Examining the relationship between psychotropic medication use and testing positive for Chlamydia and Gonorrhea among detained adolescents

Objective

We examined whether psychotropic medication (PTM) use was related to testing positive for Chlamydia and Gonorrhea among detained adolescents.

Methods

A convenience sample of 550 detained adolescents ages 14-18 years were recruited from eight youth detention centers in Georgia. Using A-CASI technology, data was collected on demographic factors, use of PTM, and sexual risk behaviors. Chlamydia and Gonorrhea diagnoses were assessed by laboratory testing.

Results

Thirteen percent (13.1%) of adolescents not using PTMs tested positive for STIs compared to only 4.9% of those reporting PTM use. PTM users had a 62% smaller odds ratio for testing positive for Chlamydia or Gonorrhea.

Conclusion

Findings suggest that use of psychotropic medication, if deemed useful by detained youth, may be a protective factor against engaging in behaviors which may culminate in contracting some STDs. The practice implications are discussed within the context of these findings.     

The effect of experience of childhood abuse among university students on self-perception and submissive behavior

Objective

The aim of this study was to investigate the effect of experience of childhood abuse among university students on self-perception and submissive behavior.

Methods

The study group consisted of 646 students attending various departments of the Karadeniz Technical University Faculty of Education in Trabzon, Turkey. Participants were administered the Childhood Trauma Questionnaire, the Social Comparison Scale and the Submissive Acts Scale in a classroom setting.

Results

Analysis revealed a significant negative correlation between self-perception and all forms of abuse (physical abuse, sexual abuse, and emotional abuse and neglect), and a positive correlation between submissive behavior and all forms of abuse. The students' emotional abuse and neglect scores varied significantly according to gender, with males having higher emotional abuse and neglect scores than those of girls. Additionally, males had higher physical abuse scores than girls.

Conclusion

Childhood abuse emerged as a significant predictor of negative self-perception and submissive behavior. In addition, with the exception of sexual abuse, other forms of abuse vary according to gender. The experiences of childhood abuse may have a long-term impact on various features of character and behavior.     

Bullying among urban Mexican-heritage youth: Exploring risk for substance use by status as a bully,victim, and bully-victim

Little is known about adolescent bullying behavior and its relationship to substance use in ethnic minority populations. In a sample of youth of Mexican heritage, the current study aimed to examine the prevalence of bullying behavior subtypes and its co-occurrence with recent alcohol, cigarette, and inhalant use. Data come from a school-based substance use prevention study in the Southwestern U.S. (n = 809). We explored the prevalence of bullying behavior by status among youth classified as bullies, victims, bully-victims, and rarely-involved bully-victims in an urban context. We also investigated risk of past 30-day use of alcohol, cigarettes, and inhalants by bullying behavior status. Compared to non-involved youth, rarely-involved bully-victims were more likely to use alcohol, bullies were more likely to engage in alcohol and cigarette use, and bully-victims were more likely to use alcohol, cigarettes, and inhalants. In contrast, victims were not significantly at risk of substance use compared to non-involved youth. Chronic bullies and bully-victims are particularly at risk for substance use, with chronic bully-victims reflecting the greatest risk of using multiple substances. Prevention and early intervention programs aimed to reduce bullying can also work to decrease other risky behaviors, such as substance use, and should attend to the growing ethnic diversity among youth.     

Children adopted from China: Attachment security two years later

Background

This study continues the examination of the process of attachment formation of mothers and their adopted Chinese daughters two years postadoption.

Method

30 children adopted from China (mean age = 13.6 months at adoption) were assessed and followed two years following adoption. They were compared to 31 nonadopted Canadian girls of similar age and family background. In earlier reported longitudinal studies of the adopted children, maternal reports of attachment security were employed. In the current study the Strange Situation Procedure was used.

Results

Adopted children show signs of having a secure attachment with their mothers two years following adoption. There was some evidence that disorganized attachment characterized these children more so than for children in the comparison group.

Conclusions

The moderate degree of emotional deprivation experienced by Chinese adoptees does not hinder their ability to form a new attachment with adoptive mothers. Attachment appears open to change, even after a time when children should have already formed an attachment relationship and the change is maintained.     

Reflections on citizen-state child welfare partnerships: Listening to citizen review panel volunteers and agency liaisons

Objective

Previous research pertaining to the citizen review panel (CRP) initiative indicates that discrepancies exist between panel member and state agency liaison perceptions of CRP effectiveness in fulfilling the CAPTA CRP mandate. This study explores the impressions of both CRP members and liaisons involving barriers to effective CRP-state child welfare partnerships and recommendations to improve the relationship, provided through narrative survey responses from CRP liaisons from 30 states and D.C. and panel members from 32 states and D.C. Thematic categories which emerged from analyses of these responses are discussed, and a conceptual model and substantive-level theory of the CRP-child protective services (CPS) relationship developed from the results are presented.

Results

The complex nature of CRP-CPS relationships emerged as the central theme among CRP members' and liaisons' responses. Liaisons and CRP members identified a need for CRP members to become more educated globally on child welfare despite the relatively high level of education and experience of much of the sample. Difficulties encountered by panel members in the effort to partner surfaced in themes of mistrust and skepticism about the worth of citizen participation in child protection. Negative agency attitudes, lack of role clarity, and lack of commitment to authentic partnership were cited as negative influences upon the relationship by both liaisons and CRP members. The most important preferred outcome of the partnership was that citizen volunteers would become more knowledgeable partners who could meaningfully contribute to child welfare efforts. A second desired outcome important to CRP members was to form a shared vision with CPS.

Conclusions

Findings imply that when key components of mutual respect, legitimacy, CPS knowledge, shared vision, authenticity, citizen engagement, honest communication, and a serious, deliberative process are in any way impeded, the partnership is vulnerable to breakdown, and intended outcomes may be compromised.

Implications

Important relational difficulties that have formed barriers between volunteers and CPS agencies have been identified, and results suggest specific issues to target for improvement. These findings can prompt a more informed discourse about the challenges and opportunities presented when attempting to engage citizens in child welfare practice and policy-making, and can lead to new research paths. Suggestions for such efforts are offered.     

Ethical and legal challenges of mandated child abuse reporters

Background

Mandated reporters inconsistently report child abuse cases. Ethical dilemmas and legal challenges to reporting arise creating barriers to assist abused children and their families.

Purpose

The purpose of this study was to describe professionals' ethical dilemmas and legal challenges to reporting child abuse.

Method

A qualitative study was conducted to explore the ethical and legal challenges of mandated reporters when reporting child abuse. Individual interviews between 60 and 100 min were conducted with a purposive sample of 18 mandated reporters including physicians, nurses, social workers, and teachers. Grounded theory methodology was used to develop categorical themes that reflected mandated reporters' experiences and challenges.

Result

Three themes emerged from the data: conflicts, time, and law as refuge. Professionals described challenges in balancing autonomy, beneficence, nonmaleficence, and justice. There was no best solution to do no harm. The associated stigma and pressure of cultural and secular norms of child abuse inhibit professionals' action based on legal and ethical requirements. The theme of time included limited time and an uncertain future. The law provides security and refuge for professionals to find a solution to the challenges of reporting child abuse.

Conclusion

The ethical and legal challenges of reporting child abuse create complex dilemmas for mandated reporters. Ethical principles are in constant opposition when negotiating rights of children and rights of parents. Supportive structures and education are needed to assist professionals in meeting their reporting obligation and solving their dilemmas.     

Former system youth with mental health needs: Routes to adult mental health care, insight, emotions, and mistrust

Objective

Public health concern surrounding the mental health needs of former system youth is escalating. We know very little about mental health service utilization on the other side of the developmental transition to adulthood. The purpose of this study was to explore the mental health service use experiences among former system youth with childhood histories which included mental disorder, use of publicly-funded mental health services, and use of additional public systems of care.

Methods

In-depth face-to-face interviews were conducted with 60 participants currently struggling with mental health difficulties regarding their service use experiences over the transition. Participants were recruited from one Midwestern state. Multi-phase analysis was conducted utilizing immersion/crystallization, constant comparison and concept matrices.

Results

Few participants received continuous mental health care across the transition, with the majority experiencing interruptions or discontinuation of care. Important facilitators of service use emerged, such as physicians, former caseworkers and family. Health clinics and parenting programs emerged as potential entrée points for reconnecting disengaged young adults to mental health services. Insight, mistrust, and emotions emerged as novel factors associated with service utilization among young adults.

Conclusions

Mental health service utilization remains a complicated phenomenon over the developmental transition to adulthood. Future research is needed that closely examines the associations between insight, emotion, mistrust and service use among young adults.     

The Joint Development of Traditional Bullying and Victimization With Cyber Bullying and Victimization in Adolescence

The present study investigated the stabilities of and interrelationships among traditional (i.e., face‐to‐face) bullying, traditional victimhood, cyber bullying, and cyber victimhood among adolescents over time. About 1,700 adolescents aged 11–16 years at Time 1 self‐reported levels of both bullying and victimization in four contexts (in school, outside of school, texting, and on‐line) annually for 2 years. Results indicated that all four dynamics were moderately stable over time. The following variables were found to bidirectionally reinforce and predict each other over time: traditional bullying and traditional victimization; traditional bullying and cyber bullying; and traditional victimization and cyber victimization. These results indicate that bullying and victimhood in both face‐to‐face and cyber‐based interactions are related but not identical interpersonal dynamics.     

Public attitudes toward child maltreatment in Israel: Implications for policy

Objective

The public view of the severity of social problems and their perceptions of how effectively they are being addressed have a major impact on public policies and resource allocation. The present study focuses on public attitudes toward child maltreatment. It examines perceptions of child maltreatment as a social problem, and attitudes toward prevention and treatment strategies in cases of child abuse and neglect.

Methods

A survey was conducted among a representative sample of 812 Israeli adults: 688 Jews, and 124 Arabs. Fifty additional Ultra-Orthodox Jews were added for comparisons among Jewish participants.

Results

The participants tend to view violence and alcohol consumption among youth as a more serious problem than parental maltreatment of children. Low-income participants tend to view child maltreatment as a more serious problem than did high-income participants. Jewish participants (except for ultra-Orthodox Jews) view child maltreatment as a significantly more serious problem than did Arabs and Ultra-Orthodox Jews. Most of the participants believe that parents who maltreat their children should be punished, but they should be taught how to refrain from maltreatment, and learn to change their behavior. Many participants believe that the courts do not sufficiently punish parents who maltreat their children. In their assessments of the quality of professional work, the highest evaluations are given to services provided by physicians and social workers, whereas the lowest evaluations are given to judges and police. Most of the participants (70%) believed that social workers play an important role in protecting children.

Conclusions

The survey findings have implications for enhancing public awareness of child maltreatment as well for policy making in the area of child abuse and neglect. The differences in the perceptions of participants based on their religious, cultural and economic background toward child maltreatment should be further studied and addressed in policy and interventions in this area.     

Adolescent involvement in face-to-face and cyber victimization: can personal well-being mediate social-emotional behavior?

This study examined the relationships between perceived loneliness, self-efficacy, and subjective well-being as related to students’ experiences as victims of cyber and face-to-face bullying. Participants included 902 students from 18 different Israeli schools, aged 10–18 who completed self-report questionnaires. Results revealed that social loneliness fully affects the experience of cyberbullying through the mediation of well-being. Greater social loneliness decreases the perception of well-being and therefore the probability of cybervictimization increases. Furthermore, social efficacy increases personal well-being, which decreases the likelihood of experiencing cyberbullying. In addition, students experiencing social and emotional loneliness were more likely to be victims of cyber- and face-to-face bullying than students who were not lonely. Age was found to be an overall indicator for the probability of exposure to bullying and being a victim. The current findings suggested that boys who are more socially effective perceive their well-being higher than girls, and these higher perceptions lead them to a higher immunity to, or a lower experience of cyber bullying. This indirect effect is fully operated through the mediators. Boys experience greater social and emotional loneliness than girls, but perceive their well-being more highly than girls. Boys also experience more face-to-face victimization, but not more cybervictimization compared to girls.     

Access visits: Perceptions of child protection workers, foster parents and children who are Crown wards

Objective

To report findings from a study of the perceptions of foster parents, child protection workers and children regarding supervised access visits for children who are permanent wards (Crown wards).

Methods

Interviews were conducted with twenty-four Crown wards having regular supervised access visits. Eight focus groups were conducted with twenty-four foster parents, and twenty-six child protection workers. Interviews and focus groups explored perspectives regarding supervised access visits. Interviews and focus groups were transcribed, coded, and thematically analyzed. Negative case analysis, prolonged engagement, and triangulation contributed to the trustworthiness of the research.

Results

While this study is explorative, findings suggest considerable dissatisfaction regarding access visits among foster parents and workers, inadequate training for workers and foster parents, poor communication and consultation regarding access visits, and confusion regarding the roles of supervisors.

Conclusions

The data suggest several possible explanations for children's distress associated with access visits including lack of communication among access supervisors, workers and foster parents; insufficient training for workers who supervise visits; and a lack of validation of the children's contradictory feelings towards their mothers.

Practice implications

Findings suggest the need for more consultation with and inclusion of foster parents in access visits. More training is required for workers supervising access visits including whether and how it is beneficial for children to express their feelings and address potentially difficult topics regarding their biological family members.     

Coping with victimization in heterosexual and sexual minority university students

This study examined perceived social support available to victims of traditional and cyber forms of bullying in a heterosexual and sexual minority emerging adult university student population. Questionnaires were completed by 521 students ages 18 to 25 years old. The questions related to their sexuality, experience of bullying, and perception of social support. Perceived social support was lower for sexual minority individuals than for heterosexual individuals only when no bullying behavior was present. No significant differences in perceived social support between sexual minority and heterosexual individuals were found when they were traditionally bullied, cyberbullied, or experienced both forms of bullying victimization. Implications for practice and future research are discussed.     

The influence of strain factors,social control factors,self-control and computer use on adolescent cyber delinquency: Korean National Panel Study

This study examined how cyber delinquency changes over time and we identified how predictors influence these changes. We analyzed Korean Youth Panel data collected by the National Youth Policy Institute over five years for 2844 Korean adolescents living in 7 metropolitan cities and 8 provinces, using hierarchical linear modeling. The results are as follows. Cyber delinquency linearly increased over time. Greater computer use and perceived stress were related to more cyber delinquency, while greater self-control ability and community attachment were associated with less cyber delinquency. More computer use and offline bullying victimization were related to an acceleration of the increase of cyber delinquency over time. While, greater self-control ability was associated with a deceleration of the increase of cyber delinquency as time passed. The strongest predictor was amount of computer use, followed by self-control, and then by offline bullying victimization.     

Actuarial risk assessment in child protective services: Construction methodology and performance criteria

Purpose

To prevent the recurrence of child maltreatment, actuarial risk assessment can help child protective services (CPS) workers make more accurate and consistent decisions. However, there are few published articles describing construction methodologies and performance criteria to evaluate how well actuarial risk assessments perform in CPS. This article describes methodology to construct and revise an actuarial risk assessment, reviews criteria to evaluate the performance of actuarial tools, and applies a methodology and performance criteria in one state.

Methods

The sample included 6832 families who were followed for two years to determine whether they were re-reported and re-substantiated for maltreatment.

Results

Both the adopted and the revised tools had adequate separation and good predictive accuracy for all families and for the state's three largest ethnic/racial groups (White, Latino, and African American). The adopted tool classified relatively few families in the low-risk category; the revised tool distributed families across risk categories.

Conclusions

The revised tool classified more families as low-risk, allowing CPS to allocate more resources to higher-risk families, but at the cost of more false negatives.     

Risk factors and services for child maltreatment among infants and young children

Objectives

Child maltreatment (CM) causes injury in large numbers of U.S. children. This study uses a large, multi-state dataset of child protective services reports for infants and young children under five years of age to examine risk factors and the effects of services in confirmed maltreatment investigations and recurrence over five years.

Methods

The Child Files of the National Child Abuse and Neglect Data System (NCANDS) for 2003-2007 were used to study confirmed CM reports to child protective services (CPS) using regression models and survival analysis among a cohort of children first reported during 2003.

Results

There were 1.2 million confirmed maltreatment reports to state child protective services agencies in 22 states during 2003-2007 in NCANDS, including 177,568 infants and young children under five years. 19.3% had a second confirmed CM report within 5 years. White race, inadequate housing and receiving public assistance were associated with significantly increased risk of CM recurrence. Infants and young children received more services and had less recurrence than did older children.

Conclusions

Infants and young children have different risk factors and receive different services than do older children in the CPS system. We need additional research to further assess and better target services for the special needs of infants, young children and their families if we are to protect them and reduce future child maltreatment.     

Students in distress: Unanticipated findings in a cyber bullying study

This article discusses the use of quantitative measures to foster the agency and capabilities of children and youth research participants, and facilitate opportunities for students to receive social services. Based on unanticipated findings of a cyber bullying study among students in grades 4, 7 and 10, we discuss how quantitative measures identified youth “in distress” and allowed opportunities for students to obtain resources that would be helpful. Data indicate that students were able to express their agency by navigating the quantitative phase of the research process in ways that met their needs. These findings suggest that quantitative methods should be included among a range of research methodologies that can promote children and youth's agency and unique voices; meaningfully engage children and youth; and offer benefits to youth participants.     

A Study of the Portrayal of Bullying in Magazines for Parents: It is Everywhere and it is Growing

The purpose of this research is to describe and explain the portrayal of bullying in three parenting magazines from 2000 to 2014. Heightened awareness and recording of the problem of bullying began after the Columbine school shooting in 1999. Recently cyber‐bullying has become a grave concern. This study found that stories focused on parental responsibility. Parents are exhorted to be constantly alert to evidence of a child being involved in bullying and to intervene as soon as possible. Bullying was frequently represented as caused by and causing psychological pathologies in individuals. Theoretical explanations of these findings include intensive parenting, risk society, medicalisation and criminalisation.     

A qualitative study investigating adolescents' understanding of aggression,bullying and violence

There is a general consistency across the research literature regarding the definition of bullying. This has filtered down into the construction of governmental and school anti-bullying policies around the world. However, research suggests that children and adolescents are failing to accurately identify cases of bullying. This in turn has implications upon the accuracy of our perception of the extent of the problem of bullying within schools. The current study aimed to investigate how 11–17 year olds understand and differentiate between terms relating to interpersonal peer aggression, violence and bullying. Fifty-seven (twenty male, thirty-seven female) participants were recruited via an opportunity sample. Participants took part in focus group interviews within which they were asked to provide a definition for a list of words relating to both traditional and cyber forms of aggression, bullying and violence. Thematic analysis revealed that the participants held a shared understanding of the terms relating to aggression, bullying and violence. Participants defined each term by describing the behaviors involved, their perception of the level of control the perpetrators of each type of negative peer interaction have and the perception of those involved. The implications of these findings for both policy and future research are discussed.     

Factors impacting intention to leave in social workers and child care workers employed at voluntary agencies

Introduction

To ameliorate high turnover in child welfare, researchers have attempted to identify factors that lead to undesirable turnover. While this has been studied extensively, little attention has been paid to turnover based upon job roles. Like social workers in child welfare, the field of child care also experiences high turnover. Child care workers employed in child welfare settings are no exception. The current study seeks to understand differential factors that impact intent to leave for preventive and child care workers employed in child welfare agencies.

Materials and methods

Data for prevention workers (n = 538) were obtained from all preventive service programs under contract with the City. Data for child care workers (n = 222) were obtained from three voluntary agencies located elsewhere in the State. The instrument was a modified version of a survey developed to examine job satisfaction and potential turnover among public child welfare workers. Domains measured included job satisfaction, intention to leave, career commitment, and agency investment. Data were analyzed using bivariate analysis and Structural Equation Modeling (SEM).

Results

Child care workers had more positive perceptions of child welfare and planned to stay in child welfare longer. Despite this, prevention workers felt more invested in their work. Child care and prevention workers had different levels of satisfaction with their jobs although overall job satisfaction did not differ nor did their intention to leave. Tenure at the agency was predictive of career investment. Investment, perceptions of child welfare, satisfaction with nature of work, and contingent rewards were associated with career commitment. Commitment and satisfaction with supervision were the greatest predictors of intention to leave.

Discussion

There is a gap in literature addressing child care workers in child welfare, and future study of this group is needed. Child care workers are just as likely to intend to leave their jobs as prevention workers. For both groups, it appears that investment in their jobs increases commitment to the field which reduces intention to leave.     

Bullying and ethnic diversity: investigating their relation in the school setting

This particular study investigated school bullying in relation to ethnic diversity in Cyprus. The research involved 469, 8–14 years old pupils of Cypriot origin and 83 pupils of non-Cypriot origin. Two different questionnaires, one for Cypriot and one for non-Cypriot students, were used and data was analyzed using the SPSS statistical package. The findings showed that ethnic diversity seems to be a factor that can precipitate school bullying and victimization in Cypriot primary and secondary schools, that non-Cypriot students feel more victimized than their Cypriot classmates and that they prefer to share their experiences relating to bullying with someone outside of the school. Additionally, the study revealed that verbal and psychological bullying were the most common kinds of bullying that Cypriot and non-Cypriot students faced, and that both groups limit their knowledge of each other to ‘songs, language, food and games’. The study also showed that the teacher’s role in facing and preventing bullying related to ethno-cultural diversity is critical. Finally, citizenship education and the use of mediation techniques are proposed as a means to foster non- Cypriot students’ social inclusion and, thus, prevent their victimization.