Safety First: A Model of Care for Working Systemically With High Risk Young People and Their Families in an Acute CAMHS Service

The following article outlines the Safety First Model for working with high‐risk young people in crisis. This hierarchical model prioritises emotional and physical safety by using multi‐systemic and family‐based interventions. A typical case example is used to illustrate the model and the structures and strategies employed at each level. The intervention model empowers families, facilitates their connections with other providers, and minimises the need for hospital admissions. The model also promotes collaborative and systemic practice in a child and adolescent mental health service.     

Parent-Child Relationships of Victims and Siblings in Incest Families

Clinical accounts suggest that families in which sexual abuse occurs are characterized by poor parent-child relationships. However, there have been no empirical studies utilizing standardized measures to assess the quality of such relationships. In this study, information on parent-child relationships was obtained for 36 child victims and 41 nonabused siblings in families in which father-child sexual abuse had been acknowledged by the father/perpetrator. Results indicated that child victims reported greater relationship problems with father/perpetrators than with mothers. In addition, victims reported greater relationship difficulties with father/perpetrators than did siblings. There were no differences between father/perpetrator and mother reports of relationship quality for victims and siblings. Victims' self-reported depression and anxiety were associated with father/perpetrators' views of father-child relationships, whereas nonabused siblings' self-reported depression and anxiety were associated with father/perpetrators' views of father-child relationships, whereas nonabused siblings' self-reported depression and anxiety were associated with mothers' views of mother-child relationships.     

The Association of Burnout and Social Work Practitioners' Impressions of Their Clients

This study examined the association between burnout and social work practitioners' impressions of their clients. The results provide empirical evidence that burnout adversely affects social work practice; emotional exhaustion and depersonalization were significantly correlated with negative impressions of clients.     

Adaptation and Psychometric Evaluation of the Children’s Knowledge of Abuse Questionnaire (CKAQ-RIII) in Greek Elementary School Children

ABSTRACT

The purpose of the present study was to culturally adapt and validate the Children’s Knowledge of Abuse Questionnaire-RIII (CKAQ-RIII), a tool that examines children’s understanding of sexual abuse concepts, for use in Greek elementary schools. A sample of 467 Greek school children between the ages of 6–9 was recruited from a private school. The CKAQ-RIII was administrated three times, before and immediately after a Child Sexual Abuse (CSA) prevention intervention program, as well as during a one-year follow-up evaluation. A subsample of the original population (N = 113) completed the one year follow up administration of CKAQ-RIII, along with the Body Awareness (BA) and the Emotional Differentiation (ED) subscales of the Emotion Awareness Questionnaire (EAQ). Internal consistency was high for the inappropriate touch scale (ITS) of the CKAQ-RIII and moderate for the appropriate touch subscale (ATS). Inter-item analysis showed that the majority of items were in an acceptable range. Pearson correlation coefficients analyses revealed strong associations between the two subscales of ITS and ATS, and the overall scores of the questionnaire. A mixed-subjects analysis of variance on the ITS showed an increase in knowledge post intervention, with third graders (8–9 year olds) generally scoring higher at baseline and demonstrating greater knowledge gains post intervention. A mixed-subjects analysis of variance was also conducted for the ATS where no significant increase in knowledge was found. Furthermore, analysis revealed a good concurrent criterion validity with good levels of agreement between CKAQ-RIII and ED, whereas no relationship was established between CKAQ-RIII and BA.     

The Pro‐Elderly Bias of Social Policies in Israel: A Historical‐Institutional Account

Accelerated population ageing and high voting turnout rates among elderly voters in recent decades have led many social scientists to predict increasing pro‐elderly biases in the social policies of mature welfare states. This article investigates and empirically estimates the evolving age orientation of social policies in Israel, which is a comparatively young society that has nevertheless aged significantly since independence in 1948. We present a historical and qualitative overview of the development of policy efforts towards different age groups and develop an Elderly/Non‐elderly Spending Ratio at four points in time between 1975 and 2005. We argue that in its first five decades, the Israeli welfare state uniquely combined a broadly universalistic and citizenship‐based outlook with a number of significant particularistic spending biases towards specific subgroups. But from the second half of the 1990s onwards, the pro‐elderly policy bias of the Israeli welfare state has strongly increased. These findings support Lynch's thesis for 21 OECD countries, which posits that a shift from a universal to a more occupationally based institutional model of welfare will result in a higher pro‐elderly bias of social spending.     

The Identification of Priority Sites for Parent-Child Services

The methodology developed in this study provides an empirical procedure for identifying those geographic locations that have the largest concentration of Hawaiian families with young children with the most intensive education-related needs. Weighted standardized combinations of SES, test scores, and child-population variables are used to define need indexes for 164 elementary school attendance areas in the State of Hawaii.     

Income effects of divorce in families with dependent children

The Norwegian post-divorce transfer scheme for families with children guarantees minimum maintenance payments from the non-custodial to the custodial parent. We studied the economic effects of divorce in such families. When the mother has custody, she falls behind before maintenance payments. After adding these, the outcomes at the median are very similar for both parents, contrasting studies from other countries, but the risk of a drop in equivalized income is large.     

Young Children's Problematic Sexual Behaviors,Unsubstantiated Allegations of Child Sexual Abuse,and Family Boundaries in Child Custody Disputes

ABSTRACT

Allegations of child sexual abuse are sometimes alleged based on a child's problematic sexual behaviors. When the allegations are unsubstantiated, child custody evaluators are asked to make recommendations regarding custody. Historically, it has been believed that if a child engages in problematic sexual behaviors it is strong evidence of child sexual abuse. Recent research finds that there are many reasons, other than overt sexual abuse, for children to engage in problematic sexual behaviors. This article outlines these reasons and provides a methodology for the evaluation of the boundaries in both parents' homes to assist in determining the possible etiology of the problematic sexual behaviors of the child. Suggestions are made regarding visitation and reunification if boundary concerns are found.     

An Examination of the Indian Child Welfare Act Section of State Title IV-B Child and Family Services Plans

The current study examined a nationwide sample of the ICWA section within state Title IV-B Child and Family Services Plans. Content analysis was performed to examine whether states were meeting ICWA mandates and federal requirements and interviews with regional/central Administration for Children and Families administrators and state officials were conducted. Major findings included ACF program instructions lacked detail and clarity as to what should be included, a majority of states reported consulting with tribes in the CFSP development, and over half of all state CFSPs did not reference any of the three specific measures outlined in ACF guidelines. Implications of findings are discussed and recommendations are offered to develop measurable outcomes to evaluate ICWA compliance and improve the federal monitoring processes.