Double jeopardy: the link between child abuse and maternal depression in child and family social work

The link between child care and mental health problems in social work clients has begun to attract some attention. Despite some review articles, research is, as yet, at a very early stage of development. Maternal depression and child care problems in particular appear likely to be closely associated. This paper focuses on the link between maternal depression and the most severe of child care problems: child abuse. The paper shows a significant relationship between maternal depression and child abuse. It explores this relationship by distinguishing three groups: families where no abuse had occurred (non abuse families), families where abuse had occurred but where the mother was not depressed (non depressed-abuse group) and families where both child abuse and maternal depression were present (depressed-abuse group). The depressed-abuse group are shown to be considerably worse off than both the other groups for a range of measures, including indices of deprivation and range and severity of social problems. The depressed-abuse group were also more chronic users of services and consumed far more resources than the other two groups. Remarkably, there were few differences between the non abuse group and the non depressed abuse group in nature and severity of problems and intervention. Depression in mothers, then, provides the major distinction between families where abuse was an issue compared with families where abuse was not present. Such families are characterized not simply by maternal depression and child abuse, but frequently by abuse of the mother herself, who is often socially isolated. These findings are of major importance for child care practice, indicating that working with the mother's depression and the social conditions that provide its backdrop, are a major aspect of social work practice.     

The relationship between maternal depression and child outcomes in a child welfare sample: implications for treatment and policy

Maternal depression is an extremely important parenting variable in relation to child general health. This investigation addressed the issue of maternal depression as it relates to the lives of children seen by child welfare authorities. Maternal depression was investigated in the context of the increasing rate of children coming to the attention of the London and Middlesex Children's Aid Society. A variety of child outcomes including those of particular relevance to child welfare, specifically disorders of attachment and neglect and physical abuse, school‐related variables, conduct disorder and psychological distress, were investigated. The relative contribution of maternal depression along with measures of socioeconomic status and social isolation to childhood risk was examined. Results indicated that the rate of maternal depression doubled during the years 1995–2001. Maternal depression was related to children entering care through wardship. Additional poor child outcomes such as attention deficit disorder, conduct disorder and emotional adjustment were also related to maternal depression. The findings are discussed in terms of treatment and policies that can lower the risk to children through effective intervention with depressed mothers.     

Between the maternal and the professional: the impact of being a child welfare officer on motherhood

Child welfare officers experience stress from exposure to child neglect and abuse and the burden of responsibility for children's well‐being. This qualitative study addresses the question: How do social workers who are child welfare officers perceive and cope with the influence of their professional occupation on their relationships with their own children? The research is based on in‐depth interviews with a purposive sample of 10 child welfare workers who are mothers (of 2–4 children aged 2–23 years). The data analysis illustrates how the professional identity and the maternal identity of the child welfare officer fluctuate between two positions. The first is ‘anxious motherhood’ in which anxiety is the prism through which the welfare officer views the world as dangerous for her children, stimulating protective, control‐enhancing actions. The second position is reflective motherhood in which the welfare worker struggles with her own stresses and conflicts as a mother and searches for an experience of meaningful, positive motherhood. The findings reinforce the need to raise the consciousness of child welfare officers regarding the impact of encountering distress and trauma on their own well‐being as parents. In this way, they can prevent secondary traumatization and enhance professional and maternal growth.     

Deconstructing maternal sensitivity: Predictive relations to mother‐child attachment in home and laboratory settings

Despite the well‐documented importance of parental sensitivity for child development, there is a lack of consensus regarding how best to assess it. We investigated the factor structure of maternal caregiving behavior as assessed at 12 months by the Maternal Behavior Q‐Sort (Pederson & Moran) with 274 mother‐infant dyads. Subsequently, we examined associations between these empirically‐derived dimensions and child attachment, assessed in the home and laboratory (final N = 157). Three dimensions of maternal behavior were identified, corresponding fairly closely to Ainsworth's original scales. They were labeled Cooperation/Attunement, Positivity, and Accessibility/Availability. Only Cooperation/Attunement consistently predicted home‐based attachment at 15 months and 2 years, and at comparable strength to the overall sensitivity score, suggesting that this construct may be central to sensitivity. At 18 months, compared to their primarily secure counterparts, different types of laboratory‐assessed insecure attachment were associated with different patterns of maternal behavior. Mothers in avoidant relationships (n = 18) were low on Cooperation/Attunement and Accessibility/Availability, but fairly high on Positivity. Mothers of disorganized infants (n = 11) were Cooperative/Attuned but somewhat less Positive toward, and less Accessible/Available to, their infants. A multidimensional approach to parental behavior may facilitate the identification of parenting precursors of insecure parent‐child relationships.     

Caregiver depression and child behaviour problems: A longitudinal mixed effects approach

Caregiver mental health has a powerful influence on child well‐being. Both maternal depression and paternal depression predict behaviour problems in young children. However, little is known about the nature of this link over time. The present study leveraged a large sample of at‐risk families to examine the impact of maternal and paternal depression on trajectories of child behaviour from age 3 to 15. Data came from the At‐Home substudy of the Fragile Families and Child Well‐Being Study, which observed a cohort of children born 1998–2000 in 20 large American cities (N = 1,090). Multiple imputation by chained equations addressed missing data to maximize available information without biasing models. Linear mixed effects models tested the association between caregiver depression and child behaviour over 12 years; interaction models tested whether this association changed as children transitioned into adolescence. Results showed caregiver depression is related with increases in both child internalizing and externalizing problems, and these relationships strengthened over time. Findings inform risk trajectories of distinct behavioural problems, shedding light on the development of child psychopathology and highlighting opportunities for intervention.     

Responding to child maltreatment: Comparison between the USA and China

A recent study estimated that over one‐fourth of Chinese children have suffered maltreatment (Fang et al., 2015 ). However, the current child welfare policy in China is limited to orphans, abandoned children, and children with disabilities. Also, there is very little comparative research in China on Chinese and other countries’ child welfare systems. The purpose of this study was to analyze applicable US and Chinese child welfare policies, identify gaps in Chinese policy regarding child maltreatment, and make recommendations for a policy agenda for improving child welfare in China based on cultural values and existing policy structures. Results show that China has considerable capacity to make improvements in child protective services, foster care, and adoption policies. Based on the results of this study, several implications are provided to develop China's child maltreatment policy to increase children's outcomes of well‐being, safety, and permanency. Key Practitioner Message: ? To understand the background and system of current Chinese child maltreatment policy; ? To review US child maltreatment policy and its implementation to identify gaps in the Chinese child maltreatment system; ? To provide policy suggestions to develop Chinese child maltreatment policy and provide recommendations for social work education and practice in China.     

Participation and health – a research review of child participation in planning and decision‐making

Effective child participation in child protection proceedings has proved difficult to achieve in Norway. Although participation is in principle accepted as a human right and something of benefit to children, when children's health is at stake there is a tendency to view participation in decision‐making processes by children as potentially disruptive to their well‐being. The purpose of this study is to review the research evidence for effects, positive or negative, of participation on health outcomes for children in care. A scoping review of major health and social work research databases was undertaken. Searches in five databases yielded 1830 studies of which 21 were finally included in this review. Studies were included if a relationship between health and participation was evident from the data presented, even if this was not the main objective in the study at hand. We conclude that when participation is successful, it may have beneficial side effects. Chief among these are that participation may improve children's safety, increase the success of care arrangements and increase feelings of well‐being for children involved. Evidence for long‐term effects of successful or failed participation attempts on subsequent health outcomes is however largely absent.     

Maternal anxiety and toddler inhibited temperament predict maternal socialization of worry

Parent emotion socialization refers to the process by which parents impart their values and beliefs about emotional expressivity to their children. Parent emotion socialization requires attention as a construct that develops in its own right. The socialization of child worry, in particular, has implications for children’s typical socioemotional development, as well as their maladaptive development toward anxiety outcomes. Existing theories on emotion socialization, anxiety, and parent–child relationships guided our investigation of both maternal anxiety and toddler inhibited temperament as predictors of change in mothers’ unsupportive (i.e., distress, punitive, and minimizing) responses to toddler worry across 1 year of toddlerhood. Participants included 139 mother–toddler dyads. Mothers reported on their own anxiety and their emotion socialization responses to toddler worry. We assessed toddler inhibited temperament through a mother‐report survey of shyness and observational coding of dysregulated fear. Maternal anxiety but not child inhibited temperament predicted distress reactions and punitive responses, whereas maternal anxiety and toddler dysregulated fear both uniquely predicted minimizing responses. These results support the continued investigation of worry socialization as a developmental outcome of both parent and child characteristics.     

The breadth and depth of multidimensional child poverty in China

This study analysed the multidimensional child poverty status in China between 1989 and 2009, using the China Health and Nutrition survey data. Based on the Alkire–Foster method for measuring poverty, a multidimensional poverty index was calculated and further decomposed into seven deprivation dimensions: nutrition, water, sanitation, health, education, shelter and information. The study has four main findings: (1) The multidimensional child poverty rate in China declined gradually where the sanitation facility was most severely deprived; (2) The poverty gap between rich and poor provinces remained over the years; (3) The urban–rural disparity was reduced in all seven dimensions; (4) The poorest of the poor climbed out of ultra‐poverty and became the moderately poor or even the non‐poor.     

A Transactional Model of Temperamental Development: Evidence of a Relationship between Child Temperament and Maternal Stress over Five Years

Although there is growing consensus that parental stress is a risk factor in child development, longitudinal studies of its effects are few. This study tested a sample of 231 mother–child dyads in terms of whether the relations between the global experience of stress in mothers (perceived stress scale) and child temperamental characteristics (infant behavior questionnaire and child behavior questionnaire) could be conceptualized through transactional models of development. The assumption was that higher negative emotionality and lower positive affectivity in the infants would contribute to an increase in maternal stress over a five‐year period, beginning in infancy, and that higher maternal stress would contribute to an increase in child negative affectivity and a decrease in positive affectivity and self‐regulation over the same period. Evidence was found for both hypotheses, but not within the same models: the effect of maternal stress on child temperamental development was greater. The results are discussed with reference to bidirectional models of temperamental development.     

Caregiver involvement in behavioural health services in the context of child welfare service referrals: a qualitative study

Human service agencies serve a growing number of adults with behavioural health needs. Despite these agencies' key role in identifying need and facilitating services, many individuals do not receive care or end services prematurely. Few studies have explored the experiences of families referred to behavioural health services by such agencies or the extent to which families' perceptions of service need align with those of treatment providers and frontline workers. This study presents findings from a qualitative study of caregivers involved with child welfare agencies who were referred to behavioural health services. Researchers reviewed agencies' case records and conducted in‐depth interviews with 16 caregivers, 9 child welfare caseworkers and 12 behavioural health treatment counsellors. Findings suggest that when deciding to engage in services, caregivers weigh not only their individual and family behavioural health needs but also potential agency intervention, including loss of child custody. Many professionals reported that involvement with a child welfare agency hindered the caregiver's disclosure of behavioural healthcare needs. Implications for managers and practitioners are discussed.     

Patterns of family service needs and caregiver–child relationships among families at risk of child welfare involvement

Caregivers at risk of involvement in the child welfare system report high levels of need for multiple types of services, and their children have high levels of mental health need. Caregivers from families with more service needs, as well as unmet needs, are less likely to be engaged with child welfare services and may have diminished capacity to care for their child. This study takes a family‐centered approach by using latent class analysis to identify patterns of both caregiver and child service needs among families at risk of child welfare involvement. Using data from the LONGSCAN consortium (N = 957), we identified 4 classes of service needs among child welfare‐involved families. We then examined differences between the 4 classes based on demographics, maltreatment histories, unmet service needs, and caregiver–child relationship. The caregivers were split fairly evenly among the 4 classes: low needs, medical needs, poverty support, and high needs. There were significant differences between classes on assessed variables, with higher levels of needs associated with diminished caregiver–child relationships.     

Linking illicit substance misuse during pregnancy and child abuse: what is the quality of the evidence?

In most Australian states, legislation makes provision for professionals to report their concerns about the future welfare of an unborn child to appropriate authorities. The legislation establishes guidance for the implementation of family supports to minimize future child protection involvement. Given the legislation and the potential benefits, empirical research linking substance misuse during pregnancy and child protection involvement is relatively limited. We review 21 original studies linking substance misuse during pregnancy with child protection outcomes and the potential generalizability of results to the Australian context. The majority of studies reviewed were conducted in the USA and were mostly retrospective. Other differences between studies include sample sizes, comparison groups, study setting, participants’ ethnicity and pattern of drug use. In the postnatal literature, it is well established that child abuse is associated with a complex array of factors including partner, as well as broader family factors and yet, the studies reviewed focus upon maternal substance abuse without including the wider context. Given the available evidence‐based literature, it is difficult to come to definitive conclusions that can assist clinicians involved in frontline decision‐making for early intervention. Well‐designed research, accessible by antenatal health‐care professionals, is needed to adopt an evidence‐based approach to risk assessment in the prenatal context.     

Self-justification in decision-making: Chinese child welfare workers' inconsistency of perceptions and experiences matters in reporting child abuse

Mandatory reporting is the central measure for child protection. However, the common alternative strategy of avoidance that is practised by child welfare workers is little discussed. This study examines the influences of child welfare workers' inconsistent perceptions and experiences on reporting. Using China Social Work Longitudinal Study 2019, a total of 2 180 child welfare workers in the child and youth service field were selected. Multinomial logistic regression was used to examine the perceptions and experiences associated with reporting. Child welfare workers with a moderate perception of sexual abuse (OR = 1.442*), more experiences of emotional abuse cases (OR = 1.258*) and fewer experiences of sexual abuse cases (OR = 0.703*) had greater odds of reporting than not reporting, and those with a low or moderate perception of emotional abuse (OR = 3.027*; OR = 1.691*, respectively), a moderate perception of physical abuse (OR = 1.537*) and more experiences of neglect cases (OR = 1.345*) were more likely to avoid than to not report. Social work licensure plays a moderating role. The results indicate the importance of alternative strategies, perceptions and experiences in the assessment-decision continuum of reporting. The inconsistent perceptions and experiences of child welfare workers contribute to self-justification in decision-making. Implications for practices and directions for future research are discussed.     

Cultural differences in maternal emotion control values and children's expressive flexibility

Expressive flexibility is the ability to express or suppress one's emotions to meet the demands of the situation. Recent work suggests that expressive flexibility is associated with better adjustment. However, few studies have focused on expressive flexibility in children. In addition, there is a dearth of research on possible correlates, such as culture, parental emotion socialization, and socioeconomic status, that may be associated with expressive flexibility competencies in children. The purpose of this study was to investigate cultural differences in children's expressive flexibility, maternal emotion control values (ECVs), and their relations to family socioeconomic status (SES) during middle childhood in a sample of European American (N = 31, M age = 9.61 years; 54.8% males), Korean American (N = 38, M age = 9.16 years; 55.3% males) and South Korean children (N = 77, M age = 9.74 years; 51.9% males). Mothers reported on demographics and their emotion control values. Children's expressive flexibility ability was assessed using a lab-based observational measure. Multivariate analyses of covariance controlling for SES, child age, and gender suggested significant cultural differences in expressive flexibility, with the U.S. children (both European and Korean Americans) scoring higher on expressive flexibility compared to their South Korean counterparts. Results also suggested significant cultural differences regarding maternal ECVs; Korean Americans were more similar to South Koreans, both scoring higher on ECVs than European Americans. Socioeconomic status, but not maternal ECVs, were associated with children's expressive flexibility, independent of child age, sex, and culture.     

Maternal responses to negative emotions and child externalizing behavior: Different relations for 5‐, 6‐, and 7‐year‐olds

Emotional and behavioral maturity expectations increase as children transition to primary school; thus, maternal responses that support and encourage children's expression of negative emotion may not benefit school‐age children as much as preschoolers. The current study explored a change in the utility of these maternal responses among 187 families (62 5‐year‐olds, 75 6‐year‐olds, and 50 7‐year‐olds). Mothers reported on their responses to children's negative emotions and children's externalizing and internalizing behaviors at two time points over 1 year. Multiple group analysis within cross‐lagged path models revealed a positive association between non‐supportive maternal responses and later child externalizing behaviors among 5‐year‐olds. However, non‐supportive responses were related to decreases in externalizing behaviors among the 7‐year‐olds. Discrepant findings between the 5‐ and 7‐year‐olds may represent a developmental shift in the function of mothers' emotion socialization practices.     

Longitudinal trajectories of maternal parenting stress in Korean families: Children's executive function and school adjustment

A majority of mothers experience parenting stress in daily life; however high levels of maternal stress have been recognized as a risk factor for children's developmental outcomes. We examined trajectories of maternal parenting stress across childhood, and their longitudinal relations to children's executive function and school adjustment. Data were drawn from the Panel Study on Korean Children (PSKC), which included 1754 mothers across five waves measured at children ages 3, 4, 5, 6, and 7 (boys = 51%). Results of Latent Growth Curve Modeling (LGCM) revealed that, on average, maternal parenting stress decreased over time, but there were significant variabilities in the initial levels at age 3 and changes across early through middle childhood. High initial levels of stress and an increase in maternal parenting stress over time were associated with lower executive function at age 7 in planning-organizing and attention concentration. An increment in maternal parenting stress over time was related to poorer school adjustment at age 7, measured by classroom behavior, positive approach to learning, and child-peer and child-teacher relationships. These findings support cultural commonality and may contribute to the instantiation of culturally universal, early preventions and interventions to support mothers’ mental health. Efforts aimed at reducing maternal parenting stress early in development may promote better long-term developmental outcomes, including executive functioning and school adjustment of children in their first year of elementary school.     

Recognizing complex trauma in child welfare‐affected mothers of colour

Child welfare‐affected mothers of colour live with the deleterious effects of complex trauma unrecognized by the child welfare system. Child welfare system instead focuses on mothers' more overt functional difficulties, facilitating a misalignment between mothers' felt needs and mandated services. Qualitative data from a mixed‐methods study were used to explore the phenomenon of complex trauma in 20 urban‐dwelling mothers using a combined interpretive phenomenological and directed content analysis. Mothers experienced chronic and compound exposure to traumatic events. Themes of interpersonal violations of trust and pervasive mistrust of others, revictimization, absence of appropriate mental health treatment, and maternal growth emerged. Implications for utilizing a trauma‐informed approach for policy and practice are discussed.     

Emotion understanding and maternal sensitivity as protective factors against hostile attribution bias in anger‐prone children

The present research examined children’s anger proneness, emotion understanding, and maternal sensitivity during toddlerhood as predictors of children’s hostile attribution bias (HAB) during the later preschool years. At 2.8 years (N = 128), maternal sensitivity (e.g., child‐centered behavior) was observed during mother–child play and snack, and parents reported on children’s anger proneness. At 3.3 years, emotion understanding (i.e., ability to identify emotional expressions accurately) was measured via an interactive puppet interview. At 4.8 and 5.4 years, children's HAB was assessed via child responses to hypothetical vignettes of ambiguous peer provocations. Path models revealed that maternal sensitivity predicted fewer hostile attributions. In addition, emotion understanding and maternal sensitivity emerged as buffers against the negative effect of anger proneness on HAB. Specifically, greater anger proneness was associated with more frequent hostile attributions, but only when children had lower emotion understanding or had mothers who were less sensitive. The findings highlight the interplay between intrapersonal and interpersonal factors in early childhood that contribute to a hostile attribution bias during the preschool period.     

The Australian child support reforms: a critical evaluation

The Australian Child Support Scheme aims to ensure that children continue to be supported financially should their parents separate or never live together. Sweeping changes to the Australian Child Support Scheme were introduced between 2006 and 2008, featuring a dramatically different system for the calculation of child support and a more rigorous enforcement regime. The reforms were intended to respond to ongoing concerns about equity, and to changes in social expectations and practices in gender, work, and parenting. In this article we summarise key findings from a large cross‐sequential study of the child support reforms. Although the new formula initially led to lower child support payments, and an increase in the proportion of separated mothers experiencing income disadvantage, payments two years later had increased slightly. More broadly, the new scheme appears to have resulted in little change in separated parents' policy knowledge, parenting arrangements, perceptions of fairness, and child support compliance. Taken together, these findings suggest that Australia may not have made as much progress as it would have liked in this thorny area of social policy – especially in relation to compliance and perceptions of fairness.