of information. Chapter 1 provides community…

  17. Creating Community Responsibility for Child Protection: Possibilities and Challenges

    ERIC Educational Resources Information Center

    Daro, Deborah; Dodge, Kenneth A.

    2009-01-01

    Deborah Daro and Kenneth Dodge observe that efforts to prevent child abuse have historically focused on directly improving the skills of parents who are at risk for or engaged in maltreatment. But, as experts increasingly recognize that negative forces within a community can overwhelm even well-intentioned parents, attention is shifting toward…

  18. Mothers' strategies for protecting children from batterers: the perspectives of battered women involved in child protective services.

    PubMed

    Haight, Wendy L; Shim, Woochan S; Linn, Linda M; Swinford, Laura

    2007-01-01

    During in-depth, individual interviews, seventeen battered women involved in the public child welfare system discussed the effects of domestic violence on their children, and their strategies for protecting and supporting them. Most mothers articulated the detrimental effects of domestic violence on their children and coherent strategies to protect them physically, but described difficulties supporting young children psychologically. Collectively, mothers reported a number of apparently useful strategies for supporting children's psychological resilience. Implications for intervention are discussed.

  19. The Development and Validation of the Protective Factors Survey: A Self-Report Measure of Protective Factors against Child Maltreatment

    ERIC Educational Resources Information Center

    Counts, Jacqueline M.; Buffington, Elenor S.; Chang-Rios, Karin; Rasmussen, Heather N.; Preacher, Kristopher J.

    2010-01-01

    Objective: The objective of this study was to evaluate the internal structure of a self-report measure of multiple family-level protective factors against abuse and neglect and explore the relationship of this instrument to other measures of child maltreatment. Methods: For the exploratory factor analysis, 11 agencies from 4 states administered…

  20. The White Mountain Apache Child Protection Service Training Curriculum. Nohwii Chaghashe Baa da gontzaa (Protect Our Apache Children).

    ERIC Educational Resources Information Center

    Gonzalez-Santin, Edwin, Comp.

    This curriculum manual provides 8 days of training for child protective services (CPS) personnel (social workers and administrators) working in the White Mountain Apache tribal community. Each of the first seven units in the manual contains a brief description of contents, course objectives, time required, key concepts, possible discussion topics,…

  1. Mothers' Strategies for Protecting Children from Batterers: The Perspectives of Battered Women Involved in Child Protective Services

    ERIC Educational Resources Information Center

    Haight, Wendy L.; Shim, Woochan S.; Linn, Linda M.; Swinford, Laura

    2007-01-01

    During in-depth, individual interviews, seventeen battered women involved in the public child welfare system discussed the effects of domestic violence on their children, and their strategies for protecting and supporting them. Most mothers articulated the detrimental effects of domestic violence on their children and coherent strategies to…

  2. Child Maltreatment

    PubMed Central

    Al-Saadoon, Muna; Al-Sharbati, Marwan; Nour, Ibtisam El; Al-Said, Basma

    2012-01-01

    Child maltreatment (CM) is common worldwide, and can take many forms. It may even endanger the child’s life, especially when younger children are the victims. CM affects the child’s quality of life and consequently leads to long term issues to be dealt with by the child, family and community. This case series discusses six children who have been subjected to CM, and diagnosed by the child protection team of the departments of Child Health and Behavioural Medicine at Sultan Qaboos University Hospital (SQUH), Oman. The aim of this case series is to increase the level of awareness of CM among Oman’s medical professionals and to highlight the difficulties encountered in diagnosing and providing optimal care for these children. Although treatment is provided in Oman’s health care system, it is clear that there are gaps in the existing system which affect the quality of child protection services provided to the children and their families. PMID:22375265

  3. Parental Emotion Coaching and Child Emotion Regulation as Protective Factors for Children with Oppositional Defiant Disorder

    PubMed Central

    Dunsmore, Julie C.; Booker, Jordan A.; Ollendick, Thomas H.

    2012-01-01

    We assessed linkages of mothers’ emotion coaching and children’s emotion regulation and emotion lability/negativity with children’s adjustment in 72 mother-child dyads seeking treatment for Oppositional Defiant Disorder (ODD). Dyads completed questionnaires and discussed emotion-related family events. Maternal emotion coaching was associated with children’s emotion regulation, which in turn was related to higher mother-reported adaptive skills, higher child-reported internalizing symptoms, and lower child-reported adjustment. When children were high in emotion lability/negativity, mothers’ emotion coaching was associated with lower mother and child reports of externalizing behavior. Results suggest the role of emotion regulation and emotion lability in child awareness of socio-emotional problems and support the potential of maternal emotion coaching as a protective factor for children with ODD, especially for those high in emotion lability. PMID:24187441

  4. Parental Emotion Coaching and Child Emotion Regulation as Protective Factors for Children with Oppositional Defiant Disorder.

    PubMed

    Dunsmore, Julie C; Booker, Jordan A; Ollendick, Thomas H

    2013-08-01

    We assessed linkages of mothers' emotion coaching and children's emotion regulation and emotion lability/negativity with children's adjustment in 72 mother-child dyads seeking treatment for Oppositional Defiant Disorder (ODD). Dyads completed questionnaires and discussed emotion-related family events. Maternal emotion coaching was associated with children's emotion regulation, which in turn was related to higher mother-reported adaptive skills, higher child-reported internalizing symptoms, and lower child-reported adjustment. When children were high in emotion lability/negativity, mothers' emotion coaching was associated with lower mother and child reports of externalizing behavior. Results suggest the role of emotion regulation and emotion lability in child awareness of socio-emotional problems and support the potential of maternal emotion coaching as a protective factor for children with ODD, especially for those high in emotion lability.

  5. Child Survivor of War: A Case Study

    ERIC Educational Resources Information Center

    Roysircar, Gargi

    2004-01-01

    This article examines the history of a Bosnian survivor of war living in the U.S. using the extended case method. Clinical issues related to acculturative stress, posttraumatic stress disorder, and identity are analyzed. Suggested treatment includes existential therapy and its cognitive--behavioral applications, didactic education on trauma,…

  6. Diphenhydramine toxicity in a child with varicella. A case report.

    PubMed

    McGann, K P; Pribanich, S; Graham, J A; Browning, D G

    1992-08-01

    Varicella may be associated with serious complications including encephalitis, Reye's syndrome, and drug toxicity. In this case, a 19-month-old child with varicella was brought to the family practice clinic by her parents when she began behaving abnormally. At the time of presentation the child exhibited dilated pupils, ataxia, urinary retention, and facial grimacing. The child's parents had treated her with acetaminophen, diphenhydramine syrup, colloidal oatmeal baths, and frequent applications of Caladryl lotion. The results of her immediate laboratory tests were within normal limits, and she was admitted to the hospital for observation. She recovered without therapeutic intervention. Although not available at the time of admission to the hospital, her diphenhydramine serum level was 1948 ng/mL. Diphenhydramine levels above 100 ng/mL have been associated with toxicity.

  7. Implementing scientific evidence to improve the quality of Child Protection.

    PubMed

    Cowley, Laura; Tempest, Vanessa; Maguire, Sabine; Mann, Mala; Naughton, Aideen; Wain, Laura; Kemp, Alison

    2013-01-01

    In contrast to other areas of medical practice, there was a lack of a clear, concise and accessible synthesis of scientific literature to aid the recognition and investigation of suspected child abuse, and no national training program or evidence based guidelines for clinicians. The project's aim was to identify the current scientific evidence for the recognition and investigation of suspected child abuse and neglect and to disseminate and introduce this into clinical practice. Since 2003 a comprehensive program of Systematic Reviews of all aspects of physical abuse, emotional abuse, and neglect of children, has been developed. Based on NHS Centre for Reviews and Dissemination standards, methodology was devised and reviewers trained. Dissemination was via peer reviewed publications, a series of leaflets highlighting key points in a Question and Answer format, and a website. To date, 21 systematic reviews have been completed, generating 28 peer reviewed publications, and six leaflets around each theme (eg fractures, bruising). More than 250,000 have been distributed to date. Our website generates more than 10,000 hits monthly. It hosts primary reviews that are updated annually, links to all included studies, publications, and detailed methodology. The reviews have directly informed five national clinical guidelines, and the first evidence based training in Child Maltreatment. Child abuse is every health practitioner's responsibility, and it is vital that the decisions made are evidence based, as it is expected in all other fields of medicine. Although challenging, this project demonstrates that it is possible to conduct high quality systematic reviews in this field. For the first time a clear concise synthesis of up to date scientific evidence is available to all practitioners in a range of accessible formats. This has underpinned high quality national guidance and training programs. It ensures all professionals have the appropriate knowledge base in this difficult

  8. Differentiating between child protection and family support in the Canadian child welfare system's response to intimate partner violence, corporal punishment, and child neglect.

    PubMed

    Trocmé, Nico; Fallon, Barbara; Sinha, Vandna; Van Wert, Melissa; Kozlowski, Anna; Maclaurin, Bruce

    2013-01-01

    Rates of reported child maltreatment nearly doubled in Canada over the period 1998-2003, an increase that reflects growing awareness of the harmful effects of an expanding array of parental behaviors, including corporal punishment, lack of supervision, and exposure to intimate partner violence (IPV). Some of these situations may benefit from voluntary family support programs outside of the child welfare system. Analyzing a sample of 11,807 investigations, this paper compares cases where the sole concern is exposure to IPV, or hitting a child, or neglect, or other forms of investigated maltreatment. Situations where exposure to IPV or potentially abusive hitting were the sole reason for investigation presented with fewer risk factors and were less likely to lead to ongoing child welfare interventions compared to other maltreatment investigations. While situations involving alleged neglect presented a higher risk profile and elicited a more intensive child welfare response than did exposure to IPV or hitting, opportunities for alternative services were nevertheless identified. The study also found that visible minority families were overrepresented in cases involving hitting and that Aboriginal families were overrepresented in cases involving neglect. Overall the findings support the development of alternative response programs in Canada.

  9. Practices Changes in the Child Protection System to Address the Needs of Parents With Cognitive Disabilities

    PubMed Central

    Azar, Sandra T.; Maggi, Mirella C.; Proctor, Stephon Nathanial

    2016-01-01

    Parents with cognitive disabilities (PCD) are over-represented in the child protection system. However, the current state of the child protection system is not well prepared for working with them. Biases that exist against their parenting, the need for accommodations in assessment and intervention practices, and specific training in staff and cross systems barriers need to be addressed. This paper argues for changes that will ensure such parents are more effectively served and that child protection staff and contract providers are better equipped to work with them. Specific changes are discussed in assessment and intervention practices. These changes will require human capacity building and organizational restructuring. Although empirically based behavioral approaches with PCD will be emphasized, recent empirical work suggests that social information processing and neurocognitive problems occur in PCD. Approaches to working with such problems are emerging and must also be considered and integrated into a blueprint for change. PMID:27610050

  10. Practices Changes in the Child Protection System to Address the Needs of Parents With Cognitive Disabilities

    PubMed Central

    Azar, Sandra T.; Maggi, Mirella C.; Proctor, Stephon Nathanial

    2016-01-01

    Parents with cognitive disabilities (PCD) are over-represented in the child protection system. However, the current state of the child protection system is not well prepared for working with them. Biases that exist against their parenting, the need for accommodations in assessment and intervention practices, and specific training in staff and cross systems barriers need to be addressed. This paper argues for changes that will ensure such parents are more effectively served and that child protection staff and contract providers are better equipped to work with them. Specific changes are discussed in assessment and intervention practices. These changes will require human capacity building and organizational restructuring. Although empirically based behavioral approaches with PCD will be emphasized, recent empirical work suggests that social information processing and neurocognitive problems occur in PCD. Approaches to working with such problems are emerging and must also be considered and integrated into a blueprint for change.

  11. Bilateral Femoral Neck Stress Fracture in Child: A Case Report

    PubMed Central

    Lee, Gun-Woo; Yoon, Taek-Rim; Eshnazarovich, Eshnazarov Kamolhuja

    2016-01-01

    A femoral neck stress fracture in child is rare, particularly in bilateral case. It is easy to miss initially or may be misdiagnosed. The authors experienced a case of bilateral femoral neck stress fracture in a 10-year-old boy with bilateral hip. The patient was successfully healed by conservative treatment. We report this rare case with a review of the literature. A femoral neck stress fracture should be included in the differential diagnosis in children who present with sustained hip or groin pain. PMID:27777920

  12. A Global Investigation of Child Labor: Case Studies from India, Uganda, and the United States.

    ERIC Educational Resources Information Center

    Lai, Selena

    This curriculum guide was developed to help students gain a broader perspective about child labor and become more familiar with the issues, controversies, and debates that surround it. Three case studies are highlighted: (1) a street child in India; (2) child soldiers in Uganda; and (3) a migrant farm worker child in the United States. Each case…

  13. What Can We Do to Bring the Sparkle Back into This Child's Eyes? Child Rights/Community Development Principles: Key Elements for a Strengths-Based Child Protection Practice

    ERIC Educational Resources Information Center

    Young, Susan; McKenzie, Margaret; Schjelderup, Liv; Omre, Cecilie; Walker, Shayne

    2014-01-01

    Working from practice experiences, Social Work educators from Aotearoa/New Zealand, Norway and Western Australia have developed a framework for child welfare work . The framework brings together the Rights of the Child, Community Development and Child Protection. This article describes the principles and theoretical underpinnings of this…

  14. Risk, harm and intervention: the case of child obesity.

    PubMed

    Merry, Michael S; Voigt, Kristin

    2014-05-01

    In this paper we aim to demonstrate the enormous ethical complexity that is prevalent in child obesity cases. This complexity, we argue, favors a cautious approach. Against those perhaps inclined to blame neglectful parents, we argue that laying the blame for child obesity at the feet of parents is simplistic once the broader context is taken into account. We also show that parents not only enjoy important relational prerogatives worth defending, but that children, too, are beneficiaries of that relationship in ways difficult to match elsewhere. Finally, against the backdrop of growing public concern and pressure to intervene earlier in the life cycle, we examine the perhaps unintended stigmatizing effects that labeling and intervention can have and consider a number of risks and potential harms occasioned by state interventions in these cases.

  15. Cold case homicides. Investigative interviews of child witnesses.

    PubMed

    Boychuk-Spears, Tascha

    2002-12-01

    Nurses interviewing child witnesses in cold case homicide investigations face unique challenges arising from the passage of time. 2. Postevent influences must be evaluated carefully when examining children's descriptions about remote events. 3. Interview strategies that incorporate various types of developmentally appropriate tasks offer highly traumatized children the opportunity to tell their stories. 4. Although years may have passed, some children are able to provide accurate and unique details about a homicide they witnessed.

  16. A Case of Giant Right Atrial Aneurysm in a Child.

    PubMed

    Pawar, Ravindra S; Tiwari, Ashish; Suresh, P V; Raj, Vimal; Kaushik, Pradeepkumar

    2016-07-01

    Giant right atrial aneurysm is a rare entity in infants and children. It needs to be distinguished from an atrial diverticulum, which can have similar presentation. Generally, an incidental finding in children, it can present with varied symptoms. We report a case of a giant right atrial aneurysm in an asymptomatic child with a large clot in the dilated right atrium, who underwent successful resection of the atrial aneurysm. PMID:26884450

  17. Testicular Schistosomiasis Mimicking Malignancy in a Child: A Case Report.

    PubMed

    Ekenze, Sebastian O; Modekwe, Victor O; Nzegwu, Martin A; Ekpemo, Samuel C; Ezomike, Uchechukwu O

    2015-08-01

    Schistosomiasis is an important communicable disease in the developing world. However, testicular schistosomiasis is an extremely rare condition. We report a case of testicular schistosomiasis mimicking testicular tumour in a 13 year old who presented with huge unilateral testicular mass. The dilemma encountered in the diagnosis and treatment of this child is presented to highlight the need for high index of suspicion of this pathology in children with testicular mass presenting from schistosomiasis-endemic areas.

  18. Noma in an Afghani child: a case report.

    PubMed

    Barrera, Jose; Connor, Matthew P

    2012-05-01

    We present a case of Cancrum Oris, also known as Noma, in a child treated by an Otorhinolaryngologist at a United States-led Joint Forces hospital in Afghanistan. Noma is a deadly, necrotizing infection of the face that is rarely seen in wealthy nations but can cause significant morbidity in third world countries. Through a literature review, we report the incidence, risk factors, clinical features, and proposed treatment for this disease.

  19. Neighborhood-level social processes and substantiated cases of child maltreatment.

    PubMed

    Molnar, Beth E; Goerge, Robert M; Gilsanz, Paola; Hill, Andrea; Subramanian, S V; Holton, John K; Duncan, Dustin T; Beatriz, Elizabeth D; Beardslee, William R

    2016-01-01

    Child maltreatment is a preventable public health problem. Research has demonstrated that neighborhood structural factors (e.g. poverty, crime) can influence the proportion of a neighborhood's children who are victims of maltreatment. A newer strategy is the identification of potentially modifiable social processes at the neighborhood level that can also influence maltreatment. Toward this end, this study examines neighborhood-level data (maltreatment cases substantiated by Illinois' child protection agency, 1995-2005, social processes measured by the Project on Human Development in Chicago Neighborhoods, U.S. Census data, proportions of neighborhoods on public assistance, and crime data) that were linked across clusters of contiguous, relatively homogenous Chicago, IL census tracts with respect to racial/ethnic and socioeconomic composition. Our analysis-an ecological-level, repeated cross-sectional design utilizing random-intercept logit models-with a sensitivity analysis using spatial models to control for spatial autocorrelation-revealed consistent associations between neighborhood social processes and maltreatment. Neighborhoods higher in collective efficacy, intergenerational closure, and social networks, and lower in disorder had lower proportions of neglect, physical abuse, and sexual abuse substantiated cases, controlling for differences in structural factors. Higher collective efficacy and social network size also predicted a lower proportion of substance-exposed infants. This research indicates that strategies to mobilize neighborhood-level protective factors may decrease child maltreatment more effectively than individual and family-focused efforts alone.

  20. Differentiating single and multiple victim child sexual abuse cases: a research note considering social disorganization theory.

    PubMed

    Mustaine, Elizabeth Ehrhardt; Tewksbury, Richard; Corzine, Jay; Huff-Corzine, Lin

    2014-01-01

    This study examined the utility of social disorganization theory as an explanation for child sexual abuse with a focus on differentiating single and multiple victim cases. Drawing on 1,172 child sexual abuse cases (including 159 cases with multiple victims) in Orange County, Florida, from 2004 to 2006, the present study considered case characteristics and elements of social disorganization as potential predictors of child sexual abuse cases involving single and multiple victims. We found that social disorganization theory does not successfully predict the locations of multiple victim child sexual abuse incidents and is not useful for distinguishing between child sexual abuse incidents with single or multiple victims.

  1. The evolving evidence base for child protection in Chinese societies.

    PubMed

    Dunne, Michael P; Chen, Jing Qi; Wan Yuen Choo

    2008-01-01

    Child maltreatment is a substantial public health problem worldwide. Although extensively studied in Western countries, until recently little systematic research had been published about the situation in the world's most populous nation and ethnic diaspora. In this review, we examine trends from community-based research with Chinese young people and parents in mainland China, Hong Kong SAR, Taiwan, Singapore, and Malaysia. It is clear that many Chinese adolescents experience a substantial burden from various forms of maltreatment and the psychological and behavioral correlates are similar to those found in other cultures. However, the research reveals a large gap between this reality and Chinese adults' perceptions about emotional, physical, and sexual abuse. Comprehensive awareness programs are needed to close this information gap and thereby mobilize support for prevention and care initiatives.

  2. Exploring the spatial dynamics of alcohol outlets and Child Protective Services referrals, substantiations, and foster care entries.

    PubMed

    Freisthler, Bridget; Gruenewald, Paul J; Remer, Lillian G; Lery, Bridgette; Needell, Barbara

    2007-05-01

    Controlling for neighborhood demographic characteristics, this study examined the relationship of alcohol outlets with rates of Child Protective Services (CPS) referrals, substantiations, and foster care entries from 1998-2003 in 579 zip codes in California. Data for this panel study were analyzed using spatial random effects panel models. Zip codes with higher concentrations of off-premise alcohol outlets (e.g., convenience or liquor stores) and proportions of Black residents had higher rates of maltreatment. Higher average household size and median household income were generally related to lower child maltreatment rates. More specifically, the model derived estimates that an average decrease of one off-premise outlet per zip code would reduce total referrals to CPS in the 579 zip codes by 1,040 cases, substantiations by 180 cases, and foster care entries by 93 cases. Characteristics of adjacent zip codes also were related to maltreatment rates in local neighborhoods, indicating a spatial dynamic to this relationship. Reductions in number of alcohol outlets per zip code, particularly off-premise outlets, may result in lower rates of child maltreatment.

  3. 25 CFR 63.32 - Under what authority are Indian child protection and family violence prevention program funds...

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... family violence prevention program funds awarded? 63.32 Section 63.32 Indians BUREAU OF INDIAN AFFAIRS, DEPARTMENT OF THE INTERIOR TRIBAL GOVERNMENT INDIAN CHILD PROTECTION AND FAMILY VIOLENCE PREVENTION Indian Child Protection and Family Violence Prevention Program § 63.32 Under what authority are Indian...

  4. 25 CFR 63.32 - Under what authority are Indian child protection and family violence prevention program funds...

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... family violence prevention program funds awarded? 63.32 Section 63.32 Indians BUREAU OF INDIAN AFFAIRS, DEPARTMENT OF THE INTERIOR TRIBAL GOVERNMENT INDIAN CHILD PROTECTION AND FAMILY VIOLENCE PREVENTION Indian Child Protection and Family Violence Prevention Program § 63.32 Under what authority are Indian...

  5. 25 CFR 63.32 - Under what authority are Indian child protection and family violence prevention program funds...

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... family violence prevention program funds awarded? 63.32 Section 63.32 Indians BUREAU OF INDIAN AFFAIRS, DEPARTMENT OF THE INTERIOR TRIBAL GOVERNMENT INDIAN CHILD PROTECTION AND FAMILY VIOLENCE PREVENTION Indian Child Protection and Family Violence Prevention Program § 63.32 Under what authority are Indian...

  6. 25 CFR 63.32 - Under what authority are Indian child protection and family violence prevention program funds...

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... family violence prevention program funds awarded? 63.32 Section 63.32 Indians BUREAU OF INDIAN AFFAIRS, DEPARTMENT OF THE INTERIOR TRIBAL GOVERNMENT INDIAN CHILD PROTECTION AND FAMILY VIOLENCE PREVENTION Indian Child Protection and Family Violence Prevention Program § 63.32 Under what authority are Indian...

  7. 25 CFR 63.32 - Under what authority are Indian child protection and family violence prevention program funds...

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... family violence prevention program funds awarded? 63.32 Section 63.32 Indians BUREAU OF INDIAN AFFAIRS, DEPARTMENT OF THE INTERIOR TRIBAL GOVERNMENT INDIAN CHILD PROTECTION AND FAMILY VIOLENCE PREVENTION Indian Child Protection and Family Violence Prevention Program § 63.32 Under what authority are Indian...

  8. Participation of Primary School Pupils Who Stay at Institution of Social Services and Child Protection Dormitories in Social Science Lessons

    ERIC Educational Resources Information Center

    Guven, Sibel; Sahin Taskin, Cigdem

    2008-01-01

    This research aims to understand to what extent primary school pupils who stay at the Institution of Social Services and Child Protection dormitories participate in social science lessons. Data were obtained from pupils staying at the Institution of Social Services and Child Protection dormitories and attending primary schools in Istanbul and…

  9. Client Violence and Its Negative Impacts on Work Attitudes of Child Protection Workers Compared to Community Service Workers

    ERIC Educational Resources Information Center

    Shin, Junseob

    2011-01-01

    This study investigated the prevalence of client violence toward child protection workers and its negative impacts on the work attitudes of those workers compared with community service workers in South Korea. This study is based on the assumption that child protection workers are more vulnerable to violence than are community service workers…

  10. Child Labor in Agriculture: Changes Needed To Better Protect Health and Educational Opportunities. Report to Congressional Requesters.

    ERIC Educational Resources Information Center

    General Accounting Office, Washington, DC.

    In a response to a Congressional request, this report presents information and statistics on child labor in agriculture. Specifically, the report examines: (1) the extent and prevalence of child labor in agriculture, (2) the legislative protections available to children working in agriculture, (3) the enforcement of these protections as they apply…

  11. Violence Exposure and Adjustment in Inner-City Youth: Child and Caregiver Emotion Regulation Skill, Caregiver?Child Relationship Quality, and Neighborhood Cohesion as Protective Factor

    ERIC Educational Resources Information Center

    Kliewer, Wendy; Cunningham, Jera Nelson; Diehl, Robyn; Parrish, Katie Adams; Walker, Jean M.; Atiyeh, Cynthia; Neace, Brooke; Duncan, Larissa; Taylor, Kelli; Mejia, Roberto

    2004-01-01

    This short-term, longitudinal interview study used an ecological framework to explore protective factors within the child, the caregiver, the caregiver?child relationship, and the community that might moderate relations between community violence exposure and subsequent internalizing and externalizing adjustment problems and the different patterns…

  12. The New Welfare Law and Vulnerable Families: Implications for Child Welfare/Child Protection Systems. Children and Welfare Reform Issue Brief 3.

    ERIC Educational Resources Information Center

    Knitzer, Jane; Bernard, Stanley

    This report examines the potential impact of federal welfare legislation, Public Law 104-193, The Personal Responsibility and Work Opportunity Reconciliation Act, on vulnerable families already in or at risk of entering the child welfare/child protection systems. The report includes an overview of the challenges states face; questions for state…

  13. True and False Allegations of Child Sexual Abuse: Assessment and Case Management.

    ERIC Educational Resources Information Center

    Ney, Tara, Ed.

    This book addresses the clinical, legal, and ethical issues arising in child sexual abuse cases; the assessment and case management of allegations; research issues; and practice recommendations. Chapter titles are as follows: "Assessing Allegations in Child Sexual Abuse: An Overview" (Tara Ney); "The Nature of Allegations of Child Sexual Abuse"…

  14. The Uncelebrated Parent: Stories of Mothers with Learning Difficulties Caught in the Child Protection Net

    ERIC Educational Resources Information Center

    Booth, Tim; Booth, Wendy

    2006-01-01

    This paper presents the stories of three mothers with learning difficulties whose children have been involved in care proceedings. Drawing on the example of the legendary interviewer, Studs Terkel, the authors let the mothers describe their experiences of the child protection system in their own words. From out of their intensely personal accounts…

  15. Quality Education through Child-Friendly Schools: Resource Allocation for the Protection of Children's Rights

    ERIC Educational Resources Information Center

    Orkodashvili, Mariam

    2010-01-01

    The paper discusses the idea and purpose of Child-Friendly Schools (CFSs) initiated by the UNICEF. It analyses the implications of CFSs in terms of improving children's health and nutrition, promoting gender equality, protecting children's rights, re-defining education quality and creating positive psycho-emotional environment at schools.…

  16. Enacting Firm, Fair and Friendly Practice: A Model for Strengths-Based Child Protection Relationships?

    PubMed Central

    Oliver, Carolyn; Charles, Grant

    2016-01-01

    Strengths-based solution-focused approaches are gaining ground in statutory child protection work, but few studies have asked front line practitioners how they navigate the complex worker–client relationships such approaches require. This paper describes one component of a mixed-methods study in a large Canadian statutory child protection agency in which 225 workers described how they applied the ideas of strengths-based practice in their daily work. Interviews with twenty-four practitioners were analysed using an interpretive description approach. Only four interviewees appeared to successfully enact a version of strengths-based practice that closely mirrored those described by key strengths-based child protection theorists and was fully congruent with their mandated role. They described navigating a shifting balance of collaboration and authority in worker–client relationships based on transparency, impartial judgement, attentiveness to the worker–client interaction and the value that clients were fellow human beings. Their accounts extend current conceptualisations of the worker–client relationship in strengths-based child protection work and are congruent with current understandings of effective mandated relationships. They provide what may be a useful model to help workers understand and navigate relationships in which they must reconcile their own authority and expertise with genuine support for the authority and expertise of their clients. PMID:27559211

  17. Renata Adler Memorial Research Center for Child Welfare and Protection, Tel-Aviv University

    ERIC Educational Resources Information Center

    Ronen, Tammie

    2011-01-01

    The Renata Adler Memorial Research Center for Child Welfare and Protection operates within the Bob Shapell School of Social Work at Tel-Aviv University in Israel. The main aims of this research center are to facilitate study and knowledge about the welfare of children experiencing abuse or neglect or children at risk and to link such knowledge to…

  18. Stress Responses and Decision Making in Child Protection Workers Faced with High Conflict Situations

    ERIC Educational Resources Information Center

    LeBlanc, Vicki R.; Regehr, Cheryl; Shlonsky, Aron; Bogo, Marion

    2012-01-01

    Introduction: The assessment of children at risk of abuse and neglect is a critical societal function performed by child protection workers in situations of acute stress and conflict. Despite efforts to improve the reliability of risk assessments through standardized measures, available tools continue to rely on subjective judgment. The goal of…

  19. The Value of Family Welfare Conferencing within the Child Protection and Welfare System

    ERIC Educational Resources Information Center

    Devaney, Carmel; Byrne, Paul

    2015-01-01

    The Family Welfare Conference (FWC) is a model used within the child protection and welfare services to address concerns about the needs of children and their family's ability to respond to these needs. The FWC model operates in partnership with family members, who participate in identifying both the issues of concern and potential responses to…

  20. A Structural Equation Model of Burnout and Job Exit among Child Protective Services Workers.

    ERIC Educational Resources Information Center

    Drake, Brett; Yadama, Gautam N.

    1996-01-01

    Uses a structural equation model to examine the three elements of the Maslach Burnout Inventory (MBI)--emotional exhaustion, depersonalization, and personal accomplishment--in relation to job exit among child protective services workers over a 15-month period. The model was supported, showing the relevance of all three MBI elements of job exit.…

  1. Engaging with Families in Child Protection: Lessons from Practitioner Research in Scotland

    ERIC Educational Resources Information Center

    Gallagher, Michael; Smith, Mark; Wosu, Helen; Stewart, Jane; Hunter, Scott; Cree, Viviene E.; Wilkinson, Heather

    2011-01-01

    This paper reports findings from practitioner-led research on engagement with families in the child protection system in Scotland. Engagement is here defined in a participative sense, to mean the involvement of family members in shaping social work processes. Key findings include the importance of workers building trusting relationships; the value…

  2. A Survey of Threats and Violence Directed against Child Protection Workers in a Rural State.

    ERIC Educational Resources Information Center

    Horejsi, Charles; And Others

    1994-01-01

    Surveyed 166 child protection workers in rural Montana to determine the extent and nature of threats and actual violence they are subject to during the course of their duties. Found that 10% of workers had been pushed, shoved, or hit by clients in the previous year and that 33% received death threats from clients. (MDM)

  3. Use Positive Strategies to Protect Your Child with a Disability from Bullying

    ERIC Educational Resources Information Center

    Holmquist, Julie

    2011-01-01

    While any child can be a target of bullying, children with disabilities can be especially vulnerable. Research concerning children with disabilities and bullying indicates an increased risk for children with special needs. This article discusses how parents can help protect their children with disabilities from bullying and its devastating effects…

  4. Acute haemorrhagic oedema of infancy in a 5-week-old boy referred to the Child Protection Unit.

    PubMed

    Hawkrigg, Sharon; Johnson, Alice; Flynn, James; Thom, Graham; Wright, Helen

    2014-06-01

    We describe the case of a 5-week-old infant boy presenting with purpura and oedema to both hands and torso. He was otherwise well, with no antecedent history of illness or trauma. Laboratory investigations were within normal limits. A review by the Child Protection Unit was organised during his admission for consideration of inflicted trauma as a cause of the lesions; this was felt most unlikely. A clinical diagnosis, following a dermatology consultation, of acute haemorrhagic oedema of infancy (AHO) was made.

  5. Applying Automation to Investigations of Child Abuse. Impact Evaluation Report on the Case Decision Project (September 1, 1984, to August 31, 1986).

    ERIC Educational Resources Information Center

    Anderson, Jeffrey; And Others

    Because increased need for child protective services exceeded the Texas Department of Human Services' capacity for timely response, a 2-year Case Decision Project was implemented with the aim of applying automation to parts of the case investigation process. The project produced a Case Investigation Decision Support System with two sections: a…

  6. Maternal and family factors and child eating pathology: risk and protective relationships

    PubMed Central

    2014-01-01

    Background Previous studies have found associations between maternal and family factors and child eating disorder symptoms. However, it is not clear whether family factors predict eating disorder symptoms specifically, or relate to more general child psychopathology, of which eating disorder symptoms may be one component. This study aimed to identify maternal and family factors that may predict increases or decreases in child eating disorder symptoms over time, accounting for children’s body mass index z-scores and levels of general psychological distress. Methods Participants were 221 mother-child dyads from the Childhood Growth and Development Study, a prospective cohort study in Western Australia. Participants were assessed at baseline, 1-year follow-up and 2-year follow-up using interview and self-report measures. Children had a mean age of 10 years at baseline and 46% were male. Linear mixed models and generalised estimating equations were used to identify predictors of children’s eating disorder symptoms, with outcome variables including a global index of eating disorder psychopathology, levels of dietary restraint, levels of emotional eating, and the presence of loss of control (‘binge’) eating. Results Children of mothers with a current or past eating disorder reported significantly higher levels of global eating disorder symptoms and emotional eating than other children, and mothers with a current or past eating disorder reported significantly more concern about their children’s weight than other mothers. Maternal concern about child weight, rather than maternal eating disorder symptoms, was significant in predicting child eating disorder symptoms over time. Family exposure to stress and low maternal education were additional risk factors for eating disorder symptoms, whilst child-reported family satisfaction was a protective factor. Conclusions After adjusting for relevant confounding variables, maternal concern about child weight, children

  7. Academic Failure and Child-to-Parent Violence: Family Protective Factors

    PubMed Central

    Ibabe, Izaskun

    2016-01-01

    A reduction in academic achievement over the course of adolescence has been observed. School failure is characterized by difficulties to teaching school goals. A variety of other behavioral problems are often associated with school failure. Child-to-parent violence has been associated with different school problems. The main objective of current study was to examine the contribution of family variables (parental education level, family cohesion, and positive family discipline) on academic failure and child-to-parent violence of adolescents from a community sample. Moreover, a goal was to explore if academic failure was a valid predictor of child-to-parent violence. To this end, it has been developed a comprehensive statistical model through Structural Equation Modeling (SEM). Participants were 584 children from eight secondary schools in the Basque Country (Spain) and aged between 12 and 18. Among other scales Conflict Tactics Scale and Family Environment Scale were administrated for measuring child-to-parent violence and family cohesion environment, respectively. The structural model revealed that parental education level is a relevant protective factor against academic failure. Positive family discipline (inductive discipline, supervision, and penalty) show a significant association with child-to-parent violence and academic failure. Disciplinary practices could be more efficient to prevent child-to-parent violence or school failure if children perceive a positive environment in their home. However, these findings could be explained by inverse causality, because some parents respond to child-to-parent violence or academic failure with disciplinary strategies. School failure had indirect effects on child-to-parent violence through family cohesion. For all that, education policies should focus on parental education courses for disadvantaged families in order to generate appropriate learning environments at home and to foster improvement of parent-child

  8. Protecting the unborn -- reducing mother-to-child transmission.

    PubMed

    Tapper, A

    1998-02-01

    HIV is transmitted to a child during pregnancy, at birth, or through the mother's milk during infancy. Since the beginning of the HIV/AIDS epidemic, 3.8 million children are estimated to have become infected with HIV and 2.7 million have died. More than 9% acquired HIV through their HIV-positive mothers and in 1997, 1600 children were infected daily. Since many women in developing countries do not have access to clean water, it is unsafe for them to bottle feed. As such, HIV-infected women in such settings have been encouraged to breast feed their infants despite the risk of perinatal HIV transmission. The most recent research, however, indicates that 10-25% of fetal/infant HIV infections occur intrauterine, 60-75% during delivery, and 20-40% postpartum. It is estimated that breast feeding increases the risk of infection by 5-40%. These findings have led the principal administrator of the European Union's HIV/AIDS program and other health experts to recommend that children be weaned from breast feeding at 4-6 months, a change from existing breast feeding guidelines. As several trials end in the near future, important results are expected in 1998 on how to prevent perinatal HIV transmission. The ethics of involving pregnant women in Africa and Asia in clinical trials to reduce perinatal HIV transmission and vitamin A supplements and vaginal lavages are discussed. PMID:12293285

  9. Protecting the unborn -- reducing mother-to-child transmission.

    PubMed

    Tapper, A

    1998-02-01

    HIV is transmitted to a child during pregnancy, at birth, or through the mother's milk during infancy. Since the beginning of the HIV/AIDS epidemic, 3.8 million children are estimated to have become infected with HIV and 2.7 million have died. More than 9% acquired HIV through their HIV-positive mothers and in 1997, 1600 children were infected daily. Since many women in developing countries do not have access to clean water, it is unsafe for them to bottle feed. As such, HIV-infected women in such settings have been encouraged to breast feed their infants despite the risk of perinatal HIV transmission. The most recent research, however, indicates that 10-25% of fetal/infant HIV infections occur intrauterine, 60-75% during delivery, and 20-40% postpartum. It is estimated that breast feeding increases the risk of infection by 5-40%. These findings have led the principal administrator of the European Union's HIV/AIDS program and other health experts to recommend that children be weaned from breast feeding at 4-6 months, a change from existing breast feeding guidelines. As several trials end in the near future, important results are expected in 1998 on how to prevent perinatal HIV transmission. The ethics of involving pregnant women in Africa and Asia in clinical trials to reduce perinatal HIV transmission and vitamin A supplements and vaginal lavages are discussed.

  10. Peter Heller's a Child Analysis with Anna Freud: the significance of the case for the history of child psychoanalysis.

    PubMed

    Midgley, Nick

    2012-02-01

    A Child Analysis with Anna Freud, a collection of Anna Freud's detailed case notes of her treatment of the young Peter Heller between 1929 and 1932, was first published in English in 1990. Not only does this work give us direct access to Anna Freud's ways of thinking and working at a crucial period in the early history of child analysis; it is also one of the few records of an adult reflecting in depth on the experience of being in analysis as a child. Yet to date this work has received little attention in the psychoanalytic literature. In an attempt to redress this neglect, the Heller case study is placed in the context of Anna Freud's emerging ideas about child analysis. In particular, its significance in the development of her psychoanalytic thinking is investigated in the light of her 1927 book, The Technique of Child Analysis.

  11. Familial Influences on Recantation in Substantiated Child Sexual Abuse Cases.

    PubMed

    Malloy, Lindsay C; Mugno, Allison P; Rivard, Jillian R; Lyon, Thomas D; Quas, Jodi A

    2016-08-01

    The underlying reasons for recantation in children's disclosure of child sexual abuse (CSA) have been debated in recent years. In the present study, we examined the largest sample of substantiated CSA cases involving recantations to date (n = 58 cases). We specifically matched those cases to 58 nonrecanters on key variables found to predict recantation in prior research (i.e., child age, alleged parent figure perpetrator, and caregiver unsupportiveness). Bivariate analyses revealed that children were less likely to recant when they were (1) initially removed from home postdisclosure and (2) initially separated from siblings postdisclosure. Multivariate analyses revealed that children were less likely to recant when family members (other than the nonoffending caregiver) expressed belief in the children's allegations and more likely to recant when family members (other than the nonoffending caregiver) expressed disbelief in the allegations and when visitations with the alleged perpetrator were recommended at their first hearing. Results have implications for understanding the complex ways in which social processes may motivate some children to retract previous reports of sexual abuse. PMID:27234520

  12. Jaguar attack on a child: case report and literature review.

    PubMed

    Iserson, Kenneth V; Francis, Adama M

    2015-03-01

    Jaguar attacks on humans rarely occur in the wild. When they do, they are often fatal. We describe a jaguar attack on a three-year-old girl near her home deep in a remote area of the Guyanese jungle. The patient had a complex but, relatively, rapid transport to a medical treatment facility for her life-threatening injuries. The child, who suffered typical jaguar-inflicted injury patterns and survived, is highlighted. We review jaguar anatomy, environmental status, hunting and killing behaviors, and discuss optimal medical management, given the resource-limited treatment environment of this international emergency medicine case.

  13. Jaguar Attack on a Child: Case Report and Literature Review

    PubMed Central

    Iserson, Kenneth V.; Francis, Adama M.

    2015-01-01

    Jaguar attacks on humans rarely occur in the wild. When they do, they are often fatal. We describe a jaguar attack on a three-year-old girl near her home deep in a remote area of the Guyanese jungle. The patient had a complex but, relatively, rapid transport to a medical treatment facility for her life-threatening injuries. The child, who suffered typical jaguar-inflicted injury patterns and survived, is highlighted. We review jaguar anatomy, environmental status, hunting and killing behaviors, and discuss optimal medical management, given the resource-limited treatment environment of this international emergency medicine case. PMID:25834674

  14. 25 CFR 63.13 - What does the Indian Child Protection and Family Violence Prevention Act require of the Bureau of...

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... 25 Indians 1 2014-04-01 2014-04-01 false What does the Indian Child Protection and Family Violence... GOVERNMENT INDIAN CHILD PROTECTION AND FAMILY VIOLENCE PREVENTION Minimum Standards of Character and Suitability for Employment § 63.13 What does the Indian Child Protection and Family Violence Prevention...

  15. 25 CFR 63.13 - What does the Indian Child Protection and Family Violence Prevention Act require of the Bureau of...

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 25 Indians 1 2010-04-01 2010-04-01 false What does the Indian Child Protection and Family Violence... GOVERNMENT INDIAN CHILD PROTECTION AND FAMILY VIOLENCE PREVENTION Minimum Standards of Character and Suitability for Employment § 63.13 What does the Indian Child Protection and Family Violence Prevention...

  16. 25 CFR 63.13 - What does the Indian Child Protection and Family Violence Prevention Act require of the Bureau of...

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... 25 Indians 1 2012-04-01 2011-04-01 true What does the Indian Child Protection and Family Violence... GOVERNMENT INDIAN CHILD PROTECTION AND FAMILY VIOLENCE PREVENTION Minimum Standards of Character and Suitability for Employment § 63.13 What does the Indian Child Protection and Family Violence Prevention...

  17. 25 CFR 63.13 - What does the Indian Child Protection and Family Violence Prevention Act require of the Bureau of...

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 25 Indians 1 2011-04-01 2011-04-01 false What does the Indian Child Protection and Family Violence... GOVERNMENT INDIAN CHILD PROTECTION AND FAMILY VIOLENCE PREVENTION Minimum Standards of Character and Suitability for Employment § 63.13 What does the Indian Child Protection and Family Violence Prevention...

  18. 25 CFR 63.13 - What does the Indian Child Protection and Family Violence Prevention Act require of the Bureau of...

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... 25 Indians 1 2013-04-01 2013-04-01 false What does the Indian Child Protection and Family Violence... GOVERNMENT INDIAN CHILD PROTECTION AND FAMILY VIOLENCE PREVENTION Minimum Standards of Character and Suitability for Employment § 63.13 What does the Indian Child Protection and Family Violence Prevention...

  19. Child-Invented Health Education Games: A Case Study for Dengue Fever

    ERIC Educational Resources Information Center

    Lennon, Jeffrey L.; Coombs, David W.

    2006-01-01

    The study's goal was to demonstrate the ability of an 8-year-old child to create educational games for the topic of dengue fever control. A naturalistic descriptive case study method was employed. The child had two dengue fever educational game creation activities. The study demonstrated that a child could develop functional games related to…

  20. A Case Study: A Guide to Working with a Language Impaired Child.

    ERIC Educational Resources Information Center

    Sapir, Selma G.; Rainho, Sergio

    The document presents the case study of the interaction of a graduate student in traning, her supervisor, an 8 year old child with a language learning problem, and the child's mother. It involves a process which entails the careful matching of the child to tutor, the tutor to supervisor, and intensive work with the mother. It also is based on what…

  1. Neo-Conservatism and Child Care Services in Alberta: A Case Study. Occasional Paper No. 9.

    ERIC Educational Resources Information Center

    Hayden, Jacqueline

    The development and delivery of child care services in Canada has never been without controversy. This case study examines the development of the child care system in Alberta, Canada, showing how the role of the government proceeded through four distinct phases, each determining a different outcome for child care stakeholders. Power mechanisms and…

  2. Caseworker-perceived caregiver substance abuse and child protective services outcomes.

    PubMed

    Berger, Lawrence M; Slack, Kristen S; Waldfogel, Jane; Bruch, Sarah K

    2010-08-01

    The authors used data from the National Survey of Child and Adolescent Well-Being to examine associations of child protective services (CPS) caseworkers' perceptions of caregiver substance abuse with their perceptions of the severity of risk and harm a child experienced as a result of alleged maltreatment, as well as with whether a family experienced a range of CPS outcomes.The outcomes included whether the family received services from CPS, was substantiated for maltreatment, experienced child removal, and was subject to a termination of parental rights (TPR) petition. The authors also compared the magnitude of the association between caseworker-perceived caregiver substance abuse and each outcome to that of the association between other maltreatment-related risk factors and each outcome. Findings suggest that, all else equal, caseworker-perceived caregiver substance abuse is associated with increased caseworker perceptions that children have experienced severe risk and harm and also with an increased probability of each of the CPS outcomes except TPR. Moreover, these associations are equal in magnitude or larger than those between the other risk factors and the outcomes. These findings imply that CPS decisions are heavily influenced by caseworker perceptions of caregiver substance abuse, regardless of the presence of other risk factors for child maltreatment.

  3. Mediastinal mature teratoma in a child- A case report.

    PubMed

    Liew, W X; Lam, H Y; Narasimman, S; Navarasi, S; Mohd Hamzah, K

    2016-02-01

    Mediastinal teratoma is an infrequent germ cell tumour and comprises of 1 to 5% of all mediastinal tumours. We report a case of mediastinal mature teratoma in a 12 year old boy who presented to us with persistent non-productive cough, fever and dyspnoea for the past 7 months. Computed tomographic scan of thorax revealed a large anterior mediastinal mass measuring 11.2x9.9x14cm with calcification within. He subsequently underwent a median sternotomy with left subcostal extension (L-incision) and excision of tumour. Histopathology of the tumour revealed a mature cystic teratoma. We would like to report a case of successful surgical management of a large mediastinal mature teratoma in a child. PMID:27130743

  4. Self-socialization: a case study of a parachute child.

    PubMed

    Newman, Philip R; Newman, Barbara M

    2009-01-01

    The theoretical concept of self-socialization suggests that an individual is able to reflect on the self, formulate a vision of a future self, set goals, and take actions that create or alter the developmental trajectory. This case study of a parachute child illustrates how a person constructs her life from a very young age, drawing on a profound capacity for personal agency to overcome obstacles, identify resources, and internalize values to build a life structure. A model of the psychosocial process of self-socialization emerges from this case. Following the disruption of a well-defined trajectory, self-socialization is observed as a sequence of actions, reflection, correction, and new actions. Self-socialization is possible when a strong sense of self-efficacy is applied to attaining internalized values and goals.

  5. Child sexual abuse in Turkey: an analysis of 1002 cases.

    PubMed

    Aydin, Berna; Akbas, Seher; Turla, Ahmet; Dundar, Cihad; Yuce, Murat; Karabekiroglu, Koray

    2015-01-01

    This study investigated the characteristics of abuse suffered by children, the dimensions of the psychiatric effects associated with abuse, and the factors affecting these. One thousand two cases aged under 18, exposed to sexual abuse, and referred over a 7-year period were assessed. Girls represented 80.8% of cases, and the numbers rose with age. The aggressors were all male, and 88.2% were known to their victim. Approximately half the children were exposed to sexual abuse involving penetration. Psychological pathology was identified in 62.1%. Female gender, the presence of penetration, physical violence, and incest significantly increased the development of psychological pathology. Levels of awareness in people close to and trusted by the child must be raised to minimize the adverse effects of trauma in the long term, preventive measures must be taken, and medical and social support units from which victims can receive assistance need to be established.

  6. Desmoplastic fibroma of mandible in a child: case report.

    PubMed

    Sandrini, Francisco Aurelio Lucchesi; do Egito Vasconcelos, Belmiro Cavalcanti; Bessa-Nogueira, Ricardo Viana

    2007-12-01

    The aim of this report is to present a rare case of a child with a desmoplastic fibroma (DF) at the mandibular angle. This lesion commonly shows a radiolucent and radiopaque radiographic picture. Due to its aggressiveness and high recurrence rate, an early diagnosis is essential and the complete removal of the lesion is the treatment of choice. We present a case of 11-year-old boy who was referred to be treated for an growth in the left mandibular angle area, a radiolucent and radiopaque feature. After an incisional biopsy, the complete removal of the lesion was done without vascular or nerve damage of the inferior alveolar bundle and without causing mandibular discontinuity. The clinical and radiographic features suggested the diagnosis and allowed the differentiation of DF from other lesions in the maxillofacial area. However, the final diagnosis was only possible through histopathological examination.

  7. Child sexual abuse in Turkey: an analysis of 1002 cases.

    PubMed

    Aydin, Berna; Akbas, Seher; Turla, Ahmet; Dundar, Cihad; Yuce, Murat; Karabekiroglu, Koray

    2015-01-01

    This study investigated the characteristics of abuse suffered by children, the dimensions of the psychiatric effects associated with abuse, and the factors affecting these. One thousand two cases aged under 18, exposed to sexual abuse, and referred over a 7-year period were assessed. Girls represented 80.8% of cases, and the numbers rose with age. The aggressors were all male, and 88.2% were known to their victim. Approximately half the children were exposed to sexual abuse involving penetration. Psychological pathology was identified in 62.1%. Female gender, the presence of penetration, physical violence, and incest significantly increased the development of psychological pathology. Levels of awareness in people close to and trusted by the child must be raised to minimize the adverse effects of trauma in the long term, preventive measures must be taken, and medical and social support units from which victims can receive assistance need to be established. PMID:25066376

  8. Malingering-by-proxy: need for child protection and guidance for reporting.

    PubMed

    Chafetz, Michael; Dufrene, Melissa

    2014-11-01

    The feigning of disabling illness for compensation at the direction or pressure by others, which is called malingering by proxy (MBP), has been the subject of several spirited articles. Chafetz and Prentkowski (2011) suggested that MBP has the potential for real harm to the child. In a poster at the AACN scientific session in 2011, Chafetz and Binder (2011) pursued a case of MBP that showed the child had clearly suffered and failed to progress in the 6 years that had passed since she was first evaluated as an 11 year old. In the present article, we identify three cases that compare and contrast effects of MBP, illustrating that child abuse and/or neglect can be a serious and reportable consequence of MBP behavior. To illustrate how MBP behavior can cause child abuse, we compare MBP behavior with Munchausen Syndrome by Proxy (MSBP), another condition of volitional noncredible behavior produced in a vulnerable person at the direction or pressure by others. Guidance criteria for reporting MBP as child abuse/neglect are introduced in this article. PMID:25236718

  9. A Randomized Controlled Trial of Consensus-Based Child Abuse Case Management

    ERIC Educational Resources Information Center

    Goldbeck, L.; Laib-Koehnemund, A.; Fegert, J. M.

    2007-01-01

    Objective: This study evaluates the effects of expert-assisted child abuse and neglect case management in the German child welfare and healthcare system as perceived by the case workers themselves. Methods: Case workers with different professions (social workers, counselors, clinic-based and office-based psychotherapists, and physicians)…

  10. Developments in legal and medical practice regarding the unborn child and the need to expand prenatal legal protection.

    PubMed

    Dorscheidt, Jozef H H M

    2010-12-01

    Developments in legal and medical practice in the Netherlands give rise to questions regarding the legal position of the unborn child. This article provides an overview of these developments and argues--in view of developments in other countries--that current Dutch legislation regarding the unborn child is not up to date. In effect, the article challenges the idea that the actual legal protection of the unborn child under positive Dutch law can be considered proportionate, even sufficient. To support this view the author will show that abortion is not the only matter in which clarity as to the legal protection of the viable unborn child is required. This signalisation provides good cause to reconsider the Dutch perspective on the matter, thus offering a point of reference to countries with a similar interpretation of what constitutes an appropriate legal protection of the unborn child.

  11. Developments in legal and medical practice regarding the unborn child and the need to expand prenatal legal protection.

    PubMed

    Dorscheidt, Jozef H H M

    2010-12-01

    Developments in legal and medical practice in the Netherlands give rise to questions regarding the legal position of the unborn child. This article provides an overview of these developments and argues--in view of developments in other countries--that current Dutch legislation regarding the unborn child is not up to date. In effect, the article challenges the idea that the actual legal protection of the unborn child under positive Dutch law can be considered proportionate, even sufficient. To support this view the author will show that abortion is not the only matter in which clarity as to the legal protection of the viable unborn child is required. This signalisation provides good cause to reconsider the Dutch perspective on the matter, thus offering a point of reference to countries with a similar interpretation of what constitutes an appropriate legal protection of the unborn child. PMID:21133241

  12. Financing Medically-Oriented Child Protection Teams in the Age of Managed Health Care: A National Survey

    ERIC Educational Resources Information Center

    Giardino, Angelo P.; Montoya, Louise A.; Leventhal, John M.

    2004-01-01

    Objective: The direct and indirect costs to society from child maltreatment are estimated to be quite high. The costs related to medical care are of interest to professionals serving on medically-oriented child protection teams that conduct medical evaluations of alleged abuse. This study was designed to explore a number of financially related…

  13. How to Provide for Their Future: Suggestions for Parents Concerned with Providing Lifetime Protection for a Child with Mental Retardation.

    ERIC Educational Resources Information Center

    Association for Retarded Citizens, Arlington, TX.

    The booklet offers suggestions for parents concerned with providing lifetime protection for a child with mental retardation. Emphasis is placed on the interrelationship between the child's prospective needs of social and/or economic supports and the formal mechanisms which can be brought to bear on them. Four major topics are addressed: (1)…

  14. Parental Protectiveness Mediates the Association between Parent-Perceived Child Self-Efficacy and Health Outcomes in Pediatric Functional Abdominal Pain Disorder.

    PubMed

    DuPen, Melissa M; van Tilburg, Miranda A L; Langer, Shelby L; Murphy, Tasha B; Romano, Joan M; Levy, Rona L

    2016-01-01

    Previous studies have shown that parental protectiveness is associated with increased pain and disability in Functional Abdominal Pain Disorder (FAPD) but the role that perceived child self-efficacy may play remains unclear. One reason why parents may react protectively towards their child's pain is that they perceive their child to be unable to cope or function normally while in pain (perceived low self-efficacy). This study sought to examine (a) the association between parent-perceived child pain self-efficacy and child health outcomes (symptom severity and disability); and (b) the role of parental protectiveness as a mediator of this association. Participants were 316 parents of children aged 7-12 years with FAPD. Parents completed measures of perceived child self-efficacy when in pain, their own protective responses to their child's pain, child gastrointestinal (GI) symptom severity, and child functional disability. Parent-perceived child self-efficacy was inversely associated with parent-reported child GI symptom severity and disability, and parental protectiveness mediated these associations. These results suggest that parents who perceive their child to have low self-efficacy to cope with pain respond more protectively when they believe he/she is in pain, and this, in turn, is associated with higher levels of GI symptoms and disability in their child. This finding suggests that directly addressing parent beliefs about their child's ability to manage pain should be included as a component of FAPD, and potentially other child treatment interventions. PMID:27657151

  15. Child pornography possessors: trends in offender and case characteristics.

    PubMed

    Wolak, Janis; Finkelhor, David; Mitchell, Kimberly

    2011-03-01

    This article describes trends in child pornography (CP) possession cases that ended in arrest in 2000 and in 2006, using data from the National Juvenile Online Victimization Study, a two-wave longitudinal survey of a national sample of more than 2,500 U.S. law enforcement agencies. In 2006, there were an estimated 3,672 arrests for CP possession, compared with 1,713 arrests in 2000. Many characteristics of the offenders and the offense remained stable. In both 2006 and 2000, most offenders were White, non-Hispanic males and socioeconomically diverse. Few were known to have committed previous sex crimes. Most had CP that depicted preteen children and serious sexual abuse. In 2006, however, a higher proportion of offenders were aged 18 to 25 years, used peer-to-peer (p2p) networks, had images of children younger than 3 years, and had CP videos. P2p users had more extreme images (e.g., younger victims, sexual violence) and larger numbers of images than those who did not use p2p networks. Findings reflect heightened efforts in the criminal justice system to combat CP crimes. More cases originated with investigations of CP possession and involved proactive investigations aimed at detecting CP. The great majority of cases were successfully prosecuted, with more offenders sentenced to incarceration and serving longer sentences than in 2000. As in 2000, one in six cases that began with investigations of CP possession detected offenders who had molested children. PMID:21349830

  16. Child pornography possessors: trends in offender and case characteristics.

    PubMed

    Wolak, Janis; Finkelhor, David; Mitchell, Kimberly

    2011-03-01

    This article describes trends in child pornography (CP) possession cases that ended in arrest in 2000 and in 2006, using data from the National Juvenile Online Victimization Study, a two-wave longitudinal survey of a national sample of more than 2,500 U.S. law enforcement agencies. In 2006, there were an estimated 3,672 arrests for CP possession, compared with 1,713 arrests in 2000. Many characteristics of the offenders and the offense remained stable. In both 2006 and 2000, most offenders were White, non-Hispanic males and socioeconomically diverse. Few were known to have committed previous sex crimes. Most had CP that depicted preteen children and serious sexual abuse. In 2006, however, a higher proportion of offenders were aged 18 to 25 years, used peer-to-peer (p2p) networks, had images of children younger than 3 years, and had CP videos. P2p users had more extreme images (e.g., younger victims, sexual violence) and larger numbers of images than those who did not use p2p networks. Findings reflect heightened efforts in the criminal justice system to combat CP crimes. More cases originated with investigations of CP possession and involved proactive investigations aimed at detecting CP. The great majority of cases were successfully prosecuted, with more offenders sentenced to incarceration and serving longer sentences than in 2000. As in 2000, one in six cases that began with investigations of CP possession detected offenders who had molested children.

  17. A Lipskian analysis of child protection failures from Victoria Climbié to "Baby P": a street-level re-evaluation of joined-up governance.

    PubMed

    Marinetto, Michael

    2011-01-01

    This paper explores the issue of joined-up governance by considering child protection failures, firstly, the case of Victoria Climbié who was killed by her guardians despite being known as an at risk child by various public agencies. The seeming inability of the child protection system to prevent Victoria Climbié's death resulted in a public inquiry under the chairmanship of Lord Laming. The Laming report of 2003 looked, in part, to the lack of joined-up working between agencies to explain this failure to intervene and made a number of recommendations to improve joined-up governance. Using evidence from detailed testimonies given by key personnel during the Laming Inquiry, the argument of this paper is that we cannot focus exclusively on formal structures or decision-making processes but must also consider the normal, daily and informal routines of professional workers. These very same routines may inadvertently culminate in the sort of systemic failures that lead to child protection tragedies. Analysis of the micro-world inhabited by professional workers would benefit most, it is argued here, from the policy-based concept of street-level bureaucracy developed by Michael Lipsky some 30 years ago. The latter half of the paper considers child protection failures that emerged after the Laming-inspired reforms. In particular, the case of ‘Baby P’ highlights, once again, how the working practices of street-level professionals, rather than a lack of joined-up systems, may possibly complement an analysis of, and help us to explain, failures in the child protection system. A Lipskian analysis generally offers, although there are some caveats, only pessimistic conclusions about the prospects of governing authorities being able to avoid future child protection disasters. These conclusions are not wholeheartedly accepted. There exists a glimmer of optimism because street-level bureaucrats still remain accountable, but not necessarily in terms of top-down relations of

  18. Methodological challenges in following up patients of a hospital child protection team: is there a recruitment bias?

    PubMed Central

    2010-01-01

    Background The aims of this study are to describe the methodological challenges in recruiting a follow-up sample of children referred to an interdisciplinary hospital child protection team (CPT) and to compare participating versus non-participating groups on several demographic variables and maltreatment characteristics. Methods Of the 319 in- and outpatients referred to the CPT at University Children's Hospital Zurich from 2005–2006 a sample of 180 children was drawn to contact for a follow-up. The children and their parents were asked to participate in a face-to-face interview at the hospital; in 42 cases the children and parents consented to do so. Alternatively, the parents could take part in a telephone interview (n = 39). Non-participation resulted because no contact or adequate communication in German, French, or English could be established (n = 49) or because the parents or children refused to participate (n = 50). Results Participants and non-participants did not differ significantly in mean child age at follow-up, gender, family status, place of residence, certainty and type of maltreatment, and type of perpetrator. However, the child's nationality had a significant impact: Percentages of foreign nationals were higher in the fully participating group (45%; n = 19) and the non-contactable group (53%; n = 26) and significantly lower in the refusal (26%; n = 10) and the telephone interview group (18%; n = 9). Although a high percentage of families had moved in the few years since the CPT intervention (32%; n = 57), the percentage of moves was not significantly higher in non-participants compared to participants. Conclusions Further research is needed to support these results in different national backgrounds and to test for biases in variables not included – especially socioeconomic status. This includes gathering more detailed information on non-participants, while respecting ethical boundaries. Overall, the fact that only child's nationality was

  19. Bacillary angiomatosis in an immunocompetent child: the first reported case.

    PubMed

    Paul, M A; Fleischer, A B; Wieselthier, J S; White, W L

    1994-12-01

    Bacillary angiomatosis, an infectious process associated with Rochalima spp., was thought until recently to be restricted to HIV-infected or otherwise immunosuppressed patients. In 1993, bacillary angiomatosis was reported in several immunocompetent adults. An extensive literature review failed to find references to bacillary angiomatosis in immunocompetent children. We describe a 6-year-old female who presented with a single, rapidly growing, friable, erythematous papule on her neck. Histologic examination of a biopsy specimen confirmed the diagnosis of bacillary angiomatosis. The patient was otherwise healthy, and her physical examination was normal. Laboratory studies, including HIV serology, were normal. The patient was treated with six weeks of oral erythromycin without evidence of recurrence. We present and discuss the implications of the first case of bacillary angiomatosis in an immunocompetent child.

  20. Ophthalmic Rosacea: Case Report in a Child and Treatment Recommendations.

    PubMed

    Potz-Biedermann, Christiane; Mehra, Tarun; Deuter, Christoph; Zierhut, Manfred; Schaller, Martin

    2015-01-01

    We report a rare case of rosacea with ocular involvement in a child that remitted with prolonged anti-inflammatory oral tetracycline therapy and provide general expert recommendations. A 14-year-old girl presented with discrete papules and pustules on both cheeks with blepharitis and conjunctivitis. Ophthalmologic examination confirmed bilateral severe blepharitis, as well as a corneal infiltrate in the right eye with additional neovascularization. The diagnosis of rosacea with ocular involvement was made. In addition to the existing antibiotic and anti-inflammatory topical eye therapy, systemic treatment with minocycline 50 mg twice a day was started. After marked improvement, the dose was reduced to 50 mg once a day. After further amelioration, treatment was switched to maintenance therapy with 40 mg of prolonged-release doxycycline. Three years after a 12-month course of anti-inflammatory therapy, the patient remained recurrence free. PMID:25323001

  1. A window of opportunity: referral of adolescents to the hospital Child Protection Team.

    PubMed

    Glasser, Saralee; Chen, Wendy; Stoffman, Nava; Lerner-Geva, Liat

    2008-01-01

    The arrival of an adolescent at the hospital provides a window of opportunity to help those exposed to abuse or neglect, by looking beyond the presenting symptom. The Child Protection Team (CPT) assesses cases of suspected abuse or neglect (SCAN) referred by hospital staff. As adolescents pose a particular array of presentations, this study assessed their socio-demographic features and characteristics of hospitalization in order to improve procedures for identifying SCAN. The study group included all 674 referrals of 10-17-year-olds to the CPT from 1991-2007. Their files were abstracted and demographics compared to similarly-aged Emergency Department (ED) admissions. Different patterns were found by gender and age group. The youngest group (10-13 years) included a higher rate of boys than girls (47.9% vs. 27.6%), and among the oldest (16-17 years) the rate of girls was higher (31.9% vs 15.8%). Comparison with all ED admissions indicated a lower rate of younger girls and a higher rate of 14-15-year-old girls in the study group. The study group also had a higher rate of immigrants (12.8% vs. 4.7%). The most frequent reason for arrival at the hospital was suicidal behavior (30.9%). Older age was related to fewer arrivals for trauma/burn and more suicidal behavior. In 83.1% of the referrals, reports were made to welfare authorities and/or police. The suspicion in 64.2% of the referrals was emotional abuse or physical/emotional neglect; in 18.8%, physical and/or sexual abuse was suspected. The older groups had lower rates of physical and/or sexual abuse and higher rates of emotional abuse or physical/emotional neglect. This study highlights the importance of age-by-gender analysis and understanding of the differential susceptibility of early, middle and late adolescence to SCAN.

  2. Child Abuse Fatalities and Cases of Extreme Concern: Lessons from Reviews.

    ERIC Educational Resources Information Center

    Sanders, Robert; Colton, Matthew; Roberts, Susan

    1999-01-01

    A study reviewed 19 reports involving child-abuse fatality or serious child-protection concerns in Wales. Family characteristics and seven practice themes emerging from the analysis are discussed: insufficient assessment, interagency communication, responsibility, large number of professionals involved, role of general practitioners, insufficient…

  3. Girl-Child Education Outcomes: A Case Study from Ghana

    ERIC Educational Resources Information Center

    Arku, Frank S.; Angmor, Emmanuel N.; Tetteh, Isaac K.

    2014-01-01

    The importance of girl-child education is largely documented and initiatives to promote girl-child education are widespread. However, studies on service delivery methods, processes and the impacts are limited in the literature. This study assessed the Plan Ghana's girl-child educational project. According to the findings, the project has helped to…

  4. Protecting Against Intergenerational Problem Behavior: Mediational Effects of Prevented Marijuana Use on Second-Generation Parent-Child Relationships and Child Impulsivity

    PubMed Central

    Pentz, Mary Ann; Chou, Chih-Ping

    2009-01-01

    BACKGROUND The aims of the study were to identify pathways from parent marijuana use to child problem behavior and parent-child relationships, and to evaluate whether effects of an earlier prevention program delivered to parents when they themselves were early adolescents would have a protective effect on these relationships one generation later. METHODS Structural equation models were applied to the data of a second generation study of a drug abuse prevention trial. Models assessed whether there were sustained marijuana prevention effects on adults who had at least one school-age child at the end of the emerging adulthood period (age 26, N=257), and whether these effects mediated subsequent parent-child relationships and child impulsivity when parents were between the ages of 28 and 34. RESULTS Participants originally assigned to the program group used significantly less marijuana in early adulthood than did controls. In turn, parental marijuana use was positively related to child impulsivity and negatively to parental warmth, but not significantly related to parental aggression. CONCLUSIONS Results suggest both a direct relationship from parental marijuana use to child impulsivity, as well as indirect relationships through parent-child interactions. Results also strongly support a role for early adolescent prevention programs for drug use, both for participants’ own long-term benefit, as well as for the benefit of their future children. PMID:19036535

  5. The protective effect of neighborhood social cohesion in child abuse and neglect.

    PubMed

    Maguire-Jack, Kathryn; Showalter, Kathryn

    2016-02-01

    Relations between parents within a neighborhood have the potential to provide a supportive environment for healthy and positive parenting. Neighborhood social cohesion, or the mutual trust and support among neighbors, is one process through which parenting may be improved. The current study investigates the association between neighborhood social cohesion and abuse and neglect, as well as specific types of abuse and neglect. The sample for the study is comprised of 896 parents in one urban Midwestern County in the United States. Participants were recruited from Women, Infants, and Children clinics. Negative binomial regression is used to examine the association between neighborhood social cohesion and child maltreatment behaviors, as measured by the Conflict Tactics Scale, Parent-to-Child Version (Straus et al., 1998). In this sample of families, neighborhood social cohesion is associated with child neglect, but not abuse. In examining the relationship with specific types of abuse and neglect, it was found that neighborhood social cohesion may have a protective role in some acts of neglect, such as meeting a child's basic needs, but not potentially more complex needs like parental substance abuse. PMID:26774530

  6. Maternal and child posttraumatic stress disorder in cases of child maltreatment.

    PubMed

    Famularo, R; Fenton, T; Kinscherff, R; Ayoub, C; Barnum, R

    1994-01-01

    The purpose of this study was to examine the rates of posttraumatic stress disorder (PTSD) among a sample of severely maltreated children and their mothers, and to investigate the age of onset of documented maltreatment in these children. The sample consisted of 109 pairs of women and their children who were before a juvenile/family court due to maltreatment of sufficient severity to warrant removal of the child from parental custody. Children were examined using the PTSD Section of the Diagnostic Interview for Children and Adolescents, Revised 6th Version (DICA-6-R). The PTSD Module of the Structured Clinical Interview for DSM-III-R (SCID) was administered to all mothers. Clinical psychiatric interviews were also administered to all children and mothers. From the sample of 109 cases, 15.6% of the mothers met SCID criteria for a current presentation of PTSD, while 36.7% had a past history of PTSD. Of the 109 evaluated children, 35.8% met current DICA criteria for PTSD. Posttraumatic stress disorder is significantly overrepresented in the children of mothers diagnosed with PTSD (p = .001). The average age of maltreatment onset was 46.4 months among the children diagnosed as PTSD, and was 61.3 months in the group of seriously maltreated children who did not develop PTSD (p = .038). The onset of maltreatment is significantly earlier among children whose mothers meet PTSD criteria than among other maltreated children (p = .025). Intergenerational transmission of violence and developmental effects of traumatic experiences upon the young child are discussed.

  7. A stump appendicitis in a child: a case report

    PubMed Central

    2009-01-01

    Background Stump appendicitis is a delayed complication of appendectomy. It is rare and few cases reported in the paediatric literature. The authors report on another case in a child and focus on the diagnostic peculiarities of this entity. Case A 9-year-old boy with previous history of open appendectomy was admitted for a right lower quadrant pain with bilious vomiting and fever. Physical examination demonstrated tenderness in the right lower quadrant and guarding over the appendectomy scar. The white blood cell count was 23.500 cells/mm3. Plain abdominal radiograph and ultrasonography revealed fecalith localized in the right iliac fossa. The diagnosis of stump appendicitis was advocated and confirmed at laparotomy. A gangrenous and perforated appendiceal stump was found and completely removed. The post-operative course was uneventful after 18 months follow-up period. Conclusion Stump appendicitis is rare and should be considered in any patient with right lower quadrant pain even if there is a history of appendectomy. Complete removal of the appendix is the only mean to prevent the occurrence of this complication. PMID:19919712

  8. The School Counselors' Ideas on Features, Determinant and Intervention on Child Negligence and Abuse Cases

    ERIC Educational Resources Information Center

    Usakli, Hakan

    2012-01-01

    It is sad to know that many of the child negligence and child abuse cases, which are being frequently encountered in the society today, still remains unknown. This perhaps is due to lack of information on the part of the administrators, school counselors and other related bodies in the management of such cases. In this study, 50 school counselors…

  9. Missed cases of multiple forms of child abuse and neglect.

    PubMed

    Koc, Feyza; Oral, Resmiye; Butteris, Regina

    2014-01-01

    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.

  10. Religion-Related Child Maltreatment: A Profile of Cases Encountered by Legal and Social Service Agencies.

    PubMed

    Bottoms, Bette L; Goodman, Gail S; Tolou-Shams, Marina; Diviak, Kathleen R; Shaver, Phillip R

    2015-08-01

    Religion can foster, facilitate, and be used to justify child maltreatment. Yet religion-related child abuse and neglect have received little attention from social scientists. We examined 249 cases of religion-related child maltreatment reported to social service agencies, police departments, and prosecutors' offices nationwide. We focused on cases involving maltreatment perpetrated by persons with religious authority, such as ministers and priests; the withholding of medical care for religious reasons; and abusive attempts to rid a child of supposed evil. By providing a descriptive statistical profile of the major features of these cases, we illustrate how these varieties of religion-related child maltreatment occur, who the victims and perpetrators are, and how religion-related child abuse and neglect are reported and processed by the social service and criminal justice systems. We end with a call for greater research attention to these important offenses against children.

  11. Religion-Related Child Maltreatment: A Profile of Cases Encountered by Legal and Social Service Agencies.

    PubMed

    Bottoms, Bette L; Goodman, Gail S; Tolou-Shams, Marina; Diviak, Kathleen R; Shaver, Phillip R

    2015-08-01

    Religion can foster, facilitate, and be used to justify child maltreatment. Yet religion-related child abuse and neglect have received little attention from social scientists. We examined 249 cases of religion-related child maltreatment reported to social service agencies, police departments, and prosecutors' offices nationwide. We focused on cases involving maltreatment perpetrated by persons with religious authority, such as ministers and priests; the withholding of medical care for religious reasons; and abusive attempts to rid a child of supposed evil. By providing a descriptive statistical profile of the major features of these cases, we illustrate how these varieties of religion-related child maltreatment occur, who the victims and perpetrators are, and how religion-related child abuse and neglect are reported and processed by the social service and criminal justice systems. We end with a call for greater research attention to these important offenses against children. PMID:26294386

  12. Your Child's Immunizations

    MedlinePlus

    ... Things to Know About Zika & Pregnancy Your Child's Immunizations KidsHealth > For Parents > Your Child's Immunizations Print A A A Text Size What's in ... But in both cases, the protection is temporary. Immunization (vaccination) is a way of creating immunity to ...

  13. HIV and Child Mental Health: A Case-Control Study in Rwanda

    PubMed Central

    Scorza, Pamela; Kanyanganzi, Frederick; Fawzi, Mary C. Smith; Sezibera, Vincent; Cyamatare, Felix; Beardslee, William; Stulac, Sara; Bizimana, Justin I.; Stevenson, Anne; Kayiteshonga, Yvonne

    2014-01-01

    BACKGROUND: The global HIV/AIDS response has advanced in addressing the health and well-being of HIV-positive children. Although attention has been paid to children orphaned by parental AIDS, children who live with HIV-positive caregivers have received less attention. This study compares mental health problems and risk and protective factors in HIV-positive, HIV-affected (due to caregiver HIV), and HIV-unaffected children in Rwanda. METHODS: A case-control design assessed mental health, risk, and protective factors among 683 children aged 10 to 17 years at different levels of HIV exposure. A stratified random sampling strategy based on electronic medical records identified all known HIV-positive children in this age range in 2 districts in Rwanda. Lists of all same-age children in villages with an HIV-positive child were then collected and split by HIV status (HIV-positive, HIV-affected, and HIV-unaffected). One child was randomly sampled from the latter 2 groups to compare with each HIV-positive child per village. RESULTS: HIV-affected and HIV-positive children demonstrated higher levels of depression, anxiety, conduct problems, and functional impairment compared with HIV-unaffected children. HIV-affected children had significantly higher odds of depression (1.68: 95% confidence interval [CI] 1.15–2.44), anxiety (1.77: 95% CI 1.14–2.75), and conduct problems (1.59: 95% CI 1.04–2.45) compared with HIV-unaffected children, and rates of these mental health conditions were similar to HIV-positive children. These results remained significant after controlling for contextual variables. CONCLUSIONS: The mental health of HIV-affected children requires policy and programmatic responses comparable to HIV-positive children. PMID:25049342

  14. Child abduction: aged-based analyses of offender, victim, and offense characteristics in 550 cases of alleged child disappearance.

    PubMed

    Boudreaux, M C; Lord, W D; Dutra, R L

    1999-05-01

    Crimes against children, particularly cases involving abduction and/or homicide, continue to be problematic as both a social phenomenon and judicial responsibility. Such cases routinely receive immense community and media attention and rapidly overwhelm investigative resources. Research in the area of childhood victimization, however, has only recently gained national prominence. While numerous studies on child abuse and neglect have been conducted, research on child abduction and homicide remains scant. Previous studies examining child abduction suffer from limited geographical scope or fail to base predictive analyses on victim characteristics. The current study reports the results of a nationally representative sample (47 states, the District of Columbia, and Puerto Rico) of 550 cases of alleged child abduction obtained from Federal Bureau of Investigation files for the period 1985 through 1995. Study results demonstrate that both offender and offense characteristics vary significantly according to victim age, gender, and race. Such differences appear critical to crime reconstruction, criminal profiling, and investigative resolution. Additionally, these data suggest that current child abduction prevention programs may emphasize inaccurate offender traits.

  15. Case Studies of Child Play Areas and Child Support Facilities: Travel and Field Research Report.

    ERIC Educational Resources Information Center

    Cohen, Uriel; And Others

    This report describes and evaluates 50 facilities and settings for play, child care, and early childhood development. Objectives of the research were to (1) sensitize the U.S. Army to the role of the physical environment in child play, care and development; (2) comparatively document and assess a sample of both military and civilian care…

  16. Making the Case for Public-Private Child Care Partnerships: Child Care Partnership Project. [Videotape].

    ERIC Educational Resources Information Center

    Finance Project, Washington, DC.

    The quality of child care in the United States has important implications for school preparedness, welfare reform, economic vitality, and the quality of family life. In this 8-minute videotape, business leaders describe why child care makes good business sense. Visuals explain the importance of early childhood for school and life success, and the…

  17. Investigating mothers' decisions about their child's sun-protective behaviour using the Theory of Planned Behaviour.

    PubMed

    Thomson, Courtney E; White, Katherine M; Hamilton, Kyra

    2012-10-01

    This study tested the utility of the Theory of Planned Behaviour (TPB) to predict mothers' decisions to ensure their child engages in sun-protective behaviours. Mothers (N = 162) of children aged four or five years completed standard TPB items (attitude, subjective norm, perceived behavioural control, intention) and additional variables of role construction, mothers' own sun safe behaviour, planning and past behaviour. One week later, participants (N = 116) reported their behaviour. Results found support for the TPB constructs, role construction, past behaviour and the mediating role of planning. These findings can inform strategies to prevent skin cancer.

  18. Investigating mothers' decisions about their child's sun-protective behaviour using the Theory of Planned Behaviour.

    PubMed

    Thomson, Courtney E; White, Katherine M; Hamilton, Kyra

    2012-10-01

    This study tested the utility of the Theory of Planned Behaviour (TPB) to predict mothers' decisions to ensure their child engages in sun-protective behaviours. Mothers (N = 162) of children aged four or five years completed standard TPB items (attitude, subjective norm, perceived behavioural control, intention) and additional variables of role construction, mothers' own sun safe behaviour, planning and past behaviour. One week later, participants (N = 116) reported their behaviour. Results found support for the TPB constructs, role construction, past behaviour and the mediating role of planning. These findings can inform strategies to prevent skin cancer. PMID:22253324

  19. Case report: Forensic anthropological assessment in a suspected case of child abuse from South Africa.

    PubMed

    Steyn, M

    2011-05-20

    Not many case reports of suspected child abuse as assessed solely on skeletal remains are available. Forensic anthropologists have intimate knowledge of normal skeletal anatomy, bone trauma and processes of healing of bone and may therefore be of help in suspected cases of child abuse. Patterns of trauma in juvenile skeletal remains which are suggestive of abuse include fractures in different phases of healing, multiple fractures, typical fractures on ribs and long bones and severe, complicated cranial fractures. The aim of this paper is to report on the findings of the analysis of the skeletal remains of a 3.5 years old boy. Forensic pathological examination indicated that the boy had died from a massive cranial fracture, with multiple injuries present to the rest of the body. After the body had been buried for some time, it was exhumed and we were requested to look for signs of chronic, long-term abuse. Findings included a massive cranial fracture, another fracture in the roof of the orbit, two areas of non-specific subperiosteal bone growth and several untreated carious teeth. No clear healed fracture could be found, except for a possible healed cranial base fracture which stretched transversely across the petrosal bone. This area showed signs of recent bone activity. The court decided that this was not enough evidence of chronic abuse and found the accused guilty of murder but not of chronic child abuse. This case illustrates the difficulty to obtain clear signs of chronic injury on juvenile remains.

  20. Child Protective Services: Complex Challenges Require New Strategies. Report to the to the Honorable Nydia Velazquez, House of Representatives.

    ERIC Educational Resources Information Center

    General Accounting Office, Washington, DC. Health, Education, and Human Services Div.

    At the request of the U.S. House of Representatives, this study identified problems confronting child protective service (CPS) units, which affect the system's capacity to protect children from abuse and neglect. State and local responses to these problems, and opportunities for the federal government to assist in improving the system's capacity…

  1. The New UN CRC General Comment 13: "The Right of the Child to Freedom from All Forms of Violence"--Changing How the World Conceptualizes Child Protection

    ERIC Educational Resources Information Center

    Svevo-Cianci, Kimberly A.; Herczog, Maria; Krappmann, Lothar; Cook, Philip

    2011-01-01

    The UN Committee on the Rights of the Child established CRC General Comment 13 (April 2011) to address today's unabating high rates of violence against children globally despite CRC advances. GC13 provides clear interpretations and stronger detail to supplement the legal language of CRC Article 19, intended to establish protection of children from…

  2. Case Study: Investigating the Impact of the Child Development Associate Credentialing Process on Child Care Provider Performance

    ERIC Educational Resources Information Center

    McBride, Vickie

    2013-01-01

    The purpose of this case study was to investigate what impact the child development associate (CDA) credential has on the performance of childcare providers in the 6 CDA competency areas. Each participant was interviewed using 9 open-ended questions regarding their experience. Over the past few years, a number of studies have examined the effects…

  3. Where Are They Now? An Update on Defendants. Part 3--High Profile Sexual Abuse in Child Care Cases.

    ERIC Educational Resources Information Center

    Strickland, Jim

    1999-01-01

    Following up on "Child Abuse Storm Scale--Part 1" ("Child Care Information Exchange," Jan-Feb 1999) and Part 2 (Mar-Apr 1999), this article shares the current status of prominent sexual abuse in child care cases. Cases include McMartin Preschool, Fells Acres Day Care, Wee Care Nursery School (the Kelly Michaels case), Little Rascals, and Breezy…

  4. Genetic differentials of child abuse: Is your case rare or real?

    PubMed

    Shur, Natasha; Carey, John C

    2015-12-01

    The clinical geneticist can be called upon to play a role in the medical evaluation of children with clinical findings concerning for child abuse. This Introduction describes a case of suspected child abuse in an 8-month-old baby referred to clinical genetics to exclude osteogenesis imperfecta. The experience from this case raised medical and ethical considerations and prompted consideration of the role of the clinical geneticist in distinguishing rare mimics of child abuse from real cases. From this single case, and a discussion regarding similar cases, arose the idea of this issue in Seminars in Medical Genetics, Genetic Differentials of Child Abuse: Is Your Case Rare or Real? In thinking about child abuse from a clinical genetics perspective, we categorize clinical presentations into fractures, skin lesions, hemorrhage, growth disturbances, and concern for caregiver-fabricated illness (previously known as Munchausen syndrome by proxy). In this Introduction, we also discuss recent questions regarding Ehlers-Danlos syndrome and infantile fractures and concerns about caregiver-fabricated illness in the context of mitochondrial or other rare diseases. The goal is that this issue on child abuse and genetics will serve as a resource to help distinguish the rare causes from the real cases of child abuse, and those critical distinctions and correct diagnoses may be life-saving for some infants and children. PMID:26513547

  5. Arc Jet Testing of Thermal Protection Materials: 3 Case Studies

    NASA Technical Reports Server (NTRS)

    Johnson, Sylvia; Conley, Joe

    2015-01-01

    Arc jet testing is used to simulate entry to test thermal protection materials. This paper discusses the usefulness of arc jet testing for 3 cases. Case 1 is MSL and PICA, Case 2 is Advanced TUFROC, and Case 3 is conformable ablators.

  6. Sleep in the modern family: protective family routines for child and adolescent sleep

    PubMed Central

    Buxton, Orfeu M.; Chang, Anne-Marie; Spilsbury, James C.; Bos, Taylor; Emsellem, Helene; Knutson, Kristen L.

    2015-01-01

    Study objectives The overall objective of the 2014 National Sleep Foundation Sleep in America Poll “Sleep in the Modern Family” was to obtain a current picture of sleep in families with at least 1 school-aged child. Design Cross-sectional poll. Setting Internet-based interview. Participants Nationally representative Internet panel of US households with a child 6–17 years. Measurements and results Primary measures included parental perception of the importance of sleep, parental and child sleep quality, child sleep duration and habits, technology in bedroom, and family rules. Parents/guardians (n= 1103; mean age, 42; 54% female) completed the survey. Although the majority of parents endorsed the importance of sleep, 90% of children obtain less sleep than recommended. Significant predictors of age-adjusted sufficient sleep duration (estimated conservatively as ≥9 hours for ages 6–11 years and ≥8 hours for ages 12–17 years) included parent education, regular enforcement of rules about caffeine, and whether children left technology on in their bedroom overnight. Significant predictors of excellent sleep quality included whether a bedtime was always enforced and whether children left technology on overnight. Conclusions Children generally have better age-appropriate sleep in the presence of household rules and regular sleep-wake routines. Sufficient sleep quantity and adequate sleep quality were protected by well-established rules of sleep hygiene (limited caffeine and regular bedtime). In contrast, sleep deficiency was more likely to be present when parents and children had electronic devices on in the bedroom after bedtime. Public health intervention goals for sleep health might focus on reducing the encroachment of technology and media into time for sleep and supporting well-known sleep hygiene principles. PMID:26779564

  7. Traumatic Injury in a Child with Scurvy: A Case Report.

    PubMed

    Angsanuntsukh, Chanika; Chulsomlee, Kulapat; Taracheewin, Anan; Jaovisidha, Suphaneewan; Woratanarat, Thira; Woratanarat, Patarawan

    2015-09-01

    This case report aimed to describe the clinical presentation, treatments and prognosis of a child who had scurvy and traumatic injury of the left thigh. A 30-month-old boy had presented with left hip pain two weeks after falling down on the floor while walking. He developed pain, warmness of the left hip and thigh, and finally was unable to bear weight. He also had a high fever gingival hemorrhage, dental caries, petechiae, positive rolling test and limited range of motion of the left hip. The radiographs revealed Wimberger's ring and Frenkel line as scurvy. Vitamin C supplement had been prescribed for one week. However, there was no clinical response and magnetic resonance imaging (MR) suggested subperiosteal abscess as well as osteomyelitis of bilateral femurs and tibias. Debridement and biopsy of the left femur were performed and found only subperiosteal blood. A clinical improvement was noted on the second day after surgery. Vitamin C level was reported at 0.03 mg/dl which was very low. Bacterial culture was negative and the pathological findings were callus formation with hemorrhage. The patient continued the treatment for two months and all conditions were healed eventually. In severe scurvy with trauma, prolonged subperiosteal hematoma was susceptible to infection, and may need debridement simultaneously with vitamin C supplement to shorten the clinical course. PMID:26529822

  8. Traumatic Injury in a Child with Scurvy: A Case Report.

    PubMed

    Angsanuntsukh, Chanika; Chulsomlee, Kulapat; Taracheewin, Anan; Jaovisidha, Suphaneewan; Woratanarat, Thira; Woratanarat, Patarawan

    2015-09-01

    This case report aimed to describe the clinical presentation, treatments and prognosis of a child who had scurvy and traumatic injury of the left thigh. A 30-month-old boy had presented with left hip pain two weeks after falling down on the floor while walking. He developed pain, warmness of the left hip and thigh, and finally was unable to bear weight. He also had a high fever gingival hemorrhage, dental caries, petechiae, positive rolling test and limited range of motion of the left hip. The radiographs revealed Wimberger's ring and Frenkel line as scurvy. Vitamin C supplement had been prescribed for one week. However, there was no clinical response and magnetic resonance imaging (MR) suggested subperiosteal abscess as well as osteomyelitis of bilateral femurs and tibias. Debridement and biopsy of the left femur were performed and found only subperiosteal blood. A clinical improvement was noted on the second day after surgery. Vitamin C level was reported at 0.03 mg/dl which was very low. Bacterial culture was negative and the pathological findings were callus formation with hemorrhage. The patient continued the treatment for two months and all conditions were healed eventually. In severe scurvy with trauma, prolonged subperiosteal hematoma was susceptible to infection, and may need debridement simultaneously with vitamin C supplement to shorten the clinical course.

  9. 42 CFR 136.404 - What does the Indian Child Protection and Family Violence Prevention Act require of the IHS and...

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 42 Public Health 1 2010-10-01 2010-10-01 false What does the Indian Child Protection and Family Violence Prevention Act require of the IHS and Indian Tribes or Tribal organizations receiving funds under... Protection and Family Violence Prevention § 136.404 What does the Indian Child Protection and Family...

  10. 42 CFR 136.404 - What does the Indian Child Protection and Family Violence Prevention Act require of the IHS and...

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 42 Public Health 1 2013-10-01 2013-10-01 false What does the Indian Child Protection and Family Violence Prevention Act require of the IHS and Indian Tribes or Tribal organizations receiving funds under... Protection and Family Violence Prevention § 136.404 What does the Indian Child Protection and Family...

  11. 42 CFR 136.404 - What does the Indian Child Protection and Family Violence Prevention Act require of the IHS and...

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 42 Public Health 1 2014-10-01 2014-10-01 false What does the Indian Child Protection and Family Violence Prevention Act require of the IHS and Indian Tribes or Tribal organizations receiving funds under... Protection and Family Violence Prevention § 136.404 What does the Indian Child Protection and Family...

  12. 42 CFR 136.404 - What does the Indian Child Protection and Family Violence Prevention Act require of the IHS and...

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 42 Public Health 1 2011-10-01 2011-10-01 false What does the Indian Child Protection and Family Violence Prevention Act require of the IHS and Indian Tribes or Tribal organizations receiving funds under... Protection and Family Violence Prevention § 136.404 What does the Indian Child Protection and Family...

  13. 42 CFR 136.404 - What does the Indian Child Protection and Family Violence Prevention Act require of the IHS and...

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 42 Public Health 1 2012-10-01 2012-10-01 false What does the Indian Child Protection and Family Violence Prevention Act require of the IHS and Indian Tribes or Tribal organizations receiving funds under... Protection and Family Violence Prevention § 136.404 What does the Indian Child Protection and Family...

  14. Which strengths-based practice? Reconciling strengths-based practice and mandated authority in child protection work.

    PubMed

    Oliver, Carolyn; Charles, Grant

    2015-04-01

    The recent application of strengths-based practice in child protection settings has been accompanied by evidence of inconsistent implementation and concerns that the approach is incompatible with statutory work. Few studies have moved beyond asking whether child protection workers are implementing strengths-based practice to explore why the approach is enacted as it is. This article describes a mixed methods study using an online survey and interviews to elicit from 225 statutory child protection workers in a large Canadian agency how they applied strengths-based ideas and why they did what they did. The authors found that although strengths-based practice was popular, 70 percent of participants believed that it was not always applicable to child protection work. Participants described five distinct versions of the approach, only one of which was fully congruent with their mandated role. The study suggests that the common conflation of strengths-based and solution-focused approaches ignores important differences in the conceptualization of practitioner authority and leaves practitioners attempting to implement versions ofstrengths-based practice that do not fit statutory child protection work. Only when practitioners choose solution-focused models that support their use of mandated authority is consistent implementation a reasonable expectation.

  15. The influence of differential response on decision-making in child protective service agencies.

    PubMed

    Janczewski, Colleen E

    2015-01-01

    Differential response (DR) profoundly changes the decision pathways of public child welfare systems, yet little is known about how DR shapes the experiences of children whose reports receive an investigation rather than an alternate response. Using data from the National Child Abuse and Neglect Data System (NCANDS), this study examined the relationship between DR implementation and decision outcomes in neglect cases, as measured by investigation, substantiation, and removal rates in 297 U.S. counties. Multivariate regression models included county-level measures of child poverty and proportions of African American children. Path analyses were also conducted to identify mediating effects of prior decision points and moderating effects of DR on poverty and race's influence on decision outcomes. Results indicate that compared to non-DR counties, those implementing DR have significantly lower investigation and substantiation rates within county populations but higher substantiation rates among investigated cases. Regression models showed significant reductions in removal rates associated with DR implementation, but these effects became insignificant in path models that accounted for mediation effects of previous decision points. Findings also suggest that DR implementation may reduce the positive association between child poverty rates and investigation rates, but additional studies with larger samples are needed to confirm this moderation effect. Two methods of calculating decision outcomes, population- and decision-based enumeration, were used, and policy and research implications of each are discussed. This study demonstrates that despite their inherit complexity, large administrative datasets such as NCANDS can be used to assess the impact of wide-scale system change across jurisdictions. PMID:25035173

  16. 25 CFR 20.516 - How are child abuse, neglect or exploitation cases to be handled?

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... Family Violence Prevention Act of 1990, Public Law 101-630, 25 CFR part 63, federal and/or state laws... by the state will be handled according to the Indian Child Welfare Act, Public Law 95-608, and 25 CFR... 25 Indians 1 2012-04-01 2011-04-01 true How are child abuse, neglect or exploitation cases to...

  17. 25 CFR 20.516 - How are child abuse, neglect or exploitation cases to be handled?

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... Family Violence Prevention Act of 1990, Public Law 101-630, 25 CFR part 63, federal and/or state laws... by the state will be handled according to the Indian Child Welfare Act, Public Law 95-608, and 25 CFR... 25 Indians 1 2011-04-01 2011-04-01 false How are child abuse, neglect or exploitation cases to...

  18. 25 CFR 20.516 - How are child abuse, neglect or exploitation cases to be handled?

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... Family Violence Prevention Act of 1990, Public Law 101-630, 25 CFR part 63, federal and/or state laws... by the state will be handled according to the Indian Child Welfare Act, Public Law 95-608, and 25 CFR... 25 Indians 1 2013-04-01 2013-04-01 false How are child abuse, neglect or exploitation cases to...

  19. 25 CFR 20.516 - How are child abuse, neglect or exploitation cases to be handled?

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... Family Violence Prevention Act of 1990, Public Law 101-630, 25 CFR part 63, federal and/or state laws... by the state will be handled according to the Indian Child Welfare Act, Public Law 95-608, and 25 CFR... 25 Indians 1 2014-04-01 2014-04-01 false How are child abuse, neglect or exploitation cases to...

  20. Treadmill Training in a Child with Cerebral Palsy: A Case Report

    ERIC Educational Resources Information Center

    Crowley, Julie P.; Arnold, Sandra H.; McEwen, Irene R.; James, Shirley

    2009-01-01

    This case report describes the use of treadmill training without body weight support to improve walking speed in a child with diplegic cerebral palsy. The child was a six-year-old girl with spastic diplegic cerebral palsy. She walked short distances independently using a posterior support walker but was unable to keep up with her peers walking…

  1. An Empirical Case Study of a Child Sexual Abuse Prevention Initiative in Georgia

    ERIC Educational Resources Information Center

    Schober, Daniel J.; Fawcett, Stephen B.; Thigpen, Sally; Curtis, Anna; Wright, Renee

    2012-01-01

    Objective: This empirical case study describes Prevent Child Abuse Georgia's effort to prevent child sexual abuse (CSA) by educating communities throughout the state on supporting preventive behaviour. The initiative consisted of three major components: (1) dissemination of CSA prevention messages and materials; (2) a statewide helpline that…

  2. Biliteracy and Bilingual Development in a Second-Generation Korean Child: A Case Study

    ERIC Educational Resources Information Center

    Ro, Yeonsun Ellie; Cheatham, Gregory A.

    2009-01-01

    Through case study methodology, this study examined how a second-generation bilingual child developed his two languages and associated literacies, the role of the parents' and child's goals as well as the family's daily effort to attain those goals, and the influences of environmental, social, and cultural factors. Based on sociocultural…

  3. Why have all the boys gone? Gender differences in prosecution acceptance of child sexual abuse cases.

    PubMed

    Edelson, Meredyth Goldberg

    2013-10-01

    Cases of child sexual abuse (CSA) referred to the District Attorney (DA) are not necessarily accepted for prosecution. Two pilot studies sought to investigate whether there were gender differences in whether cases of CSA referred to the DA's office were accepted by the DA and, if they existed, what might account for gender differences in decisions to accept cases and file charges. The results of the first study indicated that cases involving male victims were significantly less likely to be accepted for prosecution than cases involving female victims. Comparisons of acceptance rates were based on expected frequencies given CSA prevalence rates by gender in the literature and on the proportion of males and females seen at a Child Abuse Assessment Center (CAAC) from where the DA referrals were obtained. The second study assessed both disclosure-related variables (assessed by content analyses of disclosures made at a CAAC) and abuse-related variables (that occurred at or near the time of the abuse) that might explain these differences. Few variables were found to significantly differentiate males' and females' cases; these were the relationship of the child to the perpetrator, whether the child was offended by a juvenile, whether the child told someone of the abuse, pornography exposure, whether the child displayed concerning behaviors, and whether the child was questioned about possible abuse. Implications of these results are discussed. PMID:23192527

  4. Does Type of Harm Matter? a Factorial Survey Examining the Influence of Child Neglect on Child Protection Decision-Making

    ERIC Educational Resources Information Center

    Stokes, Jackie; Taylor, Julie

    2014-01-01

    Child maltreatment remains a serious social problem, with neglect arguably the most pernicious manifestation. Neglect is characterised by a chronic failure to provide for a child's basic needs and often co-exists with other forms of maltreatment. It usually occurs in a complex social environment where socio-economic disadvantage is rife and…

  5. A Guide for Designing and Implementing a Case Processing System for Child Support Enforcement.

    ERIC Educational Resources Information Center

    Office of Child Support Enforcement (DHHS), Washington, DC.

    This document was written to provide state and local child support offices with help in refining their case processing systems. The guide is divided into five chapters. Chapter I, Case Processing Overview, defines case processing and the case processing functions and provides a narrative description and graphic illustration of the processes…

  6. The Analyst's Act and the Child's Desire: A Retrospective Case Study.

    PubMed

    Rogers, Annie G

    2015-10-01

    In this paper, I lay out a blueprint for a child analysis, stipulating the terms and ethics of the Lacanian field of psychoanalysis, the position of the analyst in that field, and the invitation to the child to discover a space for desire in the work of play. Drawing on the grounding work of Freud, Lacan, Dolto, Lefort, Mannoni, and Mathelin, I describe the mainsprings of the psychoanalytic clinic with the child. I then offer a child case and its trajectory from the development of a phobia to a symptom, and show how the primal scene fantasy and its articulation can open a space for desire in a child's play. What is particular to this work of playing is the emergence of signifiers that chain across generations, and move into new metaphors that foreground the Real of the child's experience and desire. PMID:26485483

  7. Reciprocal Rights and Responsibilities in Parent-Child Relations

    ERIC Educational Resources Information Center

    Baumrind, Diana

    1978-01-01

    This article examines critically the case for protecting children's rights as against the case for protecting children's welfare. The principle of reciprocity in parent-child relations is rejected. (Author/AM)

  8. [The case of haemangiofibroma after prolonged intubation in 12-years old child].

    PubMed

    Grzegorowski, Michał; Wojnowski, Waldemar; Ryglewicz, Michał

    2002-01-01

    Authors presented a case of haemangiofibroma of larynx after prolonged intubation in 12 years old girl. We pay attention mechanism of larynx injury after prolonged intubation. In our opinion endoscopy is a very valuable method of child larynx examination.

  9. Analyses of Child Sex Abuse Cases in Turkey: A Provincial Case.

    PubMed

    Kucuk, Sibel

    2016-04-01

    Sexual abuse is a significant problem, especially for children, but only a limited number of sexual abuse cases involving children are reported to the relevant authorities. One hundred and fifty files recorded in the National Judiciary Information System between 2006-2012 relating to cases of child sexual abuse and considered to be within the scope of Offences Against Sexual Integrity pertaining to Turkish Penal Code were analyzed for this research. Statements of the victims, defendants, and witnesses, together with the minutes issued by law enforcement officers, hospital or forensic reports, and arrest warrants were used to collect data. The average values and percentage test analysis were used to assess data. A large portion of the sexually abused children were determined to be between 14 and 17 years of age, female, and had been abused before, while a majority of the abusers were between 19 and 25 years of age, and all of the abusers identified as male. Most of the cases of abuse were planned and carried out under threat, and a certain number of such crimes resulted in pregnancy, were repeated systematically, and became evident when the mothers of the abused children found out or when a pregnant child was referred to a hospital for childbirth. The sexual abuse of children is a significant problem for Turkish society, just as it is for other societies, and it is recommended that further research be conducted with a broader scope in order to present this issue more clearly and to develop solutions.

  10. Malaysian child infected with Plasmodium vivax via blood transfusion: a case report

    PubMed Central

    2013-01-01

    Malaria may be a serious complication of blood transfusion due to the asymptomatic persistence of parasites in some donors. This case report highlights the transfusion-transmitted malaria of Plasmodium vivax in a child diagnosed with germ cell tumour. This child had received blood transfusion from three donors and a week later started developing malaria like symptoms. Nested PCR and sequencing confirmed that one of the three donors was infected with P. vivax and this was transmitted to the 12-year-old child. To the best of the authors’ knowledge, this is the first reported transfusion-transmitted malaria case in Malaysia. PMID:24007496

  11. The Case of Top Beginnings and the Missing Child Outcomes: Case Study for the Early Childhood Systems Building Evaluation Symposium

    ERIC Educational Resources Information Center

    Walker, Gary; Kubisch, Anne C.; Bruner, Charles; Sridharan, Sanjeev; Philliber, Susan; Shaw, Greg; Dichter, Harriet

    2008-01-01

    The Case of Top Beginnings and the Missing Child Outcomes is a fictionalized case study of a set of evaluation challenges faced in evaluating comprehensive initiatives that are seeking to build systems. In this case, the issue is a multistate foundation-funded early learning system building initiative that has to date primarily employed a case…

  12. "The Interests of the Child" Seen from the Child's Perspective: The Case of the Netherlands

    ERIC Educational Resources Information Center

    Levering, Bas

    2011-01-01

    The Dutch government has decided to intervene in parents' role in bringing up their children by imposing compulsory parenting support. As such an intervention has to be legitimatised as being "in the interests of the child", it is important to take a closer look at this concept. First it is shown that it is not evident that the government has the…

  13. Higher maternal protectiveness is associated with higher odds of child overweight and obesity: a longitudinal Australian study.

    PubMed

    Hancock, Kirsten J; Lawrence, David; Zubrick, Stephen R

    2014-01-01

    In recent years there has been an increasing interest in overprotective parenting and the potential role it plays in child development. While some have argued that a trend towards increased parental fear and reduced opportunity for independent mobility may be linked to increasing rates of child overweight and obesity, there is limited empirical information available to support this claim. Using data from the Longitudinal Study of Australian Children, this study aimed to examine the longitudinal relationships between maternal protectiveness and child overweight and obesity. A cohort of 4-5 year old children was followed up at 6-7, 8-9 and 10-11 years of age (n  =  2596). Measures included a protective parenting scale administered when children were 6-7 and 8-9 years of age, child body mass index (BMI), family characteristics including household income, neighbourhood disadvantage, child's position amongst siblings, and maternal BMI, education, employment, mental health and age at first birth. International Obesity Taskforce age- and sex-specific BMI cut points were used to determine if children were in the normal, overweight or obese BMI range. There was no association between maternal protectiveness and the odds of children being overweight or obese at age 4-5, 6-7 or 8-9 years. However at age 10-11 years, a 1 standard deviation increase in maternal protectiveness was associated with a 13% increase in the odds of children being overweight or obese. The results provide evidence of a relationship between maternal protectiveness and child overweight and obesity, however further research is required to understand the mechanism(s) that links the two concepts. PMID:24955586

  14. A Case Against First Amendment Protections for Commercial Advertising.

    ERIC Educational Resources Information Center

    Middleton, Kent R.

    Although extending constitutional protection to commercial expression might benefit the consumer, the First Amendment is the wrong instrument for carrying out what are basically economic policies. While in most First Amendment cases the nature of the content determines whether it is constitutionally protected, advertising is distinct in that it…

  15. The Impact of Solution-Focused Training on Professionals' Beliefs, Practices and Burnout of Child Protection Workers in Tenerife Island

    ERIC Educational Resources Information Center

    Medina, Antonio; Beyebach, Mark

    2014-01-01

    This paper presents the first results of a large-scale research project on the child protection services in Tenerife, Spain. In Study 1, the professional beliefs and practices of 152 child protection workers, as measured by a Professional Beliefs and Practices Questionnaire, were correlated with their scores on the Maslach Burnout Inventory.…

  16. The Contribution of Childhood Emotional Abuse to Teen Dating Violence among Child Protective Services-Involved Youth

    ERIC Educational Resources Information Center

    Wekerle, Christine; Leung, Eman; Wall, Anne-Marie; MacMillan, Harriet; Boyle, Michael; Trocme, Nico; Waechter, Randall

    2009-01-01

    Objective: For child protective services (CPS) youth who may have experienced more than one form of maltreatment, the unique contribution of emotional abuse may be over-looked when other forms are more salient and more clearly outside of accepted social norms for parenting. This study considers the unique predictive value of childhood emotional…

  17. Evaluating the Risks of School Dropout amongst Children in the Care of the French Child Protection System: An Exploratory Study

    ERIC Educational Resources Information Center

    Derivois, Daniel; Guillier-Pasut, Nathalie; Karray, Amira; Cénat, Jude-Mary; Brolles, Lisbeth; Matsuhara, Hanae

    2015-01-01

    The aim of this pilot study is to identify the best way of preventing and assessing the livelihood and risk of school dropout amongst children entrusted to the care of the French child protection system in the Département of Rhone. The sample comprised 91 children and adolescents aged 4- to 17-years-old, of whom 45 were girls. The data were…

  18. Prior Victimization and Sexual and Contraceptive Self-Efficacy among Adolescent Females under Child Protective Services Care

    ERIC Educational Resources Information Center

    Hovsepian, S. Lory; Blais, Martin; Manseau, Helene; Otis, Joanne; Girard, Marie-Eve

    2010-01-01

    Adolescent females under Child Protective Services care in Quebec, Canada (n = 328) completed a questionnaire designed to explore associations between prior victimization (childhood sexual abuse and four forms of dating violence) and four dimensions of sexual and contraceptive self-efficacy. Five MANCOVAs were performed. In each model, a…

  19. Dilemmas in Working in Partnership with the Parents and Relatives of Children Involved in Child Protection Planning.

    ERIC Educational Resources Information Center

    Ryburn, Murray

    1997-01-01

    Discusses "partnerships" in child protection as they relate to the families of children subject to these services. Suggests that parents are ignored or deliberately excluded from the process, leading to "learned helplessness." Claims that good intentions of professionals are necessary but insufficient for partnership, which can only be effectively…

  20. Psychological Distress, Service Utilization, and Prescribed Medications among Youth with and without Histories of Involvement with Child Protective Services

    ERIC Educational Resources Information Center

    Hamilton, Hayley A.; Paglia-Boak, Angela; Wekerle, Christine; Danielson, Anna Marie; Mann, Robert E.

    2011-01-01

    The objective of this study was to examine differences in psychological distress, service utilization, and prescriptions for medications between adolescents with histories of family involvement with child protective services (CPS) and adolescents without such involvement. Data on 3,497 students were obtained from the 2009 cycle of the Ontario…

  1. Developmental Outcome in a Tracheostomized Child: A Case Study.

    ERIC Educational Resources Information Center

    Vaivre-Douret, Laurence; And Others

    1995-01-01

    Reports developmental outcomes of a child who experienced a tracheostomy and had prolonged hospitalization and psychomotor therapy in an intensive care unit. Found a pattern of delay in speech and language production with no hearing loss, no cognitive impairment, an average level of fine motor disorders, no behavioral disorders, and normal…

  2. No Child Left Behind: The Case of Roosevelt High School

    ERIC Educational Resources Information Center

    Ambrosio, John

    2004-01-01

    In this article, the author tells the story of one school and how the No Child Left Behind (NCLB) Act has been affecting its teachers and the educational opportunities and outcomes of its students. Roosevelt High School, located in North Portland, Oregon, has the most ethnically diverse student population in what is the largest school district in…

  3. Analyses of Child Sex Abuse Cases in Turkey: A Provincial Case.

    PubMed

    Kucuk, Sibel

    2016-04-01

    Sexual abuse is a significant problem, especially for children, but only a limited number of sexual abuse cases involving children are reported to the relevant authorities. One hundred and fifty files recorded in the National Judiciary Information System between 2006-2012 relating to cases of child sexual abuse and considered to be within the scope of Offences Against Sexual Integrity pertaining to Turkish Penal Code were analyzed for this research. Statements of the victims, defendants, and witnesses, together with the minutes issued by law enforcement officers, hospital or forensic reports, and arrest warrants were used to collect data. The average values and percentage test analysis were used to assess data. A large portion of the sexually abused children were determined to be between 14 and 17 years of age, female, and had been abused before, while a majority of the abusers were between 19 and 25 years of age, and all of the abusers identified as male. Most of the cases of abuse were planned and carried out under threat, and a certain number of such crimes resulted in pregnancy, were repeated systematically, and became evident when the mothers of the abused children found out or when a pregnant child was referred to a hospital for childbirth. The sexual abuse of children is a significant problem for Turkish society, just as it is for other societies, and it is recommended that further research be conducted with a broader scope in order to present this issue more clearly and to develop solutions. PMID:27135381

  4. Child Maltreatment and the Justice System: Predictors of Court Involvement

    ERIC Educational Resources Information Center

    Sedlak, Andrea J.; Doueck, Howard J.; Lyons, Peter; Wells, Susan J.; Schultz, Dana; Gragg, Francis

    2005-01-01

    Objectives: Characteristics of the child victim, perpetrator, and maltreatment incident were used to examine predictors of court involvement in cases of serious child maltreatment. Method: Cases were drawn from those reported to: child protective services (n = 225), "sheriff's office" ( n = 225), "prosecutor's office" ( n = 60), "and dependency…

  5. The new UN CRC General Comment 13: "The right of the child to freedom from all forms of violence"--changing how the world conceptualizes child protection.

    PubMed

    Svevo-Cianci, Kimberly A; Herczog, Maria; Krappmann, Lothar; Cook, Philip

    2011-12-01

    The UN Committee on the Rights of the Child established CRC General Comment 13 (April 2011) to address today's unabating high rates of violence against children globally despite CRC advances. GC13 provides clear interpretations and stronger detail to supplement the legal language of CRC Article 19, intended to establish protection of children from all forms of violence. Through GC13, the Committee seeks to strengthen policy and practice implementation for all children, including every nation's most vulnerable, by clearly establishing measurable indicators: structure, process and outcomes to children-through improved technical information, expertise and assistance. Based on knowledge and experience gained over the 22 years since the CRC was adopted, GC13 advances best practice approaches and technical resources for States Parties and professionals on preventing violence against children, and on strengthening protection programs, systems, services, research, monitoring, evaluation and reporting. This article addresses child rights and protection issues which have been raised during this period, as well as during the consultation and resulting dialogues, such as the rights of children in early/forced marriage, and the role of the State Party as responsible caregiver when parents or families are not capable of providing protection.

  6. Pott's puffy tumor: a rare complication of acute otitis media in child: a case report.

    PubMed

    Urík, Milan; Machač, Josef; Šlapák, Ivo; Hošnová, Dagmar

    2015-09-01

    To describe a rare case of Potts' puffy tumor (PPT) in the zygomatic area, which developed as a complication of acute otitis media in a 6-year-old child. To date, only one case of PPT has been described in the literature as a complication of latent mastoiditis in an adult, and one case of PPT as a complication of acute mastoiditis in a 10-year-old child. Urgent surgical intervention, including evacuation of the purulent lesion, removal of inflamed soft tissue and osteolysis of the involved bone, and antromastoidectomy, intravenous treatment with broad-spectrum antibiotics, including G+, G-, anaerobes and fungi, and local therapy.

  7. How Safe? The Status of State Efforts To Protect Children in Child Care.

    ERIC Educational Resources Information Center

    Adams, Gina

    Based on the view that strong state child care licensing policies can influence the quality of child care and thereby enhance children's health and development, this report examines the status of state efforts to improve the quality of child care programs. Almost all data were collected for a 1993 Parenting Magazine survey, and were verified by…

  8. Children in Africa: Key Statistics on Child Survival, Protection and Development

    ERIC Educational Resources Information Center

    UNICEF, 2014

    2014-01-01

    This report presents key statistics relating to: (1) child malnutrition in Africa; (2) HIV/AIDS and Malaria in Africa; (3) child marriage, birth registration and Female Genital Mutilation/Cutting (FGM/C); (4) education in Africa; (5) child mortality in Africa; (6) Drinking water and sanitation in Africa; and (7) maternal health in Africa.…

  9. The Child Abuse Reporting Law. Protecting Children Becomes a Broader Community Responsibility. 2d Edition.

    ERIC Educational Resources Information Center

    Thomas, Mason P., Jr.

    North Carolina's Child Abuse Reporting Law makes all citizens legally responsible for reporting incidents of child abuse and neglect. Professionals, such as doctors and teachers, must also give their professional opinions as to the nature, extent, and causes of the damaged child's condition. The basic purpose of the law is to identify children at…

  10. Forensic, Cultural, and Systems Issues in Child Sexual Abuse Cases--Part 2: Research and Practitioner Issues

    ERIC Educational Resources Information Center

    Tishelman, Amy C.; Geffner, Robert

    2010-01-01

    This article introduces the second issue of the special double issue focusing on forensic, cultural, and systems issues in child sexual abuse cases. We briefly review the articles, which include a discussion of child sexual abuse myths, an empirical analysis of extended child sexual abuse evaluations, an article on the role of the medical provider…

  11. The Role of Oral Language Interactions in English Literacy Learning: A Case Study of a First Grade Korean Child

    ERIC Educational Resources Information Center

    Kim, Kwangok

    2011-01-01

    This paper is a qualitative case study of a Korean first grade child. The primary purpose of this study was to investigate the nature of a first grade Korean child's oral language interactions with teachers, parents, peers, and community members and to examine how a child's oral language impacts his literacy learning in English. The data were…

  12. Bottom-up approaches to strengthening child protection systems: Placing children, families, and communities at the center.

    PubMed

    Wessells, Michael G

    2015-05-01

    Efforts to strengthen national child protection systems have frequently taken a top-down approach of imposing formal, government-managed services. Such expert-driven approaches are often characterized by low use of formal services and the misalignment of the nonformal and formal aspects of the child protection system. This article examines an alternative approach of community-driven, bottom-up work that enables nonformal-formal collaboration and alignment, greater use of formal services, internally driven social change, and high levels of community ownership. The dominant approach of reliance on expert-driven Child Welfare Committees produces low levels of community ownership. Using an approach developed and tested in rural Sierra Leone, community-driven action, including collaboration and linkages with the formal system, promoted the use of formal services and achieved increased ownership, effectiveness, and sustainability of the system. The field needs less reliance on expert-driven approaches and much wider use of slower, community-driven, bottom-up approaches to child protection.

  13. Caregiver reports of serious injuries in children who remain at home after a child protective services investigation.

    PubMed

    Schneiderman, Janet U; Leslie, Laurel K; Hurlburt, Michael S; Zhang, Jinjin; Horwitz, Sarah McCue

    2012-02-01

    The study objectives were to examine serious injuries requiring medical attention among children who remain at home after a child welfare/child protective services (CPS) maltreatment investigation in the US and to determine whether child/caregiver characteristics and ongoing CPS involvement are related to injuries requiring medical attention. Using the National Survey of Child and Adolescent Well-being, we analyzed data on the subsample of children who remained at home (N = 3,440). A multivariate logistic regression model included child characteristics, chronic illness and disability in the child, level of CPS involvement, subsequent foster care placement, caregiver characteristics, and caregiver/family psychological variables. Injuries requiring medical attention were identified in 10.6% of the in-home population over a 15-month period, with no differences in rates by age. Children with a chronic medical condition (OR = 2.07; 95% CI, 1.20-3.58) and children with depressed caregivers (OR = 2.28; 95% CI, 1.45-3.58) were more likely to have an injury that required medical care. Older caregivers (>54 years) were less likely (OR = 0.15; 95% CI, 0.03-0.69) to have a child with an injury requiring care. Injuries were not related to further involvement with CPS after the initial maltreatment investigation. Children with chronic medical conditions who remained in their biological homes or whose caregivers were depressed were likely to experience an injury requiring medical attention. Older caregivers were less likely to report a child injury. Extending existing health policies for foster children to children who remain at home following referral to CPS may encourage more comprehensive injury prevention for this population.

  14. Parental Protectiveness Mediates the Association between Parent-Perceived Child Self-Efficacy and Health Outcomes in Pediatric Functional Abdominal Pain Disorder

    PubMed Central

    DuPen, Melissa M.; van Tilburg, Miranda A. L.; Langer, Shelby L.; Murphy, Tasha B.; Romano, Joan M.; Levy, Rona L.

    2016-01-01

    Previous studies have shown that parental protectiveness is associated with increased pain and disability in Functional Abdominal Pain Disorder (FAPD) but the role that perceived child self-efficacy may play remains unclear. One reason why parents may react protectively towards their child’s pain is that they perceive their child to be unable to cope or function normally while in pain (perceived low self-efficacy). This study sought to examine (a) the association between parent-perceived child pain self-efficacy and child health outcomes (symptom severity and disability); and (b) the role of parental protectiveness as a mediator of this association. Participants were 316 parents of children aged 7–12 years with FAPD. Parents completed measures of perceived child self-efficacy when in pain, their own protective responses to their child’s pain, child gastrointestinal (GI) symptom severity, and child functional disability. Parent-perceived child self-efficacy was inversely associated with parent-reported child GI symptom severity and disability, and parental protectiveness mediated these associations. These results suggest that parents who perceive their child to have low self-efficacy to cope with pain respond more protectively when they believe he/she is in pain, and this, in turn, is associated with higher levels of GI symptoms and disability in their child. This finding suggests that directly addressing parent beliefs about their child’s ability to manage pain should be included as a component of FAPD, and potentially other child treatment interventions. PMID:27657151

  15. Early identification of mental health needs for children in care: a therapeutic assessment programme for statutory clients of child protection.

    PubMed

    Milburn, Nicole L; Lynch, Marell; Jackson, Jennifer

    2008-01-01

    Infants, children and young people enter out of home care in distressing circumstances. They have often suffered traumatic experiences and have had their primary relationships disrupted. They and their families and carers have specific mental health needs at this time but few have attended a mental health service. A systematic comprehensive therapeutic assessment approach is described for all child protection clients who entered out-of-home care for the first time in one calendar year. The work of the programme is described using both case study and assessment findings. More than 60 per cent of participants met criteria for a major psychiatric diagnosis, with Post Traumatic Stress and Adjustment Disorders being the most common diagnostic categories. Nearly three-quarters of participants over the age of 5 years scored in the borderline or abnormal range on the Strengths and Difficulties Questionnaire (SDQ; Goodman, 1997). There was an over-representation of infants less than 1 year of age and adolescents in the cohort, representing particular developmental challenges. The findings are discussed within the context of specific mental health service delivery to this vulnerable population of maltreated infants, children and young people.

  16. Reporting child abuse cases by dentists working in the United Arab Emirates (UAE).

    PubMed

    Al-Amad, Suhail H; Awad, Manal A; Al-Farsi, Laila H; Elkhaled, Rawan H

    2016-05-01

    Reporting of suspicious cases of child abuse is a sensitive issue that is often hindered by uncertainty of diagnosis. This cross sectional study aimed to assess the UAE dentists' experiences in child abuse recognition, the factors that prevent them from reporting suspicious cases to authorities and their perceived training needs. A closed-ended, self-administered questionnaire was distributed to 350 dentists working in the UAE. Chi Square test was used to determine association between training needs on child abuse and its reporting rate. Logistic regression was used to determine the association between perceived training needs and other covariates. One hundred and ninety three respondents satisfied the inclusion criteria. Forty seven (25%) dentists reported encountering a suspicious child abuse case at least once in their career, but only 15 (32%) of those reported their suspicion. Fear of making the wrong diagnosis was the most frequent challenge hindering reporting and dentists who demonstrated a need for specialized training were more likely to express this fear (OR = 5.88, 95% CI: 0.07, 0.45; P = 0.00). The majority of UAE dentists do not report their suspicion to authorities and specialized training should be offered to build dentists' capacity in diagnosing and appropriately reporting suspicious child abuse cases.

  17. Codeine for child pain: new preparation. Helpful in some cases.

    PubMed

    1999-08-01

    (1) This codeine-based syrup is indicated for the treatment of pain in children. It is the first step 2 analgesic (WHO classification) to become available in France for oral treatment of children. (2) Efficacy and the optimal dose regimen are based mainly on lengthy experience with codeine in other countries. Only a few small trials on acute pain are available. (3) The safety profile is that of all opiates: adverse effects comprise mainly constipation, nausea and vomiting. (4) Accidental ingestion by a young child can lead to severe poisoning. PMID:11503826

  18. [Evaluation of a training program for child welfare case workers on trauma sequelae in foster children].

    PubMed

    Oswald, Sylvia H; Fegert, Jörg M; Goldbeck, Lutz

    2013-01-01

    Foster children are exposed to multiple psychosocial and biological risk factors and have an elevated risk for developmental delays and the development of mental disorders. Many children experienced compromising situations such as neglect, physical abuse, or sexual abuse before out-of-home placement. Consequently, they show a higher need for mental health services than other children. However, out-of-home placement is often considered as the sufficient measure to help these children. Hence this project had the aim to sensitize child welfare agencies and foster parent organisations for the special needs and history of foster children, to provide them with instruments for the assessment of emotional and behaviour problems and to promote the cooperation at the interface between child welfare system and mental health system. Twenty-four child welfare agencies and four foster parent organisations participated. The control group consisted of 16 non-participating child welfare agencies. After one year, participants recorded more often children's social history (p = .023), conducted more often standardized psychosocial assessments (p = .001), assessed more often the medical needs of foster children (p = .029), and informed foster parents more often about behaviour problems of their foster child (p = .034). In summary, child welfare agencies were very interested, could be sensitized for mental disorders following traumata and implemented the offered instruments in their work. Limits of resources could be observed due to the case workers' high case load. PMID:23596909

  19. The role of law in protecting the child. A critique of the English system.

    PubMed

    Hall, J G; Mitchell, B H

    1982-01-01

    We have undertaken a critical appraisal of the current English system of law regulating: (1) Provision of services designed to prevent children coming into care of local authorities, which are the authorised agencies for dealing with children who are abused or neglected. (2) Ways of receiving children into care and also ways of terminating care orders. We question whether, and under what circumstances, care orders are really necessary. (3) Periodic reviews of children in care. We are critical of the English system and look to models in the USA as guides towards the possible reform of English law. We take the same perspective when considering termination of parental rights. In our opinion good laws do not of themselves provide the care and love which a child requires, but they make the caring possible by loved and loving adults. We argue that the law must provide the best possible framework to allow adequate caring by members of the non-legal professions, such as social workers and foster parents. At the same time the law must ensure that the rights of parents and children are protected.

  20. A Novel Self-Evaluation Tool to Assess the Team Function of a Child Protection Team

    PubMed Central

    Kistin, Caroline J.; Tien, Irene; Leventhal, John M.; Bauchner, Howard

    2011-01-01

    Objective To develop a reliable and valid self-evaluation tool for use by child protection team (CPT) members. Methods An on-line survey was administered to members of 10 CPTs. The survey included 3 sections: 1) Initial Conditions (eg, team composition, resources); 2) Enabling Conditions (eg, team effort, strategy); and 3) Team Effectiveness (eg, team cohesion, meeting performance standards). Each section contained multiple subscales. Internal consistency was calculated using Cronbach’s α. To evaluate construct validity, the subscale scores of the most advanced teams who qualified as centers of excellence (N=3) were compared to the subscale scores of the other teams (N=7) to determine whether the tool could distinguish between the two. Results Of 116 team members, 83 (72%) completed the survey. The subscales exhibited good internal consistency (α = 0.71 – 0.97). The 3 centers of excellence had significantly higher mean scores than the other 7 CPTs on the following subscales: incentives (in the Initial Conditions section) (61.46 vs. 38.89, p = 0.003), effort (in the Enabling Conditions section) (79.31 vs. 67.70, p = 0.003), and professional growth (in the Team Effectiveness section) (83.89 vs. 80.40, p = 0.004). Conclusions This novel survey demonstrates satisfactory test characteristics and can be used to assess CPT performance and identify areas for improvement. PMID:21959096

  1. Does economic inequality affect child malnutrition? The case of Ecuador.

    PubMed

    Larrea, Carlos; Kawachi, Ichiro

    2005-01-01

    Economic inequality has been hypothesized to be a determinant of population health, independent of poverty and household income. We examined the association between economic inequality and child malnutrition in Ecuador. Economic inequality was measured by the Gini coefficient of household per capita consumption, estimated from the 1990 Census. Childhood stunting, assessed from height-for-age z scores, was obtained from the 1998 Living Standards Measurement Survey (LSMS). We controlled for a range of individual and household covariates, including per capita food consumption, education, housing, ethnicity, fertility, access to health services, diarrhea morbidity, child care, mother's age and diet composition. Stunting still affects 26% of children under five in Ecuador, with higher prevalence in the rural Highlands and among indigenous peoples. Maternal education, basic housing conditions, access to health services, ethnicity, fertility, maternal age and diet composition were independently associated with stunting. However, after controlling for relevant covariates, economic inequality at the provincial scale had a statistically significant deleterious effect on stunting. At municipal or local levels, inequality was not associated with stunting.

  2. Surgical treatment of primary tracheal dyskinesia in a 14-month-old child--case report.

    PubMed

    Jović, Rajko M; Komazec, Zoran; Mitrović, Slobodan; Dragicević, Danijela; Janjević, Dusica

    2010-04-01

    The primary form of tracheal dyskinesia in early childhood is a rare congenital malformation of unknown origin. The degree of the posterior membranous tracheal wall involvement determines the intensity of obstruction and the severity of the clinical picture. The aim of this paper is to present a case of a 14-month-old child with severe tracheal dyskinesia that required surgical treatment. Fascia lata graft fixated with fibrin glue was used in strengthening the posterior tracheal wall. Three years following the surgery, the child is without breathing difficulties. In severe cases of primary dyskinesia, surgical treatment using fascia lata graft, fixated with fibrin glue is recommended in strengthening the posterior tracheal wall.

  3. Physical Environmental Adversity and the Protective Role of Maternal Monitoring in Relation to Early Child Conduct Problems.

    PubMed

    Supplee, Lauren H; Unikel, Emily B; Shaw, Daniel S

    2007-01-01

    Research on the development of externalizing behaviors during early childhood has focused on child and parenting factors. Fewer studies have investigated effects of aversive features of the micro-level physical environment, such as overcrowding and chaos in the home, and the macro-level environment, such as neighborhood quality. This study extends research on physical environmental factors by examining their association with children's early externalizing behaviors, and exploring how maternal monitoring may serve as a protective factor in such contexts. 120 male toddlers at high risk for developing early externalizing behaviors were followed from ages 2 to 5 years. Direct longitudinal associations were found for micro-level environmental factors beginning at age 2 and for neighborhood risk beginning at age 3. Maternal monitoring served as a protective factor for child externalizing behaviors in the context of neighborhood risk. Implications for prevention research and the development of early externalizing behaviors are discussed.

  4. Mother's death and child survival: the case of early Quebec.

    PubMed

    Pavard, Samuel; Gagnon, Alain; Desjardins, Bertrand; Heyer, Evelyne

    2005-03-01

    The aim of this paper is to account for the effect of mother's death on child survival in a historical population. Using comprehensive data on the early French Canadian population of Quebec, evidence is provided for a higher risk of dying for motherless children that remains significant over all childhood and long after the death of the mother. The specific effect of the loss of maternal care was estimated by comparing mortality before and after mother's death, furnishing a means to control for family heterogeneity. No differential in investment between genders was detected before age 3, but older girls suffered a three-fold higher susceptibility to mother's death than their male counterparts. This suggests that grown-up girls assuming the responsibilities of the missing mother had a lower chance of survival.

  5. Disclosure of Child Sexual Abuse: The Case of Pacific Islanders.

    PubMed

    Xiao, Hong; Smith-Prince, Jaynina

    2015-01-01

    A number of factors influence the disclosure of child sexual abuse by survivors. While the influence of race and ethnicity on disclosure patterns is getting more attention, little has been written on abused children of Pacific Islanders, due in part to both lack of relevant data and a relatively small Pacific Islander population in the United States. Drawing on interviews with Pacific Islander women who were sexually abused in childhood and who delayed revealing their victimization, we explore the reasons for delayed disclosure. Findings suggest that cultural norms and family dynamics affect disclosure decisions. Concerns for the family and self-blame were the most common reasons for delay and lack of disclosure. We discuss implications of the findings and make policy recommendations. PMID:26061022

  6. Mortality following snake bite envenomation by Bitis arietans in an HIV positive child: A case report.

    PubMed

    Firth, Gregory B; Street, Matthew; Ramguthy, Yammesh; Doedens, Linda

    2016-07-01

    Snake bites occur commonly in the rural areas of South Africa. Hospitals where snake bites are uncommon should always have protocols on standby in the event of such cases presenting. This is the first reported case documenting the effect of human immunodeficiency virus (HIV) on snake bite in South African children.A case report and review of relevant information about the case was undertaken.We present a case of a 1-year-old child referred from a peripheral hospital following a snake bite to the left upper limb with a compartment syndrome and features of cytotoxic envenomation. The patient presented late with a wide area of necrotic skin on the arm requiring extensive debridement. The underlying muscle was not necrotic. Polyvalent antivenom (South African Institute of Medical Research Polyvalent Snakebite Antiserum) administration was delayed by 4 days after the snake bite. The patient was also diagnosed with HIV and a persistent thrombocytopenia possibly due to both HIV infection and the snake bite venom. Lower respiratory tract infections with subsequent overwhelming sepsis ultimately resulted in the child's death.The case highlights the challenge of treating a snake bite in a young child with HIV and the detrimental outcome of delayed treatment. A protocol is essential in the management of snake bites in all hospitals.Level IV, Case report.This case highlights the interaction of snake bite envenomation and HIV infection on thrombocytopenia. PMID:27399076

  7. Understanding Risk and Protective Factors for Child Maltreatment: The Value of Integrated, Population-Based Data

    ERIC Educational Resources Information Center

    Putnam-Hornstein, Emily; Needell, Barbara; Rhodes, Anne E.

    2013-01-01

    In this article, we argue for expanded efforts to integrate administrative data systems as a "practical strategy" for developing a richer understanding of child abuse and neglect. Although the study of child maltreatment is often critiqued for being atheoretical, we believe that a more pressing concern is the absence of population-based and…

  8. Sierra Leone's Former Child Soldiers: A Longitudinal Study of Risk, Protective Factors, and Mental Health

    ERIC Educational Resources Information Center

    Betancourt, Theresa S.; Brennan, Robert T.; Rubin-Smith, Julia; Fitzmaurice, Garrett M.; Gilman, Stephen E.

    2010-01-01

    Objective: To investigate the longitudinal course of internalizing and externalizing problems and adaptive/prosocial behaviors among Sierra Leonean former child soldiers and whether postconflict factors contribute to adverse or resilient mental health outcomes. Method: Male and female former child soldiers (N = 260, aged 10 to 17 years at…

  9. Measuring Client Engagement from the Client's Perspective in Nonvoluntary Child Protective Services

    ERIC Educational Resources Information Center

    Yatchmenoff, Diane K.

    2005-01-01

    Objective: This study reports on the development and test of a multidimensional measure of client engagement in child welfare services. Method: Five dimensions of engagement were identified and were based on a literature review and data from interviews with child welfare workers and clients. A pool of items generated to reflect these five…

  10. Production of Korean Case Particles in a Korean-English Bilingual Child with Specific Language Impairment: A Preliminary Study

    ERIC Educational Resources Information Center

    Lee, Soyoung; Gorman, Brenda K.

    2009-01-01

    The purpose of this study was to investigate the use of Korean case particles in a Korean-English bilingual child with specific language impairment (SLI). The child's production of four types of Korean case particles were compared to those of three typically developing children during probe and storytelling tasks. The Korean-English bilingual…

  11. Burnout, psychological morbidity, job satisfaction, and stress: a survey of Canadian hospital based child protection professionals

    PubMed Central

    Bennett, S; Plint, A; Clifford, T

    2005-01-01

    Aims: (1) To measure the prevalence of burnout, psychological morbidity, job satisfaction, job stress, and consideration of alternate work among multidisciplinary hospital based child and youth protection (CYP) professionals; (2) to understand the relations between these variables; and (3) to understand the reasons for leaving among former programme members. Methods: Mailed survey of current and former members of all Canadian academic hospital based CYP programmes. Surveys for current members contained validated measures of burnout, psychological morbidity, job satisfaction/stress, and questions about consideration of alternate work. Surveys for former members examined motivation(s) for leaving. Results: One hundred and twenty six of 165 current members (76.4%) and 13/14 (92.9%) former members responded. Over one third (34.1%) of respondents exhibited burnout while psychological morbidity was present in 13.5%. Job satisfaction was high, with 68.8% finding their job "extremely" or "quite" satisfying, whereas 26.2% found their job "extremely" or "quite" stressful. Psychological morbidity, job satisfaction, and job stress were not associated with any of the demographic variables measured, but burnout was most prevalent among non-physician programme members. Almost two thirds of current members indicated that they had seriously considered a change in work situation. Former members indicated that burnout and high levels of job stress were most responsible for their decision to leave and that increasing the number of programme staff and, consequently, reducing the number of hours worked would have influenced their decision to stay. Conclusions: Current levels of burnout and the large proportion of individuals who have contemplated leaving the service suggest a potential crisis in Canadian hospital based CYP services. PMID:16243862

  12. Children and Young People at Risk of Social Exclusion: Links between Homelessness, Child Protection and Juvenile Justice. Data Linkage Series. Number 13

    ERIC Educational Resources Information Center

    Aalders, Rachel

    2012-01-01

    Current research demonstrates relationships between child abuse and neglect, homelessness and criminal activity. This report presents key findings from analysis of a data set linking three community-sector data collections: Supported Accommodation Assistance Program (SAAP), juvenile justice supervision, and child protection notifications and…

  13. Assistance for Special Educators, Law Enforcement, and Child Protective Services in Recognizing and Managing Abuse and Neglect of Children with Disabilities.

    ERIC Educational Resources Information Center

    Struck, Linda M.

    This booklet is designed to help Virginia special educators, law enforcement, and child protective service professionals recognize and understand abuse and neglect of children with disabilities; improve the reporting accuracy when there is suspicion of child abuse/neglect; and provide strategies for interdisciplinary collaboration that will…

  14. Innocence, Protection and Failure: Bringing the Child Subject to the Centre of the Politics of the Family. A Response to Cristyn Davies and Kerry Robinson

    ERIC Educational Resources Information Center

    Hopkins, Lucy

    2013-01-01

    In response to Davies and Robinson's article looking at how queer families are positioned and position themselves in relation to neoliberalism, this article brings the child to the centre of the debate to examine how reading the child subject in terms of discourses of innocence and protection might work to maintain the hegemony of the…

  15. Arteriovenous fistula of the internal maxillary artery in a child: case report.

    PubMed

    Cluzel, P; Pierot, L; Jason, M; Rose, M; Kieffer, E; Chiras, J

    1992-01-01

    Direct arteriovenous fistulae supplied by the external carotid artery are unusual. Rarely, congenital fistulae have been described involving the head and neck. We describe the first case of congenital internal maxillary arteriovenous fistula in a child. Balloon embolization is currently considered the method of choice for treatment of direct arteriovenous fistula. PMID:1407539

  16. Family Therapy in Cases of Interminable Grief for the Loss of a Child.

    ERIC Educational Resources Information Center

    Rosen, Elliott J.

    1989-01-01

    Presents treatment method in cases where grieving for death of child extends beyond normal parameters. Includes guidelines for clinical assessment which emphasize investigation of family history for possible early, unresolved death. Discusses approach's integration of grief work with individual into family therapy framework. Describes criteria for…

  17. More about the Dads: Exploring Associations between Nonresident Father Involvement and Child Welfare Case Outcomes

    ERIC Educational Resources Information Center

    Malm, Karin; Zielewski, Erica; Chen, Henry

    2008-01-01

    This study follows up on a prior study of child welfare agencies' efforts to identify, locate, and involve nonresident fathers of children in foster care. These analyses use information from the original survey and administrative data on case outcomes to explore three research questions: (1) Is nonresident father involvement associated with case…

  18. A Case Study Using Child-Centered Play Therapy Approach to Treat Enuresis and Encopresis.

    ERIC Educational Resources Information Center

    Cuddy-Casey, Maria

    1997-01-01

    Demonstrates an alternative method (nondirective child-centered therapy) in treating enuresis and encopresis resulting from emotional disturbances. Examines various etiologies and approaches to treating these conditions. Provides a case study example. Claims that professionals must differentiate between primary and secondary occurrences of these…

  19. A Survey of Pediatricians' Attitudes and Experiences with Court in Cases of Child Maltreatment

    ERIC Educational Resources Information Center

    Theodore, Adrea D.; Runyan, Desmond K.

    2006-01-01

    Objectives: To explore pediatricians' attitudes and experiences with the court system in child maltreatment cases. Design: An anonymous, cross-sectional survey of a random sample of pediatricians registered with the North Carolina Medical Board. Results: The response rate of the study was 60% (N=270). Few pediatricians (10%) reported that they had…

  20. A Precarious Passage: Aging out of the Child-Only Case Load

    ERIC Educational Resources Information Center

    Hamilton, Mary Agnes; Hamilton, Stephen F.

    2008-01-01

    Child-only cases, minors who receive welfare benefits as individuals, lose their eligibility at age 18 but face the same challenges to self-sufficiency as other "emerging adults." This study examines how 59 youth in 4 New York State communities thought about and prepared for the termination of their benefits. In 8 focus groups and 12 follow-up…

  1. Complex Syntax Acquisition: A Longitudinal Case Study of a Child with Specific Language Impairment

    ERIC Educational Resources Information Center

    Schuele, Melanie C.; Dykes, Julianna C.

    2005-01-01

    Although there is extensive documentation of the morphological limitations of children with specific language impairment (SLI), few studies have reported on complex syntax acquisition in children with SLI. This case study examined the development of complex syntax in a child with SLI between 3 and 7 years. Twelve conversational samples were…

  2. Does Psychotherapy Recover or Invent Child Sexual Abuse Memories? A Case History

    ERIC Educational Resources Information Center

    Milchman, Madelyn Simring

    2008-01-01

    This case describes bodily experiences that appeared to cue child sexual abuse memories during psychotherapy by a woman who was amnesic for her childhood and suffered from chronic dissociative states. Though corroboration was unavailable, she became increasingly confident about her returning memories. Special efforts were made to avoid making…

  3. Social Service Professionals' Perceptions of Nonoffending Caregivers in Child Sexual Abuse Cases

    ERIC Educational Resources Information Center

    Wolfteich, Paula M.; Cline, Monica L.

    2013-01-01

    This study was designed to assess social service workers' perceptions of nonoffending caregivers in cases of child sexual abuse. Attributions of blame were examined by administering questionnaires to staff at local social service agencies. It was hypothesized that social service workers who worked in the field longer, were male, or had less…

  4. Assessing Outcome in Cognitive Behavior Therapy for Child Depression: An Illustrative Case Series

    ERIC Educational Resources Information Center

    Eckshtain, Dikla; Gaynor, Scott T.

    2009-01-01

    Recent meta-analytic data suggest a need for ongoing evaluation of treatments for youth depression. The present article calls attention to a number of issues relevant to the empirical evaluation of if and how cognitive behavior therapy for child depression works. A case series of 6 children and a primary caregiver received treatment--individual…

  5. School Professionals' Attributions of Blame in a Case of Child Sexual Maltreatment.

    ERIC Educational Resources Information Center

    Ford, Harriet H.; Medway, Frederic J.

    Sixty-eight teachers and 62 school psychologists from California and Tennessee were compared on attributions of behavioral and characterological blame to individuals involved in a hypothetical case of father-daughter incest. A child-victim responded in an encouraging, passive, or resistant manner to her father's sexual advances, and Attitudes…

  6. Testing the Suitability of Mediation of Child Support Orders in Title IV-D Cases

    ERIC Educational Resources Information Center

    Schraufnagel, Scot; Li, Quan

    2010-01-01

    Objectives: The purpose of this study is to test mediation versus a traditional court process for the establishment or modification of child support orders. The intention is to determine which dispute resolution process is associated with greater client satisfaction and compliance. An auxiliary objective is to test the type of cases which are most…

  7. Pre-existing adversity, level of child protection involvement, and school attendance predict educational outcomes in a longitudinal study.

    PubMed

    Maclean, Miriam J; Taylor, Catherine L; O'Donnell, Melissa

    2016-01-01

    Maltreatment largely occurs in a multiple-risk context. The few large studies adjusting for confounding factors have raised doubts about whether low educational achievement results from maltreatment or co-occurring risk factors. This study examined prevalence, risk and protective factors for low educational achievement among children involved with the child protection system compared to other children. We conducted a population-based record-linkage study of children born in Western Australia who sat national Year 3 reading achievement tests between 2008 and 2010 (N=46,838). The longitudinal study linked data from the Western Australian Department of Education, Department of Child Protection and Family Support, Department of Health, and the Disability Services Commission. Children with histories of child protection involvement (unsubstantiated maltreatment reports, substantiations or out-of-home care placement) were at three-fold increased risk of low reading scores. Adjusting for socio-demographic adversity partially attenuated the increased risk, however risk remained elevated overall and for substantiated (OR=1.68) and unsubstantiated maltreatment (OR=1.55). Risk of low reading scores in the out-of-home care group was fully attenuated after adjusting for socio-demographic adversity (OR=1.16). Attendance was significantly higher in the out-of-home care group and served a protective role. Neglect, sexual abuse, and physical abuse were associated with low reading scores. Pre-existing adversity was also significantly associated with achievement. Results support policies and practices to engage children and families in regular school attendance, and highlight a need for further strategies to prevent maltreatment and disadvantage from restricting children's opportunities for success.

  8. Attorney work product privilege trumps mandated child abuse reporting law: The case of Elijah W. v. Superior Court.

    PubMed

    Lareau, Craig R

    2015-01-01

    Forensic psychologists and psychiatrists are licensed in their respective professions, but they perform most of their work with attorneys in the legal arena. Both attorneys and mental health professionals place high value on confidentiality of information, reflected in the ethics of their professions and codified into laws governing their work. In psychology and psychiatry, there are some well-known exceptions to confidentiality; two primary exceptions include the mandated reporting of suspected child abuse and various "Tarasoff" duty to warn or protect laws. Generally, however, the corresponding duty for attorneys to report suspected child abuse or to warn or protect intended victims of threatened harm is not as extensive. This difference in mandated reporting responsibilities can create significant difficulties when attorneys need to retain forensic psychologists and psychiatrists to evaluate their clients, especially in criminal contexts. If the retained psychologist or psychiatrist is required to report suspected abuse or threatened harm, the attorney may be harming his or her client's legal interests by using the forensic psychologist or psychiatrist to evaluate his or her client. This article will briefly review the development of mandated reporting laws for psychologists and psychiatrists and juxtapose those with the legal and ethical requirements of confidentiality for attorneys embodied in the attorney-client privilege and attorney work product privilege. The article will then discuss the California Court of Appeals case in Elijah W. v. Superior Court, where the court addressed the issue of whether retained mental health professionals must report suspected child abuse and threatened harm to others as required by law or if they do not need to report because they come under the umbrella of the attorney work product privilege. This California court ultimately concluded that retained psychologists and psychiatrists work under the attorney work product

  9. Diagnostic yield of hair and urine toxicology testing in potential child abuse cases.

    PubMed

    Stauffer, Stephanie L; Wood, Stephanie M; Krasowski, Matthew D

    2015-07-01

    Detection of drugs in a child may be the first objective finding that can be reported in cases of suspected child abuse. Hair and urine toxicology testing, when performed as part of the initial clinical evaluation for suspected child abuse or maltreatment, may serve to facilitate the identification of at-risk children. Furthermore, significant environmental exposure to a drug (considered by law to constitute child abuse in some states) may be identified by toxicology testing of unwashed hair specimens. In order to determine the clinical utility of hair and urine toxicology testing in this population we performed a retrospective chart review on all children for whom hair toxicology testing was ordered at our academic medical center between January 2004 and April 2014. The medical records of 616 children aged 0-17.5 years were reviewed for injury history, previous medication and illicit drug use by caregiver(s), urine drug screen result (if performed), hair toxicology result, medication list, and outcome of any child abuse evaluation. Hair toxicology testing was positive for at least one compound in 106 cases (17.2%), with unexplained drugs in 82 cases (13.3%). Of these, there were 48 cases in which multiple compounds (including combination of parent drugs and/or metabolites within the same drug class) were identified in the sample of one patient. The compounds most frequently identified in the hair of our study population included cocaine, benzoylecgonine, native (unmetabolized) tetrahydrocannabinol, and methamphetamine. There were 68 instances in which a parent drug was identified in the hair without any of its potential metabolites, suggesting environmental exposure. Among the 82 cases in which hair toxicology testing was positive for unexplained drugs, a change in clinical outcome was noted in 71 cases (86.5%). Urine drug screens (UDS) were performed in 457 of the 616 reviewed cases. Of these, over 95% of positive UDS results could be explained by iatrogenic drug

  10. Diagnostic yield of hair and urine toxicology testing in potential child abuse cases.

    PubMed

    Stauffer, Stephanie L; Wood, Stephanie M; Krasowski, Matthew D

    2015-07-01

    Detection of drugs in a child may be the first objective finding that can be reported in cases of suspected child abuse. Hair and urine toxicology testing, when performed as part of the initial clinical evaluation for suspected child abuse or maltreatment, may serve to facilitate the identification of at-risk children. Furthermore, significant environmental exposure to a drug (considered by law to constitute child abuse in some states) may be identified by toxicology testing of unwashed hair specimens. In order to determine the clinical utility of hair and urine toxicology testing in this population we performed a retrospective chart review on all children for whom hair toxicology testing was ordered at our academic medical center between January 2004 and April 2014. The medical records of 616 children aged 0-17.5 years were reviewed for injury history, previous medication and illicit drug use by caregiver(s), urine drug screen result (if performed), hair toxicology result, medication list, and outcome of any child abuse evaluation. Hair toxicology testing was positive for at least one compound in 106 cases (17.2%), with unexplained drugs in 82 cases (13.3%). Of these, there were 48 cases in which multiple compounds (including combination of parent drugs and/or metabolites within the same drug class) were identified in the sample of one patient. The compounds most frequently identified in the hair of our study population included cocaine, benzoylecgonine, native (unmetabolized) tetrahydrocannabinol, and methamphetamine. There were 68 instances in which a parent drug was identified in the hair without any of its potential metabolites, suggesting environmental exposure. Among the 82 cases in which hair toxicology testing was positive for unexplained drugs, a change in clinical outcome was noted in 71 cases (86.5%). Urine drug screens (UDS) were performed in 457 of the 616 reviewed cases. Of these, over 95% of positive UDS results could be explained by iatrogenic drug

  11. Ethical Dilemmas in Protecting Individual Rights Versus Public Protection in the Case of Infectious Diseases

    PubMed Central

    Phua, Kai-Lit

    2013-01-01

    Infectious diseases—including emerging and re-emerging diseases such as Ebola and tuberculosis—continue to be important causes of morbidity and mortality in the globalizing, contemporary world. This article discusses the ethical issues associated with protecting the rights of individuals versus the protection of the health of populations in the case of infectious diseases. The discussion uses the traditional medical ethics approach together with the public health approach presented by Faden and Shebaya.3 Infectious diseases such as Ebola hemorrhagic fever, Nipah virus and HIV/AIDS (together with tuberculosis) will be used to illustrate particular points in the discussion. PMID:24847171

  12. Case Report: Traumatic anterior cerebral artery aneurysm in a 4-year old child

    PubMed Central

    Munakomi, Sunil; Tamrakar, Karuna; Chaudhary, Pramod; Bhattarai, Binod; Cherian, Iype

    2015-01-01

    Traumatic intracranial aneurysm in the proximal part of the anterior cerebral artery in the pediatric population has not been documented so far. Here we report the case of a 4 year-old child who developed a pseudo-aneurysm after minor head trauma and was managed successfully with trapping of the aneurysm. A ventriculo-peritoneal shunt was placed as the child became dependent on extraventricular drain during the post-operative period. The patient made excellent recovery in neurological status within 1 month of post-operative clinical follow up.

  13. Case Report: Traumatic anterior cerebral artery aneurysm in a 4-year old child

    PubMed Central

    Munakomi, Sunil; Tamrakar, Karuna; Chaudhary, Pramod; Bhattarai, Binod; Cherian, Iype

    2015-01-01

    Traumatic intracranial aneurysm in the proximal part of the anterior cerebral artery in the pediatric population has not been documented so far. Here we report the case of a 4 year-old child who developed a pseudo-aneurysm after minor head trauma and was managed successfully with trapping of the aneurysm. A ventriculo-peritoneal shunt was placed as the child became dependent on extraventricular drain during the post-operative period. The patient made excellent recovery in neurological status within 1 month of post-operative clinical follow up. PMID:27635218

  14. Peters plus anomaly in a Cameroonian child: a case report

    PubMed Central

    Kagmeni, Giles; Bilong, Yannick; Mbogos, Cedric; Bella Assumpta, Lucienne

    2016-01-01

    Background Peters’ anomaly (PA) is a rare form of anterior segment dysgenesis characterized by corneal opacity with varied degree of anterior chamber affection with associated defects in the posterior layers of the cornea. Case presentation We report the case of a 3-month-old male infant with bilateral corneal opacity since birth who was transferred from the pediatric unit for further ophthalmic care. He was diagnosed with PA with subsequent systemic-associated malformations including craniofacial defects and skeletal defects. He was managed minimally with topical mydriatics and antiglaucomatous drugs. Conclusion PA is an inevitable cause of blindness in developing countries due to poor infrastructure and limited resources. PMID:27789975

  15. Women convicted of a sexual offence, including child pornography production: two case reports.

    PubMed

    Prat, S; Bertsch, I; Chudzik, L; Réveillère, Ch

    2014-03-01

    All available studies addressing the clinical and legal aspects of child pornography have systematically concerned male abusers. The social lens through which women are viewed tends to play down their responsibility in the sexual abuse of children. Unlike men, women rarely abuse children outside the close or family circle. Furthermore, they have frequently been abused themselves in their childhood. To our knowledge, no cases of women charged with sex-related offences, including child pornography, have been described in the literature. The psychopathological characteristics of female sexual abusers and of the two women in our cases tend to suggest that the deliberate downloading of child pornography images by women is unusual, as their deviant behaviour is not related to paedophile sexual arousal It is hypothesized that the act enables women perpetrators to satisfy the sexual urges of their spouse. Sexual abuse by women exists, but the nature of the abuse appears to be specific to the gender of the perpetrator. We present two cases of women charged with sexual offences concerning minors, including the production of child pornography material. PMID:24661700

  16. Women convicted of a sexual offence, including child pornography production: two case reports.

    PubMed

    Prat, S; Bertsch, I; Chudzik, L; Réveillère, Ch

    2014-03-01

    All available studies addressing the clinical and legal aspects of child pornography have systematically concerned male abusers. The social lens through which women are viewed tends to play down their responsibility in the sexual abuse of children. Unlike men, women rarely abuse children outside the close or family circle. Furthermore, they have frequently been abused themselves in their childhood. To our knowledge, no cases of women charged with sex-related offences, including child pornography, have been described in the literature. The psychopathological characteristics of female sexual abusers and of the two women in our cases tend to suggest that the deliberate downloading of child pornography images by women is unusual, as their deviant behaviour is not related to paedophile sexual arousal It is hypothesized that the act enables women perpetrators to satisfy the sexual urges of their spouse. Sexual abuse by women exists, but the nature of the abuse appears to be specific to the gender of the perpetrator. We present two cases of women charged with sexual offences concerning minors, including the production of child pornography material.

  17. Identifying best practices for "Safe Harbor" legislation to protect child sex trafficking victims: Decriminalization alone is not sufficient.

    PubMed

    Barnert, Elizabeth S; Abrams, Susan; Azzi, Veronica F; Ryan, Gery; Brook, Robert; Chung, Paul J

    2016-01-01

    Several states have recently enacted "Safe Harbor" laws to redirect child victims of commercial sexual exploitation and child sex trafficking from the criminal justice system and into the child welfare system. No comprehensive studies of Safe Harbor law implementation exist. The nine state Safe Harbor laws enacted by 2012 were analyzed to guide state legislators, health professionals, law enforcement agents, child welfare providers, and other responders to the commercial sexual exploitation of children on the development and implementation of state Safe Harbor laws. The authors conducted 32 semi-structured interviews with Safe Harbor experts in these states. Participants conveyed that Safe Harbor legislation signified a critical paradigm shift, treating commercially sexually exploited youth not as criminals but as vulnerable children in need of services. However, Safe Harbor legislation varied widely and significant gaps in laws exist. Such laws alone were considered insufficient without adequate funding for necessary services. As a result, many well-meaning providers were going around the Safe Harbor laws by continuing to incarcerate commercially sexually exploited youth in the juvenile justice system regardless of Safe Harbor laws in place. This was done, to act, in their view, in what was the best interest of the victimized children. With imperfect laws and implementation, these findings suggest an important role for local and state responders to act together to protect victims from unnecessary criminalization and potential further traumatization. PMID:26520827

  18. Identifying best practices for "Safe Harbor" legislation to protect child sex trafficking victims: Decriminalization alone is not sufficient.

    PubMed

    Barnert, Elizabeth S; Abrams, Susan; Azzi, Veronica F; Ryan, Gery; Brook, Robert; Chung, Paul J

    2016-01-01

    Several states have recently enacted "Safe Harbor" laws to redirect child victims of commercial sexual exploitation and child sex trafficking from the criminal justice system and into the child welfare system. No comprehensive studies of Safe Harbor law implementation exist. The nine state Safe Harbor laws enacted by 2012 were analyzed to guide state legislators, health professionals, law enforcement agents, child welfare providers, and other responders to the commercial sexual exploitation of children on the development and implementation of state Safe Harbor laws. The authors conducted 32 semi-structured interviews with Safe Harbor experts in these states. Participants conveyed that Safe Harbor legislation signified a critical paradigm shift, treating commercially sexually exploited youth not as criminals but as vulnerable children in need of services. However, Safe Harbor legislation varied widely and significant gaps in laws exist. Such laws alone were considered insufficient without adequate funding for necessary services. As a result, many well-meaning providers were going around the Safe Harbor laws by continuing to incarcerate commercially sexually exploited youth in the juvenile justice system regardless of Safe Harbor laws in place. This was done, to act, in their view, in what was the best interest of the victimized children. With imperfect laws and implementation, these findings suggest an important role for local and state responders to act together to protect victims from unnecessary criminalization and potential further traumatization.

  19. [A case of a child with bad odor].

    PubMed

    Cuestas, Eduardo; Busso, Raúl; Barcudi, Silvina; Tapia, Natalia

    2005-01-01

    The odor emitted by a patient may be one of the first major clues leading to an early diagnosis. Certain conditions produce a characteristic smell and several diseases are associated with a specific odor. We report an illustrative case and review olfactory physiology, the value of smell in physical examination, and finally discuss several illnesses associated with unusual odors.

  20. [A case report on mobbing in a school child].

    PubMed

    Holtz, S

    2012-08-01

    Forty percent of the work of a paediatrician in private practice consists of counselling parents and children. There is a danger that behavioural symptoms are not taken seriously and brushed away with simple advices. This case vignette demonstrates that difficult and complex symptoms can be solved by using a concept-oriented approach. PMID:22851462

  1. Fatal child abuse: a study of 13 cases of continuous abuse.

    PubMed

    Kauppi, Anne Leena Marika; Vanamo, Tuija; Karkola, Kari; Merikanto, Juhani

    2012-07-26

    A parent who continuously physically abuses her/his child doesn't aim to kill the child but commits an accidental filicide in a more violent outburst of anger. Fatal abuse deaths are prevented by recognition of signs of battering in time. Out of 200 examined intra-familial filicides, 23 (12%) were caused by child battering and 13 (7%) by continuous battering. The medical and court records of the victim and the perpetrator were examined. The perpetrator was the biological mother and the victim was male in 69 per cent of the cases. The abused children were either younger than one year or from two-and-a-half to four years old. Risk factors of the victim (being unwanted, premature birth, separation from the parent caused by hospitalization or custodial care, being ill and crying a lot) and the perpetrator (personality disorder, low socioeconomic status, chaotic family conditions, domestic violence, isolation, alcohol abuse) were common. The injuries caused by previous battering were mostly soft tissue injuries in head and limbs and head traumas and the battering lasted for days or even an year. The final assault was more violent and occurred when the parent was more anxious, frustrated or left alone with the child. The perpetrating parent was diagnosed as having a personality disorder (borderline, narcissistic or dependent) and often substance dependence (31%). None of them were psychotic. Authorities and community members should pay attention to the change in child's behavior and inexplicable injuries or absence from daycare. Furthermore if the parent is immature, alcohol dependent, have a personality disorder and is unable to cope with the demands the small child entails in the parent's life, the child may be in danger. PMID:25478105

  2. Child Sexual Abuse Prevention Programs: What Makes them Effective in Protecting Children?

    ERIC Educational Resources Information Center

    Kraizer, Sherryll; And Others

    1989-01-01

    Describes a school-based child abuse prevention program. The program's effectiveness is evaluated in terms of prevention of sexual abuse, the age of maximum receptivity to prevention education, and implications of the evaluation for early childhood educators. (RJC)

  3. Child sexual abuse: report of 311 cases with review of literature

    PubMed Central

    Essabar, Laila; Khalqallah, Abdenbi; Dakhama, Badr Sououd Benjelloun

    2015-01-01

    Child sexual abuse (CSA) is a global problem that has significant consequences for public health; it has been a prominent topic of public concern for more than a decade, but many basic facts about the problem remain unclear or in dispute. We conducted a study of 311 cases of CSA in order to highlight the epidemiological features and negative impact on victims’ well-being and to emphasize the need for a multidisciplinary approach to the primary prevention and management of CSA. We noted an increase in cases number with male predominance. Most of our patients came from lower socioeconomic classes. The perpetrators were male in 100% of cases; acquaintances in 70% of cases and family members in 22 cases. Physical examination were normal in 61% of cases, however, a range of psychological and physical effects were identified with dramatic health consequences: three cases of attempted suicide, five pregnancies and one case of HIV virus infection. PMID:26090005

  4. How Egg Case Proteins Can Protect Cuttlefish Offspring?

    PubMed Central

    Cornet, Valérie; Henry, Joël; Goux, Didier; Duval, Emilie; Bernay, Benoit; Le Corguillé, Gildas; Corre, Erwan; Zatylny-Gaudin, Céline

    2015-01-01

    Sepia officinalis egg protection is ensured by a complex capsule produced by the female accessory genital glands and the ink bag. Our study is focused on the proteins constituting the main egg case. De novo transcriptomes from female genital glands provided essential databases for protein identification. A proteomic approach in SDS-PAGE coupled with MS unveiled a new egg case protein family: SepECPs, for Sepia officinalis Egg Case Proteins. N-glycosylation was demonstrated by PAS staining SDS-PAGE gels. These glycoproteins are mainly produced in the main nidamental glands. SepECPs share high sequence homology, especially in the signal peptide and the three cysteine-rich domains. SepECPs have a high number of cysteines, with conserved motifs involved in 3D-structure. SDS-PAGE showed that SepECPs could form dimers; this result was confirmed by TEM observations, which also revealed a protein network. This network is similar to the capsule network, and it associates these structural proteins with polysaccharides, melanin and bacteria to form a tight mesh. Its hardness and elasticity provide physical protection to the embryo. In addition, SepECPs also have bacteriostatic antimicrobial activity on GRAM- bacteria. By observing the SepECP / Vibrio aestuarianus complex in SEM, we demonstrated the ability of these proteins to agglomerate bacteria and thus inhibit their growth. These original proteins identified from the outer egg case ensure the survival of the species by providing physical and chemical protection to the embryos released in the environment without any maternal protection. PMID:26168161

  5. How Egg Case Proteins Can Protect Cuttlefish Offspring?

    PubMed

    Cornet, Valérie; Henry, Joël; Goux, Didier; Duval, Emilie; Bernay, Benoit; Le Corguillé, Gildas; Corre, Erwan; Zatylny-Gaudin, Céline

    2015-01-01

    Sepia officinalis egg protection is ensured by a complex capsule produced by the female accessory genital glands and the ink bag. Our study is focused on the proteins constituting the main egg case. De novo transcriptomes from female genital glands provided essential databases for protein identification. A proteomic approach in SDS-PAGE coupled with MS unveiled a new egg case protein family: SepECPs, for Sepia officinalis Egg Case Proteins. N-glycosylation was demonstrated by PAS staining SDS-PAGE gels. These glycoproteins are mainly produced in the main nidamental glands. SepECPs share high sequence homology, especially in the signal peptide and the three cysteine-rich domains. SepECPs have a high number of cysteines, with conserved motifs involved in 3D-structure. SDS-PAGE showed that SepECPs could form dimers; this result was confirmed by TEM observations, which also revealed a protein network. This network is similar to the capsule network, and it associates these structural proteins with polysaccharides, melanin and bacteria to form a tight mesh. Its hardness and elasticity provide physical protection to the embryo. In addition, SepECPs also have bacteriostatic antimicrobial activity on GRAM- bacteria. By observing the SepECP / Vibrio aestuarianus complex in SEM, we demonstrated the ability of these proteins to agglomerate bacteria and thus inhibit their growth. These original proteins identified from the outer egg case ensure the survival of the species by providing physical and chemical protection to the embryos released in the environment without any maternal protection.

  6. Child abuse and osteogenesis imperfecta: how can they be still misdiagnosed? A case report

    PubMed Central

    D’Eufemia, Patrizia; Palombaro, Marta; Lodato, Valentina; Zambrano, Anna; Celli, Mauro; Persiani, Pietro; De Bari, Maria Pia; Sangiorgi, Luca

    2012-01-01

    Summary Osteogenesis imperfecta (OI) is a rare hereditary disease caused by mutations in genes coding for type I collagen, resulting in bone fragility. In literature are described forms lethal in perinatal period, forms which are moderate and slight forms where the only sign of disease is osteopenia. Child abuse is an important social and medical problem. Fractures are the second most common presentation after skin lesions and may present specific patterns. The differential diagnosis between slight-moderate forms of OI and child abuse could be very challenging especially when other signs typical of abuse are absent, since both could present with multiple fractures without reasonable explanations. We report a 20 months-old female with a history of 4 fractures occurred between the age of three and eighteen months, brought to authorities’ attention as a suspected child abuse. However when she came to our department physical examination, biochemical tests, total body X-ray and a molecular analysis of DNA led the diagnosis of OI. Thus, a treatment with bisphosphonate and a physical rehabilitation process, according to Vojta method, were started with improvement in bony mineralization, gross motor skills and absence of new fracture. In conclusion our case demonstrates how in any child presenting fractures efforts should be made to consider, besides child abuse, all the other hypothesis even the rarest as OI. PMID:23289038

  7. Trends in risk and protective factors for child bullying perpetration in the United States.

    PubMed

    Shetgiri, Rashmi; Lin, Hua; Flores, Glenn

    2013-02-01

    This study examines trends in prevalence and factors associated with bullying perpetration among children 10-17 years old, using the 2003 and 2007 National Survey of Children's Health. A parent-reported bullying measure and NSCH-designed questions were used to measure factors associated with bullying. The 2003 (n = 48,639) and 2007 (n = 44,152) samples were 51 % male, with mean age of 13.5 (standard deviation 2.3). 23 % of children bullied at least sometimes in 2003 and 15 % bullied in 2007. Parental anger with their child, a child emotional/developmental/behavioral problem, and suboptimal maternal mental health were associated with higher bullying odds in 2003 and 2007, whereas parents talking with their child very/somewhat well, and meeting their child's friends were associated with lower odds. Between 2003 and 2007, parental anger with their child was associated with increasing bullying odds and parents' meeting their child's friends was associated with decreasing odds. Targeting these persistent factors may result in effective bullying-prevention interventions. PMID:22661150

  8. Prenatal Substance Exposure and Child Self-Regulation: Pathways to Risk and Protection

    PubMed Central

    Eiden, Rina D.; Godleski, Stephanie; Schuetze, Pamela; Colder, Craig R.

    2015-01-01

    A conceptual model of the association between prenatal cocaine exposure (PCE) and child self-regulation via maternal harshness and language development was examined. Specifically, the model tested whether PCE was associated with self-regulation either directly or indirectly via high maternal harshness and poor language development. The role of child sex, autonomic reactivity, and cumulative environmental risk as potential moderators was also explored. The sample was 216 mother-child dyads recruited at birth and assessed at 2, 7, 13, 24, 36, and 48 months of child ages. Participating mothers were primarily African American (72%). Results indicated a significant indirect association between PCE and child effortful control at 36 months via higher maternal harshness. Autonomic reactivity moderated the association between maternal harshness and self-regulation, such that among children with poor autonomic reactivity, high maternal harshness was associated with lower conscience at 3 years. Child sex and environmental risk did not moderate the association between PCE and self-regulation. Thus, the quality of caregiving experience played a significant role in the development of self-regulation among PCE children, especially those at higher autonomic risk. In particular, PCE children who also exhibit poor autonomic reactivity may be particularly susceptible to environmental influences such as parenting. PMID:25913650

  9. Lumbar disc herniation in a child with cystic fibrosis: case report.

    PubMed

    Alexiou, George A; Stefanaki, Kalliopi; Sfakianos, George; Prodromou, Neofytos

    2014-04-01

    We report a case of child with cystic fibrosis and lumbar disc herniation. An 8-year-old boy presented with low back pain that exacerbated on coughing, sitting, walking, or bending and diminished when lying down. The straight leg raising test was positive when the right leg was lifted at 60 degrees. Crossed leg raising test was negative. Lumbar MRI revealed a L5-S1central disc protrusion. Conservative treatment was not effective and the patient underwent surgery. Postoperatively the patient experienced regression of the pain. To the best of our knowledge this is the first reported case of lumbar disc herniation in a child with cystic fibrosis. Although this case might be coincidental, thorough investigation of back pain, which is frequent in patients with cystic fibrosis, should be performed. PMID:24584798

  10. Mental disorders in chronically ill children: case identification and parent-child discrepancy.

    PubMed

    Canning, E H

    1994-01-01

    Children, like adults and parents, depend on primary care physicians to identify, treat, or refer those with mental disorders. Mental health concerns are also germane to the growing number of chronically ill children in pediatric care. This paper focuses on: 1) the level of agreement between children and parents about the presence of a mental disorder and the impact of informant on case identification; and 2) the extent to which pediatricians agree with reports by chronically ill children and/or their parents regarding such problems. The study sample includes 112 children, ages 9 to 18, with cancer, cystic fibrosis, inflammatory bowel disease, and insulin-dependent diabetes and a control group of 35 healthy subjects. Subject and a parent were interviewed separately using a highly standardized, structured interview that generates DSM-III-R diagnoses by computer algorithms. Pediatricians completed a questionnaire asking about the presence of any mental disorders. Agreement between parent and child was poor for both groups. In the medically ill group, more cases were identified by the parent interview than by child interview alone for all types of disorders. In contrast, children in the comparison group more often reported symptoms sufficient for a diagnosis than did their parents. The difference in prevalence between the two groups was significant only for the parent-identified cases, and physicians were more likely to recognize child-identified disorders. The choice of informant(s) has clear implications for case identification and case recognition in both clinical care and research in pediatric settings.

  11. A Case of Methanol Poisoning in a Child

    PubMed Central

    Rodriguez, Dimas

    2014-01-01

    We report the case of a girl admitted to the emergency room with a history of four hours' acute illness, characterized by nausea, vomiting, salivation, headache, blurred vision, and acidotic “Kussmaul” breathing. Arterial blood gases showed severe mixed acidosis, metabolic and respiratory with high anion gap. She had ingested the contents of a scent bottle containing methanol, which she thought was a soft drink bottle. The girl was managed with hemodialysis and strong intravenous hydration. She improved well and made a full recovery. PMID:24711938

  12. A case of dengue hemorrhagic fever in a Japanese child.

    PubMed

    Okuno, Y; Harada, T; Ogawa, M; Okamoto, Y; Maeda, K

    1989-01-01

    A 6-year-old Japanese girl contracted a febrile illness with hemorrhagic manifestations when she traveled in Indonesia. A remarkable decrease in the numbers of platelets and white blood cells was observed in her acute-phase blood specimens. Her father, who accompanied her, showed dengue fever-like symptoms at almost the same time as her illness. It was determined by serological tests that they were infected with dengue virus type 1. Moreover, she showed a secondary antibody response to the flavivirus due to the pre-existing antibody to Japanese encephalitis virus. This is the first confirmed case of dengue hemorrhagic fever (DHF) in Japanese people.

  13. Serotonin Syndrome Induced by Fentanyl in a Child: Case Report.

    PubMed

    Robles, Luis A

    2015-01-01

    Serotonin syndrome (SS) is a potentially fatal condition associated with increased serotonergic activity in the central nervous system that can be attributed to certain drugs or interactions between drugs. There are some published articles reporting this syndrome caused by the combination of fentanyl and selective serotonin reuptake inhibitors antidepressants in adult patients; however, there are no reports of SS associated to the use of fentanyl as a single causative agent. The author reports a case of a 7-year-old boy who was admitted to the emergency department with neurological deterioration secondary to an intracerebral hemorrhage. The patient was operated to remove the bleeding. Postoperatively, he experienced a diversity of progressive neurological signs (shivering, tremor, hypertonia, hyperreflexia, clonus, bilateral mydriasis, and intracranial hypertension), which were initially considered to be signs of neurological deterioration, but finally, it was proved that they were part of a SS caused by fentanyl.The absence of concomitant use of another medications known to induce SS and the dramatic improving observed after stopping fentanyl strongly indicates that fentanyl was the causative agent in this case of SS.Fentanyl is a medication used frequently, and therefore, clinicians should be aware of this potential adverse effect when this drug is administered.

  14. Late recognized nail aspiration in a child: case report.

    PubMed

    Çobanoğlu, Ufuk; Can, Muhammed; Birincioğlu, Ismail; Edirne, Yeşim; Melek, Mehmet

    2011-09-01

    Foreign body (FB) aspiration is common in children aged 0-3 years. Our case, a 2.5-year-old girl, presented with sudden onset of cough, fever and sputum; she had been treated twice for acute bronchitis four months ago. Resisting complaints led to an esophagoscopic examination in our Chest Surgery Clinic after a chest X-ray suggested FB in the esophagus, but no FB could be detected. A lateral chest X-ray revealed a FB with its sharp end targeting the trachea and its round end to the right hemithorax. Removal of the FB with forceps was not possible during rigid bronchoscopy. The FB was removed by thoracotomy and bronchotomy under general anesthesia. The removed FB was a nail measuring 6 cm in length. This case report should serve to stress the diversity of FB aspirations in childhood, the role of parental neglect, and that physicians should be aware of the possibility of FB in children with persistent cough.

  15. Maxillary tumor in a child: An expected case of difficult airway

    PubMed Central

    Reena; Vikram, A

    2016-01-01

    Craniofacial abnormalities in pediatric population fall under the category of expected case of difficult airway. We present here a case of large maxillary tumor in a 9-year-old girl where the relative difficulty was further compounded due to her noncooperation which was again expected from a child. Local anesthetic topicalization of airway followed by slow inhalational induction with gradually increasing sevoflurane, while maintaining her spontaneous breathing, we secured her airway using fiber optic bronchoscopy. The surgery and the extubation went uneventful. In conclusion a planned airway management using fiber optic bronchoscope after airway topicalization and sevoflurane induction is the ideal technique in an expected case of difficult pediatric airway. PMID:27051379

  16. Neurognathostomiasis in a young child in India: A case report.

    PubMed

    Kulkarni, Shilpa; Sayed, Rafat; Garg, Meenal; Patil, Varsha

    2015-10-01

    Eosinophilc meningitis is commonly associated with Angiostrongylus and Gnathostoma infection and has largely been reported from Thailand. We present the first case report of neurognathostomaisis in a pediatric patient from India. A 3.5 year old girl presented with fever, parasthesis, behavioral changes followed by flaccid quadriparesis. Neuroimaging showed haemorrhagic radiculomyelitis with cerebrospinal fluid eosinophilia. Diagnosis of Gnathostoma infection was confirmed serologically and she was treated with anthelminthic drugs and steroids. This report emphasizes the increasing importance of central nervous system helminithic infections as an alternative diagnosis to common infections like neurotuberculosis in developing countries, even in pediatric patients. Increasing intercontinental travel and migration have increased the incidence and importance in the developed world as well. PMID:26002516

  17. Neurognathostomiasis in a young child in India: A case report.

    PubMed

    Kulkarni, Shilpa; Sayed, Rafat; Garg, Meenal; Patil, Varsha

    2015-10-01

    Eosinophilc meningitis is commonly associated with Angiostrongylus and Gnathostoma infection and has largely been reported from Thailand. We present the first case report of neurognathostomaisis in a pediatric patient from India. A 3.5 year old girl presented with fever, parasthesis, behavioral changes followed by flaccid quadriparesis. Neuroimaging showed haemorrhagic radiculomyelitis with cerebrospinal fluid eosinophilia. Diagnosis of Gnathostoma infection was confirmed serologically and she was treated with anthelminthic drugs and steroids. This report emphasizes the increasing importance of central nervous system helminithic infections as an alternative diagnosis to common infections like neurotuberculosis in developing countries, even in pediatric patients. Increasing intercontinental travel and migration have increased the incidence and importance in the developed world as well.

  18. Fatal Child Abuse: A Study of 13 Cases of Continuous Abuse

    PubMed Central

    Vanamo, Tuija; Karkola, Kari; Merikanto, Juhani

    2012-01-01

    A parent who continuously physically abuses her/his child doesn’t aim to kill the child but commits an accidental filicide in a more violent outburst of anger. Fatal abuse deaths are prevented by recognition of signs of battering in time. Out of 200 examined intra-familial filicides, 23 (12%) were caused by child battering and 13 (7%) by continuous battering. The medical and court records of the victim and the perpetrator were examined. The perpetrator was the biological mother and the victim was male in 69 per cent of the cases. The abused children were either younger than one year or from two-and-a-half to four years old. Risk factors of the victim (being unwanted, premature birth, separation from the parent caused by hospitalization or custodial care, being ill and crying a lot) and the perpetrator (personality disorder, low socioeconomic status, chaotic family conditions, domestic violence, isolation, alcohol abuse) were common. The injuries caused by previous battering were mostly soft tissue injuries in head and limbs and head traumas and the battering lasted for days or even an year. The final assault was more violent and occurred when the parent was more anxious, frustrated or left alone with the child. The perpetrating parent was diagnosed as having a personality disorder (borderline, narcissistic or dependent) and often substance dependence (31%). None of them were psychotic. Authorities and community members should pay attention to the change in child’s behavior and inexplicable injuries or absence from daycare. Furthermore if the parent is immature, alcohol dependent, have a personality disorder and is unable to cope with the demands the small child entails in the parent’s life, the child may be in danger. PMID:25478105

  19. Hickman to central venous catheter: A case of difficult venous access in a child suffering from acute lymphoblastic leukemia

    PubMed Central

    Chakraborty, Arunangshu; Agrawal, Sanjit; Datta, Taniya; Mitra, Suparna; Khemka, Rakhi

    2016-01-01

    Chemotherapy in children suffering from cancer usually requires placement of an indwelling central venous catheter (CVC). A child may need to undergo repeated procedures because of infection and occlusion of previous access devices. We present a case of CVC insertion in a child suffering from acute lymphoblastic leukemia where an innovative technique was employed.

  20. Profile of the Linguistic and Metalinguistic Abilities of a Gifted Child with Autism Spectrum Disorder: A Case Study

    ERIC Educational Resources Information Center

    Melogno, Sergio; Pinto, Maria Antonietta; Levi, Gabriel

    2015-01-01

    This study analyses the case of a gifted child (9;6 year) with autism spectrum disorder (ASD) who had a particularly high verbal IQ (146) and a specific cognitive, linguistic, and metalinguistic profile. A description of some salient behavioral characteristics of the child is provided. A metalinguistic ability test assessing metagrammatical,…

  1. Response to Cross and Saxe's "A Critique of the Validity of Polygraph Testing in Child Sexual Abuse Cases."

    ERIC Educational Resources Information Center

    Williams, Vergil L.

    1995-01-01

    Responds to an article (1992) in which Cross and Saxe assert that polygraph testing is inaccurate and inappropriate in the area of child sexual abuse. Presents a summary of recent polygraph validity and reliability studies to refute their claims, and discusses current uses of polygraph testing in child sexual abuse cases. (JPS)

  2. Hickman to central venous catheter: A case of difficult venous access in a child suffering from acute lymphoblastic leukemia

    PubMed Central

    Chakraborty, Arunangshu; Agrawal, Sanjit; Datta, Taniya; Mitra, Suparna; Khemka, Rakhi

    2016-01-01

    Chemotherapy in children suffering from cancer usually requires placement of an indwelling central venous catheter (CVC). A child may need to undergo repeated procedures because of infection and occlusion of previous access devices. We present a case of CVC insertion in a child suffering from acute lymphoblastic leukemia where an innovative technique was employed. PMID:27695218

  3. Child Sexual Abuse Assessment: Issues in Professional Ethics.

    ERIC Educational Resources Information Center

    Milchman, Madelyn Simring

    1995-01-01

    Coordinates ethical codes for psychiatry, psychology, and social work and discusses their implications for child sexual abuse assessment in child protection and divorce/custody/visitation cases. Guidelines developed by the American Professional Society on the Abuse of Children are also considered. Confidentiality, protection from harm, and bias…

  4. Acute colchicine intoxication in a child: a case report.

    PubMed

    Biçer, Suat; Soysal, Demet D; Ctak, Agop; Uçsel, Raif; Karaböcüoğlu, Metin; Uzel, Nedret

    2007-05-01

    Colchicine poisoning is an uncommon, but potentially life-threatening, toxicologic emergency. The clinical features associated with overdose and the options for treatment are discussed. Colchicine poisoning typically shows 3 phases: initially, gastrointestinal symptoms predominate; in the second phase, multiorgan failure may occur, possibly leading to death. If the patient survives, the third phase of recovery follows, during which the patient often presents with hair loss. Early fatality is due to cardiovascular collapse and respiratory failure; however, pancytopenia and overwhelming septicemia can occur later. All patients suspected of having colchicine intoxication because of its unpredictable outcome should be managed according to the principles of intensive care, irrespective of the actual degree of poisoning. In those patients who survive the initial phase of poisoning, filgrastim (granulocyte colony-stimulating factor) offers an effective method of treating pancytopenia and preventing overwhelming septicemia. Daily monitoring of the patients' hematological status is strongly recommended. We are reporting a case of previously healthy girl who developed a multisystem organ failure after colchicine intoxication. The patient recovered completely and had no residual outcome.

  5. Collagenous Gastritis in A Korean Child : A Case Report

    PubMed Central

    Park, Sanghui; Kim, Dong Hoon; Choe, Youn Ho

    2005-01-01

    Collagenous gastritis, a counterpart of collagenous colitis, is an extremely rare disorder. The first case of collagenous gastritis in a Korean boy in his pre-teens who had been receiving treatment for refractory iron deficiency anemia has been reported. The patient had been suffering from intermittent abdominal pain, recurrent blood-tinged vomiting and poor oral intake. The gastric endoscopy revealed diffuse cobble-stone appearance of the mucosa with easy touch bleeding throughout the stomach but no abnormalities in the esophagus, duodenum, and colon. Pathologic examination of the gastric biopsies from the antrum, body and cardia showed a subepithelial collagen deposition with entrapped dilated capillaries, moderate infiltrates of lymphoplasma cells and eosinophils of the lamina propria, and marked hypertrophy of the muscularis mucosa. The collagen deposition appeared as discontinuous bands with focally irregular extension into the deeper part of the antral mucosa. It measured up to 150 µm. Helicobacter pylori infection was not detected. The biopsies from the duodenum, esophagus and colon revealed no pathologic abnormalities. PMID:15716621

  6. Collagenous gastritis in a Korean child: a case report.

    PubMed

    Park, Sanghui; Kim, Dong Hoon; Choe, Youn Ho; Suh, Yeon-Lim

    2005-02-01

    Collagenous gastritis, a counterpart of collagenous colitis, is an extremely rare disorder. The first case of collagenous gastritis in a Korean boy in his pre-teens who had been receiving treatment for refractory iron deficiency anemia has been reported. The patient had been suffering from intermittent abdominal pain, recurrent blood-tinged vomiting and poor oral intake. The gastric endoscopy revealed diffuse cobblestone appearance of the mucosa with easy touch bleeding throughout the stomach but no abnormalities in the esophagus, duodenum, and colon. Pathologic examination of the gastric biopsies from the antrum, body and cardia showed a subepithelial collagen deposition with entrapped dilated capillaries, moderate infiltrates of lympho-plasma cells and eosinophils of the lamina propria, and marked hypertrophy of the muscularis mucosa. The collagen deposition appeared as discontinuous bands with focally irregular extension into the deeper part of the antral mucosa. It measured up to 150 microm. Helicobacter pylori infection was not detected. The biopsies from the duodenum, esophagus and colon revealed no pathologic abnormalities. PMID:15716621

  7. Multidisciplinary Approach to the Rehabilitation in Management of Child with Early Childhood Caries: A Case Report

    PubMed Central

    Sharma, Neeraj; Passi, Sidhi; Kumar, Vinay V.

    2013-01-01

    The aesthetic requirement of severely mutilated primary anterior teeth in case of Early Childhood Caries (ECC) has been a challenge to paediatric dentists. ECC involves the upper anterior teeth early in life and by the time the dentist sees the child, most of the coronal structure is lost. This article presents the clinical sequence of rehabilitation of maxillary anterior primary teeth, and the mandibular posterior teeth. PMID:24298533

  8. Trends in child sexual abuse cases referred for forensic examination in Southern Denmark from 2000 to 2011 - Did the 'Tønder-case' have an impact?

    PubMed

    Skovmand, Sofie; Astrup, Birgitte Schmidt

    2015-11-01

    In 2005 a serious case of child sexual abuse from the region of Southern Denmark was revealed to the Danish public. The case became known as the 'Tønder-case'. It was the first in a series of 4-5 serious cases of child maltreatment in Denmark, cases which spurred heavy public debate. In this study all the cases of child sexual abuse referred for forensic examination in a 12 year period, a total of 368 cases, were systematically evaluated. In order to identify any trends that could be correlated to an impact of the 'Tønder-case', cases from 2000 to 2002 and cases from 2009 to 2011 underwent an in-depth analysis. In the 12 year period there was a significant increase in numbers of cases. In the subgroups, comprised of 113 cases meeting the inclusion criteria, we found a significant increase in the frequency of cases involving incest and systematic abuse, as well as an uncorrelated increase in the frequency of cases where children were placed in foster care prior to the examination. These results were countered by a significant decrease in the number cases police reported child sexual abuse in the same period. The possible impact that cases like the 'Tønder-case' and the following press coverage may have on disclosure and the handling of this type of case by authorities is discussed, as well as further perspectives of extensive press coverage.

  9. Child sexual abuse: psychosocial aspects of 101 cases seen in an urban Malaysian setting.

    PubMed

    Kassim, K; Kasim, M S

    1995-07-01

    This paper describes a case note and interview study of a cross sectional sample comprised of all children seen and confirmed as being sexually abused between June 1985 and December 1990 by the Suspected Child Abuse and Neglect (SCAN) Team of Kuala Lumpur General Hospital. A total of 101 cases, which represented 18.2% of all child abuse cases, were seen together with their accompanying adults. Information about ethnicity, socioeconomic status, family constellation relationship of perpetrator to the child, and reported psychosocial factors that could have contributed towards the abuse were recorded. The Indian ethnicity group was found to be overrepresented. The mean age of children was 6-8 years, SD 4.1, with age ranging 1.5-16 years. Forty-one and one-half percent were in the age range 5-9 years. Among the important associated psychosocial factors found were the absence of another adult at home, unemployment, and history of drug abuse among the perpetrators. PMID:7583735

  10. Development of an instrument to understand the child protective services decision-making process, with a focus on placement decisions.

    PubMed

    Dettlaff, Alan J; Christopher Graham, J; Holzman, Jesse; Baumann, Donald J; Fluke, John D

    2015-11-01

    When children come to the attention of the child welfare system, they become involved in a decision-making process in which decisions are made that have a significant effect on their future and well-being. The decision to remove children from their families is particularly complex; yet surprisingly little is understood about this decision-making process. This paper presents the results of a study to develop an instrument to explore, at the caseworker level, the context of the removal decision, with the objective of understanding the influence of the individual and organizational factors on this decision, drawing from the Decision Making Ecology as the underlying rationale for obtaining the measures. The instrument was based on the development of decision-making scales used in prior decision-making studies and administered to child protection caseworkers in several states. Analyses included reliability analyses, principal components analyses, and inter-correlations among the resulting scales. For one scale regarding removal decisions, a principal components analysis resulted in the extraction of two components, jointly identified as caseworkers' decision-making orientation, described as (1) an internal reference to decision-making and (2) an external reference to decision-making. Reliability analyses demonstrated acceptable to high internal consistency for 9 of the 11 scales. Full details of the reliability analyses, principal components analyses, and inter-correlations among the seven scales are discussed, along with implications for practice and the utility of this instrument to support the understanding of decision-making in child welfare.

  11. Development of the SAFE Checklist Tool for Assessing Site-Level Threats to Child Protection: Use of Delphi Methods and Application to Two Sites in India

    PubMed Central

    Betancourt, Theresa S.; Zuilkowski, Stephanie S.; Ravichandran, Arathi; Einhorn, Honora; Arora, Nikita; Bhattacharya Chakravarty, Aruna; Brennan, Robert T.

    2015-01-01

    Background The child protection community is increasingly focused on developing tools to assess threats to child protection and the basic security needs and rights of children and families living in adverse circumstances. Although tremendous advances have been made to improve measurement of individual child health status or household functioning for use in low-resource settings, little attention has been paid to a more diverse array of settings in which many children in adversity spend time and how context contributes to threats to child protection. The SAFE model posits that insecurity in any of the following fundamental domains threatens security in the others: Safety/freedom from harm; Access to basic physiological needs and healthcare; Family and connection to others; Education and economic security. Site-level tools are needed in order to monitor the conditions that can dramatically undermine or support healthy child growth, development and emotional and behavioral health. From refugee camps and orphanages to schools and housing complexes, site-level threats exist that are not well captured by commonly used measures of child health and well-being or assessments of single households (e.g., SDQ, HOME). Methods The present study presents a methodology and the development of a scale for assessing site-level child protection threats in various settings of adversity. A modified Delphi panel process was enhanced with two stages of expert review in core content areas as well as review by experts in instrument development, and field pilot testing. Results Field testing in two diverse sites in India—a construction site and a railway station—revealed that the resulting SAFE instrument was sensitive to the differences between the sites from the standpoint of core child protection issues. PMID:26540159

  12. Child Rights in Latin America: From "Irregular Situation" to Full Protection. Innocenti Essays No. 8.

    ERIC Educational Resources Information Center

    Mendez, Emilio Garcia

    Since the ratification of the United Nations Convention on the Rights of the Child by all Latin American countries, many substantial national legislative reforms have been made that reflect the spirit and the letter of the new Convention. This series of essays documents the challenges faced by countries beginning the process of legislative reform,…

  13. Child Protection and Self-Regulation in the Internet Industry: The UK Experience

    ERIC Educational Resources Information Center

    Carr, John; Hilton, Zoe

    2009-01-01

    In the United Kingdom (UK), the number of convictions for offences related to child abuse images fell back following the police investigation dubbed "Operation Ore", but have still continued at levels unimaginable only 10 years ago. However, while government and the internet industry deserve credit for the steps they have taken to reduce the…

  14. Human Rights and Decision-Making in Child Protection through Explicit Argumentation

    ERIC Educational Resources Information Center

    Duffy, Joe; Taylor, Brian; Mc Call, Susannah

    2006-01-01

    A recent judgement in February 2005 by the Lord Chief Justice in Northern Ireland that a Health and Social Services Trust had breached a parent's Article 8 Right to Family Life in the process used to take a young child into care has stimulated major debate about the interface between the Human Rights Act (1998) and professional decision-making in…

  15. Decision-Making in Child Protective Services: A Comparison of Selected Risk-Assessment Systems.

    ERIC Educational Resources Information Center

    Doueck, Howard J.; And Others

    1993-01-01

    Discusses the benefits and shortcomings of three systems for assessing risk factors affecting children: the Illinois CANTS 17B; the Washington Assessment of Risk Matrix; the Child at Risk Field System. Although these systems are used in 23 states, the lack of staff knowledgeable about human development and the uncertain reliability and validity of…

  16. Parental Emotion Coaching and Child Emotion Regulation as Protective Factors for Children with Oppositional Defiant Disorder

    ERIC Educational Resources Information Center

    Dunsmore, Julie C.; Booker, Jordan A.; Ollendick, Thomas H.

    2013-01-01

    We assessed linkages of mothers' emotion coaching and children's emotion regulation and emotion lability/negativity with children's adjustment in 72 mother-child dyads seeking treatment for oppositional defiant disorder (ODD). Dyads completed the questionnaires and discussed emotion-related family events. Maternal emotion coaching…

  17. Children's Participation in Child-Protection Processes as Experienced by Foster Children and Social Workers

    ERIC Educational Resources Information Center

    Polkki, Pirjo; Vornanen, Riitta; Pursiainen, Merja; Riikonen, Marjo

    2012-01-01

    Children in foster care often have no means of influencing matters that concern them, and can easily become outsiders in their own lives. The United Nations Convention on the Rights of the Child enshrines the rights of capable children to express their views freely in matters affecting them and to be heard in any judicial or administrative…

  18. Does working with child abuse cases affect professionals' parenting and the psychological well-being of their children?

    PubMed

    Dursun, Onur Burak; Sener, Mustafa Talip; Esin, Ibrahim Selcuk; Ançi, Yüksel; Yalin Sapmaz, Sermin

    2014-01-01

    Work in the field of sexual abuse is extremely stressful and may arouse negative personal reactions. Although these secondary trauma effects are well described on a personal level, there is not enough evidence to understand whether these professionals carry these effects to their homes, families, and offspring. This study aims to identify the effects of working with child abuse cases on the anxiety level and parenting styles of childhood trauma workers and on their children's well-being. A total of 43 health and legal system workers who worked with abused children in any step of their process and who had children constituted the study group, and 50 control cases, each working in the same institution and having the same occupation as 1 of the participants from the study group and having children but not working directly with children and child abuse cases, were included in the study. Participants were asked to fill out a sociodemographic form, the Parental Attitude Research Instrument, the trait portion of the State-Trait Anxiety Inventory, and an age-appropriate form of the Child Behavior Checklist for each child they had. Professionals in the study working with child abuse cases demonstrated significantly higher democratic parenting attitudes. Law enforcement workers working with child abuse cases demonstrated stricter and more authoritarian parenting strategies, as well as more democratic attitudes, than their colleagues. There was not a statistically significant relationship between child abuse workers' anxiety level and their children's well-being among control subjects.

  19. Does working with child abuse cases affect professionals' parenting and the psychological well-being of their children?

    PubMed

    Dursun, Onur Burak; Sener, Mustafa Talip; Esin, Ibrahim Selcuk; Ançi, Yüksel; Yalin Sapmaz, Sermin

    2014-01-01

    Work in the field of sexual abuse is extremely stressful and may arouse negative personal reactions. Although these secondary trauma effects are well described on a personal level, there is not enough evidence to understand whether these professionals carry these effects to their homes, families, and offspring. This study aims to identify the effects of working with child abuse cases on the anxiety level and parenting styles of childhood trauma workers and on their children's well-being. A total of 43 health and legal system workers who worked with abused children in any step of their process and who had children constituted the study group, and 50 control cases, each working in the same institution and having the same occupation as 1 of the participants from the study group and having children but not working directly with children and child abuse cases, were included in the study. Participants were asked to fill out a sociodemographic form, the Parental Attitude Research Instrument, the trait portion of the State-Trait Anxiety Inventory, and an age-appropriate form of the Child Behavior Checklist for each child they had. Professionals in the study working with child abuse cases demonstrated significantly higher democratic parenting attitudes. Law enforcement workers working with child abuse cases demonstrated stricter and more authoritarian parenting strategies, as well as more democratic attitudes, than their colleagues. There was not a statistically significant relationship between child abuse workers' anxiety level and their children's well-being among control subjects. PMID:24983655

  20. [The bill of rights for children in sport: a tool to promote the health and protect the child in sport].

    PubMed

    Mahler, P; Bizzini, L; Marti, M; Bouvier, P

    2006-07-26

    The Bill of rights for children in sport was developed in response to the need for prevention and protection of children practicing sport. It is the result of an interdisciplinary approach and is used with young sportsmen, sport clubs and in the education of the professionals involved with children's sport. It is an excellent tool to sensitize people to children's vulnerabilities and to establish the bases for prevention and protection. In complete accordance with the UN Convention on the Rights of the Child, this Bill gives an example of a concrete application in the field of Sports. Used on a regular basis in the field, it contributes to change the adult's vision of children's sport and the approach to coaching;

  1. ANXIETY AND ATTACHMENT TO THE MOTHER IN PRESCHOOLERS RECEIVING PSYCHIATRIC CARE: THE FATHER-CHILD ACTIVATION RELATIONSHIP AS A PROTECTIVE FACTOR.

    PubMed

    Gaumon, Sébastien; Paquette, Daniel; Cyr, Chantal; Émond-Nakamura, Mutsuko; St-André, Martin

    2016-07-01

    This 49-family study is the first to explore the father-child relationship in a clinical population of preschoolers (at a tertiary care child psychiatry clinic) and to examine its relation to child anxiety and attachment to the mother. A moderation model of the father-child activation relationship on the relation between attachment to the mother and child anxiety was tested and discussed. Analyses confirmed the expected independence between mother-child attachment and father-child activation as well as the association between mother-child attachment and anxiety. The highest levels of anxiety were found in insecure children, and more specifically, in insecure-ambivalent children and insecure disorganized-controlling children of the caregiving subtype. Hypotheses regarding the relation between anxiety and activation were only partially confirmed. Finally, the activation relationship with the father was shown to have a moderating effect on the relation between attachment to the mother and child anxiety; activation by the father may be considered either a protective or a risk factor. Results for this clinical population of young children are discussed in the light of attachment theory and activation relationship theory. The study's findings have the potential to contribute to the development of preventative, diagnostic, and intervention programs that take both parental figures into account. PMID:27333431

  2. ANXIETY AND ATTACHMENT TO THE MOTHER IN PRESCHOOLERS RECEIVING PSYCHIATRIC CARE: THE FATHER-CHILD ACTIVATION RELATIONSHIP AS A PROTECTIVE FACTOR.

    PubMed

    Gaumon, Sébastien; Paquette, Daniel; Cyr, Chantal; Émond-Nakamura, Mutsuko; St-André, Martin

    2016-07-01

    This 49-family study is the first to explore the father-child relationship in a clinical population of preschoolers (at a tertiary care child psychiatry clinic) and to examine its relation to child anxiety and attachment to the mother. A moderation model of the father-child activation relationship on the relation between attachment to the mother and child anxiety was tested and discussed. Analyses confirmed the expected independence between mother-child attachment and father-child activation as well as the association between mother-child attachment and anxiety. The highest levels of anxiety were found in insecure children, and more specifically, in insecure-ambivalent children and insecure disorganized-controlling children of the caregiving subtype. Hypotheses regarding the relation between anxiety and activation were only partially confirmed. Finally, the activation relationship with the father was shown to have a moderating effect on the relation between attachment to the mother and child anxiety; activation by the father may be considered either a protective or a risk factor. Results for this clinical population of young children are discussed in the light of attachment theory and activation relationship theory. The study's findings have the potential to contribute to the development of preventative, diagnostic, and intervention programs that take both parental figures into account.

  3. Associations between Child and Teacher Characteristics and Quality of Teacher-Child Relationships: The Case of Hungary

    ERIC Educational Resources Information Center

    Koles, Bernadett; O'Connor, Erin E.; Collins, Brian A.

    2013-01-01

    The purpose of the current study was to investigate variations in teacher-child relationships in childcare classrooms in Budapest, Hungary (N = 172 children in 43 classrooms), and to examine whether variations were associated with child and/or teacher characteristics. In addition, cultural variation was examined with reference to an American…

  4. Child Molesters: A Behavioral Analysis. For Law-Enforcement Officers Investigating Cases of Child Sexual Exploitation. Second Edition.

    ERIC Educational Resources Information Center

    Lanning, Kenneth V.

    This booklet provides a behavioral analysis of child molesters. The terms child molesters and pedophiles are defined and distinctions are drawn between the two. The second section develops a law enforcement typology differing from those of mental health professionals, focusing on pre-arrest behavior or pre-identification behavior of child…

  5. Primary endobronchial myxoid leiomyoma in a child: An unusual case report and review of literature.

    PubMed

    Awasthi, Ashutosh; Dubey, Suparna; Sabhikhi, Abha K; Bal, Sabyasachi

    2016-01-01

    Primary leiomyomas are rare benign tumors of the lung and only 25 cases have been documented in children, most of which are endobronchial. Leiomyomas are benign smooth muscle neoplasms, usually diagnosed on morphological characteristics. However, immunohistochemistry plays a crucial role in the lineage differentiation when these are encountered at unusual sites or with unexpected morphological features. We report a case of endobronchial tumor of a 13-year-old male child who presented with a dry cough and hemoptysis. A mass lesion in the right main bronchus was detected by bronchoscopy and contrast-enhanced computed tomography. On histopathological examination of the resected specimen, a diagnosis of myxoid leiomyoma was made. To the best of our knowledge, this is the first case of myxoid leiomyoma to be reported in the respiratory tract. This case also demonstrates the need for a high index of suspicion and the role of immunomarkers in the diagnosis of such challenging cases.

  6. A Human Case of Hymenolepis diminuta in a Child from Eastern Sicily

    PubMed Central

    Patamia, Ildebrando; Cappello, Elisa; Castellano-Chiodo, Donato; Greco, Filippo; Cacopardo, Bruno

    2010-01-01

    We report a case of Hymenolepis diminuta infection in a 2-year-old child living in a suburban area of Catania, Italy. This case was initially referred to us as Dipylidium caninum infection, which was not cured after being treated twice with mebendazole. However, by analyzing the clinical presentation and stool samples we arrived to the diagnosis of H. diminuta infection. The case presented with atypical allergic manifestations which had never been reported as clinical features of symptomatic H. diminuta infection; remittent fever with abdominal pain, diffuse cutaneous itching, transient thoracic rash, and arthromyalgias. The patient was treated with a 7-day cycle of oral niclosamide, which proved to be safe and effective. This case report emphasizes that a correct parasitological diagnosis requires adequate district laboratories and trained personnel. In addition, we recommend the importance of reporting all H. diminuta infection cases, in order to improve knowledge on epidemiology, clinical presentation, and treatment protocols. PMID:20585535

  7. Depression and post-traumatic stress disorder in child victims of sexual abuse: perceived social support as a protection factor.

    PubMed

    Aydin, Berna; Akbas, Seher; Turla, Ahmet; Dundar, Cihad

    2016-08-01

    Background Social support has been shown to play a protective role against the development of post-traumatic stress disorder (PTSD) and depression in individuals exposed to trauma. Aims The purpose of this study was to investigate the effect of perceived social support on depression and PTSD in child victims of sexual abuse and to determine the relationship between them. Method In total 182 victims of sexual abuse aged 6-18 at time of interview were assessed. Clinical interviews, the Children's Depression Inventory (CDI) and the Child Posttraumatic Stress Reaction Index (CPTS-RI) were used to assess children's psychological status, while the Perceived Social Support Scale-Revised (PSSS-R) was used to measure social support. Results Girls had significantly higher median CDI and CPTS-RI scores than boys, while no significant difference was determined between boys and girls in terms of PSSS-R scores. A statistically significant negative correlation was determined between CDI and PSSS-R scores, CPTS-RI scores and PSSS-R scores in girls, while no significant correlation was identified in male victims. Conclusions In conclusion, we think that social support networks for victims of sexual abuse need to be broadened and increased, and that importance should be attached to protective approaches in that context. PMID:26906641

  8. Sudden death in a child following jellyfish envenomation by Chiropsalmus quadrumanus. Case report and autopsy findings.

    PubMed

    Bengtson, K; Nichols, M M; Schnadig, V; Ellis, M D; Bengston, K

    1991-09-11

    Sudden death following coelenterate envenomation is not uncommon in Australia where the Pacific box jellyfish is indigenous. However, few cases of sudden fatal reactions have been reported in the Northern Hemisphere, and those that have occurred have all been attributed to the Portuguese man-of-war, Physalia physalis. We report the case of a child who died within 40 minutes of accidental envenomation with tentacles of a jellyfish, Chiropsalmus quadrumanus, and describe the findings at autopsy. This coelenterate may be of special danger to small children. PMID:1679136

  9. [The subcutaneous mucormycosis due to Lichtheimia corymbifera: A case report in an immunocompetent child].

    PubMed

    Razouk, S; Sebbani, S; Agoumi, A; Benouchen, T; Malihi, A; Nacir, A; Abouhafsse, A; Al Hamany, Z; Tligui, H

    2012-06-01

    Mucormycosis due to Lichtheimia (ex Absidia) corymbifera is a rare fungal infection, occurring most often in an environment of immune deficiency, rarely in an immunocompetent patient. It comes in different clinical forms, frequently misleading, hence the interest of a pathological and mycological examination that allows the diagnosis of certainty. The management of this condition should be introduced early because it affects the functional prognosis of the patient. In this study, the authors report a case of mucormycosis in a 10-year-old child, and with clinical immunocompetent less severe than the cases reported in the literature.

  10. Acute dapsone poisoning in a 3-year-old child: Case report with review of literature

    PubMed Central

    Sunilkumar, Menon Narayanankutty; Ajith, Thekkuttuparambil Ananthanarayanan; Parvathy, Vadakut Krishnan

    2015-01-01

    Dapsone (DDS-diamino diphenyl sulphone) is a sulfone antibiotic being used for a variety of clinical conditions. Poisoning in children by DDS is rarely reported. Poisoning in acute cases will be frequently unrecognized due to relative lack of severe signs and symptoms. Methemoglobinemia is the major life-threatening situation associated with poisoning of DDS. Hence, any delay for medical attention can lead to increased rate of mortality. In this case, we describe acute DDS poisoning in a 3-year-old child and the successful management using intravenous methylene blue. PMID:26488029

  11. Protecting children: a survey of caregivers’ knowledge of Georgia’s child restraint laws

    PubMed Central

    Strasser, Sheryl; Whorton, Laurie; Walpole, Amanda J; Beddington, Sarah

    2010-01-01

    Introduction The leading cause of injury and death among children in the United States is motor vehicle crashes. Even though restraint laws are in place and public awareness campaigns and educational interventions have increased, many children are still improperly restrained or not restrained at all. When correctly used, child restraints significantly reduce risk of injury or death. Methods The purpose of the study was to elicit caregiver baseline knowledge of car seat installation and regulation before receiving car seat education from certified technicians at Inspection Station events. Inspection Station is a program whereby staff assists parents in correctly positioning car seats in participants’ vehicles. Over an 8-week period, Safe Kids Cobb County Car Seat Technicians distributed a 16-item survey, with 10 knowledge-based questions and six demographic questions to Inspection Station participants. Descriptive statistics and t-tests were conducted to assess relationships between participant age, ethnicity, and gender with overall knowledge scores. Regression analysis was run to determine the association between participant education level and total child restraint knowledge. Results One hundred sixty-nine surveys were completed. Participant knowledge of vehicular child restraint ranged from 0% to 90% on all items. Only 29.6% of caregivers understood the proper tightness of the harness system. Less than half of the caregivers (43.8%) were aware of the Georgia law requiring children aged 6 years and younger to be in some type of child restraint. Only 43.2% of caregivers surveyed knew that children need to ride in a rear-facing child restraint until 1 year of age and 20 pounds. No significant correlations between participant knowledge and age were found. Statistically significant associations were found between total knowledge scores and education level, ethnicity, and gender. Discussion The results from this study describe baseline knowledge among a sample of

  12. Dentist attitudes and responsibilities concerning child sexual abuse. A review and a case report

    PubMed Central

    Garrocho-Rangel, Arturo; Márquez-Preciado, Raúl; Olguín-Vivar, Ana-Isabel; Ruiz-Rodríguez, Socorro

    2015-01-01

    According to the World Health Organization, child abuse and neglect is “every kind of physical, sexual, emotional abuse, neglect or negligent treatment, commercial or other exploitation resulting in actual or potential harm to the child’s health, survival, development or dignity in the context of a relationship of responsibility, trust or power”. The aim of the present report is to inform about the most relevant aspects of child abuse and the characteristics of injuries to the head, neck, and orofacial regions, in addition to the suggested role of, and management by, the dentist for the evaluation of this condition, and also for reporting a case of a physically and sexually abused girl aged 5 years 8 months. Throughout the appointments, some type of abuse in this patient was suspected by the treating dentists at the clinic, mainly due to the initial behavior exhibited by the patient in the dental chair. Based on the clinical diagnostic an intensive preventive plan and restorative treatment was realized. The timely detection of the signs and symptoms of sexual abuse, often present in the orofacial region, place the pediatric dentist in a strategic situation, with the capacity to recognize, register, and later report those cases considered as suspect, including the dental treatment delivered and the intensive behavioral-psychological management, in order to achieve acceptation by the otherwise very anxious patient of the indicated restorative and preventive dental procedures. Key words:Child abuse, dentistry, behavior management. PMID:26330943

  13. Prosthetic Oral Rehabilitation of a Child With S-ECC: A Case Report with Histopathologic Analysis.

    PubMed

    Tannure, P N; Moraes, G G; Borba, McU; Abrahão, A; Andrade, Mtrc; Fidalgo, Tks

    2015-01-01

    The aim of this case report is to describe the treatment planning of a young child with severe early childhood caries (S-ECC) as well as the prosthetic rehabilitation technique. A 3-year-old female child was referred to the pediatric dentistry clinic with the chief complaint of tooth pain, difficulty in eating and recurrent hospitalizations caused by dental infections. The mother reported intermittent episodes of fever and recurrent swelling of child's face. The girl presented angular cheilitis and was referred to a dietitian. The treatment plain consisted on a behavior changes in oral hygiene habits, exodontias of all primary teeth and oral rehabilitation with a prosthesis. The extracted teeth with periapical lesions were submitted to histopathologic analysis (hematoxilin and eosin staining) and revealed an inflammatory infiltrate. The aesthetic requirement of children with S-ECC has been a challenge to pediatric dentists. In the present case, the oral rehabilitation provided for the children better aesthetic, nutrition, phonation, and functional conditions. PMID:26551361

  14. Parental spanking of 1-year-old children and subsequent child protective services involvement.

    PubMed

    Lee, Shawna J; Grogan-Kaylor, Andrew; Berger, Lawrence M

    2014-05-01

    The majority of U.S. parents spank their children, often beginning when their children are very young. We examined families (N=2,788) who participated in a longitudinal community-based study of new births in urban areas. Prospective analyses examined whether spanking by the child's mother, father, or mother's current partner when the child was 1-year-old was associated with household CPS involvement between age 1 and age 5. Results indicated that 30% of 1-year-olds were spanked at least once in the past month. Spanking at age 1 was associated with increased odds of subsequent CPS involvement (adjusted odds ratio=1.36, 95% CI [1.08, 1.71], p<.01). When compared to non-spanked children, there was a 33% greater probability of subsequent CPS involvement for children who were spanked at age 1. Given the undesirable consequences of spanking children and a lack of empirical evidence to suggest positive effects of physical punishment, professionals who work with families should counsel parents not to spank infants and toddlers. For optimal benefits, efforts to educate parents regarding alternative forms of discipline should begin during the child's first year of life.

  15. Parental spanking of 1-year-old children and subsequent child protective services involvement✩

    PubMed Central

    Lee, Shawna J.; Grogan-Kaylor, Andrew; Berger, Lawrence M.

    2015-01-01

    The majority of U.S. parents spank their children, often beginning when their children are very young. We examined families (N=2,788) who participated in a longitudinal community-based study of new births in urban areas. Prospective analyses examined whether spanking by the child's mother, father, or mother's current partner when the child was 1-year-old was associated with household CPS involvement between age 1 and age 5. Results indicated that 30% of 1-year-olds were spanked at least once in the past month. Spanking at age 1 was associated with increased odds of subsequent CPS involvement (adjusted odds ratio=1.36, 95% CI [1.08, 1.71], p<.01). When compared to non-spanked children, there was a 33% greater probability of subsequent CPS involvement for children who were spanked at age 1. Given the undesirable consequences of spanking children and a lack of empirical evidence to suggest positive effects of physical punishment, professionals who work with families should counsel parents not to spank infants and toddlers. For optimal benefits, efforts to educate parents regarding alternative forms of discipline should begin during the child's first year of life. PMID:24602690

  16. [Selected legal aspects of the protection of the unborn child in the light of the draft amendment to the Polish Penal Code].

    PubMed

    Urbaniak, Moniak; Spaczyński, Robert Z

    2015-10-01

    Criminal Law Codification Commission, acting at the Ministry of Justice prepared proposals for amendments in the Polish Penal Code, related to offenses against life and health that were presented to the public in 2013. The draft provides for the protection of the child in the prenatal stage, introducing a new category of the entity to be protected, which is "unborn child" and "unborn child able to live outside the mother's body". These regulations provide for mothers criminal liability and responsibility of the medical staff (a doctor), as well as the child's father to the extent in which he is obliged to take steps aimed at rescuing the fetus. It is doctor's responsibility to show particular care for human health and life since a doctor has special medical knowledge and that is regulated by art. 30 of the act on professions of doctor and dentist. The proposed rule changes were not brought before the legislature in the current term of the Sejm (2011-2015), but due to the development of medicine, including obstetrical ultrasound, which enables visualization of a child that moves in the womb and is treated as a separate entity with distinct personal features the grounds are given for the opinion that the issue of the legal status of the unborn child, particularly in the context of causing death of a child in the last phase before birth as a result of medical malpractice or other external factors will be back in the public discussion.

  17. [Selected legal aspects of the protection of the unborn child in the light of the draft amendment to the Polish Penal Code].

    PubMed

    Urbaniak, Moniak; Spaczyński, Robert Z

    2015-10-01

    Criminal Law Codification Commission, acting at the Ministry of Justice prepared proposals for amendments in the Polish Penal Code, related to offenses against life and health that were presented to the public in 2013. The draft provides for the protection of the child in the prenatal stage, introducing a new category of the entity to be protected, which is "unborn child" and "unborn child able to live outside the mother's body". These regulations provide for mothers criminal liability and responsibility of the medical staff (a doctor), as well as the child's father to the extent in which he is obliged to take steps aimed at rescuing the fetus. It is doctor's responsibility to show particular care for human health and life since a doctor has special medical knowledge and that is regulated by art. 30 of the act on professions of doctor and dentist. The proposed rule changes were not brought before the legislature in the current term of the Sejm (2011-2015), but due to the development of medicine, including obstetrical ultrasound, which enables visualization of a child that moves in the womb and is treated as a separate entity with distinct personal features the grounds are given for the opinion that the issue of the legal status of the unborn child, particularly in the context of causing death of a child in the last phase before birth as a result of medical malpractice or other external factors will be back in the public discussion. PMID:26677590

  18. A rare case of scurvy in an otherwise healthy child: diagnosis through oral signs.

    PubMed

    Bacci, Christian; Sivolella, Stefano; Pellegrini, Jacopo; Favero, Lorenzo; Berengo, Mario

    2010-01-01

    The purpose of this paper was to report the case of a 2-year-old Caucasian female who was referred with a presumed diagnosis of pediatric rheumatoid arthritis. The patient presented widespread gingival swelling with bleeding, sharp pain, and halitosis. The patient also presented pain and swelling of the right knee joint, and psychomotor restlessness associated with muscular frailty. Little compliance on the part of both the patient and parents was also noted. Oral manifestations, together with an accurate medical history, led to the diagnosis of infantile scurvy, caused by an inadequate dietary supply of vitamin C. Administering 250 mg of ascorbic acid orally twice a day led to the remission of gingival swelling and of the other symptoms. The parents were advised to feed the child appropriate foods. Nutritional problems are traditionally linked to an insufficient availability of food, but can also be associated with child- or family-related psychological problems.

  19. [Anesthesia using intramuscular methohexital for cerebral computed tomography in the child. Apropos of 100 cases].

    PubMed

    Bemer, M; Schwindenhammer, J; Pecourt, E; Bertocchi, M L; Poussel, J F

    1988-12-01

    Computed Tomography scans of the head demand a perfect motionless state, requiring sedation or general anesthesia for young children. Taking into account that CT Scan is innocuous, the proposed method of sedation must be devoid of any risk. A study was made about one hundred cases of intramuscular methohexital sedation of children, ages 3 weeks to 6 years (average age 26.05 +/- 19.95 months and average weight 9.9 +/- 4.07 kilograms). Children's medical antecedents were heavy foetal suffering, artificial ventilation at birth time, anticonvulsant medication for thirty percent of children. Average duration of the Scan was 35.8 +/- 12 minutes, with injection of contrast material in 83 percent of children. Injection of iodized material brings on a glow of warmth that can induce withdrawal movements of the child. Contrast material is used at the dose of 2 milliliters per kilogram. In general, CT Scan is performed after a clinical examination of the child, without any premedication. The child receives methohexital saline 2.5 percent solution intramuscularly deep in outer upper quadrant of the buttock, 10 mg per kilogram-1. Once the sedation is obtained, an infusion of isotonic glucose is set on to compensate fasting. The child, spontaneously breathing, is clinically and under ECG monitoring watched over at a distance. At the end of the Scan, children are observed in the recovery ward for 46 +/- 18 minutes before going back to their ward or their parents. Intramuscular methohexital provided adequate sedation to 96 patients. Two cases of failure to achieve a motionless state required general anesthesia induced with halothane.(ABSTRACT TRUNCATED AT 250 WORDS) PMID:3219635

  20. Fingers to the Bone: United States Failure To Protect Child Farmworkers.

    ERIC Educational Resources Information Center

    Tucker, Lee

    Agricultural work is the most hazardous and grueling area of employment open to U.S. children and is also the least protected. Adolescent farmworkers labor under more dangerous conditions than their peers working in nonagricultural settings and also face persistent wage exploitation and fraud. These adolescent workers are protected less under U.S.…

  1. Protective Factors for Children of Alcoholics: Parenting, Family Environment, Child Personality, and Contextual Supports.

    ERIC Educational Resources Information Center

    Jordan, Lisa C.; Chassin, Laurie

    The purposes of this study were to identify factors that would ameliorate the risk for substance abuse problems among children of alcoholics (COA), and to explore mechanisms of protection, particularly the Stress-Buffering model. Protective factors for children of alcoholics were examined in a controlled study (N=386). Three possible models are…

  2. Is Child Sexual Abuse Declining in Canada? An Analysis of Child Welfare Data

    ERIC Educational Resources Information Center

    Collin-Vezina, Delphine; Helie, Sonia; Trocme, Nico

    2010-01-01

    Objective: Canadian victimization surveys and police databases suggest that, overall, no decline in sexual crimes in Canada had occurred lately. We aimed at reviewing the existing data from Canadian child protection services to further explore whether a decline in the number of substantiated child sexual abuse (CSA) cases has occurred during the…

  3. Child sexual abuse in Singapore with special reference to medico-legal implications: a review of 38 cases.

    PubMed

    Yiming, Cai; Fung, Daniel

    2003-07-01

    There is a paucity of studies on child sexual abuse in Asia. This study reviews the trends of child sexual abuse in Singapore and discusses the medico-legal considerations in the identification, assessment and management (including forensic implications) of such cases. It is a retrospective case review of 38 consecutive cases of child sexual abuse seen at a child guidance clinic in Singapore. Our study showed that most of the children were young (74% below age 9) and female (78.9%) with perpetrators who are males and usually known to the victims. There is a need to have integrated protocols to streamline assessment and reduce the need for repeated questioning. Adequate support of the victims in the form of specialised handling during the Court proceedings and in the use of new technology (such as video conferencing) for obtaining the child's testimony may be necessary. A child's fitness to testify is determined by the credibility and competence of the child. Repressed memories are of questionable validity.

  4. A Welcome for Every Child: How France Protects Maternal and Child Health--A New Frame of Reference for the United States. A Report of the French-American Foundation.

    ERIC Educational Resources Information Center

    Richardson, Gail

    This report presents findings of a study tour organized by the French-American Foundation, for 13 United States' health care professionals to examine and interpret the nearly 50-year-old French maternal and child health care system, Protection maternelle et infantile (PMI). Chapter 1 describes the operation of PMI and the possibility of similar…

  5. Gastric Burkitt’s lymphoma in a child: A rare case

    PubMed Central

    ANGOTTI, ROSSELLA; MARINI, MARIO; GIANNOTTI, GIULIA; BURGIO, ANDREINA; MEUCCI, DANIELA; PAVONE, MARIA; MESSINA, MARIO

    2012-01-01

    Burkitt’s lymphoma (BL) is a high-grade lymphoma which represents 8-10% of all tumors in individuals younger than 15 years old. It may occur as an abdominal tumor, which in rare cases may include gastric mucosa, although in most cases, the tumor is located in the ileum or cecum. Primary gastric lymphoma constitutes as low as 1.48% of all gastric cancers in children. In this study, we described a case of gastric BL in a 4-year-old child, presenting discontinuous abdominal pain, weight loss, constipation and irritability. Despite its rarity in children, this tumor should be treated aggressively and long-term survival has been reported. PMID:23226793

  6. A case of bilateral submandibular gland mucoceles in a 16-month-old child.

    PubMed

    Choi, Hye Jung; Kim, Seoung Geun; Kim, Jong Duk; Kim, Jun Hyeng; Kim, Jun Hyen; Kim, Sung Mi

    2012-06-01

    Mucoceles are common benign cystic lesions of the oral cavity that develop following extravasation or retention of mucous material from the major or minor salivary glands. Mucoceles are usually located in the lower lip (60 to 70% of cases), and the floor of the mouth is only involved in 6 to 15% of cases. Submandibular gland mucocele is extremely rare but should be considered in the differential diagnosis of swelling at the submandibular triangle in young children. We present the rare case of a 16-month-old child who was diagnosed with bilateral submandibular gland mucocele, presenting as serial swellings in both submandibular regions. We removed the cystic mass with the submandibular and sublingual glands to prevent recurrence. PMID:22745647

  7. Acute Glomerulonephritis in a Child with Chlamydia pneumoniae Infection: A Case Report

    PubMed Central

    Falsaperla, Raffaele; Giunta, Leandra; Spataro, Giuseppina; Rapisarda, Venerando; Velardita, Mario; Nunnari, Giuseppe; Pavone, Piero

    2013-01-01

    Background. Infectious diseases seem to be an important and independent risk factor for renal failure, but the underlying mechanism of renal involvement during some kinds of infectious diseases is still unclear, even if the literature data report immunomediated and/or autoimmune mechanisms to explain the pathogenic relationship between the two diseases. In paediatric patients, Chlamydia pneumoniae is a rare cause of renal complications and it may manifest in several ways, mainly involving the respiratory system, even if also renal and glomerulalr complications, have been described. Case Diagnosis/Treatment. Herein we report a case of a 3-year-old child who developed an acute glomerulonephritis that was chronologically, clinically, and biologically related to a previous Chlamydia pneumoniae infection. On our knowledge, in the literature it is the youngest patient with renal involvement during course of Chlamydia pneumoniae infection ever reported. Conclusions. The present case supports the hypothesis of a rather close causal relationship between this infective agent and renal and glomerular symptoms occurred in this child, during an acute episode of respiratory disease. PMID:23970901

  8. Acute Glomerulonephritis in a Child with Chlamydia pneumoniae Infection: A Case Report.

    PubMed

    Vitaliti, Giovanna; Falsaperla, Raffaele; Giunta, Leandra; Spataro, Giuseppina; Rapisarda, Venerando; Velardita, Mario; Nunnari, Giuseppe; Pavone, Piero

    2013-01-01

    Background. Infectious diseases seem to be an important and independent risk factor for renal failure, but the underlying mechanism of renal involvement during some kinds of infectious diseases is still unclear, even if the literature data report immunomediated and/or autoimmune mechanisms to explain the pathogenic relationship between the two diseases. In paediatric patients, Chlamydia pneumoniae is a rare cause of renal complications and it may manifest in several ways, mainly involving the respiratory system, even if also renal and glomerulalr complications, have been described. Case Diagnosis/Treatment. Herein we report a case of a 3-year-old child who developed an acute glomerulonephritis that was chronologically, clinically, and biologically related to a previous Chlamydia pneumoniae infection. On our knowledge, in the literature it is the youngest patient with renal involvement during course of Chlamydia pneumoniae infection ever reported. Conclusions. The present case supports the hypothesis of a rather close causal relationship between this infective agent and renal and glomerular symptoms occurred in this child, during an acute episode of respiratory disease. PMID:23970901

  9. 25 CFR 63.36 - What are the special requirements for Indian child protection and family violence prevention...

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... violence prevention programs: (1) Caseworkers providing services to abused and neglected children and their..., and the number of child abuse, child neglect, and family violence reports received. (3) Assurance that the identity of any person making a report of child abuse or child neglect will not be...

  10. 25 CFR 63.36 - What are the special requirements for Indian child protection and family violence prevention...

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... violence prevention programs: (1) Caseworkers providing services to abused and neglected children and their..., and the number of child abuse, child neglect, and family violence reports received. (3) Assurance that the identity of any person making a report of child abuse or child neglect will not be...

  11. 25 CFR 63.36 - What are the special requirements for Indian child protection and family violence prevention...

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... violence prevention programs: (1) Caseworkers providing services to abused and neglected children and their..., and the number of child abuse, child neglect, and family violence reports received. (3) Assurance that the identity of any person making a report of child abuse or child neglect will not be...

  12. 25 CFR 63.36 - What are the special requirements for Indian child protection and family violence prevention...

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... violence prevention programs: (1) Caseworkers providing services to abused and neglected children and their..., and the number of child abuse, child neglect, and family violence reports received. (3) Assurance that the identity of any person making a report of child abuse or child neglect will not be...

  13. 25 CFR 63.36 - What are the special requirements for Indian child protection and family violence prevention...

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... violence prevention programs: (1) Caseworkers providing services to abused and neglected children and their..., and the number of child abuse, child neglect, and family violence reports received. (3) Assurance that the identity of any person making a report of child abuse or child neglect will not be...

  14. A case of postvaricella cerebral angiopathy with a good outcome in a child.

    PubMed

    Magagnini, Maria Cristina; Spina, Luisa La; Gioé, Daniela; Campo, G Del; Belfiore, G; Smilari, P; Greco, Filippo

    2015-01-01

    Cerebral vasculopathy is a serious but uncommon complication of varicella-zoster-virus (VZV) infection. Diagnosis is based on a recent history of VZV infection, signs and symptoms of transient ischemic attack or stroke, and vascular anomalies on neuroimaging. We report a case of postvaricella cerebral angiopathy in a 5-year-old child, who was admitted after three episodes of transient right hemiplegia, each one lasting a few minutes. He had contracted chicken pox, the month prior to admission. Brain magnetic resonance imaging showed hyperintense signals in the left lenticular and caudate nuclei, which can be considered to be a result of vasculopathy.

  15. [Oral plasmablastic lymphoma in a human immunodeficiency virus positive child: a case report].

    PubMed

    Astolfo, María Florencia; D'Antonio, Federico; Dartiguelongue, Juan B; Arabolaza, María N; Cheistwer, Ariel; De Matteo, Elena; Torrado, Lidia; Martínez Iriart, Emilio

    2016-04-01

    Plasmablastic lymphoma is a rare and aggressive subtype of diffuse large B cell non-Hodgkin lymphoma, originally described in the oral cavity of male adults with acquired immune deficiency syndrome. It is composed of neoplastic ceils which resemble immunoblasts but present immunophenotype distinctive of plasma cell and Epstein-Barr virus latent infection. In children, it is an even rarer disease. We present a case of oral plasmablastic lymphoma in a vertically transmitted human immunodeficiency virus-positive five-year-old child.

  16. Bacillary angiomatosis in an immunocompetent child: a case report and review of the literature.

    PubMed

    Zarraga, Matthew; Rosen, Les; Herschthal, David

    2011-07-01

    Bacillary angiomatosis is an infectious disease caused by 2 gram-negative bacilli, Bartonella henselae and Bartonella quintana. This disease is characterized by vascular proliferations in the skin and/or visceral organs, and typically manifests in immunocompromised patients. However, we report a case of a 10-year-old immunocompetent female child with a questionable history of being scratched by a cat. Although initially diagnosed as a pyogenic granuloma, a diagnosis of bacillary angiomatosis was made based on histologic examination of the excised lesion demonstrating interstitial bacillary deposition on Warthin-Starry silver stain. The patient was successfully treated with 2 weeks of azithromycin after which all symptoms resolved.

  17. Profiles of Intimate Partner Violence Victimization, Substance Misuse, and Depression Among Female Caregivers Involved with Child Protective Services

    PubMed Central

    Hellmuth, Julianne C.; Sullivan, Tami P.; Connell, Christian M.

    2014-01-01

    Intimate partner violence (IPV) victimization, substance misuse, and depression are highly prevalent among female caregivers involved with child protective services (CPS). Understanding heterogeneity in the occurrence of these problems is essential to improving pathways to intervention for women in this population. Latent class analysis was employed to determine whether there exist homogeneous subgroups of female caregivers who experience different patterns of IPV victimization, substance misuse, and depression. A restricted three-class solution best fit the data, suggesting high risk, moderate risk, and no risk subgroups. A substantial number of female caregivers comprise the high-risk subgroup (33%) in which caregivers reported very high rates of IPV victimization, substance misuse, and depression. Only a very small proportion comprised the no-risk subgroup (9%). Findings emphasize the heterogeneity among subgroups of female caregivers based on these risk factors, which may have implications for practitioners, such as CPS caseworkers, and researchers alike. PMID:26617433

  18. Cancer in a parent: the impact on mother and child. A consultation-liaison clinical case conference.

    PubMed

    Nir, Y; Pynoos, R S; Holland, J

    1981-12-01

    The following case presents a 31-year-old woman medically hospitalized during a relapse of acute myelocytic leukemia. A consultation-liaison clinical conference focused on the patient's concerns about the effects of her illness on her relationship with her young daughter and its impact on the child's development. The discussion illustrates the consultation-liaison psychiatrist's role in alerting parents to their child's needs and in providing them with tools for effective parenting in a crisis situation such a cancer.

  19. Genetic Influences Can Protect Against Unresponsive Parenting in the Prediction of Child Social Competence

    PubMed Central

    Van Ryzin, Mark J.; Leve, Leslie D.; Neiderhiser, Jenae M.; Shaw, Daniel S.; Natsuaki, Misaki N.; Reiss, David

    2014-01-01

    Although social competence in children has been linked to the quality of parenting, prior research has typically not accounted for genetic similarities between parents and children, or for interactions between environmental (i.e., parental) and genetic influences. In this paper, we evaluate the possibility of a gene-by-environment (GxE) interaction in the prediction of social competence in school-age children. Using a longitudinal, multi-method dataset from a sample of children adopted at birth (N = 361), we found a significant interaction between birth parent sociability and sensitive, responsive adoptive parenting when predicting child social competence at school entry (age 6), even when controlling for potential confounds. An analysis of the interaction revealed that genetic strengths can buffer the effects of unresponsive parenting. PMID:25581124

  20. Eye Safety At-A-Glance: Protecting Your Child's Vision in Sports

    ERIC Educational Resources Information Center

    National Association for Sport and Physical Education, 2006

    2006-01-01

    Sports-related eye injuries are quite common, yet the number of children who use protective eyewear (safety glasses or goggles) is extremely low. More than 600,000 eye injuries related to sports occur each year, and approximately one-third of these injuries occur in children. When children participate in sports they not only increase their…

  1. International Law as Remedy: When the State Breaches Child Protection Statutes

    ERIC Educational Resources Information Center

    Bessant, Judith

    2011-01-01

    While legislative frameworks prescribe the legal obligations of the parents to protect and nurture their children, there is no equivalent legal framework requiring and sanctioning the conduct of agents of the state who act in loco parentis. In consequence some children continue to be "at risk" and may even be in greater danger once the state has…

  2. A Case Study Evaluation of a Transfer-of-Stimulus Control Toilet Training Procedure for a Child with Pervasive Developmental Disorders.

    ERIC Educational Resources Information Center

    Luiselli, James K.

    1996-01-01

    This case study describes the use of transfer-of-stimulus prompting procedures to develop toilet skills with a seven-year-old child with pervasive developmental disorder. By first having the child sit on the toilet with her diaper on for two weeks and then taking the diaper off, the child learned to urinate in the toilet. (CR)

  3. The parent-child-therapist alliance: A case study using a strategic approach.

    PubMed

    Naidu, Thirusha; Behari, Sheethal

    2010-06-01

    In this paper we present a single case study of a clinical approach that addresses the needs of parents and their children in psychotherapy. The approach begins by addressing the child's and parent's concerns separately at first by establishing strong therapeutic alliances with each, and then proceeds to address the concerns of the parent-child dyad. The basic premise is that the therapeutic alliance is the central element to successful outcomes in psychotherapy. The nature of alliance-building and its associated methods and techniques have been extensively considered for adult therapy. However, there is considerably less written on the therapeutic alliance with children and adolescents in the context of family interventions. We briefly examine some theoretical dimensions and applications of the therapeutic alliance in psychotherapy with children/adolescents and their parents. A three-phase alliance-building psychotherapy strategy, founded on the idea that each therapeutic relationship warrants an effective working alliance, is proposed. The case of a single mother and her adolescent daughter is employed to illustrate the strategy. PMID:25859699

  4. From Feeble-Minded to Mentally Retarded: Child Protection and the Changing Place of Disabled Children in the Mid-Twentieth Century United States

    ERIC Educational Resources Information Center

    Grossberg, Michael

    2011-01-01

    American attitudes and policies toward children with disabilities changed significantly between the 1920s and the 1950s. Drawn from a larger study of the history of child protection in the United States, I argue that a redefinition of disabled children occurred in this era. Earlier fears that feeble-minded children posed a menace to American…

  5. Psychological Maltreatment--Maltreatment of the Mind: A Catalyst for Advancing Child Protection toward Proactive Primary Prevention and Promotion of Personal Well-Being

    ERIC Educational Resources Information Center

    Hart, Stuart N.; Glaser, Danya

    2011-01-01

    Objective: Child protection, as primarily applied toward narrow corrective intervention, has been judged to be inadequate in dealing with the wide variety of forms and levels of physical, psychological and sexual violence to which children are subjected throughout the world. Concern about this state of affairs has grown as a part of a global…

  6. Evaluation of the Sustainability and Clinical Outcome of Alternatives for Families: A Cognitive-Behavioral Therapy (AF-CBT) in a Child Protection Center

    ERIC Educational Resources Information Center

    Kolko, David J.; Iselin, Anne-Marie R.; Gully, Kevin J.

    2011-01-01

    This paper examines the sustainability and outcome of Alternatives for Families: A Cognitive-Behavioral Therapy (AF-CBT) as delivered by practitioners in a community-based child protection program who had received training in the model several years earlier. Formerly described as Abuse-Focused CBT, AF-CBT is an evidence-based treatment (EBT) for…

  7. Parents with co-occurring mental health and substance abuse conditions involved in Child Protection Services: clinical profile and treatment needs.

    PubMed

    Stromwall, Layne K; Larson, Nancy C; Nieri, Tanya; Holley, Lynn C; Topping, Diane; Castillo, Jason; Ashford, José B

    2008-01-01

    This article reports findings of an exploratory study of 71 parents with substance abuse conditions involved in a child dependency court. Over half (59%) of the parents had a co-occurring mental health condition. Parents with co-occurring conditions (PWCC) differed in several important ways from those with only substance abuse conditions. PWCC were also more likely than their case managers were to report a need for mental health treatment. Implications for child welfare practice and research are offered.

  8. Improper use of child restraint seats as a sleeping environment: Two cases of childhood death.

    PubMed

    Singhal, Ash; Adams, Elysia; Desapriya, Ediriweera

    2012-11-01

    A child restraint seat (CRS) is designed to keep infants safe inside motor vehicles while in motion. However, there have been a growing number of reports of injuries sustained as a result of CRS use outside the vehicle. These injuries commonly result from a fall from an elevated surface or an overturning of the CRS. The incidence of death from these events, however, is not well documented. The present report retrospectively analyzed the British Columbia Coroner Service Database to identify deaths involving CRS use outside the vehicle. Two such fatalities were identified. In both instances, infants had been placed in a CRS overnight and, in both cases, the CRS was found overturned, resulting in asphyxiation. The history and pathological findings of both cases are summarized.

  9. Evidence-Informed, Individual Treatment of a Child with Sexual Behavior Problems: A Case Study.

    PubMed

    Allen, Brian; Berliner, Lucy

    2015-11-01

    Children with sexual behavior problems pose a significant challenge for community-based mental health clinicians. Very few clinical trials are available to guide intervention and those interventions that are available are based in a group format. The current case study demonstrates the application of evidence-informed treatment techniques during the individual treatment of a 10-year-old boy displaying interpersonal sexual behavior problems. Specifically, the clinician adapts and implements a group-based model developed and tested by Bonner et al. (1999) for use with an individual child and his caregivers. Key points of the case study are discussed within the context of implementing evidence-informed treatments for children with sexual behavior problems.

  10. [The child as damage--physicians' liability in cases involving reproductive and prenatal medicine].

    PubMed

    Schreiber, Hans-Ludwig

    2002-07-01

    In case of medical malpractice courts grant the parents of unwanted or handicapped children damages towards the costs of alimony. In this article the development of the courts' rulings and the criticism made of them will be presented in detail. Granting damages towards the costs of alimony does not call into question the right to live of an unborn child. It is rather just another case of professional liability of physicians. Regarding the development of the law, with respect to the legal admissibility of induced abortions, including those undertaken during late stages of pregnancy, the physician may come under pressure to recommend an abortion to rule out any claims for damages. This subject is in need of legal regulation pursuant to the forthcoming medical reproduction law.

  11. Building-up a Smile in a 5-Year-Old Child: A Case Report.

    PubMed

    Marwaha, Mohita; Bhat, Manohar; Singh Nanda, Kanwar Deep

    2012-05-01

    A variety of therapeutic modalities, from removable partial dentures to conventional fixed space maintainer can be used for the replacement of traumatically missing or carious lost primary anterior teeth. Dentistry has advanced to a point where it is undesirable for children to be partially edentulous or to have unattractive anterior teeth. The introduction of new materials and adhesive systems in dentistry, offers a new reconstructive alternative for severely destroyed or lost primary anterior teeth. The purpose of this article was to present a clinical case of four primary anterior teeth replacement by means of fiber-reinforced composite bridge. This technique offers a conservative, esthetic and noninvasive treatment. It can be considered, as a long- lasting reversible provisional treatment. How to cite this article: Marwaha M, Bhat M, Nanda KDS. Building-up a Smile in a 5-Year-Old Child: A Case Report. Int J Clin Pediatr Dent 2012;5(2):151-154.

  12. Building-up a Smile in a 5-Year-Old Child: A Case Report

    PubMed Central

    Bhat, Manohar; Singh Nanda, Kanwar Deep

    2012-01-01

    ABSTRACT A variety of therapeutic modalities, from removable partial dentures to conventional fixed space maintainer can be used for the replacement of traumatically missing or carious lost primary anterior teeth. Dentistry has advanced to a point where it is undesirable for children to be partially edentulous or to have unattractive anterior teeth. The introduction of new materials and adhesive systems in dentistry, offers a new reconstructive alternative for severely destroyed or lost primary anterior teeth. The purpose of this article was to present a clinical case of four primary anterior teeth replacement by means of fiber-reinforced composite bridge. This technique offers a conservative, esthetic and noninvasive treatment. It can be considered, as a long- lasting reversible provisional treatment. How to cite this article: Marwaha M, Bhat M, Nanda KDS. Building-up a Smile in a 5-Year-Old Child: A Case Report. Int J Clin Pediatr Dent 2012;5(2):151-154. PMID:25206158

  13. A case report of biotin–thiamine-responsive basal ganglia disease in a Saudi child

    PubMed Central

    Aljabri, Mohammad F.; Kamal, Naglaa M.; Arif, Moinuddin; AlQaedi, Asrar M.; Santali, Enas Y.M.

    2016-01-01

    Abstract Background: Biotin–thiamine-responsive basal ganglia disease (BTRBGD) is a neurometabolic autosomal recessive (AR) disorder characterized by subacute encephalopathy with confusion, convulsions, dysarthria, and dystonia. The disease is completely reversible if treated early with biotin and thiamine, and can be fatal if left untreated. We herein present our experience with in an extended family study of an index case of BTRBGD aiming to support its AR mode of inheritance, diagnose asymptomatic and missed symptomatic cases, and provide family screening with proper genetic counseling. Methods: An index case of BTRBGD and his family underwent thorough clinical and radiological assessment along with genetic molecular testing. Results: Two-and-half years old Saudi male child whose parents are consanguineous fulfilled the clinical and magnetic resonance imaging (MRI) criteria of BTRBGD. He was proved by molecular genetic testing to have homozygous mutation of c.1264A>G (p.Thr422Ala) in the SLC19A3 gene of BTRBGD. Extended clinical, radiological, and genetic family study revealed 2 affected members: a neglected symptomatic cousin with subtle neurological affection and an asymptomatic brother carrying the disease mutation in homozygous status. Heterozygous pattern was detected in his parents, his grandma and grandpa, his aunt and her husband, 2 siblings, and 1 cousin while 1 sibling and 2 cousins were negative to this mutation. Treatment of the patient and his diseased cousin with biotin and thiamine was initiated with gradual improvement of symptoms within few days. Treatment of his asymptomatic brother was also initiated. Conclusion: BTRBGD requires high index of suspicion in any child presenting with unexplained subacute encephalopathy, abnormal movement, and characteristic MRI findings. Extended family study is crucial to diagnose asymptomatic diseased cases and those with subtle neurological symptoms. PMID:27749535

  14. Length of Time to Resolve Criminal Charges of Child Sexual Abuse: A Three-County Case Study.

    PubMed

    Walsh, Wendy A; Lippert, Tonya; Edelson, Meredyth Goldberg; Jones, Lisa M

    2015-08-01

    The present study sought to examine the court culture of three Oregon counties and their timelines for resolving felony child sexual abuse cases. Specifically, we examined (a) case outcomes, churning (i.e., the extent to which four court events were rescheduled), the length of time to reach a criminal case resolution, and how this length of time compared to that for felonies generally; (b) whether mandatory minimum sentences affected resolution timeliness; and (c) key stakeholders' perceptions about their local court culture. Data included retrospective case-file abstraction (N = 532) on all felony child sex crimes for a 2-year period and interviews with legal professionals (N = 23). Across all three counties, a minority of child sexual abuse cases (18% to 47%) were resolved within the target timeframe of 4 months. In contrast, most felonies (65% to 77%) were resolved within this timeframe. The rescheduling of trials and the requirement of mandatory minimum sentences for some felony child sexual abuse crimes increased the time until case resolution. Results suggest that court cultures that are hierarchical and cooperative may lead to longer case resolution times than court cultures that are self-managing or autonomous. Implications of these results and other results are discussed. PMID:26206709

  15. Low-Velocity Nail-Gun Injuries to the Interventricular Septum: Report of Two Cases, One in a Child

    PubMed Central

    Michalsen, Kara L.; Iguidbashian, John P.; Kyser, James P.

    2015-01-01

    Nail-gun injury to the heart is rare. Nail-gun injury to the interventricular septum is rarer: we could find only 5 reported cases, and none involving a child. We report 2 additional cases, in which nails penetrated the interventricular septum without causing acute pericardial tamponade, heart block, or shunt across the septum. Transesophageal echocardiography provides a dynamic way to evaluate the patient preoperatively, intraoperatively, and postoperatively. In the cases reported here, both the adult with multiple interventricular nails and the child with a single nail underwent foreign-object removal via median sternotomy. The child needed cardiopulmonary bypass for removal of the nail. There were no short-term or long-term sequelae from these interventricular septal injuries. PMID:26413027

  16. Protecting Children in Day Care: Building a National Background Check System. Hearing before the Committee on the Judiciary, United States Senate, One Hundred Second Congress, First Session on the National Child Protection Act of 1991.

    ERIC Educational Resources Information Center

    Congress of the U.S., Washington, DC. Senate Committee on the Judiciary.

    In his opening statement at this hearing, committee chairman Senator Joseph Biden mentioned the National Child Protection Act of 1991; praised Oprah Winfrey's efforts to support programs and legislation to prevent sexual abuse of children; presented data on the incidence of sexual abuse of children in the home and in day care centers; and…

  17. Abusive head trauma and accidental head injury: a 20-year comparative study of referrals to a hospital child protection team

    PubMed Central

    John, Simon; Vincent, Andrea L; Reed, Peter

    2015-01-01

    Aim To describe children referred for suspected abusive head trauma (AHT) to a hospital child protection team in Auckland, New Zealand. Methods Comparative review of demographics, histories, injuries, investigations and diagnostic outcomes for referrals under 15 years old from 1991 to 2010. Results Records were available for 345 children. Referrals increased markedly (88 in the first decade, 257 in the second), but the diagnostic ratio was stable: AHT 60%, accidental or natural 29% and uncertain cause 11%. The probability of AHT was similar regardless of socio-economic status or ethnicity. In children under 2 years old with accidental head injuries (75/255, 29%) or AHT (180/255, 71%), characteristics of particular interest for AHT included no history of trauma (88/98, 90%), no evidence of impact to the head (84/93, 90%), complex skull fractures with intracranial injury (22/28, 79%), subdural haemorrhage (160/179, 89%) and hypoxic ischaemic injury (38/39, 97%). In children over 2 years old, these characteristics did not differ significantly between children with accidental head injuries (21/47, 45%) and AHT (26/47, 55%). The mortality of AHT was higher in children over 2 years old (10/26, 38%) than under 2 years (19/180, 11%). Conclusions The striking increase in referrals for AHT probably represents increasing incidence. The decision to refer a hospitalised child with a head injury for assessment for possible AHT should not be influenced by socio-economic status or ethnicity. Children over 2 years old hospitalised for AHT are usually injured by mechanisms involving impact and should be considered at high risk of death. PMID:26130384

  18. 25 CFR 63.34 - How are Indian child protection and family violence prevention program funds distributed?

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... limited to a high incidence of child sexual abuse, a high incidence of violent crimes, a high incidence of... requests must demonstrate a high incidence of child sexual abuse, a high incidence of violent crimes, a... abuse, child neglect, and family violence on Indian reservations, but may not be used to supplant...

  19. Does Universally Accessible Child Care Protect Children from Late Talking? Results from a Norwegian Population-Based Prospective Study

    ERIC Educational Resources Information Center

    Lekhal, Ratib; Zachrisson, Henrik Daae; Wang, Mari Vaage; Schjolberg, Synnve; von Soest, Tilmann

    2011-01-01

    This study examines the association between type of child care arrangement at age 1, 1.5 and 3 years and late talking (LT). The data were from 19,919 children in the population-based prospective Norwegian Mother and Child Cohort Study (MoBa) and included information about child care arrangement, LT and a variety of covariates. Attendance at…

  20. 25 CFR 63.34 - How are Indian child protection and family violence prevention program funds distributed?

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... limited to a high incidence of child sexual abuse, a high incidence of violent crimes, a high incidence of... requests must demonstrate a high incidence of child sexual abuse, a high incidence of violent crimes, a... abuse, child neglect, and family violence on Indian reservations, but may not be used to supplant...