Fatal child neglect

This study examined the circumstances associated with fatal child neglect in one state to differentiate fatal child neglect from fatal physical abuse and from other types of neglect that are not life-threatening. The typical neglect fatality was a male child, younger than three, living with his mother and two or three siblings. The fatalities from physical abuse were characterized by deliberate, hostile acts on the part of a caregiver, but in the vast majority of fatalities from neglect, a caregiver was simply not there at a critical moment.     

The context of decision-making in cases of child neglect

This paper explores professional decision-making in cases of child neglect within the context of child protection practice in Britain. The literature on the nature of neglect is reviewed. Difficulties associated with decision-making are then examined within a framework that addresses the social, political and organizational context of child protection practice. It is argued that the current system, which focuses on incidents of abuse rather than the context of children's lives, provides inadequate protection for many children experiencing chronic neglect. Conclusions are drawn with regard to the development of practice that supports vulnerable parents while still remaining the child's welfare as paramount. © 1998 John Wiley & Sons, Ltd.     

The role of observation in the assessment of child neglect

This paper focuses on physical and emotional neglect from a social work perspective. Neglect is the highest category of registration on Child Protection Registers in England, and is therefore a significant preoccupation for social work. However, historically, social workers have found child neglect a difficult area of practice. In this paper, we suggest that neglect is best understood as an absence of care, that is, a breakdown in the relationship between the primary carer and child which results in difficulties in offering reliable and adequate care. One focus of assessment in cases of child neglect, therefore, needs to be on ascertaining the nature and degree of relationship failure. We set out a framework to inform such assessments which critically examines the relationship between primary carer and child/ren. We note that discussion of neglect often involves criticism of women/mothers, and seek to develop an approach to child neglect which challenges stereotypical ideas about gender and caring, ideas which can lead to inappropriate intervention and to mother‐blaming. Consideration is given to operationalizing this framework of ideas. Intentional, structured observation is identified as a particularly useful tool in accurately assessing the complexities of the mother – child relationship, and the discussion considers observation's contribution to the assessment of neglect at a number of different levels. Copyright © 2000 John Wiley & Sons, Ltd.     

Etiological patterns of child abuse and neglect

A review of the various etiological possibilities for child abuse and neglect, designed to offer an additional and different possibility. Consideration is first given to problems, namely the lack of universal definition, heterogeneous effects, and retrospective research. The probability of multifactor models is noted, and sexual abuse is given separate consideration, followed by an exploration of the existing models termed ecological, transactional, transitional, and attachment. An interactive aggression model is then offered as the new possibility. Empirical evidence for cultural and/or ethnic predispositions suggests that society can be a supporting or inhibiting factor in terms of promoting or opposing violence.     

Decision-making factors in cases of child neglect

The author presents findings of an analogue study of factors that influence child protection workers' initial decision in potential cases of child neglect. Contrary to previous research findings, the subjects displayed considerable agreement in their decision making.     

The Great Recession and risk for child abuse and neglect

This paper examines the association between the Great Recession and four measures of the risk for maternal child abuse and neglect: (1) maternal physical aggression; (2) maternal psychological aggression; (3) physical neglect by mothers; and (4) supervisory/exposure neglect by mothers. It draws on rich longitudinal data from the Fragile Families and Child Wellbeing Study, a longitudinal birth cohort study of families in 20 U.S. cities (N = 3177; 50% African American, 25% Hispanic; 22% non-Hispanic white; 3% other). The study collected information for the 9-year follow-up survey before, during, and after the Great Recession (2007–2010). Interview dates were linked to two macroeconomic measures of the Great Recession: the national Consumer Sentiment Index and the local unemployment rate. Also included are a wide range of socio-demographic controls, as well as city fixed effects and controls for prior parenting. Results indicate that the Great Recession was associated with increased risk of child abuse but decreased risk of child neglect. Households with social fathers present may have been particularly adversely affected. Results also indicate that economic uncertainty during the Great Recession, as measured by the Consumer Sentiment Index and the unemployment rate, had direct effects on the risk of abuse or neglect, which were not mediated by individual-level measures of economic hardship or poor mental health.     

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.     

Cross-cultural perspectives in child abuse and neglect

The rapid development of scientific knowledge pertaining to the identification, treatment and prevention of child abuse and neglect during the last 30 years has not been followed by a parallel consideration of the significance of the concept of culture. The gradual expansion of a ‘syndrome’, recognized by a medical doctor in the US, to a world phenomenon, regardless of ethnicity, colour, language or religion is calling for careful consideration of the significance of a cross-cultural dimension. This involves issues of definition, research priorities and methodological questions that take into account both ethnic and cultural variations as well as a whole range of different child protection systems. Such an approach is ultimately based on the view that vulnerability depends to a large degree on the cultural context. International data suggest that child maltreatment is the product of a complex interaction of parental characteristics and the social and cultural conditions in which they exist. The value placed on children, on different categories of vulnerable children, on child-rearing practices (including views on physical punishment and the informal social sanctions regarding children and family organization and functioning) are central to the study of the phenomenon within each specific culture. As child abuse and neglect awareness expands across geographical, ideological and cultural barriers, we need not only to promote cross-cultural awareness but at the same time provide competence by incorporating the significance of a cultural dimension into research, theory and practice.     

Risk factors in child abuse and neglect

Our knowledge of those factors which place children at risk for physical or sexual abuse is both limited and imprecise. The reasons for these limitations derive from both practical methodological constraints and a lack of definitional consensus among researchers in this field. This paper discusses the difficulties, both methodological and practical, involved in the development of a scientifically- based knowledge of risk factors in child abuse. Those factors known or commonly believed to be related to risk for child abuse and neglect are then described, with emphasis on those which appear to be popularly and clinically over- valued as predictors of abuse: demographic variables, psychopathology, and history of abuse. Likely foci for future research in this area are then described, with special attention to the problems inherent in each.     

Federal dissemination of child abuse and neglect information

This review examines the recent history of efforts at the federal level to disseminate child abuse and neglect information and describes current challenges to these endeavors. Two dissemination models are defined as are the problems associated with the adaptation of those models. Finally, general principles for transmitting information and the processes involved in such transmission are reviewed.     

Understanding communities of neglectful parents: child caregiving networks and child neglect

This article focuses on family social networks and the community of caregivers of neglected children. If neglect is part of family functioning, who watches over the children? Using a case study approach, this study researched 12 children and their parents. Several concepts, such as multiple caregiving and kin keepers, revealed that study children were cared for by many people. Social network mapping used in this study indicated that families were not isolated from the larger community, had various forms of negative and positive social support, were low income, and were involved in substance abuse and domestic violence. Understanding the patterns that emerge from the complex web of family, friends, social service agencies, and the larger social community in which neglected children live can result in better community building.     

Dimensions of child neglect: an exploration of parental neglect and its relationship with delinquency

While neglect is generally associated with poor developmental outcomes, it remains poorly defined. Factor analysis was applied to 39 parental behavior variables on data from the Cambridge Study in Delinquent Development (CSDD) to explore underlying dimensions of parental behavior that were consistent with the concept of neglect. Logistic regression assessed associations between the dimensions of neglect recovered from the CSDD and future adult delinquency. Factor analysis revealed four dimensions; logistic regression revealed significant associations between two of these dimensions--poor supervision and a disorganized, chaotic home environment--and future adult delinquency. Neglect is a viable construct that can summarize aspects of parental behavior and predict future adult delinquency.     

Specialist assesstnent services for child abuse and neglect

This paper describes the Child Protection Service, Flinders Medical Centre, South Australia, a specialist assessment service for infants, children and adolescents following allegations of abuse and neglect. The psychosocial and medical services provided for infants, children, adolescents and their families are outlined briefly and the Child Protection Service's view that the assessment process can and needs to be therapeutic is discussed. Data was provided about the age and gender of infants, children and adolescents seen and the number of families referred on for longer-term therapeutic intervention. The unit's philosophical stance, affecting its clinical practice and interagency and consultation service, is described, as is its research focus. The paper also raises a number of issues that warrant further and detailed attention. These include the need for workers to monitor and attend to their emotional responses while working in the area of abuse and the destructive potential of denial that may consequently and subtly impact on professional practice. The tendency for professionals and the wider society to ignore the impact of physical abuse is also raised.