A Public Health Approach to Child Maltreatment Surveillance: Evidence from a Data Linkage Project in the United States

Historically, data concerning children reported for abuse or neglect in the US have been compiled by child protective service agencies and analysed independently from other sources of information. Yet these data suffer from the notable limitations of being both narrow in scope (i.e. containing a limited set of variables) and narrow in coverage (i.e. capturing data for only those children who are reported). In order to extend an understanding of children reported for maltreatment, the California Department of Social Services, in partnership with the University of California at Berkeley, is pursuing a ‘public health’ oriented approach to the surveillance of child maltreatment through linkages between child protective service records and population‐based sources of data. As an example of the information that can be generated through linked records, this article reports results from child‐level matches completed between the state's child protective service records and vital birth records. The cumulative percentage of children reported for abuse or neglect before the age of five is examined based on maternal and child characteristics at birth. This is followed by a discussion of record linkages as a means of furthering a public health approach to child maltreatment. Copyright © 2011 John Wiley & Sons, Ltd.

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Volume 20 , Issue 4 July/August 2011

Pages 256-273     

Alcohol,Child Maltreatment,and Parenting Stress in the Lives of Birth Mothers

ABSTRACT

This exploratory study examines the potential relationship between parenting stress, child maltreatment, and alcoholism in a pilot data set. Twenty-four participants (six African-American, six European-American, six Mexican-American, and six Native-American) completed four questionnaires (Parenting Stress Index, Conflict Tactics Scale Parent-Child, Michigan Alcoholism Screening Test, Chemical Dependency Assessment Profile [PSI, CTSPC, MAST, and CDAP]). Through principle component analyses and multiple regression analyses, it was suggested that self-perceived parenting strength or competence directly affect a parent's tactics to deal with parent-child conflicts. Results indicated that self-confidence as a competent parent was related to the frequency of using verbal degrading and physical punishment. Parents who reported that the child's temperament bothers them a lot were more likely to physically abuse the child. Though all the participants could be categorized as alcoholic by the MAST, parents' alcoholic abuse did not appear to elevate the severity of child maltreatment, as measured by the CTSPC.     

Effects of Homelessness and Child Maltreatment on the Likelihood of Engaging in Property and Violent Crime During Adulthood

The current study employs data from the U.S. National Longitudinal Study of Adolescent Health (N = 10,818; 56% female; 21% African American) to test how experiencing homelessness through emerging adulthood and child maltreatment predict adult property crime and violent crime. Unlike many published studies on homelessness, we used propensity score matching to correct for selection bias between homeless and nonhomeless individuals. Logistic regression models were run to predict violent and property crime in adulthood, controlling for child maltreatment. Participants who experienced homelessness by age 26 were 1.6 times more likely to commit violent crime in adulthood and almost 30% more likely to commit property crime. Those who were victims of child maltreatment were 15 times more likely to commit property crime, but no more likely to commit violent crime. Findings show that comparing statistically equivalent groups, homelessness through emerging adulthood significantly predicted adult criminality while child maltreatment showed more variable results. Greater prevention efforts aimed at children and adolescents at high risk of experiencing homelessness, as well as more intensive outreach services to homeless youth, may moderate exposure and reduce reliance on criminal survival behaviors.     

An Examination of the Persistence of the Residual Child Welfare System in the United States: Addressing Charges of Radical Theoretical Myopia with Implications for Social Work Practice

The United States follows what has been termed a “residual” approach to its public child welfare system. This article describes the residual model and contrasts it with the policies of other industrialized nations. It also explores the causes and persistence of the residual model in the United States through the lens of structural-functionalist theory. By doing so, this article attempts to respond to critics of structural social work who maintain that it is overly reliant on conflict theory and has nothing to offer in terms of distinct practice methods. Suggestions for a structurally informed social work practice are made.     

Direct Service Applications of Videoconferencing Technologies: Case Examples from Korea and the United States

SUMMARY

This paper describes practice applications of videoconferencing technologies in two settings. In Korea, people who live in areas which lack social welfare expertise receive services such as education, counseling, diagnostic assessment, and therapy through a system linking the central site with three service agencies in three different cities. In the United States, an interactive video breast cancer support group links women in three distant communities monthly. Evaluative feedback concerning these applications from professional and lay users will be reviewed in detail. Implications for the use of videoconferencing in social work practice will be discussed.     

Characteristics of Sexually Abused Children and Their Nonoffending Mothers Followed by Child Welfare Services: The Role of a Maternal History of Child Sexual Abuse

Considering the importance of mother’s support in the adaptation of a sexually abused child, it is relevant to determine if the mothers and children involved in an intergenerational cycle of child sexual victimization differ from dyads in which only the child has been abused. The purpose of this study was to compare mother–child dyads with sexually abused children according to whether the mother had herself been victim of child sexual abuse. The sample included 87 dyads with sexually abused children aged 3–18 years old and their mothers (44 reporting maternal and child abuse), followed by social welfare services of the province of Quebec (Canada). The two groups of mothers were compared on their past family abuse experiences and past family relations, their mental health history, their current psychological distress, their parenting behaviors, and their current levels of family functioning. Children were compared on their adaptation. Multivariate analyses indicated that mothers reporting child sexual abuse were more likely to report more other maltreatments in their childhood and greater prevalence of lifetime history of alcohol abuse disorders, dysthymia, and panic disorder compared with mothers who had not experienced CSA. Compared to children whose mothers had not experienced CSA, those whose mothers had experienced CSA showed higher rates of problems behaviors and were more likely to report having been sexually abused by a trusted person. These results highlight the specific clinical needs for the assessment and treatment for sexually abused children whose mothers experienced child sexual abuse.     

Assessment of Children in Need in a Post-Soviet Context: Reflections of Child Protective Workers in Estonia

Child protective worker perspectives and principles are known to affect practitioner–-client interaction. However, there is little research on the principles underpinning workers’ assessment activities in transitioning post-Soviet societies where child protection is a relatively new field. This article presents the findings of a small-scale, qualitative study that explored the perspectives and principles that Estonian child protective workers utilize to inform their assessments. The respondents (N = 20) provided examples of real-life cases that reflected their assessment perspectives. The results indicated that too often workers’ assessments demonstrate an over-reliance on an authoritarian, deficit-based approach that does not sufficiently include family or child perspectives. Such an approach may suggest the lingering influence of philosophies that informed family policy during the Soviet occupation. Workers with advanced training in social work and strength-based practices were more likely to focus on family strengths, build collaborative relationships with parents and children, and report successful outcomes in their cases. This study underscores the potential influence of previous Soviet occupation on child welfare practices in Estonia and also the need for further training of the nation’s child protective workers.     

The Measurement of Child Poverty in the United States

How poverty is defined and measured has significant implications for the identification of children in need. This article evaluates the current measure of child poverty in the United States in order to gauge its appropriateness for assessing child well-being. The article begins with a brief discussion of the meaning of poverty and evaluates the history, structure, and strengths of the official measure of child poverty. In addition, critical shortcomings that potentially mask the known deprivation of poverty are revealed and Amartya Sen's capability approach is introduced as a tool for capturing this deprivation. The overall premise of this article, therefore, is that the discourse on poverty might benefit by reconceptualizing approaches to measuring and defining poverty.     

The Widening Education Gap in Developmental Child Care Activities in the United States, 1965–2013

Past research shows that time spent in developmental care activities has been increasing in the United States over recent decades, yet little is known about how this increase is distributed across parents with different levels of education. Have children born into different socioeconomic groups been receiving increasingly equal developmental care from their parents, or is the distribution of parental time investment becoming more unequal? To answer this question, the author analyzed the American Heritage Time Use Study (1965–2013) and showed that the gap between high‐ and low‐educated parents' time investment in developmental child care activities has widened. An increasing absence of fathers in households with low‐educated mothers has exacerbated the trend. This study documents growing inequality in parental time inputs in developmentally salient child care activities in the United States.     

Child Protection,Voluntary Organizations,and the Public Sector in Sweden

This paper presents an analysis of the role of Swedish voluntary organizations within the field of child protection as well as processes of institutionalization within such organizations. The empirical focus is on the two most important voluntary organizations within the field today, namely Rädda Barnen (Save the Children) and BRIS (Children's Right in Society). And their importance within the child protection discourse, as well as their role as producers of welfare, is discussed. In the latter respect two different processes of professionalization—professionalization of volunteers and avant-garde professionalism—are identified. It is demonstrated that the relationship between the state and voluntary organizations is a key issue when understanding the nature of the organizations and their role in the organizational landscape.     

A Survey of Problematic Sexualized Behaviors of Children in the New York City Child Welfare System: Estimates of Problem,Impact on Services,and Need for Training

ABSTRACT

Forty-eight of 52 (92%) agencies contracted with the New York City Administration for Children's Services (ACS) responded to a survey about problematic sexualized behaviors (PSB) of children in different levels of care within the child welfare system. Results revealed that almost all agencies reported PSB within their foster boarding home and residential treatment centers. A majority of agencies perceived PSB to be a significant problem for which staff and families were not sufficiently trained. These findings highlight many avenues for advocacy, clinical intervention, and staff development.     

Child and Family Policies in a Time of Economic Crisis

At the beginning of 2008, a number of the world’s major economies began to experience the effects of the biggest economic financial crisis in history. By the end of that year, the financial crisis was a global recession, and governments responded with changes to a suite of social and economic policies. Two broad stages of government response are identifiable: a period of stimulus followed by a move towards austerity. This study views the crisis period from the perspective of children and family policies and assesses the justification for the changes in the economic context and in the context of the recommendations for spending on children outlined in Doing Better for Children (OECD, 2009) of early investment with a focus on at‐risk children. Across Europe, with few exceptions, child and family policies have more often than not avoided direct cuts; cash benefits are most often amended (and subject to temporary reduction in coverage or amounts); and (so far) during the crisis child and family policies continue to be advanced in many European countries.     

ELECTED REPRESENTATIVES, ONLINE SELF-PRESENTATION AND THE PERSONAL VOTE:Party, personality and webstyles in the United States and United Kingdom

This article examines the way politicians package themselves to their constituents via the Web. It looks at various aspects of online self-promotion by incumbent representatives in two advanced industrial democracies - the US and the UK. It seeks to ascertain the extent to which personal qualities are a key aspect of an elected representative's online persona, and any differences that exist between these democracies with different electoral cultures. It concludes by considering the findings of empirical research and what it reveals about the relationship between national electoral cultures and the politician's persona.