Multi‐type maltreatment and the long‐term adjustment of adults

Multi‐type maltreatment refers to the experience of more than one form of child maltreatment (sexual abuse, physical abuse, psychological maltreatment, neglect and witnessing family violence). Researchers have largely ignored the presence of other types of child abuse and neglect when examining the adjustment problems associated with a particular form of maltreatment. The association between ‘multi‐type maltreatment’ and adjustment was explored in the current study. Retrospective data were obtained on (a) the degree to which maltreatment types co‐occurred, (b) childhood family characteristics and (c) adjustment problems in adulthood in an Australian self‐selected community sample (N=175). As hypothesized, a large degree of overlap was reported in the experience of the five types of maltreatment. Family characteristics—particularly family cohesion and adaptability—discriminated between respondents reporting single‐type and multi‐type maltreatment. Greater adjustment problems were associated with reports of a larger number of different maltreatment types. Multi‐type maltreatment should be recognized as a crucial aspect of the nature and impact of child maltreatment and considered in the development of programmes for the prevention and treatment of child abuse and neglect. Copyright © 2000 John Wiley & Sons, Ltd.     

Preferentially rejected children and their development in permanent family placements

Several studies of family placements have indicated poorer outcomes for children who are placed singly in new families. In an effort to understand why this may be so, this paper explores differential outcome among a group of children who were placed singly with adoptive or long‐term foster families during middle childhood. A small number of these children were ‘only children’ at the time of placement but most had siblings living elsewhere. Particular attention is paid to preferential rejection by birth parents in the children's backgrounds. Preferential rejection indicates that one child has been rejected while siblings are accepted. This was found to be associated with poorer progress in placement. The methodological and statistical detail of the analyses are to be found in another paper. We focus here on describing the patterns which emerged and the ways in which the findings may assist practitioners in making and supporting permanent placements.     

Case Management with Families Receiving Public Assistance: Results from an Empirical Evaluation

ABSTRACT

This article describes the results from a family-based case management demonstration program which served families in North Carolina during the period of 1990 to 1993. The model for the program was based on the family investment initiative strategy developed by the George Washington University Center for Policy Studies. Entitled the Family Investment Initiative, the goal of the program was to assist families receiving AFDC to reach economic self-sufficiency. Results indicate that this family-based case management approach has promise for helping AFDC-dependent families achieve economic self-sufficiency. Implications of the results for social work case management practice with families are discussed.     

Child Sexual Abuse,Sexual Anxiety,and Sexual Satisfaction: The Role of Self-Capacities

Research indicates that child sexual abuse produces lasting alterations in interpersonal relatedness, identity, and affect regulation, often referred to as self-capacity disturbance. Child sexual abuse also has been shown to negatively impact sexual functioning. This study examined the role of altered self-capacities in mediating the relationship between child sexual abuse and sexual responses. Path analysis revealed that child sexual abuse was related to sexual anxiety and decreased sexual satisfaction through its association with reduced self-awareness and a propensity to be involved in difficult interpersonal relationships.     

Personality Profiles of Adult Males Sexually Molested by Their Maternal Caregivers

Sexual abuse of males by female maternal caregivers is an underreported and little studied phenomenon. The present study examined two seemingly diverse groups of adult males who had been sexually abused as children by their female maternal caregiver: those in treatment at a clinic which specialized in working with sexual abuse survivors and those in treatment at a clinic which specialized in working with sexual offenders. This study suggests that the MMPI profiles of these two groups of adult males show greater psychological disruption than do the MMPI profiles of adult males who as children had not been vitimized by females or had been victimized by older males. Thus, treatment strategies may need to be formulated on the basis of the gender of the victimzer as well as on the gender of the victim.     

Paternal and Household Characteristics Associated With Child Neglect and Child Protective Services Involvement

ABSTRACT

This study examined the association of paternal and household characteristics with household-level measures of child neglect and Child Protective Services (CPS) involvement, measured when the index child was 5 years of age. Secondary analyses of the Fragile Families and Child Well-Being Study were conducted using a subsample of 1,089 residential, biological fathers. Logistic regression models indicated that paternal depression was associated with greater than doubled odds of child neglect and CPS involvement. Paternal alcohol use and parenting stress were associated with approximately 50% increased odds for child neglect, and a scale measuring 13 caregiving tasks to reflect positive father involvement with the child was also associated with less risk for child neglect. However, paternal alcohol use, parenting stress, and positive involvement with the child were not associated with CPS involvement. An implication of this study is that paternal psychosocial functioning is important to consider in conjunction with sociodemographic factors when examining maltreatment risk in two-parent families.     

Characteristics of the Social Support Networks of Maltreated Youth: Exploring the Effects of Maltreatment Experience and Foster Placement

Little is known about the social support networks of maltreated youth or how youth in foster care may compare with those who remain with their parent(s). Social network characteristics and perceived social support were examined between (1) maltreated and comparison youth, (2) maltreated youth who remained with their biological parent, those with a foster parent, or a those with a kin caregiver, and (3) youth in stable placements and those who have changed placements. Data came from a sample of 454 adolescents (241 boys, 9–13 years old at enrollment) who took part in a longitudinal study of child maltreatment. Participants completed three assessments approximately 1 year apart. Results showed that on average, maltreated adolescents named significantly fewer people in their network than comparison adolescents. At Time 2, comparison adolescents reported more same‐aged friends. In the maltreatment group, youth with a foster parent reported significantly more older friends than maltreated youth with a kin caregiver. Fewer maltreated youth named a biological parent on the social support questionnaire at all three time points. More youth in kinship care described their caregiver as supportive than those in foster care. These findings indicate that despite heterogeneous placement histories, social support networks among maltreated youth were very similar.     

Methodological standards for randomised controlled trials of interventions for preventing recurrence of child physical abuse and neglect

Despite the significant financial and human resources invested in child protection services (CPS), it is unknown whether these services are effective in preventing recurrence of child physical abuse and neglect. This paper reviews available studies evaluating the effectiveness of these interventions and identifies methodological limitations and factors that may contribute to these limitations. We searched databases to identify randomised controlled trials published in peer‐reviewed journals in the past five decades that evaluated interventions to reduce recurrence of physical abuse and neglect. We outlined ten methodological standards that are important for rigorous testing of psychosocial interventions and applied them in critically appraising identified studies. Thirteen randomised controlled trials were reviewed. This review identified methodological limitations (e.g. small sample size, lack of standardisations, contamination) that made it difficult to draw reliable conclusions as to the effectiveness of interventions. Field‐specific factors that contributed to methodological limitations (e.g. heterogeneity of sample, multiple family problems, psychosocial nature of interventions) were identified and recommendations were provided for improvement. It was concluded that it is possible to implement high‐quality trials that are ethical and feasible in the child welfare field. Copyright © 2009 John Wiley & Sons, Ltd.