Teaching social workers to use psychological assessment data

Psychological assessments of children and parents are frequently used by social service caseworkers when making case planning decisions. Often, however, the two disciplines--psychology and social work--have difficulty collaborating in and coordinating their respective work. Caseworkers may lack formal training in how to understand and use psychological reports. Psychologists may lack formal training in forensic assessment and in understanding the constraints of the social service and child welfare systems. This article describes how caseworkers may become more sophisticated consumers of psychological assessments, and how collaborative relationships between evaluating psychologists and caseworkers can be fostered.     

Ethical Issues in Child Custody and Dependency Cases

Abstract

The emotional and psychological risks to children of high conflict divorce have led to the increased involvement of mental health professionals in child custody cases. Numerous service models (Greenberg & Gould, 2001; Johnston, 2000; Johnston & Roseby, 1997) have been developed to assist divorcing families in minimizing family conflict and supporting children'S needs. This underscores the need for judges and attorneys to understand the ethical and professional standards that underlie competent mental health practice in forensic cases. The practices of mental health professionals providing court-related services may have a substantial impact on the validity of their professional opinions, the effectiveness of services provided to children and families, and children'S development and adjustment. The authors suggest core ethical and clinical issues to be considered by all psychologists who work in the context of custody disputes. It is hoped that these professional practice suggestions will also be useful to attorneys and judicial officers in assessing the quality of mental health professionals' opinions.     

Investigative vs. Clinical Emphasis in Child Custody Evaluation: A Reflection on Austin and Kirkpatrick(2004)

ABSTRACT

There is an ongoing discussion regarding the role of psychologists in child custody relative to clinical vs. investigative roles. The issues revolve around how expansive or how limited a professional might be in addressing the concerns of families, adults and children in high conflict custody cases. In the article, the investigative or more maximalist role is discussed in the light of the alternative more clinical or minimalist stance. An argument is advanced that we may be limited to a more clinical/minimalist role if we are to stay within the confines of research informed practice standards.     

Evidence of Potentially Harmful Psychological Treatments for Children and Adolescents

This paper applies the concept of potentially harmful psychotherapies (PHTs; Lilienfeld, Perspectives on Psychological Science 2(1):53–70, 2007) to concerns about potentially harmful treatments for children and adolescents (PHTCs). I propose that such treatments can be identified by methods derived from the Adverse Childhood Experiences (ACE) Study and from the NIS-4 study of abuse and neglect, as well as by their plausibility or congruence with established child development theory and research. Five psychological treatments for children and adolescents that have been reported as harmful are examined, using evidence from published materials, journalists’ reports, legal documents and Internet sites. Details of treatment and outcomes are compared to relevant ACE and NIS-4 criteria and to plausibility, and empirical support for the treatments is examined. The examined treatments use methods that would be considered adverse childhood experiences or abusive or neglectful care events if they occurred outside a therapeutic setting. Most, but not all, lack empirical support of effectiveness and are incongruent with established information about child development. Risks associated with PHTCs can thus be identified through close examination before children are exposed to them and harmed. Prevention or reduction of PHTC use may be possible. Public and professional education about PHTCs are essential parts of child protection in this context and are arguably an ethical obligation of both social workers and psychologists.     

Caregiver Needs Following Disclosure of Child Sexual Abuse

Caregiver support is vital in improving outcomes for child sexual abuse victims; however, the disclosure can significantly affect caregivers, thus impacting their ability to meet their children’s needs. To maximize the support from caregivers, their own needs following disclosure need to be met. This study investigated the impact of child sexual abuse disclosure and associated needs as identified by caregivers. Sixty needs assessment forms were collected from families who accessed a parenting support pilot program run in New Zealand. These forms were completed by nonoffending caregivers during an assessment session with their counselor and consisted of both open-ended and Likert scale questions focusing on both the needs of the child and the family. Caregivers identified a range of impacts of the disclosure on their children, themselves, and other families members and the related support that may be needed. In particular, caregivers identified that they needed support with child behavior management and with their own coping. The findings suggest that interventions with caregivers following disclosure of child sexual abuse may be a valuable adjunct to therapy provided directly to the child.     

The gender neglect and textual abuse of children in the print media

In recent years the relationship between the media and child abuse has been subjected to closer scrutiny. Research at Monash University into the media portrayal of child abuse has led the researchers to examine the language used by the print media to represent both children who have been abused or neglected and the offences committed against them. This paper presents two findings from this research. The analysis firstly found that a child who has been abused or neglected may be objectified in print media language even when the child’s gender is previously identified. Secondly, the analysis found that the language used to describe the sexual abuse of children may serve to reduce the seriousness of offences. These phenomena, termed ‘gender neglect’ and ‘textual abuse’, are highlighted by examples from UK and Australian print media. The authors argue that ‘critical language awareness’ is important for children, just as it has been identified in research that examines the representation of women in print media. Copyright 2000 John Wiley & Sons, Ltd.     

Depression and Parenting by Nonoffending Mothers of Children Who Experienced Sexual Abuse

Parenting may be one mechanism by which depression in nonoffending mothers impacts child emotional and behavioral adjustment after sexual abuse. This study examined the relationship between self-reported maternal depression and parenting behaviors by nonoffending mothers of children who experienced sexual abuse. The participants were 204 nonoffending biological mother–child pairs recruited from a clinic providing services for children who experienced sexual abuse. The mothers completed pretreatment self-report measures of demographic information, depression, and parenting behaviors. Children (7 to 17 years) completed a measure of mothers’ parenting behaviors. Mothers with clinically high levels of self-reported depression employed more inconsistent parenting behavior and provided poorer monitoring/supervision of their children than mothers without clinically high levels of self-reported depression. Implications for clinical practice and future research are discussed.     

Incest and Parental Contact: A Psychologist's Personal Case and Literature Review

ABSTRACT

A psychologist's husband molested their young daughter. Consulting psychologists purported that research indicated it would be developmentally advantageous for their daughter to continue a relationship with the father following the marital separation. The consulting psychologists did not reference the literature, prompting the mother to conduct a literature review herself. The available literature recommending that a child continue the paternal relationship cites research on children of divorce, not research on the treatment of child sex abuse victims. The scant child sex abuse research that addresses contact with the abusing parent actually indicates more harm than benefit occurs to the child.     

Children with problematic sexualized behaviors in the child welfare system

This study assessed the utility of the Child Sexual Behavior Inventory (CSBI) in a child welfare sample. In this study, 97 children from ages 10 to 12 from either foster boarding homes or a residential treatment center participated. Researchers interviewed foster parents or primary therapists about children's sexual behavior, traumatic events, clinical symptoms, and their attitudes toward the child. Findings revealed that problematic sexualized behaviors were more prevalent in the residential treatment center (RTC) sample than they were in a normative sample. The pattern of associations between sexual behavior problems, traumatic events, and clinical syndromes in both the RTC and the foster boarding home (FBH) samples was similar to what has been found in samples in which biological custodial parents were the respondents. Analyses comparing youth who met the criterion for having problematic sexualized behaviors and youth who did not meet the criterion revealed that the two groups differed on clinical symptoms, prior traumatic events, and negative reports by caregivers. Results confirm the utility of the CSBI measure for this population and highlight several important clinical and programmatic concerns for addressing problematic sexual behavior in children in the child welfare system.     

Failure to Learn: A System View*

Educational psychologists, remedial teachers and others working with children who are considered to have learning difficulties tend to regard the problem as being within the child and disregard the importance of the social/educational context. This paper argues that contextual factors are very important and classifies these factors in terms of the subsystems within the educational system. Typical subsystem structures and interactions are discussed and illustrated with case studies. The roles and interventions of the therapist working within the educational system are described. The numerous difficulties in working with a large system are discussed as well as some strategies for dealing with them.     

A cumulative ecological–transactional risk model of child maltreatment and behavioral outcomes: Reconceptualizing early maltreatment report as risk factor

The current analysis was designed to critically examine the tendency to focus on child maltreatment as a unique risk factor and test the resulting assumption of a direct causal relationship between early maltreatment and later behavioral problems. The variation seen in behavioral outcomes among children reported for maltreatment early in life led us to hypothesize that the cumulative level of risk facing children and their families can, at least in part, account for that variation in outcome. Participants were 242 mothers of predominantly at-risk newborn infants who were interviewed shortly after giving birth. The State Central Registry of Maltreatment was then reviewed over each child's first four years of life to assess for early maltreatment. Following the neonatal interviews, mothers completed the Child Behavior Checklist when their children were 4, 6, 8, 10 and 12 years-of-age. Although early maltreatment report does appear to be important to early child functioning, the cumulative level of risk more strongly predicts long-term clinical behavioral difficulty. High-risk children who were not reported for maltreatment by age 4 demonstrate greater behavioral problem trajectories than did low-risk children with a maltreatment report. Maltreatment itself may be best conceptualized as an important, but not singularly so, risk factor for later behavioral problems. In focusing directly on reported maltreatment, our child protective systems may be paying too little attention to what else is going wrong in the lives of children and targeting intervention efforts in the wrong direction. When it comes to early maltreatment our child protective policy and practice need to broaden their lenses to include greater emphasis on overall family functioning, stress and well-being. Early maltreatment, it seems, may be a symptom of more profound problems in the early environments of our most vulnerable children, rather than the problem itself.     

A therapist's pregnancy: An opportunity for conflict resolution and growth in the treatment of children

A therapist's pregnancy is a unique event which holds profound implications for both patient and therapist in any therapeutic relationship, and it inevitably affects the course of the patient's treatment. A number of theoretical and clinical articles have been written over the past 15 years on the topic of the pregnant therapist, but very few have concentrated specifically on the child patient. This article explores the therapist's pregnancy and treatment implications in clinical work with children and offers an in-depth case vignette to illustrate how a child may effectively utilize the experience to work through previously unresolved feelings and conflicts. The therapist's pregnancy can, therefore, provide the child with an opportunity for conflict resolution and growth, if the process is handled in a therapeutically sound and sensitive way.The author would like to thank Ava Siegler, PhD and Jules Glenn. MD for their helpfül suggestions.     

Negotiating a fusion of horizons: A process view of cultural validation in developmental psychology

Explanations of child development can be used to inform social action at various levels. In many cases a key factor determining the effectiveness of such explanations is the degree to which they are appropriated by primary agents of child socialization, such as parents. In every culture, parents routinely draw on implicit theoretical ideas to interpret the behavior of the children for whom they care, to decide how to respond to that behavior, and to predict changes in child behavior across circumstances and over time. The system of meanings about child development and socialization shared by most of the participant‐owners of a culture may be regarded as a cultural model, or ethnotheory. Research is presented concerning caregiver ethnotheories in a rural Chewa community inZambia, and in two low‐income neighborhoods in a US city. In both cases the focus of attention was on the ways in which caregivers construe the significance of schooling in children's development. In order for this field of application in developmental psychology to achieve cultural validation, the author argues that a process of negotiation is required, in search of common ground between the explicit, formal constructs and theories of the educational establishment and the implicit ethnotheories of caregivers in the children's homes. The first step in this process is to articulate and acknowledge differences of perspective. From there, teachers, caregivers, and psychologists can work towards a fusion of horizons.     

Perceptions of a Child Who was Overweight or of Average Weight by African American Children

The current study examined African American children’s perceptions of a peer who was overweight or average weight and was called a name. Participants were 107 African American children who viewed same gender line-drawings of an overweight and average weight peer and selected one line drawing as being the child who was called “stupid” in a vignette. Next, participants rated their perceptions of (popularity, friendliness, etc.) for both line-drawings. The line-drawing of an overweight peer was selected as being called a name more often than the average weight one and this child was viewed as less popular. Girls provided higher sympathy and acceptance ratings of the child selected as a victim than boys. Findings provided support for the notion that children are aware that overweight children may be marginalized. Girls may be more accepting because they are more empathic or more likely to support a peer who is teased or called names. Further research will be needed to ascertain factors related to negative perceptions of overweight children to inform intervention efforts. Speaking with children about accepting others and conducting activities to improve acceptance are important roles for social workers and implications for social work practice are reviewed.     

Treatment of noncustodial fathers: Gender issues and clinical dilemmas

This article addresses issues involved in the treatment of fathers who do not have custody of their children. It reviews literature on demographic trends and discusses fathers' reactions to loss of child custody. Assessment and treatment guidelines are offered so that clinical practice may become more responsive to the needs of the population. Gender concerns, particularly as they relate to transference and countertransference, are also discussed.     

Child-related dimensions of placement stability in treatment foster care

Research shows increasing numbers of emotionally disturbed children entering foster care nationwide. As a result, there is growing interest in a special form of foster care known as therapeutic or treatment foster care. However, little information is currently available on the kinds of children who can benefit from this form of mental health care or on interactions between child characteristics and placement outcome. This paper begins to address this deficit in the knowledge base by proposing five psychosoical dimensions of child functioning associated with placement stability and outcome in treatment foster care. Current theory and research regarding each dimension are presented along with clinical examples.     

Child Advocacy Center Based Group Treatment for Child Sexual Abuse

The present study examines initial symptom presentation among participants, outcomes, and social validity for a group treatment for child sexual abuse delivered at a child advocacy center. Participants were 97 children and their nonoffending caregivers who were referred to Project SAFE (Sexual Abuse Family Education), a standardized, 12-week cognitive-behavioral group treatment for families who have experienced child sexual abuse. Sixty-four percent of children presented with clinically significant symptoms on at least one measure with established clinical cutoffs. Caregivers of children who presented with clinically significant symptoms reported more distress about their competence as caregivers. Children who presented as subclinical were more likely to have experienced intrafamilial sexual abuse. Posttreatment results indicated significant improvements in functioning for all children who participated in treatment, with greater improvements reported for children who initially presented with clinically significant symptoms. Overall, the program was rated favorably on the posttreatment evaluation of social validity.     

Medical evaluation of suspected child sexual abuse: 2011 update

The medical evaluation of children with suspected sexual abuse includes more than just the physical examination of the child. The importance of taking a detailed medical history from the parents and a history from the child about physical sensations following sexual contact has been emphasized in other articles in the medical literature. The examination is important, however, and medical providers who examine children need to be aware of published research on findings in nonabused children, studies of healing of injuries, and studies documenting the association between sexual contact and the diagnosis of sexually transmissible infections in children. This article reviews the current approach to interpreting findings in children who may have been sexually abused and why additional research is needed.     

The Role of a Bio-Ecological Assessment System in Writing a Culturally Sensitive Report: The Importance of Assessing Other Intelligences

This article shows how the bio-ecological assessment system is applied in assessing a child’s cognitive intelligence beyond a psychometric intelligence test. The authors conceive of intellectual behavior as an inextricable bio-ecological phenomenon and argue for an assessment system consistent with this conception. The recognition that there are many types of intelligences (such as musical and bodily kinesthetic) is discussed. The article presents a cursory review ofhow to assess the other intelligences ofa child and how to incorporate this into a culturally sensitive report. A case sample via a psychological report demonstrating this model is presented with the goal of showing how the psychological status of minority children can be enhanced if ,psychologists adopt an integrated approach to assessment by way of a bio-ecological model. The case presented is that of a child with deficient cognitive functioning on the psychometric tests, but advanced functioning on the “Other Intelligence Assessment Measure.” Diagnostic impressions are given and implications for report writing and intelVentions are suggested.     

Every Child Matters? A critical review of child welfare reforms in the context of minority ethnic children and families

This paper critically reviews some key government papers that together largely provide the foundation for the relevant child welfare reforms in England and Wales. The context of this review was to evaluate whether these papers and documents made sufficient reference to improving policies and practices for minority ethnic children and families involved in child welfare matters, given the research evidence from the early 1990s suggesting that such families may experience particular disadvantages or discriminations within the UK child welfare system. The research evidence cited draws upon studies that have considered the experiences of different minority ethnic groups from the point of referrals through to long term services, including those children who have been looked after in local authority care and those families that have been subject to care proceedings. This paper concludes that more is needed under the Every Child Matters agenda to both acknowledge and address the specific needs of minority ethnic children and their families, as identified in the range of studies published post Children Act 1989. Copyright © 2008 John Wiley & Sons, Ltd.