Child sexual abuse: from prevention to self‐protection

There are a growing number of child abuse prevention and education programmes, including primarily group‐based parent and child education, which are taught by teachers within the school system. This article reviews some of the existing sexual abuse education and/or body safety programmes, as well as the research surrounding them. Advantages as well as criticisms of such programmes are reviewed. Issues such as target populations (i.e. children, teachers, parents), programme components and methodological limitations are addressed. Major findings include: children as young as three can be effectively taught self‐protection skills, parental and family involvement in training is important, and repeated exposure helps children maintain knowledge gains. The components of successful programmes include teaching children to identify and resist inappropriate touching, reassuring children that it is not their fault and learning the proper names of their genitals. Finally, future directions for programme development, research and policy are explored. Copyright © 2008 John Wiley & Sons, Ltd.     

Child abuse prevention: Blending research and practice

For over two decades, child abuse interventions have been plagued by poor definitions of what (or who) exactly is being treated, what constitutes ‘success’, and how services can be delivered in such a way as to minimize the harm to the child and to his/her family. Most recently, intervention/prevention programmes reflect the growing recognition that child maltreatment is the product of the interaction between the parent's abilities and resources and the child's emerging behavioural and emotional characteristics (i.e. the parent–child relationship), and place less emphasis on individual psychopathology. Accordingly, ways to strengthen this relationship offer considerably more promise than those aimed at correcting only one component (i.e. the parent) or treating only the visible symptoms of conflict. In an attempt to focus greater effort on prevention and early intervention, this paper reviews prominent risk factors that have been linked to physical abuse and neglect of children and their consequences. Major intervention targets are identified from this literature and discussed in reference to: (a) problems related to the family context; (b) child treatment needs; and (c) parent/caregiver treatment needs. The paper concludes with a discussion of promising developments in early intervention that are beginning to address problems in the early formation of the parent–child relationship (i.e. the pre-natal and infancy periods of development) and problems associated with parental competency and family support. Most notably, preventive efforts have been associated with more positive parenting knowledge, attitudes, skills, and behaviour, as well as fewer child injuries, emergency room visits, and reports to protective agencies among at-risk parents and children. Further evaluation and expansion of these programmes appears to be warranted by these data.     

Prevention of child sexual abuse: implications of programme evaluation research

Thirty child abuse prevention programme evaluation studies were selected according to a set of methodological criteria following an extensive manual and computer literature search. Targets for intervention in 17 studies were children; in three parents; in four teachers; and in six studies multisystemic programmes were evaluated where some combination of children, parents and teachers was targeted for intervention. From a review of the 30 studies, it was concluded that child abuse prevention programmes can lead to significant gains in children's, parents' and teachers' safety knowledge and skills. Best practice guidelines arising from the review include the use of multisystemic programmes; child‐focused curricula which cover a wide range of safety skills and concepts; and the use of didactic instruction and discussion, video modelling and active behavioural skills training techniques in programme delivery. The curricula for parents' and teachers' programmes should cover child protection issues and local child protection procedures along with an overview of the children's programme lesson plans. Longer programmes conducted by trained staff are preferable and such staff may include teachers, parents, mental health professionals and law enforcement officers. Copyright © 2000 John Wiley & Sons, Ltd.     

Parents' knowledge,attitudes and practices about preventing child sexual abuse: a literature review

Increased concern about high rates of child sexual abuse has led to the demand for more prevention programmes, particularly those aimed at parents. Research on how parents manage and reduce the risk of child sexual abuse can help plan programmes. This literature review explores published research on the knowledge, attitudes and practices of parents on the risk and prevention of child sexual abuse and identifies gaps and needs for further research. The majority of studies reviewed originated in North America and Asia, were quantitative, surveyed mainly mothers and were more than ten years old. Recommendations are made for more current and country specific research, further research to gain a deeper understanding of how parents manage the risk of child sexual abuse, more comprehensive research covering a range of knowledge, attitude and practice variables, and greater inclusion of fathers in research. Copyright © 2009 John Wiley & Sons, Ltd.     

Preventing child abuse: a review of community-based projects II: Issues arising from reviews and future directions

Detailed examination of evaluated community programmes for the prevention of physical child abuse and neglect shows that success depends on matching the skills of the staff to the needs of the families. The relative inefficiency of risk screening and attrition from prevention programmes argues for comprehensive as well as focused aspects of programmes and variation in which is available. Sexual abuse prevention programmes have usually been implemented in schools but are more successful when the focus includes bullying and when children and parents are also actively involved. This is also true of bullying programmes. In establishing risk for abuse, more effective methods are required to assess aspects of family life that are not readily observable, including involved but non-resident adult males. It is important not only to approach abuse prevention by intervening in different ways and at different points in the network of processes within and around the family, but also to find cost-effective ways of sustaining preventative efforts. © 1998 John Wiley & Sons, Ltd.     

Deprivation and Child Abuse: Implications for Strategic Planning in Children's Services

SUMMARY. The paper reviews the association between material deprivation and child abuse and considers the implications of the association for preventive strategies. The authors conclude that community-wide strategies aimed at supporting all child carers are more likely to succeed in preventing child abuse than those based on identification of high risk' groups. Common elements of successful community-wide strategies are presented as are the implications for child protection policy making.     

Teachers' role in the primary prevention of child abuse dilemmas and problems

During the 1980s, many school-based primary prevention programmes were developed and adopted by schools. Much of the early enthusiasm which greeted these programmes dissipated in the light of often disappointing evaluations of the impact of the programmes on children. It is argued, however, that evaluating student outcomes should not occur before theextent of programme utilization is established. In this paper, an overview is given on the dilemmas and problems faced by teachers attempting to implement a primary prevention programme in South Australia. It is revealed that teachers selectively omit sections of the primary prevention programme as a way of resolving personal dilemmas presented by the programme. Some teachers are sensitive about teaching personal and controversial issues related to child abuse, while others deny the seriousness of child abuse in theirschool. The implications of the findings are that: (a) it cannot be assumed that primary prevention programmes are implemented by teachers in ways that are consistent with programme design; (b) teachers' personal beliefs, attitudes and feelings need to be addressed in any school-based primary prevention initiative; (c) training approaches and school support mechanisms need to focus on methods by which teachers can resolve the dilemmas raised by school-based primary prevention programmes in ways other than by radically dismembering the programme.     

Delinquency prevention using family-based interventions

This paper reviews 24 evaluations of prevention programmes including some kind of family-based intervention (usually parent training or parent education), an outcome measure of offending or disruptive child behaviour, a high quality experimental design and a minimum sample size of 100. Programmes are divided into seven categories according to the context of the intervention: home visiting, day care, pre-school, school, clinic, community or multi-systemic therapy. Most interventions were effective in reducing childhood antisocial behaviour and later delinquency, and in some cases their monetary benefits exceeded their monetary costs. General parent education and more formal parent training are both effective prevention techniques. Research is needed to identify the active ingredients of successful programmes, and to establish why some large-scale programmes were not successful. Copyright © 1999 John Wiley & Sons, Ltd.     

Partnering with parents to prevent childhood sexual abuse

Although research demonstrates that child‐focused sexual abuse prevention programmes can teach children personal safety knowledge and skills, childhood sexual abuse (CSA) prevention programmes that involve parents have a number of distinct advantages. The more knowledge parents have about CSA, the greater likelihood they can create safer environments for their children and thus prevent the occurrence of sexual exploitation. Research has demonstrated that parents lack crucial information about CSA and can benefit from even brief educational efforts. This paper will identify potential barriers to participation and offer practical suggestions for enhancing both recruitment and retention rates. Recommendations for parent education programmes are offered, including improving parents' confidence and skills in educating their children about CSA, providing them with parent‐friendly materials to use and developing Internet applications. Copyright © 2010 John Wiley & Sons, Ltd.     

A review of the relationship between poverty and child abuse and neglect: Insights from scoping reviews,systematic reviews and meta-analyses

An up-to-date and accurate picture of the evidence on the impact of poverty is a necessary element of the debate about the future direction of children's social care services internationally. The purpose of this paper is to update evidence about the relationship between poverty and child abuse and neglect (CAN) published since a previous report in 2016 (Bywaters et al., 2016). A systematic search was conducted, identifying seven reviews. Poverty was found to be consistently and strongly associated with maltreatment, be that in terms of familial or community-level poverty, or in terms of economic security. Findings demonstrated that both the type and the quantity of economic insecurities impacted child maltreatment. Certain economic insecurities – income losses, cumulative material hardship and housing hardship – reliably predicted future child maltreatment. Likewise, as families experienced more material hardship, the risk for maltreatment intensified. In some studies, the relationship between poverty and maltreatment differed by abuse type. Future reviews need to investigate individual papers and their findings across different CAN measures, definitions, samples, abuse types and conceptualisations of poverty to provide a comprehensive understanding of the current research base and the directions which need to be taken to further understand and prevent CAN.     

Child Protection and Radiography: Clinical and Technical Issues

The role of the radiographer in child protection has received little attention. This review considers issues which arise in this field, highlighting the implications for those responsible for the management of child protection systems, for those responsible for training, and for staff in other specialisms and professions within the hospital. The different types of imaging technique are discussed with some comment on their advantages and disadvantages. Forced immobilisation is sometimes required, and consideration is given to the issues which arise for the radiographer and abused child in this process. The article reviews the knowledge needed by radiographers of the clinical and radiological manifestations of abuse. It is noted that there are additional social and emotional issues which are discussed in a further paper. © 1997 John Wiley & Sons, Ltd.     

Developmental issues in child abuse: Implications for intervention

This paper reviews some of the issues in child abuse such as problems of definition, characteristics of abuser and abused, and etiology. It emphasizes that child abuse can start at any age. A developmental approach is suggested in order to understand the relationship between the child's stage of development and its idiosyncratic potential for stimulating aggression on the part of the parent. This approach offers a broad framework in which phase specific stressors, characteristics of the child, the abuse prone personality of the abuser, as well as the family system and external stress factors, can be considered together and upon which intervention strategies can be planned.Lynn Ohrenstein is Administrative Supervisor at the Jewish Board of Family and Children's Services, a doctoral candidate at Yeshiva University, and in private practice.This is an expanded version of a paper delivered November 4, 1982 by the author at an interdivisional meeting at the Jewish Board of Family and Children's Services devoted to Issues on Domestic Violence.     

Staying safe: strategies for qualitative child abuse researchers

Undertaking interview‐based research with victim/survivors of child abuse can be difficult and challenging for researchers. Much has been written about the impact of research on participants, but researcher effects are less explored. This paper reviews the literature on sensitive interview‐based research and child abuse research. The theoretical underpinnings of researcher trauma are outlined and challenges identified and related to child abuse research using researcher reflections from the authors' interview‐based research with children who have been abused and young mothers who were sexually abused in childhood. Strategies and recommendations are developed to minimise child abuse researcher trauma. Copyright © 2009 John Wiley & Sons, Ltd.     

Issues in school-based child sexual abuse prevention

SUMMARY. Despite their recognition of the need for teacher training to enable them to respond effectively to the problems of child sexual abuse (DES Circular 4/88) measures taken by the Government to provide that training appear, so far, to be inadequate. Further cause for concern lies in the introduction into schools of child sexual abuse prevention programmes, many of which are seriously flawed, have not been scientifically evaluated and contain unintended negative consequences for both children and teachers. Here, a number of these shortcomings are examined, recent research is reviewed and a wider, more unified and coordinated approach is suggested.     

Best Practices in the Treatment of Substance-Abusing Women in the Child Welfare System

ABSTRACT

This paper reviews the literature on women's chemical dependency and its effects on their children. Many risk factors (e.g., a history of traumatic exposure) and consequences (interference with parenting) of substance abuse are unique for women, giving rise to special treatment needs of substance-abusing women with children. Substance-abusing mothers also experience unique barriers to receiving the services they need to recover, such as absence of child care and lack of gender-specific treatment in their communities. Model programs are described and recommendations are offered for best treatment practices for women with chemical dependency who present in the child welfare system.     

Patterns of child abuse in early childhood,a cohort study of the ‘children of the nineties’

In order to study patterns of child abuse in a pre‐school population, we have looked at children within a local cohort who have been investigated for abuse or placed on the Child Protection Register. This is part of a larger study examining risk and protective factors for child abuse. Of 14 138 children enrolled in the cohort, 329 were investigated for suspected child abuse and 163 were placed on the Child Protection Register over an 8‐year period, representing rates of 10.6 – 23.3 per 10 000 per year. Physical injury and neglect accounted for 31.7% and 29.0% of registrations in the study group respectively, these proportions being similar to those for children of all ages in Avon. In contrast, sexual abuse accounted for 10.9% compared to 21.1% for all ages. Emotional abuse represented just 2.8% of investigations but 25.1% of all registrations in the study group, compared to 14.4% of registrations for all ages. Two hundred and fifty‐five (1.8%) parents reported physical cruelty to their children by themselves or their partner at some stage in the first 3 years; 772 (5.4%) reported some emotional cruelty. The importance of emotional cruelty to children is increasingly being recognized by professionals, but even more so by parents, whose concerns relating to both physical and emotional cruelty are not being identified by current procedures. Copyright © 2000 John Wiley & Sons, Ltd.     

Correlates of Sexual Behavior in Young Children

SUMMARY

Sexual behavior in children ages 2–12 is related to a variety of environmental, child-specific, and reporter-related variables. This paper reviews correlational research that has examined the relationship of sexual behavior to the variables of sexual abuse, domestic violence, physical abuse, family sexuality, age and gender of the child, child behavior problems, and reporter characteristics. Sexual behavior is directly related to environmental variables that cause dysregulated behavior in children. It is also associated with child behavior problems and varies with age and gender. There are a number of reporter-specific variables, including education level, abuse history, and openness to sexuality, that are also related to the level of reported sexual behavior. The article concludes with a reminder that correlation does not mean causation.     

Fathers' alcohol use and spousal abuse and mothers' child abuse in multicultural families in South Korea: The mediating role of acculturation and parenting stress

There is a potential high risk for child abuse by foreign-born mothers in multicultural families in Korea, particularly given that they experience acculturation and parenting stress at the same time. Further, the risk for child abuse by foreign-born mothers may be aggravated through the high rate of alcohol abuse among Korean husbands that may increase their spousal abuse and in turn the mothers' acculturation and parenting stress. Therefore, this study examined the associations between Korean fathers' alcohol use and spousal abuse and foreign-born mothers' child abuse in multicultural families, with particular attention to investigating whether foreign-born mothers' acculturation and parenting stress mediated the associations. This study overall found that fathers' alcohol use was directly associated with their spousal abuse, and that fathers' spousal abuse was directly associated with mothers' acculturation stress and child abuse. Further, this study found a full mediation path in which fathers' alcohol use was associated with mothers' child abuse through fathers' spousal abuse. Fathers' spousal abuse was also associated with mothers' parenting stress through mothers' acculturation stress, and mothers' acculturation stress was associated with their child abuse through their parenting stress. The findings of this study provide social work implications for child abuse in multicultural families in Korea.