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1.
Elder abuse has been compared with other forms of intrafamilial violence. Despite obvious age and status differences, elder parents and young children exhibit similarities that make the linking of elder and child abuse compelling. However, difference in the nature of child-to-parent and parent-to-child relations and in the social and legal status of adulthood versus childhood argue against a too facile linking of the two problems. This paper suggests dimensions relevant to a comparison of intergenerational physical abuse of elder parents and young children.  相似文献   

2.
Abstract

Following the implementation of the National Health Insurance Law in January 1995, major changes have taken place in the provision of health services by Israel's sick funds and the way these services are funded. This article presents the principal changes that have occurred and assesses their impact on those aged 65 and older, using findings of a survey conducted one year after the law's enactment. While the findings show that the elderly's situation has improved in some areas, they also raise concerns that the elderly are having difficulty navigating the reformed health system and that they are not benefiting from the new competition among the sick funds.  相似文献   

3.
In Trinidad and Tobago, little data exists on child sexual abuse, although there are many anecdotal reports of high prevalence. The Breaking the Silence Gender and Community Empowerment Model is a multidisciplinary intervention to prevent and respond to child sexual abuse in Trinidad and Tobago. It is an innovative, gender-sensitive intervention that uses a community based action research methodology anchored in a national framework. Preliminary evaluation of the Breaking the Silence model shows increased knowledge of child sexual abuse, increased willingness to discuss child sexual abuse, and an impact that goes beyond the target communities. This model can be replicated in communities to prevent and respond to child sexual abuse and adapted to address other sensitive social issues in the Caribbean.  相似文献   

4.
Abstract

We draw on both life course and decision-making theories to examine decision strategies prior to moving to a continuing care retirement community (CCRC) and subsequent satisfaction following the move. Multivariate analyses drawing on panel data for a sample of 92 older adults (age 64 to 94) before and after their move to a CCRC show that frequent residential relocation in the adult years reduces the odds of considering staying in one's own home. Cognitive orientations at time 1 predict subsequent satisfaction with the move to a CCRC: mastery increases the odds, desiring age-integrated housing reduces the odds.  相似文献   

5.
ABSTRACT

To investigate frequencies and types of elder abuse occurring in residential settings in two municipal areas of Sweden, nursing staff were asked to answer a questionnaire; 499 responded. The findings indicated that elder abuse involving the staff did occur. Eleven percent of the staff knew of situations of elder abuse and two percent admitted that they themselves had been abusive towards an elderly resident. Psychological and physical abuse related to caring activities were most common. In the specific situations reported, the abusers were mostly characterised as hot-tempered, exhausted, and burned out. The abused people were often mentally and/or physically handicapped and generally over 80 years old. Feelings such as powerlessness, anger towards the abuser, and compassion for the abused person were reported. To cope with the situation, they talked to each other or to the manager. They recommended more education and support as the main preventive strategy.  相似文献   

6.
There is a growing acknowledgment of client–provider relationship as a determining factor within evidence-based practice implementation. This collective case study of 20 service providers examined the approaches used by clinicians working with substance-abusing mothers involved in child welfare to shed light on their use of empirically informed, gender-specific interventions. Analyses revealed that clinicians struggle to articulate specific evidence-based frameworks, and their approach relies on an intuitively driven client–provider relationship. Clinicians report little institutional support for integration of empirically supported practices into settings where workforce stress plays a critical role, and thus rely on relationship skills to frame practice approach.  相似文献   

7.
We conducted a qualitative content analysis of barriers to nursing home admission for rural residents. Data came from semi-structured interviews with 23 rural hospital discharge planners across five states (Georgia, Idaho, Minnesota, Pennsylvania, and Wisconsin). From those, we identified four themes around nonmedical barriers to rural nursing home placement with particular salience in rural areas: financial issues, transportation, nursing home availability and infrastructure, and timeliness. We also identified policy and programmatic interventions across four themes: loosen bureaucratic requirements, improve communication between facilities, increase rural long-term care capacity, and address underlying social determinants of health.  相似文献   

8.
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.  相似文献   

9.
This study reports on a postal questionnaire, conducted in 2004, with female survivors of historic child sexual abuse. The questionnaire explored their experiences of health professionals' responsiveness to disclosure of child sexual abuse history. Of 61 participants, aged between 22 and 65, 69% had disclosed to health professionals. Those who had not disclosed reported that they would have liked to but were not asked about child sexual abuse. Thirty-five percent of participants suggested routine questioning about child sexual abuse. Most participants related a fear of common medical examination procedures to their experience of child sexual abuse, and 64% said this stopped them from attending regular health checks. The current study suggests the development of guidelines for dealing with possible child sexual abuse survivors would be useful for health professionals.  相似文献   

10.
Hundreds of thousands of children are being abused and neglected in the United States annually. The structures devised to respond to this abuse and neglect have been unsuccessful. The United States government continues to spend billions of dollars on programs to deal with the effects of these unsuccessful responses. Child abuse and neglect in the United States now represent a national emergency. In this article, we will provide a historical, cultural, and contemporary perspective on child abuse and neglect. This perspective throws light on the complexity of the national emergency and provides a context for further exploration of the issue.  相似文献   

11.
No abstract available for this article.  相似文献   

12.
ABSTRACT

Sixty-eight parents of children with alleged child sexual abuse (CSA) were surveyed 4 months after visiting an interdisciplinary CSA evaluation clinic in order to examine the extent to which recommendations were recalled and implemented. Of those parents for whom specific recommendations were provided, 9% recalled recommendations for medical follow-up, 79% recalled recommendations for child therapy, and 43% recalled recommendations for parental therapy. Families were more likely to receive and adhere to recommendations when there were behavioral problems and a strong indication of CSA. To improve communication with families, the reasons for recommendations must be clearly conveyed, and possible barriers to implementation should be anticipated and addressed. In addition, recommendations need to be realistic, and professionals need to facilitate the implementation of their treatment plan.  相似文献   

13.
Much of the literature on community organization describes the efforts of a worker to enable a community to coalesce arouund an external enemy in order to resolve systemic service delivery problems. Based on the mid-point of a federally-funded child abuse prevention project, this article describes the roles of worker and community as colleagues in an effort to enhance the community's capacity to shape its own values and behaviors to reduce child abuse and neglect. This article poses a challenge to the social work education community to be more responsive to the potential of becoming a co-worker with the community, and to enhance the social worker's skills in defining strenghts rather than weakness of communities.  相似文献   

14.
The media play an important role in practice, policy, and public perception of child sexual abuse, in part by the way in which news stories are framed. Child sexual abuse media coverage over the past 50 years can be divided into five time periods based on the types of stories that garnered news coverage and the ways in which public policy was changed. This systematic literature review of research on child sexual abuse media coverage across disciplines and geographic boundaries examines 16 studies published in the English language from 1995 to 2012. A seminal work is identified, citation network analysis is applied, and a framework model is developed.  相似文献   

15.
In order to gain an insight into attitudes towards child abuse in China, a review of a number of newspapers for a period of 3 months was carried out. There was a dearth of relevant stories in national papers, but more in the local type of newspaper read by the majority of Chinese. Overall there were few reports relating to child abuse, especially in the intrafamilial setting. Of particular note is the number of reports of neglect of children following divorce. Violence towards students by teachers also features prominently. But by far the most reported issue is the damaging effect on children resulting from pressures for good academic performance in a highly competitive society.  相似文献   

16.
Abstract

In an era of globalization where the migration of long-term care workers is common, foreign live-in home care workers can compensate for the unavailability of family members and, perhaps, even substitute for institutional care in the provision of long-term care services to disabled older persons.

This study examines differences in home care satisfaction between disabled older persons in Israel with “live-in” home care workers and those with “live-out” workers, and explores some differences in socio-demographic and personal characteristics between these two groups. Face-to-face interviews were held with a random sample of 93 older persons in Beer-Sheva.

Older persons with live-in home care workers were more satisfied with their home care service than those with live-out workers. Those with live-in workers were more severely disabled, tended not to have any children living in close proximity, although an adult child was available as an informal caregiver. Communication difficulties between the elderly persons and their home care workers were found not to affect negatively the satisfaction with the service.  相似文献   

17.
Children have the right to be brought up in safe environments. However, this right is often infringed by people who are supposed to provide love, care, and protection to children. These people can include biological fathers, step-fathers, brothers, cousins, aunts, mothers, and uncles. Violation of children takes place in a variety of ways, however, for the purpose of this paper, the focus is on child sexual abuse within the family system. A literature review is adopted as the methodology for the discussions in this paper. The purpose of this paper is firstly to demonstrate that child sexual abuse happens within the family system in South Africa, and secondly, to argue that the prevention of child sexual abuse should start within the family system and this can be achieved by conducting educational social group work sessions on child sexual abuse with the family members.  相似文献   

18.
This article seeks to explore the use and abuse of silence in the therapeutic process. A review of its many meanings will be illustrated by brief excerpts from case material, demonstrating that silence is a fertile mode in which the self may be enriched and strengthened. Silence can be understood as the source of quiet growth in which distortions of the self can be reflected upon and then transformed through greater recognition of opportunity and choice. It is the intention of this note to stimulate discussion of silence from the view point of other theories, as well.  相似文献   

19.
20.
Researchers have suggested that child sex offenders hold distorted views on social interactions with children. Misinterpreting children’s behavior and intentions could lead to sexually abusive behavior toward children. It is further suggested that the interpretation process is influenced by offenders’ offense-supportive cognitions and levels of empathy. To examine the relationships between these three concepts, 47 contact offenders completed self-reports on offense-supportive cognitions and empathy. Vignettes were developed to assess the extent to which offenders attributed responsibility, benefit, and complicity to children in hypothetical child molestation incidents. This study showed that cognitions that justify sexual offending against children seem to diminish the threshold for sexual assault by assigning more cooperation and willingness of the victim in a child molestation incident.  相似文献   

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