Emotional abuse and emotional neglect subscales of the CTQ: Associations with each other, other measures of psychological maltreatment, and demographic variables

The goal of this study was to explore the conceptual distinctness between the constructs of emotional abuse and emotional neglect. This was achieved through a comparison of the emotional abuse and the emotional neglect subscales of the Childhood Trauma Questionnaire (CTQ). The two scales were compared with respect to each other, demographic variables, and other measures of psychological maltreatment. Two hundred and fifty three employees at a social service agency completed five scales of adult recall of childhood psychological maltreatment including the CTQ-EA subscale and the CTQ-EN subscale. Results revealed moderate associations between the two scales, strong associations with other measures of psychological maltreatment, and a mixed pattern of associations with demographic variables. Data suggest considerable but not complete overlap between these two subscales. Directions for future research are discussed.     

Elder abuse and neglect

Elder abuse and neglect is a critical health care issue that must be brought to the attention of health care providers and older adults' family members. Adults older than 65 who live at home or in long-term care facilities may be at risk for abuse. Nurses should be aware of the causes, screening questions, symptoms of abuse, and resources in the community. Armed with information and a better understanding about the issue, nurses can minimize the devastating effects of abuse on older adults and their families.     

Using clinical signs of neglect to identify elder neglect cases

Elder neglect is the one of the most pervasive forms of mistreatment, and often the only place outside of the individual’s residence to identify and assist neglected individuals is in a medical setting. However, elder neglect cases treated in hospitals do not present with a single diagnosis or clinical sign, but rather involve a complex constellation of clinical signs. Currently, there is a lack of comprehensive guidelines on which clinical signs to use in screening tools for neglect among patients treated in hospitals. Using the DELPHI method, a group of experts developed and tested a scale to be used as a pre-screener that conceptually could be integrated into electronic health record systems so that it could identify potential neglect cases in an automated manner. By applying the scale as a pre-screener for neglect, the tool would reduce the pool of at-risk patients who would benefit from in-depth screening for elder neglect by 95%.     

Fatal child neglect

This study examined the circumstances associated with fatal child neglect in one state to differentiate fatal child neglect from fatal physical abuse and from other types of neglect that are not life-threatening. The typical neglect fatality was a male child, younger than three, living with his mother and two or three siblings. The fatalities from physical abuse were characterized by deliberate, hostile acts on the part of a caregiver, but in the vast majority of fatalities from neglect, a caregiver was simply not there at a critical moment.     

Reporting out-of-home maltreatment: penalties and protections

Amendments to many child abuse laws mandate the reporting by staff members of suspected abuse or neglect in out-of-home settings. Legal protections, as well as potential liabilities for those filing or failing to file such complaints are discussed.     

Trauma-informed forensic child maltreatment investigations

Trauma-informed child welfare systems (CWSs) are the focus of several recent national and state initiatives. Since 2005 social work publications have focused on systemic and practice changes within CW which seek to identify and reduce trauma to children and families experiencing child maltreatment or other distressing events, as well as to the agency personnel working with these clients. Within the body of trauma-informed literature, little attention has been devoted specifically to the initial investigative response and its role in controlling for system induced trauma to the child, family, and caseworker. Training child protection services (CPS) workers on the impact of trauma in child maltreatment forensic investigations and the worker's role in anticipating and mitigating the effects of trauma during the investigative process is rarely addressed in the trauma-informed literature. This article reports on a training strategy to infuse trauma information into an existing forensic child maltreatment investigation curriculum with the goal of enhancing CPS caseworker's knowledge, skills, and values concerning the importance of viewing investigations and their associated tasks through a trauma lens.     

Understanding decisions about child maltreatment

To understand how decisions are made in abuse/neglect cases by the child welfare system, the authors asked child welfare experts and protective service line workers to make decisions about actual child abuse and neglect cases on the basis of written summaries of the cases. Respondents included 27 experts and 103 line workers. Regression analyses found that workers and experts emphasized the same case characteristics in making their decisions, but the decisions were not well structured in the sense that they were not well predicted by case characteristics. Individual experts and workers varied widely in the decisions they made on identical cases. The authors conclude that decision making in the child protective system is inconsistent, with errors of two kinds: failing to remove children from their families when that is called for and removing children when it is unnecessary. Progress must be made in developing decision-making criteria that are consistent, preserve family integrity, and promote the well-being of children.     

Dimensions of child neglect: an exploration of parental neglect and its relationship with delinquency

While neglect is generally associated with poor developmental outcomes, it remains poorly defined. Factor analysis was applied to 39 parental behavior variables on data from the Cambridge Study in Delinquent Development (CSDD) to explore underlying dimensions of parental behavior that were consistent with the concept of neglect. Logistic regression assessed associations between the dimensions of neglect recovered from the CSDD and future adult delinquency. Factor analysis revealed four dimensions; logistic regression revealed significant associations between two of these dimensions--poor supervision and a disorganized, chaotic home environment--and future adult delinquency. Neglect is a viable construct that can summarize aspects of parental behavior and predict future adult delinquency.     

Internalizing symptoms linking youths' maltreatment and delinquent behavior

This study examines internalizing mental health symptoms (depression and posttraumatic stress disorder) as potential intervening factors in the relationship between maltreatment and delinquency using data from the National Survey for Child and Adolescent Well-Being (N = 1179). Significant mediating effects indicated that youth at greater risk of maltreatment experienced higher levels of internalizing symptoms that result in increased risk for delinquent behavior, although longitudinal effects were not supported. These findings highlight internalizing mental health symptoms as an important factor to address in treating victimized children at risk of future delinquency. Implications for child welfare service provision are discussed.     

Child maltreatment, revictimization, and violent behavior

The study investigates the cumulative impact of child maltreatment and victimization in adolescence on violent behavior in young adulthood in a nonclinical high-risk sample. The sample consists of 1,526 incarcerated young men (14 to 24 years) who were interviewed with standardized instruments during their prison term. Violent and nonviolent offenders with and without repeated victimization experiences throughout the life cycle were compared. Results show that child maltreatment doubles the risk for violent victimization in adolescence. Repeated victimization experiences in adolescence heighten the risk for later violent offending. This is the case for officially registered violence and self-reported violent behavior. In addition, child maltreatment increased the probability of self-reported violence as well. However, the interaction effect of victimization in childhood and victimization in early adolescence counteracted the main effects. Being repeatedly victimized throughout the early life cycle slightly reduced the probability of being a frequent offender.     

What we know about child maltreatment

This article presents the results of an informal survey of nationally recognized experts on child maltreatment. The poll asked, “What do we know about child maltreatment?” A process of collating and sequential validation produced an outline of current knowledge that demonstrates some progress in understanding child maltreatment.     

Double jeopardy: Child maltreatment and mental retardation

The multiple associations between child abuse and neglect and mental retardation are reviewed. These include: (1) mental retardation as an etiological risk factor for child maltreatment; (2) mental retardation as a result of child maltreatment; and (3) mental retardation of a parent as an etiological risk factor for a child's maltreatment. Implications and recommendations for social work practice and research are discussed.     

Cross-cultural perspectives in child abuse and neglect

The rapid development of scientific knowledge pertaining to the identification, treatment and prevention of child abuse and neglect during the last 30 years has not been followed by a parallel consideration of the significance of the concept of culture. The gradual expansion of a ‘syndrome’, recognized by a medical doctor in the US, to a world phenomenon, regardless of ethnicity, colour, language or religion is calling for careful consideration of the significance of a cross-cultural dimension. This involves issues of definition, research priorities and methodological questions that take into account both ethnic and cultural variations as well as a whole range of different child protection systems. Such an approach is ultimately based on the view that vulnerability depends to a large degree on the cultural context. International data suggest that child maltreatment is the product of a complex interaction of parental characteristics and the social and cultural conditions in which they exist. The value placed on children, on different categories of vulnerable children, on child-rearing practices (including views on physical punishment and the informal social sanctions regarding children and family organization and functioning) are central to the study of the phenomenon within each specific culture. As child abuse and neglect awareness expands across geographical, ideological and cultural barriers, we need not only to promote cross-cultural awareness but at the same time provide competence by incorporating the significance of a cultural dimension into research, theory and practice.     

Characteristics of evidence-based child maltreatment interventions

This project summarizes, using a treatment protocol review technique, characteristics of effective interventions from nine studies of child maltreatment that examined recovery from abuse or the effects of maltreatment on child and parent outcomes. Results suggest that stronger effects are yielded by targeting parents and the parent-child interaction context in home-based settings during early childhood, designing multicomponent interventions delivered by professionals for teaching parenting competency skills, and targeting families of higher risk children.     

Etiological patterns of child abuse and neglect

A review of the various etiological possibilities for child abuse and neglect, designed to offer an additional and different possibility. Consideration is first given to problems, namely the lack of universal definition, heterogeneous effects, and retrospective research. The probability of multifactor models is noted, and sexual abuse is given separate consideration, followed by an exploration of the existing models termed ecological, transactional, transitional, and attachment. An interactive aggression model is then offered as the new possibility. Empirical evidence for cultural and/or ethnic predispositions suggests that society can be a supporting or inhibiting factor in terms of promoting or opposing violence.     

Risk factors in child abuse and neglect

Our knowledge of those factors which place children at risk for physical or sexual abuse is both limited and imprecise. The reasons for these limitations derive from both practical methodological constraints and a lack of definitional consensus among researchers in this field. This paper discusses the difficulties, both methodological and practical, involved in the development of a scientifically- based knowledge of risk factors in child abuse. Those factors known or commonly believed to be related to risk for child abuse and neglect are then described, with emphasis on those which appear to be popularly and clinically over- valued as predictors of abuse: demographic variables, psychopathology, and history of abuse. Likely foci for future research in this area are then described, with special attention to the problems inherent in each.