Utilization of child helpline (CHL) among adolescents in Saudi Arabia: Results from a national survey

This study determines the rate of adolescents' interest in disclosing their exposure to abuse or neglect through a child helpline (CHL) and identifies the factors influencing disclosure through the line. A cross‐sectional, national survey utilizing ISPCAN Child Abuse Screening Tool‐Children's Home Version was conducted in secondary high schools in the main 5 provinces of Saudi Arabia. Boys and girls from public and private schools were selected to participate. Students (N = 16,010) aged 15–18 years were invited to complete the survey. The relationship between willingness to utilize CHL and demographic characteristics of the participants were evaluated using chi‐square test. Approximately, half (48%) of the participants reported their willingness to utilize a future CHL if they experienced any type of abuse in the past. Significant difference in age, gender, areas of residence, and abuse experience were found in terms of willingness to utilize CHL, and it was more likely among older age (17–18 years), boys, urban area, and abused participants (p < .01). Participants who reported experiencing multiple forms of abuse, neglect, and psychological abuse were 1.3, 1.9, and 1.2 times, respectively, more likely willing to utilize CHL. Educating adolescents about the utilization of CHL through awareness‐raising activities might reduce the prevalence of child abuse.     

Professionals' attitudes about victims of child sexual abuse: implications for collaborative child protection teams

In responding to victims of child sexual abuse, considerable attention has been given to multidisciplinary collaborative response teams. Recent evidence, however, suggests that team members may be divided by differences in attitudes towards victims and offenders and about the causes and consequences of abuse. This paper draws on a larger study of the various professionals who make up one child abuse response system in Newfoundland, Canada. In particular, the paper focuses on social workers, teachers and the police, and their views about the characteristics and credibility of sexual abuse victims, and the extent to which they attribute to the victim some responsibility for the abuse. Data for the study were collected in two stages: key informant interviews; and a survey of social workers, teachers and police. The analysis includes an interpretation of the role of gender, professional group membership and experience with cases. The most striking finding is the extent to which the child's age and behaviour appears to influence differentially attitudes about the victims' credibility. These differences complicate multidisciplinary collaborative initiatives since it would appear that those with the least real case experience, and the least knowledge about the relationship between abuse and behaviour, are the ones most likely to be the first point of contact for reports or disclosures.     

Child care subsidy and child maltreatment

This study examined the relationship between receipt of child care subsidies and child maltreatment investigations in a sample of low‐income mothers in Illinois. We expected that receiving child care subsidies would have a protective effect on child maltreatment risk and therefore decrease the likelihood of child protective services investigations. Using structural equation modelling, we tested the direct and indirect paths of the receipt of child care subsidies to physical abuse or neglect. We found only direct effects of receiving child care subsidies on both physical abuse and neglect investigations. The findings suggest an important protective role of child care subsidies in the lives of low‐income families.     

The effectiveness of selected interventions for previous maltreatment: enhancing the well-being of children who live at home

The authors critically assessed reviews of the literature published between 1984 and 2002 to describe the state‐of‐knowledge about the effectiveness of interventions aimed at protecting or improving the welfare of child victims of maltreatment and who remain in the family home. The interventions studied target children, parents or families. They chiefly involve cases of sexual abuse, physical abuse or neglect; very few concern psychological abuse or exposure to violence. For the most part, the intervention effectiveness indicators measure changes in parents’ and children's knowledge (e.g. better knowledge of child development), attitude (e.g. gains in enthusiasm), emotion (e.g. decreased anxiety) and behaviour (e.g. decreased rates of aversive behaviours). Few assessments follow up on participants to determine whether the changes are lasting. The small number of evaluative studies, methodological limitations and disparities in the content and the carrying out of interventions make it difficult to draw sound conclusions about the effectiveness of interventions, even for interventions most often and most favourably assessed, such as behavioural and cognitive‐behavioural interventions with maltreating parents. Implications for practice, research and policy are underlined.     

Self-justification in decision-making: Chinese child welfare workers' inconsistency of perceptions and experiences matters in reporting child abuse

Mandatory reporting is the central measure for child protection. However, the common alternative strategy of avoidance that is practised by child welfare workers is little discussed. This study examines the influences of child welfare workers' inconsistent perceptions and experiences on reporting. Using China Social Work Longitudinal Study 2019, a total of 2 180 child welfare workers in the child and youth service field were selected. Multinomial logistic regression was used to examine the perceptions and experiences associated with reporting. Child welfare workers with a moderate perception of sexual abuse (OR = 1.442*), more experiences of emotional abuse cases (OR = 1.258*) and fewer experiences of sexual abuse cases (OR = 0.703*) had greater odds of reporting than not reporting, and those with a low or moderate perception of emotional abuse (OR = 3.027*; OR = 1.691*, respectively), a moderate perception of physical abuse (OR = 1.537*) and more experiences of neglect cases (OR = 1.345*) were more likely to avoid than to not report. Social work licensure plays a moderating role. The results indicate the importance of alternative strategies, perceptions and experiences in the assessment-decision continuum of reporting. The inconsistent perceptions and experiences of child welfare workers contribute to self-justification in decision-making. Implications for practices and directions for future research are discussed.     

Paternal and Household Characteristics Associated With Child Neglect and Child Protective Services Involvement

ABSTRACT

This study examined the association of paternal and household characteristics with household-level measures of child neglect and Child Protective Services (CPS) involvement, measured when the index child was 5 years of age. Secondary analyses of the Fragile Families and Child Well-Being Study were conducted using a subsample of 1,089 residential, biological fathers. Logistic regression models indicated that paternal depression was associated with greater than doubled odds of child neglect and CPS involvement. Paternal alcohol use and parenting stress were associated with approximately 50% increased odds for child neglect, and a scale measuring 13 caregiving tasks to reflect positive father involvement with the child was also associated with less risk for child neglect. However, paternal alcohol use, parenting stress, and positive involvement with the child were not associated with CPS involvement. An implication of this study is that paternal psychosocial functioning is important to consider in conjunction with sociodemographic factors when examining maltreatment risk in two-parent families.     

Racial/ethnic and socio‐economic biases in child maltreatment severity assessment in Spanish child protection services caseworkers

Evidence from several countries has shown the over‐representation of racial/ethnic minority groups in child protection services (CPS). The objective of the present study was to explore whether racial/ethnic and socio‐economic biases influence Spanish CPS caseworkers' judgements of the severity of child maltreatment. Moreover, the study attempted to explore the influence on these judgements of the use of structured instruments and professional experience. Two case vignettes of child maltreatment were presented to 405 CPS caseworkers and 169 students of social work and psychology. Family ethnic origin and income were manipulated in the vignettes. The findings showed no statistical evidence of biases related to family ethnic origin or socio‐economic status (SES) in Spanish CPS caseworkers' judgements of maltreatment severity. Biases related to family SES were found for students for the vignettes of physical abuse. CPS caseworkers and students who did not use a structured instrument to assess maltreatment severity tended to underestimate the severity for the vignettes of parental incapacity to control child/adolescent behaviour and to overestimate it for the vignettes of physical abuse. CPS caseworkers who used a structured instrument showed higher percentages of accuracy and inter‐rater agreement, supporting the relevance of structured tools in reducing potential caseworkers' biases.     

Risk factors for dating violence among teenage girls under child protective services

The aim of the present study was to explore potential risk factors for severe physical victimisation in dating relationships of adolescent girls in the child protective system (CPS). A total of 196 adolescent Canadian girls within the care of the CPS completed questionnaires containing measures relating to dating and family violence, sexual history and socio-demographic variables. Results showed that the majority of participants had experienced some types of victimisation in their dating relationships, with 53.1 per cent reporting at least one severe physical victimisation experience. Results from bivariate analyses revealed that a history of child sexual abuse and school failure or dropout were not associated with dating victimisation. History of parental physical abuse, living outside the family environment before placement, age of first sexual relationship, number of sexual partners and having been pregnant were related to sustained severe physical dating victimisation. Logistic regression analysis indicates that all factors, save for number of partners and living outside family environment, contributed to the prediction of dating victimisation in multivariate analysis. Having been pregnant increased the odds of sustaining severe physical abuse more than threefold (by 3.60). Implications for intervention and further research are discussed.     

Risk factors for child maltreatment in South Korea: An investigation of a nationally representative sample

This study investigated the risk factors associated with the occurrence of child physical and psychological abuse in South Korea based on the ecological theory of child maltreatment. A subsample of 3‐ to 18‐year‐old children from “A Study on the Current State of Child Abuse and Neglect,” a nationally representative study on child abuse and neglect, was utilized for secondary data analysis. The sample was divided into two age groups (third graders in elementary school and below and fourth graders and above). We utilized hierarchical logistic regression for each age group separately to analyze the data. The variables at each level of the system (i.e., ontogenic development, microsystem, and exosystem) were entered into the model in sequential order. The results showed the common risk factors for both age groups are the caregiver's experience of abuse in childhood, the child's problem behavior, exposure to domestic violence, community size, and informal social control. The child's age was also significant in both groups but in the opposite direction. Social support was a significant predictor for the younger age group only, while the caregiver's level of education was significant for the older age group only. Implications for future research and practice are discussed based on the study results.     

System Responses to Initial Reports of Child Abuse and Neglect Cases

The assumption of child abuse and neglect reporting laws is that the welfare protective system will respond to reports with appropriate investigation and delivery of services. Previous research has revealed, however, that actions taken depend largely on the functions of the designated agency receiving the initial report. Police-investigated reports result in higher placement rates than those investigated by child welfare agencies. A common explanation for this finding is that cases reported to the police are more serious than those received by protective service agencies. This research investigates these patterns drawing on data from a series of studies of the juvenile justice and child protective services in Cook County, Illinois, 1975-1977. The findings confirm that emergency placement decisions are closely related to which agency received the initial report, but, contrary to expectation, these results are not explained by differences in severity of abuse neglect, family characteristics, or other attributes of case processing.     

‘I want to be better than you:’ lived experiences of intergenerational child maltreatment prevention among teenage mothers in and beyond foster care

The growing body of research on teenage motherhood in foster care has largely focused on the risks involved for both mother and child, yet these mothers depict a much more complex picture of their own experience of becoming and being mothers. The current study employed interpretative phenomenological analysis to explore 18 in‐depth, qualitative interviews from six participants on the meaning and experience of motherhood among teenage mothers in foster care and in the years immediately after ageing out. This study focused on a particular dimension of motherhood: participants' efforts to break the cycle of child abuse and neglect with their own children. Two themes emerged as characteristic of these experiences: (i) treating children well/parenting differently and avoiding the system; and (ii) reducing isolation and enhancing support. Given the increased likelihood of the children of teen mothers – particularly those who have been maltreated – becoming involved with the child welfare system, study findings suggest possible strategies for disrupting cycles of intergenerational child welfare involvement generated by young mothers themselves. Practice implications for addressing possible substance abuse, mental health and relational and parenting needs are discussed.     

A Comparison of Child Fatalities by Physical Abuse Versus Neglect: Child,Family, Service,and Worker Characteristics

ABSTRACT

In the field of child welfare, attention has been given to risk factors for child maltreatment fatalities with little attention to the difference between children who die from abuse versus neglect. As part of a larger study, child welfare workers (n = 104) from 14 different states responded to an anonymous online survey that described the child, family, and case characteristics before death and worker characteristics/experiences before and after death. Results supported that prior to death, neglectful families presented with less risk than abusive families, in the areas of parent–child attachment, child behavior problems, and changes in household composition while reporting that they received more services. With regard to child welfare practice, workers did not report any differences in how they handled cases before death nor did they report differences in their posttraumatic stress symptoms at the time of the survey. These findings can be used as a springboard for future research that focuses on fatal maltreatment.     

Key decisions in child protection services in cases of domestic violence: maintaining services and out‐of‐home placement

This paper looks at the response of the child protection services (CPS) system in cases where exposure to domestic violence occurs alone or together with abuse or neglect, focusing on the factors involved in decisions to maintain the case open for ongoing services or remove children from the home. The study is based on an analysis of clinical and administrative data from the files on children reported to a CPS agency in Montreal, Canada. A total of 1 071 substantiated reports were documented, including 337 cases of co‐occurrence (32%). Analysis of the data shows that domestic violence does not by itself constitute a factor liable to lead to more intrusive intervention. The CPS response appears to be influenced more by the existence of other forms of maltreatment and risk factors. Additionally, while domestic violence may be associated with more severe individual and family problems, it does not influence the decision to keep the case open because the child still need services. The lack of any connection between domestic violence and this decision is a cause for concern, as results indicate that such families need help. Knowing how to respond to their needs therefore remains a major challenge.     

Investigating a Longitudinal Trajectory of Child Obesity and Its Association with Child Maltreatment in South Korea

This study investigated the association between child maltreatment and body mass index (BMI) using data from four waves (wave 2 in 2011 through 5 in 2014) of the Korean Children & Youth Panel Survey collected by the South Korean National Youth Policy Institute. We employed a latent growth curve modeling approach to estimate an unobserved latent trajectory and to test the longitudinal effects of child abuse and neglect on BMI. Our results indicate that child abuse is significantly associated with BMI and children who report higher levels of abuse tend to have higher rates of increase in their BMI. This study addresses a gap in the literature by demonstrating that a parent's maltreatment of their child has a long‐term effect on the rate of change in their BMI over time.     

Child Sexual Abuse Cases: Facilitating Their Detection and Reporting by General Practitioners

General Practitioners are frequently the first resource for families affected by child sexual abuse, and in many places are legally required to report suspected cases to the authorities. Based on a recent survey of GP experiences and attitudes concerning child sexual abuse, the issues relevant to GP's ability to respond appropriately are analysed in terms of (a) their ability to detect occurrence, and (b) their willingness to make official reports. As children are relatively powerless, child victims of sexual abuse may be particularly dependent on appropriate protective action by the GP, and suggestions are offered for reducing the identified obstacles to detection and reporting by GPs.     

Evaluating SafeCare® in Israel: Benefits for the families

SafeCare® is a home‐based intervention programme targeting parents of children up to 5 years old and is designed to reduce and even prevent child abuse and neglect. Here, we present an evaluation of a pilot trial of SafeCare® in Israel, examining family's outcomes. We examined parents' behavioural changes resulting from the three main modules of SafeCare®: the Health, Safety, and Parent‐Child/Infant Interaction. We also studied the unplanned effects of SafeCare® by examining maternal depressive symptoms. Participants were 46 mothers with children identified as being at risk of neglect by the local Department of Social Services who completed the programme. The mothers filled out questionnaires at the beginning and at the end of their participation. After completing the programme, mothers' self‐reports showed changes in how they would treat a sick child, an increase in feelings of competency, and a decline in symptoms of depression. We thus conclude that SafeCare® helped the participating mothers, enhancing their feelings of competency and changing several of their behaviours.     

Awareness of Child Maltreatment among Professionals in Shanghai

This study reports on a series of qualitative interviews with professionals in Shanghai, China who work with children. The interviews explored the awareness of child protection issues amongst a range of people who work with children, how they differentiate corporal punishment from maltreatment and what they would do in response to cases of child abuse. Shanghai has one of the most well developed child welfare systems in China, and compared to similar professionals in other cities, those in Shanghai had higher awareness and more training, but were nevertheless reluctant to intervene and did not feel well prepared to deal with cases of child abuse should they be encountered. However there are some indications that practice is improving, and examples of recent developments are provided.     

Australian child protection services: A game without end

Hansen P, Ainsworth F. Australian child protection services: A game without end This article argues that Australian child protection services are based on an error of logical typing. Across time, this has led to an over‐reliance on mandatory reporting legislation, a forensic/investigative/prosecutorial model of practice, a risk‐averse organisational culture and zero tolerance of any imperfections in parenting practices which are defined as child abuse and neglect regardless of their severity. All of these positions ignore powerful social stressors that surround complex family situations where abuse and neglect can occur. It is proposed that this error of logical typing is confirmed by the well‐documented fact that Australian child protection services have for more than two decades been unable to prevent or reduce the incidence of child abuse and neglect. For this article, New South Wales is used as the exemplar state.     

Child maltreatment types and adolescent substance use: The role of deviant peer affiliation

This is the first study to examine the mediating effects of deviant peer affiliation on the association between different types of child maltreatment and adolescent substance use that includes alcohol, tobacco, and marijuana. Peer deviance is a well‐established correlate of adolescent substance use, but most studies exploring the relationship between child maltreatment and adolescent substance use have failed to include peer deviance. Structural equation modelling was conducted to examine the direct effects of each type of child maltreatment (i.e., physical, sexual, and emotional abuse, and neglect) on adolescent substance use, as well as indirect effects via deviant peer affiliation, using Longitudinal Studies of Child Abuse and Neglect. The results indicated that deviant peer affiliation fully mediated the individuals who had been emotionally abused showed increased deviant peer affiliation, which in turn was associated with higher levels of adolescent substance use. None of the four types of child maltreatment was directly associated with adolescent substance use. The study's findings underscore the importance of early assessment and intervention for the peer relationships of youth who have been emotionally abused.     

Promising practices in understanding and treating child neglect

Child neglect is the most common type of child maltreatment in the United States. However, services provided to families who neglect often fail to address and treat the primary concerns associated with child neglect. The information provided in this paper identifies the primary problems contributing to child neglect, and some promising practices in child welfare casework that address these problems and show positive outcomes for the children and families who experience child neglect. Knowledge pertaining to assessment skills, treatment abilities, and model programmes is provided.