Understanding Child Outcomes: An Application to Child Abuse and Neglect

Recently, there have been several empirical studies exploring the effects of abortion on child outcome by correlating the availability of abortion to a mother at the time of a child's birth. This paper presents a model that helps explain the process, as well as establish that the incidence of child neglect is also reduced by access to abortion. It argues that the birth of a child reduces the desired quality of not only that particular birth but of all previous and subsequent offspring. More specifically, a family does not reduce the quality invested in a particular child, whether unwanted or not, but in all family members. Several propositions derived from the model are empirically tested. Some of the findings include that access to abortion reduces the neglect of children, yet is positively associated with sexual abuse. Furthermore, unlike the stylized facts, blacks and female-headed households are no more likely to neglect and abuse their children than other households once availability of abortion, employment status, income and other variables are taken into account. Finally, income and the poverty rate are found to be unrelated with maltreatment, while other variables such as the unemployment rate have better explanatory power.     

Prevention of child abuse and neglect and improvements in child development

The aim of the study was to evaluate the implementation of a section in the Danish Social Assistance Act which encourages local authorities to offer families services in order to support children at risk of child maltreatment. The specific purpose of the present paper is to answer the question: Will the socio‐psychological development of children known to social services be improved when abuse and neglect are reduced? A sample of 1,138 children was drawn at random from new social services cases starting in 1998. Subsequently, about 80 per cent were evaluated by local caseworkers on the basis of a standardised questionnaire covering a period of four years. The most damaging family conditions seemed to be psychological maltreatment, physical/sexual abuse and neglect. Maltreated children were more often in a depressed state, unhappy, socially isolated, or they had an eating disorder, inadequate or under‐nutrition, suicidal tendencies, lack of concentration, or disturbed behaviour, compared to those children who were not exposed to abuse and neglect. If parental behaviour improved, effects on children's well‐being were also observed and positive changes in children's socio‐psychological development were identified. The questionnaire explored the impact of various interventions, including services geared to strengthen the child's network, but results indicated that the child displayed reduced risk of reactive symptoms only when parental behaviour improved and abuse and neglect were reduced. Copyright © 2009 John Wiley & Sons, Ltd.     

Home-based early intervention: dimensions of current practice

Is home-based early intervention an invasion of the family that inadvertently undermines its self-confidence, or is it a life-saving service to families whose children are at risk of abuse and neglect?     

Child deaths attributed to abuse and neglect: An empirical study

This study of 267 child deaths associated with abuse or neglect in Texas during 1975 through 1977 suggests a number of indicators for identifying potential child fatalities. Families where abuse or neglect is implicated in a child fatality are characterized by small family size, young parents, and under-utilization of community support services. Over three-fourths of the families in the study had never come to the attention of the state's child protective services agency. In addition, when fathers were present in the home, they were as likely to be involved in the abuse or neglect as mothers. Neglect was implicated in the death of a child as often as abuse. The study suggests the need for further examination of child fatality profiles associated with abuse and neglect and increased community outreach efforts to provide support to high-risk families, The study also has implications for social policy decisions, particularly in relation to efforts to resist attempts to exclude neglect from child protective service responsibility.     

Poverty and placement outcomes of Intensive Family Preservation Services

It is argued that Intensive Family Preservation Services (IFPS) often fail to prevent the out-of-home placement of children because family poverty impedes long-term effectiveness of the interventions. Current research is examined to demonstrate that families with lower socioeconomic status have higher rates of substitute care placement and that many IFPS families do not have the minimum income commonly assumed necessary to facilitate successful therapeutic interventions. Research also shows that poverty contributes to child abuse and neglect, to mental health problems, and to juvenile delinquency, resulting in a disproportionate representation of poor children in the three child systems. Until family poverty is significantly reduced, IFPS will continue to have disappointing results for a sizeable portion of their clientele.     

Beginning street life: Factors contributing to children working and living on the streets of Khartoum, Sudan

Understanding why some children work on the streets while others live there, and how causal factors differ by gender, is important in developing effective services for them. This study examined these questions in Sudan using participant observation, qualitative interviews, and surveys of working boys (n = 1025), working girls (n = 192), street boys (n = 397), and street girls (n = 35). Street children were less likely than working children to have local families (66% and 77%, p < 0.001), and more likely to have experienced some prior hardships, e.g. a mother's death (17% and 10%, p < 0.001), or coming from the war-torn south (30% and 10%, p < 0.001). 70% of street children and 10% of working children had abused (i.e. sniffed and sucked) glue (p < 0.001); initiating glue abuse often coincided with a transition from working to living on the streets. Within groups, conditions ‘pushing’ girls to street life were often harsher than for boys. For working girls, these included death of both parents (10% and 3%, p < 0.001), and/or insufficient food at home (59% and 43%, p < 0.001). For street girls, they included having a homeless family (23% and 9%, p = 0.019), and/or insufficient food at home (63% and 40%, p = 0.008), but street girls also more often reported boredom at home (80% and 48%, p < 0.001). Services should be tailored to the particular needs of each group by gender, including community-based prevention, street-based health and safety interventions, and street child counseling and re-integration programs.     

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.     

Child Labour in West Africa: Different Work – Different Vulnerabilities

Based on data from four different surveys – street children in Accra, Ghana; street children in Bamako, Mali; children and youth in alluvial-diamond production in Kono district, Sierra Leone; and war-affected children in Voinjama district, Liberia – this article analyzes how children and youth seek to use different economic strategies to shape their lives. In each of these cases, child labour is a consequence of poverty, steep school fees and the family need for the income that the children can earn. The results show school attendance among the children is low, and lowest among the street children and highest among the children in Voinjama who have recently returned after the war. All the children in this article live under difficult circumstances, but those working in the mines, or living a life as street children are particularly prone to respectively physical and mental stress. The type of labour performed in the alluvial diamond mines is extremely hard and repetitive. The life of a street child in West Africa is also very hard. It is a life that only the boldest and bravest will endure. The most fortunate ones are the returnee children in Voinjama. They have survived the Liberian civil war with their family or family-related networks intact. The children in the study are not just passive victims of structures and actions they do not comprehend, but also people who try to adapt to a situation where education is less an option than it used to be. Faced with these constraints the children, either as miners or as street children, try to assume responsibility for their lives by the choice of the economic strategy that they are currently using. The study also indicates that efforts to support these groups should pay more attention to their lived realities of work and migration.     

Can child fatalities,end product of child abuse,be prevented?

Study of a sample of child abuse/neglect families where a child fatality has occurred suggests several indicators for identifying potential child fatalities. In contrast to families where child abuse is not followed by a child fatality, child abuse cases where a fatality does occur are characterized by abuse of more than one child in the family, a more chaotic family constellation, the mother as perpetrator of the abuse, and high levels of both human and milieu stress. The study also identifies gaps in services to sample families and suggests changes.     

The "Medea complex" among men: the instrumental abuse of children to injure wives

It has been previously documented that wife and child abuse often co-occur. The present study tested competing hypotheses about the reasons for this co-occurrence, specifically trait versus instrumental theories of aggression within families. Three commonly cited catalysts (unemployment, drinking, and life-stress events) for men's abuse of family members were analyzed to determine whether they equally predict partner or child abuse. Interviews were conducted with 363 women and children about spousal and paternal abuse, and women were interviewed about sociodemographics and the stressors described above. Families were oversampled for the presence of spousal violence. Logistic regressions revealed that heavy drinking (log-odds ratio 4.86) and life stress events (log-odds ratio 1.6) predicted men's abuse of their partners. These risk factors were unrelated to child abuse. Wife battering, however, placed children at heightened risk (log-odds ratio = 2.77). Children of battered women stood a 42% chance of receiving escalated abuse from their fathers. It is proposed that men's abuse of children is in many instances instrumental in order to coerce or retaliate against women, echoing the Greek myth of Medea who killed her own children to spite their father.     

Kinship care of the abused child: the New Zealand experience.

The concept of continuity--keeping children within their own kinship, community, and cultural networks--has found international favor in contemporary child welfare practice. This principle is reflected in the 1989 New Zealand Children, Young Persons, and Their Families Act. The Act represents a significant shift--from the state to the family--in responsibility for children in need of care. The increasing use of the Family Group Conference process allows families to make decisions about the future of kin children and reflects the belief that, although most abuse is intrafamilial, the family will also be the most committed to keeping the child safe. Other countries have adapted this model to suit their own cultural child welfare needs. The international trend toward formal use of kinship care for children who have suffered abuse or neglect is likely to continue as foster care resources shrink. Drawing on qualitative research, this article describes the experiences of caregivers and their kin children who have been the subject of a care and protection order.     

Vulnerability to violence of girls of the street in Mauritania

This article is concerned with an empirical study of girls of the street in Mauritania. This study is original for three main reasons. First, it investigates Mauritania, a country where there have been very few studies of the phenomenon of children of the street. Secondly, it seems to us that though the academic literature on street children sometimes provides comparisons between girls and boys, very few studies focus specifically on girls of the street. Thirdly, the literature focusing on children of the street generally elucidates the mechanisms that lead some young people to live on the streets. On the contrary to previous literature, our study does not directly focus on mechanisms that lead some young people to live on the streets. Our study focuses on the question of the socio-economic determinants of the risk of violence. In other words, whereas the literature, following the hypothesis of aberrant families, uses violence as an explanatory factor for the phenomenon of children of the street, we attempt here to highlight the explanatory factors for the risk of violence and we treat this risk as an explained variable. A novel finding emerges from this study: there is less risk of violence facing girls of the street if the mother does not work. Conversely, the risk of violence is greater if the mother works and the father stays at home.     

Finnish children in foster care: evaluating the breakdown of long-term placements.

Save the Children studied risk factors associated with placement disruption or breakdown in cases where long-term foster care was intended. Before their placement in 180 foster families, most of the 234 children studied (75%) had experienced neglect. The followup time after initial placement averaged four years and two months. Achieving long-term beneficial foster care placement of children of varied ages and experiences with abuse and neglect, involved considering the needs of the foster parents who may or may not have their own children or other children in their care. Some children were reunified with their parents; careful evaluation is needed before such reunion.     

The Co-Occurrence of Child Abuse and Domestic Violence: An Issue of Service Delivery for Social Service Professionals

In order to add to the growing literature on intergenerational rates of family violence, data were collected from a community-based child abuse agency. The study's purpose was to compare the co-occurrence of child abuse/neglect (CAN) and domestic violence (DV), and the prevalence of CAN and parent's childhood history of abuse. Data were collected from 537 families through intake and subsequent interviews in an attempt to determine the relationship among CAN and DV, and CAN and parent's childhood history of abuse. A chi-square analysis indicated significant relationships among these variables. Of the participants in this sample, 48.9% had experienced both CAN and DV. These results also indicated that 66.3% of participants had a childhood history of CAN and were currently experiencing issues of CAN with their own children. Logistic regression was utilized to examine whether families involved with Child Protective Services (CPS) were at higher risk for DV and/or parental childhood history of CAN. The results indicate that CPS-involved families were approximately three times as likely to have a parent reporting a childhood history of CAN but were not at significantly higher odds for DV. Implications for service delivery are discussed.     

Abuse and deaf children: Some factors to consider

Deaf children are uniquely disadvantaged in terms of access to information on safety and abuse. This is often due to misunderstood linguistic and cultural needs which relate to the deaf community. Consequently, a greater number of children who are deaf are placed in potentially abusive situations when compared to their non-deaf peer group. A high percentage of deaf children have also acquired negative self-concepts. This is often due to external influences such as educational experiences and family communication. Many deaf children believe that abuse is part of their being deaf. The implications of this are that deaf children are at risk of neglect and abuse as well as long-term damage to their emotional development and self-esteem. A number of survivors of physical and sexual abuse have been referred to the National Centre for Mental Health and Deafness, Preston. Some of these referrals have been inappropriate and due to a dearth of local resources. Extremely little support is available for deaf people who have been or are being abused. There are few appropriately trained counsellors equipped with the necessary skills in communicating with deaf people and even fewer trained in deaf awareness. A number of risk factors have been identified and are illustrated in this article. Three case studies are described to highlight the issues involved.     

Identifying the needs of parents with learning disabilities: A review

Despite the success of some programmes in raising the parental competency of parents who have learning disabilities, many services are still providing only minimal support to such families, often following crisis intervention. Recent legislative changes within the UK have meant that statutory services are now required to adopt a preventative approach to children and families in need. A review of the literature reveals that children of learning-disabled parents are particularly vulnerable to abuse/neglect and removal from their natural family. This article addresses the difficulties that many clinicians currently experience in the early identification of parents who have learning disabilities. It also emphasizes the need for a systematic approach in the assessment of these parents prior to the implementation of parental teaching programmes.     

Street children in Trinidad and Tobago: understanding their lives and experiences

A community-based action research process, over a three-year period, employed interviews and participant observations with five children living on the streets in Port of Spain, the capital of Trinidad and Tobago. Data revealed violence in the family to be a contributing factor to children's presence on the streets: it was also a feature of their lives on the streets. A complex pattern emerged of violence, hostility, and distorted social interactions amidst negative attitudes and disdainful behaviour all around them. It is argued that, although it is not easy, more people – professionals and citizens – would do well to listen to, and understand the lives of, street children in order to be motivated for change.     

Family characteristics of children in cases of alleged abuse and neglect

Information is presented about the family composition, structure and significant relationships of 2069 children referred to an English social services department for suspected abuse and neglect. Of these children, 373 (18%) were subsequently placed on the child abuse register. Very few members of extended families were recorded as being significant in the lives of these children. Contrary to earlier research, less than one‐third of children lived with a lone or unmarried mother. However, children whose parents were married and living together were less likely to be registered. Nearly half of the mothers and one‐fifth of the fathers of registered children were aged 21 or less at their child's birth. Compared to all those referred, a significantly larger number of children registered were conceived by younger or older men. Two in five of the siblings of registered children were under 6, and the younger the siblings, the more likely the child was to be registered. Children with two or more siblings were also more likely to be registered. Copyright © 1999 John Wiley & Sons, Ltd.     

Multiple forms of violence and other criminal activities as an indicator of severe child maltreatment

Child protection practice still appears to view child maltreatment as an event largely isolated from other family violence and criminal activities. Research undertaken by the authors suggests that children who have been subjected to the more severe forms of abuse are likely to have come from families who engage in several forms of criminal activity, inside and outside the family, which is often severe in nature. The child who has been maltreated may also become a participant in these activities. The authors recommend that these factors should be investigated in families who have maltreated a child, as the presence or absence of several forms of concurrent violence and other criminal activity may provide an important clue about the welfare of the child. Copyright © 2004 John Wiley & Sons, Ltd.     

Child abuse and neglect in Cambodian refugee families: characteristics and implications for practice

This study examines the characteristics and patterns of child maltreatment among Cambodian refugee families in Los Angeles and assesses the implications for child welfare practice with Cambodian refugee families. Data were extracted from 243 active Cambodian case files maintained by the Los Angeles County Department of Children and Family Services (LAC-DCFS). Some of the major findings include (1) Cambodian child maltreatment cases were most frequently reported to the LAC-DCFS among various Asian Pacific ethnic groups; (2) Cambodian refugee families were more likely to be charged with neglect, while their Asian Pacific counterparts were more likely charged with physical abuse; (3) the circumstances under which maltreatment occurred most frequently were parental substance abuse and mental illness; and (4) while fathers who maltreated their child were likely to use alcohol, mothers were also more likely to have a mental health problem such as depression. This study suggests the importance of collaboration between Child Protective Service agencies, substance abuse programs, traditional healers, mental health services, and other social service agencies for effective child abuse prevention and intervention efforts.