Safeguarding disabled children in residential settings: what we know and what we don't know

Research in America, Canada, Australia and Britain has revealed that disabled children are particularly vulnerable to abuse. Their likelihood of attending residential institutions, their dependency on others for personal care and the lack of opportunities for them to alert others to maltreatment or comprehend the nature of abusive acts all increase levels of risk. Over the last decade, there has been increasing public and professional concern about the abuse of children in residential establishments, resulting in a number of inquiries. However, the abuse of disabled children in residential settings has received little attention. Despite residential schools, care homes and respite care being widely used by disabled children, there is a paucity of knowledge regarding the standards of child protection in these establishments. This article explores the research literature revealing the vulnerability of disabled children to abuse when living away from home, what measures can be taken to help protect them and the limitations of available data as a basis for planning child protection measures. Copyright © 2002 John Wiley & Sons, Ltd.     

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.     

Sex and gender: What do we know?

The study of sex and gender is concerned with documenting the existence of differences between the sexes and explaining why those differences exist. This paper first examines what we know about how women and men differ, focusing on differences in social roles, and in the abilities and traits associated with those roles. The paper then examines why women and men differ. In addressing this question, the roles of both biological and social influences are considered. Although there is reason to believe some sex differences in behavior and attitudes have a biological basis, the existence of historical and cross-cultural variation in gender role differentiation and stratification provides strong evidence that social influences play an important role in the determination of differences between the sexes. Both biological and social factors have influenced the division of labor by sex, and the division of labor provides the basis for gender stratification by affecting the degree to which each sex is able to acquire and control the valuable resources of a society. Reduction of gender inequality in contemporary societies therefore requires reduction of gender differentiation in the division of labor.     

Informal care substitution: what we don't know can hurt us

Empirical studies focusing on the relationship between formal and informal home care do little to quell the fears of policymakers that expanded access to public home care services will result in the withdrawal of informal support. A close examination of the studies designed to measure the withdrawal of informal support justifies this skepticism. Concerns about the withdrawal of informal care may hinder the introduction of more extensive home care benefits. Researchers have come some distance in trying to address this policy question. The conflicting nature of empirical findings, thus far, demonstrates that the answer depends heavily on how the question is framed, how home care is measured and over what time frame, and what sorts of analytic approaches are used to model the relationship between formal and informal community-based care. This article discusses these issues in greater detail and suggests strategies to address these problems in future research.     

Gifted delinquents: What do we know about them?

Gifted and talented youths—defined as youths who show achievement or potential ability in regard to general intelligence, a specific academic area, creative or productive thinking, leadership, visual or performing arts, or psychomotor activities—constitute one of the nation's most vital resources. Some portion of these youths come in contact with the juvenile court. This article reviews the research on gifted delinquents with particular attention to four longitudinal studies, three British and one American. The research is examined in order to ascertain whether it lends support to the thesis that bright youths are more vulnerable to delinquency because they are more sensitive to an unfavorable environment, or to the thesis that they are protected against delinquency because of their greater ability to understand and cope with environmental conditions. The findings indicate that bright youths are less likely to appear in delinquent populations than others and more likely to come from disrupted and unstable homes. To some extent they support the thesis that bright children are protected from delinquency by their intelligence except in extreme family circumstances. School performance for most bright delinquents is far below capacity, although there is evidence that some youths become disruptive outside of school before their school performance deteriorates.     

I don't know who I am: severely mental ill Latina WSW navigating differentness

We examine interviews from a qualitative study designed to examine HIV perceptions, risk, and risk management among Puerto Rican women who have sex with women (WSW) and who also have been diagnosed with major depression, bipolar disorder, or schizophrenia. These women's stories challenge both the lesbian and the Latino communities to reexamine how and why they claim individuals as their own and they similarly challenge professional communities, including HIV educators, health researchers, and medical care providers, to develop effective HIV prevention programs and counseling approaches that facilitate patient/client self-disclosure and consider cultural and contextual barriers to both self-disclosure and the provision of services.     

What you don't know can hurt your community: Lessons from a local United Way

This paper describes how a controversial executive compensation package approved by a local United Way agency eclipsed the agency's long‐standing record and reputation of being a top fundraiser and pillar of the community. Using the framework developed by P. Connelly and York (2003), this case study illustrates how the lack of leadership and adaptive capacity within the board of directors, coupled with questions and speculation about managerial capacity, contributed to a highly visible scandal that resulted in the loss of the agency's chief executive officer, the resignation of the chairman of the board of directors, an internal investigation, and ultimately, a federal investigation. Not only did these events hurt the agency, which was forced to eliminate programs and cut staff, but these events hurt the annual campaign, which declined by more than 30 percent, resulting in substantial cuts in funding to dozens of nonprofit organizations. The findings from this study illustrate the importance of building strong governing boards that focus on both organizational processes and performance outcomes. They also highlight how important it is for the flagship charitable institutions to model best practices and invest in their own capacity.     

What mental health professionals in Israel know and think about adolescent problem gambling

Mental health professionals are well versed in addressing multiple adolescent risky behaviours and play a primary role in the identification of and referral process and service provision for young people who engage in such behaviours. Given their ‘person-in-environment’ approach, training in multi-sectoral collaboration, and awareness of social policies, social workers are especially equipped to provide needed mental health services to young people. The aim of the current study was to examine Israeli mental health professionals’ awareness of and attitudes towards adolescent high-risk behaviours, including gambling. Child psychologists, social workers and school counsellors (N = 273) completed an online survey addressing concerns related to high-risk behaviours. Findings revealed that social workers perceived gambling as being among one of the least concerning adolescent mental health issues and reported feeling the least confident in their abilities to provide services to young people with gambling problems. The results suggest the importance of youth gambling addictions being incorporated into social work training curricula.     

What we know about social structure and homicide: a review of the theoretical and empirical literature

This article reviews what we have learned about social structure and homicide during the last 30 years, paying close attention to empirical tests of subculture, strain (both absolute and relative deprivation), and social disorganization theories. First, this review reveals that researchers have difficulty operationalizing culture in terms of values and instead often rely on regional location or group membership as a proxy for subculture. Though the findings relating subculture to homicide are inconsistent, however, culture should not be ignored. Second, the positive relationship between poverty and the spatial distribution of homicide rates is the most consistent finding in this literature, while empirical evidence of the effects of inequality on homicide is neither as strong nor as consistent. Finally, social disorganization is more consistent in explaining the variation of homicide rates than the subcultural and relative deprivation models, with elements of disorganization such as city size, family disruption, and heterogeneity all showing relatively consistent effects.     

Institutional abuse of older adults: what we know, what we need to know

Although Canadian policies support "aging in place," there still will be a number of older adults who will require institutional care in the future. Most research on elder abuse, however, has focused on domestic abuse and has paid less attention to institutional abuse. The purpose of this article is to comprehensively review current research to identify gaps in knowledge and methodological issues in the study of institutional abuse. Overall, 49 studies in English and 20 studies in French were reviewed, and 11 key-informant interviews were conducted with methodological experts. Methodological challenges are addressed in light of the review and interviews.     

Social networks for women with serious mental illness.

Assessment of ways to work with situations as they exist, and capitalizing on positive factors or strengths within the client's life context, may enhance the nurse-client relationship, and the likelihood of positive outcomes. It is important to identify "natural helpers" and "natural community resources," such as churches and adult centers within the community and to assess the actual and potential contributions and needs of these resources.