Cross-Cultural Validation of the Child Abuse Potential Inventory in Finland: Preliminary Findings of the Study Among Parents Expecting a Baby

ABSTRACT

In order to decrease physical child abuse, measures to recognize parents' abuse potential are needed. In this article, cross-cultural validation of the Child Abuse Potential (CAP) Inventory, an American measure was used to screen child abuse potential in families. Data were collected in 2012 from Finnish families expecting a baby at maternity and child welfare clinics. The data come from 380 families, including 375 mothers and 303 spouses. The validation was conducted separately for mothers and spouses and was based on basic psychometric properties, such as reliability estimates, abuse scale construct validity, and the abuse scale factor structure. The internal consistency of the abuse scale was high among both the mothers and the spouses. There were some differences in abuse construct validity and the abuse scale factor structure compared to the original measure, which was written in English and tested in an American sample. Those differences were, however, similar to those found by other studies that used translated versions of the inventory. In summary, the CAP Inventory was found to be a valid screening tool for professionals to assess parents' child abuse potential in Finnish service settings, and therefore its implementation is recommended in maternity and child welfare clinics. The validation supports the cross-cultural use of the CAP Inventory and future research on the subject.     

Child abuse in China: a yet-to-be-acknowledged 'social problem' in the Chinese Mainland

Child abuse or child maltreatment has been a worldwide concern. In China, however, it receives scant attention from both academic communities and government. Chinese society has little awareness of child abuse as it is known in the West and there are apparently different conceptions and treatments of the problem. This paper attempts to delineate how the problem is now understood and treated in Mainland China. The reasons why child abuse has not yet been recognized as a social problem worthy of public concern in China are explored. It is argued that as a signatory of the UN Convention on the Rights of the Child there is a need for the Chinese government, the academic community and professionals to reflect on their conception and treatment of child abuse so as to achieve more effective child protection for all children who are victims of child abuse.     

Social worker trauma: Building resilience in child protection social workers

Abstract

Child protection social workers can experience psychological trauma effects as a result of their work. This article considers the utility of the trauma perspective in understanding and intervening when overwhelming events impact social workers. Psychological trauma theory enhances earlier contributions of the stress and burnout literatures in the effort to increase the efficacy and well‐being of child protection staff. Resilience theories are relied upon to develop strategies for promoting optimal effectiveness of social workers who remain exposed to potentially traumatizing events.     

Substance use disorders and referral to treatment in substantiated cases of child maltreatment

Parents with substance use disorders (SUD) require treatment and support in order to provide children with appropriate care and protection. Using the 2012 National Child Abuse and Neglect Data System (NCANDS), this paper analysed 464 313 substantiated child maltreatment reports to determine (i) the proportion and characteristics of reports involving substance abuse; and (ii) the child and caregiver/perpetrator (C/P) characteristics that predicted referral to treatment as recorded in service plans. Findings indicate that 12% (N = 53 234) of maltreatment reports involved C/P SUD. Yet, of those reports, only (19%) (N = 10 088) were referred to substance abuse treatment as part of their service plan, indicating a large gap between those who need treatment and those who receive it. This finding is important given that parental SUD is consistently linked to poorer child outcomes. Amongst other variables, reports indicate that C/P with co‐occurring emotional disturbance were three times more likely to be referred to treatment for SUD as part of service plans. Additional research is needed regarding the characteristics that distinguish C/P who receive referrals for SUD treatment in substantiated cases of child maltreatment.     

Towards a second‐order view of child protection placement‐related decision‐making

Child protection workers are tasked with prioritizing and facilitating safe, secure and preferably, long‐term care arrangements for children and adolescents living within the child protection system. Recognizing the complexities associated with this task, this paper will propose that the application of theory – namely attachment theory and family systems theory – may aid in the conceptualization of placement decision‐making within the context of child protection practice. In particular, this paper will describe a framework entitled: Towards a second‐order view of child protection placement‐related decision‐making. This framework assumes the position that the ideals of relationship security and permanency of placement are more accessible in instances in which practitioners are able to locate themselves within temporary, stabilized but ultimately evolving systems. Specifically, the practitioner is encouraged to conceptualize where their individual selves, the broader child protection system and family system are located at any one point in time, whilst also identifying the direction in which these systems should be moving.     

The Role of Media in Reporting Child Abuse

ABSTRACT

This study looks at the short-term impact that the media coverage of children in need of protection had on the number of cases reported to child protection agencies. The number of reports (N = 11,646) made to these agencies in Canada was tallied each week during a 24-month period. During the same period, a content analysis of print media was conducted regarding child maltreatment and/or child protection services (CPS) to identify and count the number of articles published (N = 1,211) and single out media frenzy events. Results show a statistically significant relationship between media coverage and the number of cases reported to child protection agencies.     

Children’s Participation in Child Protection Practice in Ghana: Practitioners’ Recommendations for Practice

Abstract

The United Nations Convention on the Rights of the Child (UNCRC) includes provisions to ensure that children and young people participate in decisions affecting their lives. Ghana ratified the convention in 1990 making a commitment to review its child protection policies and legislation in compliance with provisions in the UNCRC. Yet, national policies and legislation do not include practical guidelines to promote children’s participation in the child protection process. Thus, this qualitative study presents findings from in-depth interviews with 15 child protection practitioners on their views about some practical guidelines to promote children’s participation in child protection. Data from the interviews were subjected to constructivist grounded theory analysis. The study findings revealed the age of the child, separate room for children, creating a friendly environment and education as some important factors for practitioners to consider in promoting participatory practices for children. Child protection policies and legislation in Ghana should include these suggestions to ensure that children’s views are heard in the child protection process. To realize the overarching goal of achieving active child participation in child protection, further research may focus on the views of parents and children on how to develop culturally relevant strategies to promote child participation.     

Child protection in China: threats and opportunities

Abstract

Since the inception of the Law on Protection of Minors in 1991, the Chinese government has increasingly emphasised child protection development by promulgating domestic legislation on children’s protection, and establishing policy and service delivery goals. This article critically appraises relevant academic literature, policy documents in relationship to the development of China’s child protection system. We found that although child protection policies exist, enforcement at local levels is characterised by sectorial fragmentation. There is a need to increase government-led initiatives in child protection, to strengthen the institution of family as a protective factor for children, to enhance professional competency and to develop innovative service delivery in partnership with civil society.     

Protecting the Right to Life of Children with Disabilities in China

ABSTRACT

Chinese social policy to support parents in caring for their children is vital to address the urgent social problem of abandoning the life of children with disabilities by not seeking medical treatment. The child rights approach was used to analyze the effectiveness of Chinese social policy to protect the right to life of these children. Primary and secondary empirical data from 3 case studies where parents decided whether to abandon their child were analyzed. Did the child protection mechanisms protect the right to life of these children, and when did parents decide to abandon their children? The findings were: a) When the children were born, their right to life was not unconditional; b) the decision was made privately by parents—no formal decision procedure was available, the role of professionals was minimal, and the state did not intervene; and c) parents considered the disadvantages to their children if they lived. The implication is that China has not yet established a system to support parents and protect the lives of young children with disabilities. Future research to inform child protection reform and disability support to children and families to prevent children becoming abandoned is urgently needed.     

Inter-agency practice in suspected cases of Munchausen Syndrome by Proxy (Fictitious Illness by Proxy): dilemmas for professionals

Munchausen Syndrome by Proxy (MSBP) or Fictitious Illness by Proxy, the fabrication or induction of illness in a child, is a recognized form of child abuse in many countries. As such it is subject to inquiry under child protection legislation. Child protection legislation and practice guidance in Australia, the USA and most European countries requires professionals from a variety of disciplines to work together regarding the recognition, investigation and short and long-term assessment of the case. However, practitioners and managers find cases of MSBP difficult to manage at personal, professional and organizational levels. This paper identifies some of the tensions and dilemmas encountered by professionals when working with suspected cases of MSBP. Consideration is given to the impact that this has on multi-disciplinary practice in terms of working in partnership with other professionals and the family. The paper includes suggestions for promoting effective inter-agency practice to protect children who are the victims of this form of abuse.     

A Framework for Cultivating and Increasing Child Welfare Workers’ Empathy Toward Parents

ABSTRACT

Much emphasis has been placed on child welfare workers’ skills and attributes when working with parents involved in the child welfare system; however, few studies have examined the potential benefits of using an empathic approach to interacting with parents. Child welfare workers may have negative perceptions of parents involved in the child welfare system and might have a tendency to reflect these attitudes and value judgments in their practice. The lack of empathic understanding and communication between workers and parents impacts service implementation and the success of family interventions. Increasing the workers’ ability to empathize with parents can enhance their relationship while increasing parent participation in services and ultimately family reunification. This article will discuss specific ways to cultivate and increase child welfare workers’ empathy for parents by enhancing workers’ emotional response and self/other-awareness, ability to perspective take, emotion regulation, and their ability to make appropriate decisions. Implications for application to practice and training are discussed as is the need for future research to validate the proposed framework for increasing child welfare workers’ empathy toward parents.     

Repositioning prevention in child protection using performance indicators

ABSTRACT

Performance indicators have both technical and value dimensions, capable of providing data for monitoring and reporting in addition to framing policy problems and their solutions. This paper considers the performance indicators proposed in a recent child protection inquiry in Australia that recommended ‘decreasing the numbers of children in the child protection system’ as a primary policy objective. The paper examines the context in which the indicators were set, the values and theories they endorse, and how they position stakeholders. The analysis shows how the indicators communicate that child protection services should be only for the most serious cases of child maltreatment, and the reach of statutory services should be curtailed. Children who have been maltreated or who are at risk of harm from abuse or neglect should be diverted from the child protection system (positioned as bad) to the family support system (positioned as good), and at the same time from the state to the nongovernment sector. The shifting relations between government, service providers, and families signified by the indicators can be seen in a broader international context of tightening the boundaries around child protection and concurrently advancing concepts of compliance within family support.     

Native Hawaiian Families Systemic Disparities in Hawaii's Child Welfare System

This study examined systemic and individual factors that contribute to the disproportionality of Native Hawaiian families in the child welfare system using data from the 2004–2005 Hawaii State Child Welfare Services (N = 1267). Native Hawaiians were found to be more likely to reenter the system and less likely to be re-united with their families even when the type of abuse was less serious. This distinction was identifiable in interaction terms in multivariate analysis. The paper concludes that the child welfare system in Hawaii needs to continue to explore methods to reduce these disparities.     

Working Together to Protect Children on the Child Protection Register: Myth or Reality

Correspondence to Jan Horwath, Department of Sociological Studies, University of Sheffield, Elmfield, Northumberland Road, Sheffield S10 2TU, UK. Summary Child protection guidance at a national level has predominantlyfocused on the investigation and assessment of child abuse andneglect. Post-registration practice has received little attention,resulting in a variety of local responses. This paper describesthe findings from a national study designed to identify theimpact of the lack of national guidance on local post-registrationframeworks for practice. Data collected indicate that very fewArea Child Protection Committees (ACPCs) have developed policies,procedures or practice guidance which would provide a structurefor post-registration practice. This position is aggravatedfurther as individual professionals are confused about theirown roles and responsibilities and those of colleagues. We considerthe impact of these findings on practice and conclude by suggestinga macro level framework that can be utilized by ACPCs who wishto develop practice in this area.     

Social inequality, ‘the deviant parent’ and child protection practice

Child protection cases typically involve families struggling through socio‐economic hardship. That said, in child protection practice there is a readiness to see the parent as the problem with parent reform or child removal as the preferred remedy. In this paper, the emergence and ongoing legitimacy of this child protection response is traced to the de‐politicisation of social inequality.     

The progress of child protection in South Africa

Child abuse in South Africa is a serious and escalating problem. In this article, the writer reflects on the response of the South African government and civil society organisations to the problems experienced by practitioners in their management of child abuse during the past decade. This response must be understood within the context of South Africa's transition from a past characterised by state-enforced discrimination, exclusion and inequity. The article focuses on the child protection service system and draws attention to a review conducted in the nine provincial departments of social development across the country. It discusses the recommendations of the review in light of international literature on child welfare and lessons learnt over the past ten years. Despite the progress in policy formulation, implementation remains a major problem regarding child protection in South Africa.     

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.     

Protecting children from nutritional and medical neglect in sub‐Saharan Africa: A five‐country study

This study critically considers the applicability of conceptions of child neglect that have been theorised by British and American scholars and promulgated in African countries through the domestication of the Convention on the Rights of the Child. The child protection legislation of five sub‐Saharan nations was compared in order to examine the presumptions embedded in their provisions concerning child neglect. These were then appraised in relation to the socio‐economic conditions pertaining in each country. Food insecurity, over‐reliance on staples and high infection rates among children in conjunction with hard to access health care and poor quality services contest the validity and relevance of dominant Anglo‐centric definitions of child neglect and methods for detecting it. The study concluded that greater congruence between national child protection legislation and the socio‐economic challenges faced by families in sub‐Saharan countries would better protect children against neglect. Key Practitioner Message: ● Child neglect is an ethnocentric concept that requires interrogation to test its relevance before applying it to developing country contexts. ● In sub‐Saharan countries, conditions of absolute poverty and grossly inadequate public services profoundly affect the ability of parents or guardians to meet their children's basic needs. ● Laws that frame child protection systems need to recognise the inter‐relationship between public services, poverty and parental care in the neglect of children.     

Domestic Violence and the Exemption from Seeking Child Support: Providing Safety or Legitimizing Ongoing Poverty and Fear

This article examines the experience of low‐income women on welfare in Australia and the process of seeking child support from a violent ex‐partner, contrasting this with research from the United States and the United Kingdom. Women in Australia who fear ongoing or renewed abuse as a result of seeking child support are eligible for an exemption. However, the exemption policy does not necessarily provide the intended protection of women and children from ongoing abuse and poverty. The exemption policy route also produces an unintended outcome whereby the perpetrators of violence are financially rewarded as they do not have to pay child support. These outcomes are shaped by a complex interaction of personal, cultural and structural forces that make the process of seeking child support for women who have experienced violence extremely problematic. The article demonstrates how in Australia, as in the US and UK policy contexts, the needs of women and their children are compromised by the details of policy specification and the way policies are implemented within the different systems.     

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.