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1.
R L Hegar 《Child abuse & neglect》1982,6(2):165-170
Social workers who have both investigative and helping roles in child protective cases may find the roles to be in conflict and difficult to integrate. This problem has been exacerbated by recent changes in U.S. law and court procedure which place more emphasis on the quality of child abuse investigations. While it may not be easy for social workers to integrate the roles of investigator and helper, this paper draws on social work theory to show that it is possible and beneficial to their clients when they are able to do so. Social workers who are able to perform successfully in both roles are best prepared to help clients recognize and overcome problems. Division of the investigator and helper roles, on the other hand, may create significant difficulties including staff conflict, denial of problems by clients, and distortion of clients' expectations of the professional and the agency. 相似文献
2.
R P Barth 《Child abuse & neglect》1991,15(4):363-375
Perinatal child abuse prevention projects are rarely rigorously evaluated. Women were referred to the Child Parent Enrichment Project (CPEP) project during or just after pregnancy if identified as at-risk of engaging in child abuse by community professionals. Clients were randomly assigned to CPEP services (n = 97) or traditional community services (n = 94). CPEP services are based on ecological theory and involve six months of home visiting by paraprofessional women and linkage to other formal and informal community resources. No advantages on self-report measures for the CPEP group were measured at posttest, and follow-up reports of child abuse were similar for both groups. Consumer satisfaction indicates that clients highly valued the program. Some indication of greater success with families with less serious problems was observed. The results argue for caution regarding the capacities of perinatal child abuse prevention services to serve the high-risk clientele they often receive. 相似文献
3.
Clara L. Johnson 《Child abuse & neglect》1981,5(2):123-128
This paper reports data from a regionwide survey of child sexual abuse case handling in the Southeast. Public social agency workers do not generally provide nor view the provision of treatment services as being primarily their responsibility. While about 70% of the workers (N = 1,045) had performed initial intervention and diagnostic tasks, only 46.1% had performed treatment tasks. Ten percent of the workers felt initial intervention tasks were more appropriate to some other professional community resource; 16.3% made this judgment for diagnostic tasks. On the other hand, 55.1% delegated the responsibility for the provision of treatment services. More importantly, the workers' perception of task performance responsibility was not appreciably influenced by the notion of being provided adequate training to perform treatment services. 相似文献
4.
5.
Duggan A Fuddy L Burrell L Higman SM McFarlane E Windham A Sia C 《Child abuse & neglect》2004,28(6):623-643
OBJECTIVES: To assess the impact of a home visiting program in reducing malleable parental risk factors for child abuse in families of newborns identified, through population-based screening, as at-risk of child abuse. METHODS: This randomized trial focused on Healthy Start Program (HSP) sites operated by three community-based organizations on Oahu, HI, USA. From 11/94 to 12/95, 643 families were enrolled and randomly assigned to intervention and control groups. Mothers in both groups were interviewed annually for 3 years (88% follow-up each year) to measure mental health, substance use, and partner violence. HSP records were reviewed to measure home visiting services provided. Home visitors were surveyed annually to measure their perceived competence. RESULTS: Malleable parental risks for child abuse were common at baseline. There was no significant overall program effect on any risk or on at-risk mothers' desire for and use of community services to address risks. There was a significant reduction in one measure of poor mental health at one agency and a significant reduction in maternal problem alcohol use and repeated incidents of physical partner violence for families receiving > or =75% of visits called for in the model. Home visitors often failed to recognize parental risks and seldom linked families with community resources. HSP training programs were under-developed in preparing staff to address risks and to link families with community resources. CONCLUSIONS: Overall, the home visiting program did not reduce major risk factors for child abuse that made families eligible for service. Research is needed to develop and test strategies to improve home visiting effectiveness in reducing parental risks for child abuse. 相似文献
6.
Patricia Farrant B.A.Dip. Soc. Stud. 《Child abuse & neglect》1980,4(4):255-263
A group for mothers who feared they would abuse their children was established at Queen Victoria Medical Centre, Melbourne in 1974. Its success has led to additional groups being set up. The circumstances and attitudes of these mothers are described, the group organization is discussed and the group process is analyzed.The mothers attending these groups come from an economically and socially deprived section of the community. The groups provide a nurturing and hopeful atmosphere. This has facilitated the mothers' abilities to reach valuable insights about their feelings and behaviour, and to develop their ego strengths. Consequently they have learned to exercise greater control over their behaviour and therefore to separate emotion from action, and as a result they are less likely to abuse their child either physically or emotionally.A pragmatic approach is adopted by the therapist. Pertinent information is provided, relevant theories are invoked, and community facilities utilized whenever appropriate to meet the diverse needs of these potentially abusing mothers.These groups have fulfilled their preventive function, and the relationship between mother and child has improved. 相似文献
7.
Judith Trowell 《Child abuse & neglect》1981,5(1):23-26
This paper is based on the experience of a consultant psychiatrist in a child abuse agency. Working with abusing families produces high levels of anxiety in the staff and conflicts over role are particularly strongly felt. These processes, as they affected the consultant psychiatrist and a staff group, were used to try to understand the anxiety and conflicts of the client families. The split between consultant and psychiatrist, between caregiver and authority figure, between parent and child, had to be acknowledged and accepted before the staff could work more effectively. Abusing families benefit from the range of skills offered by a multidisciplinary team. But the stresses for individual staff members working with these emotional, damaged, demanding, difficult families, can at times appear to be increased by the multidisciplinary team with its diversity of views. In the light of experience so far, it seems that work on the conflicts and anxiety needs to be part of a continuing process of staff development. Some of the difficulties for the consultant psychiatrist in such an institution are also discussed. 相似文献
8.
Weinstein B Levine M Kogan N Harkavy-Friedman J Miller JM 《Child abuse & neglect》2000,24(10):1317-1328
OBJECTIVE: The purpose of this study was to provide systematic data on the experiences of mental health professionals (e.g., psychiatrists, psychologists, and social workers) who reported cases of suspected child abuse and maltreatment concerning their clients. METHOD: Mail surveys were completed by 258 mental health professionals known to have reported a case of suspected child abuse and maltreatment to the New York State Central Register (NYSCR) in 1993. Subjects were asked to complete a survey describing their experience with making reports, referring to a specific case they reported. RESULTS: About 40% did not inform the client about the limits of confidentiality until reportable material came up. Most clinicians reported that informing clients about the limits of confidentiality did not deter them from entering treatment. Many clinicians learned about abuse/maltreatment after approximately 3 months into therapy. Even very experienced clinicians usually consulted with others before making the report. Clinicians most typically informed the client about the report directly and before it was made, but did not call the NYSCR in the presence of the client. Following the report, most clinicians performed additional activities such as calling clients and scheduling additional sessions. When clients evidenced resistance to continuing therapy, it usually dissipated after a brief period of time. In over 72% of the cases, making the report did not disrupt the relationship and in many instances it was helpful in the therapeutic process; about 27% were continuously resistant or terminated therapy shortly after the report was made. CONCLUSIONS: Implications for practice, training, program development, and research are discussed. 相似文献
9.
儿童性虐待已经成为世界范围内的公共卫生问题,各国对儿童性虐待的流行学调查显示一致的高流行率及某些共同的特点,儿童性虐待由于具有特殊的创伤特征以及虐待形式的多样化而存在认定困难。建立专业的儿童性虐待评估机构是减少受虐儿童反复受到伤害,降低其创伤后障碍风险的有效途径。性科学教育及普法教育是提高人们自我保护和保护他人意识的关键,学校是性教育的主要场所,同时需建立家庭、学校、社会三位一体的安全责任体系。 相似文献
10.
This longitudinal investigation tested the effectiveness and cost-efficiency of a lay therapy treatment program in comparison with a standard social work treatment approach. A pretest-extended posttest research design was used to follow a group of child abusing and high risk mothers who received lay therapy (N = 27) and a randomized control group of similar clients (N = 28) over a 12-month period. Outcome data were obtained through interview and direct observation of the parents and children at six-month intervals. A variety of standardized instruments were used including Cattell's 16 Personality Factor Test, Coopersmith's Self-Opinion Form, and the Nurturance and Parent Observation Scales, adapted from Baumrind. Treatment success was defined as progression toward the mean scores of a matched comparison group (N = 21) obtained from the general population of the community during the pretest. The results indicated a trend toward improvement on the outcome measures for both treatment groups. The group receiving lay therapy treatment improved only slightly more than the group receiving standard treatment; however, there was also significantly less attrition with the lay therapy group. Analysis of time budget study data indicated that the lay therapists spent an average of 17.46 hours per month with each of their clients thus permitting the social workers to spend considerably less time with lay therapy clients. Analysis of the direct costs of the programs, based on time budget information, indicated that the lay therapy treatment involved more direct client contact than the standard treatment approach and was also substantially more costly. The high cost of the program was attributed to low caseloads and redundancy in supervision. This study presents several practical program and research recommendations. 相似文献
11.
A treatment program for sexually abusing families is described, which illustrates the complexities in the families, in the treatment required to assist them, and in the interrelations of agencies with whom they come into contact. The program used a multi-therapist, multi-modality treatment model in conjunction with expert consultants in medicine, psychology, art therapy, law, criminology, and research. The article discusses the formidable barriers to creating a treatment program that stem from the necessity of establishing linkages with other agencies and systems in the society. These barriers include the difficulty other service providers may have in recognizing the problem; the trouble doctors, lawyers, and policemen have in interviewing the young victims; the problems in the criminal justice system with obtaining justice for the victim by arresting and prosecuting the offender while protecting his rights; and the conflict of the schools caught between their responsibility as mandated reporters of abuse and the legal rights of the parent-offender. Questions are raised which may assist others embarked on developing similar programs. 相似文献
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13.
OBJECTIVE: The goal of this research was to study how different groups of child welfare professionals prioritize and use information to make placement decisions following instances of child abuse. METHOD: A total of 90 juvenile court judges and guardians ad litem, Court Appointed Special Advocates (CASA), social workers, and mental health professionals responded to a detailed questionnaire describing four case studies of child physical abuse in which a parent was the perpetrator, the child was either 2 years or 6 years of age, and the abuse was either first time or chronic. Participants rated the impact of specific pieces of information regarding child, family, and system-level characteristics on their decision-making process. RESULTS: Analyses of reactions to these vignettes demonstrate that professional groups use different kinds of information when making decisions about foster care placements. Social workers and mental health providers rely on information about the severity and pattern of abuse and on information about services offered in the past and parental responses to those services. Judges and guardians ad litem rely more heavily on information about the likelihood of a reoccurrence of abuse and the child's ability to recount the abuse, whereas CASA volunteers rely on information about the stability of the family. CONCLUSIONS: Professional group membership, rather than factors such as age or ethnicity of the child or chronicity of abuse, accounts for different patterns of prioritizing and using information when making decisions about whether a child should remain in the home or be placed in foster care. The implications for community-based training and intervention efforts are discussed. 相似文献
14.
A child welfare system is responsible for making difficult decisions. Child welfare workers are charged with assessing and determining when a child is in need of protection, including when it is necessary to intervene on behalf of children when their caregivers’ abilities and/or situation is deemed to put them at risk of abuse or neglect. Although the child welfare workforce in Ontario attended to an estimated 125,281 child maltreatment investigations in 2013, little is known about the skills, education, and experiences of these investigating workers. Notwithstanding assumptions about the qualifications and characteristics necessary for effective child welfare practice, few studies explicitly link the specific characteristics of workers to children, youth, and families achieving positive case outcomes. These assumptions have been shaped by a multitude of factors including knowledge of human resources, professional standards, and educational requriements. This study examined data from five cycles over twenty years of Ontario Incidence Studies (-1993, -1998, -2003, -2008, -2013) to provide a profile of child welfare workers. This is the first study to examine the changing profile of child welfare workers in any province in Canada and provides a foundation for developing effective recruitment and professional development strategies, and promoting a positive work environment. Policy and practice implications for the changing needs of these families are discussed. 相似文献
15.
County child protection units throughout the United States were surveyed to (1) profile the attributes of child protection workers, (2) determine their prevailing attitudes and needs, and (3) assess their access to and utilization of professional literature and consultation resources. Responses were received from 301 child protection workers employed in 33 different states. Respondents were generally depressed about their working conditions, the burden of huge caseloads, and unrealistic expectations of them. Job dissatisfaction was especially prevalent among workers who had been in the field for longer periods of time. Many workers had developed attitudes of resignation to their inability to help clients and had a tendency to avoid client contact. Workers reported doing very little professional reading due to the service requirements of their large caseloads and inaccessibility to journals and other meaningful literature pertinent to the field of child abuse and neglect. The availability of consultation in major specialty areas related to the performance of their child protective duties was frequently inadequate to meet their needs. Participation in formal training prior to first case involvement promoted professional reading and worker confidence in the quality of service provided. Worker job satisfaction and self-perceived professional skills were enhanced by membership in professional associations or societies and membership in or use of multidisciplinary teams. These results suggest the need to further develop national and regional resource centers in support of the practice of child protective service (CPS) workers. 相似文献
16.
Talbutt LC 《The School counselor》1983,31(2):120-124
According to several US Supreme Court decisions, minors have the right to abortions, yet various conflicts cause some uncertainty for counselors and other professionals working with minors. In defining the role of the school counselor with regard to abortions, Duncan and Moffett (1974) explained that counselors should establish a setting for clients to examine feelings and evaluate alternatives. They advised counselors against imposing their views and attitudes on clients. Walleat (1975) summarized the counselor's responsibilities as follows: view abortion in relation to the student's total involvement rather than a crisis situation; work in conjunction with other community and school programs; help students "process" information; and help students use information about abortion, even when schools fail to supply that information. Additionally, Walleat emphasized that there were possible legal and ethical issues regarding schools providing abortion information. The extent to which schools can or should provide abortion information to minors is unclear. Burgum and Anderson (1975) made some recommendations to help counselors avoid lawsuits regarding abortions. They suggested that counselors give advice only in those areas in which they are competent according to their education and work experience. In view of the proposed legislation and legal shift toward parental notification, counselors of minors should strongly encourage their clients to discuss their situation with parents. The major questions are: how far must counselors go in providing information to parents of minors; and is the legal responsibility strong enough to require counselors to break confidentiality under certain conditions. Until a major court case or legislation addresses these questions, the school counselor's role is undefined. Because parental notification about abortion for minors is unclear, professional guidelines are urgently needed to aid counselors. Professional counseling groups need to address the unresolved issues in a position paper or other materials. Until such time, the following recommendations should prove of value to counselors: counselors should urge minors to discuss abortion plans with parents and involve families in the counseling process, if possible; counselors should consider the social mores of the community; counselors should work through their national, state, and local professional organizations for directions and guidelines on abortion counseling and dissemination of abortion information for minors; and counselors should be knowledgeable about appropriate referral agencies dealing with abortions. 相似文献
17.
Pregnant, opioid-using women represent a challenge to healthcare providers attempting to engage them in prenatal and substance abuse services. Limited, primarily international research suggests that child welfare clients have mixed feelings about Child Protective Services (CPS) and that fear of CPS may present a barrier to care. Understanding how pregnant opioid-using women in substance abuse treatment perceive CPS may be useful in encouraging substance abuse treatment initiation. Participants were currently or recently (within past 12 months) pregnant women with current or recent (within past 12 months) abuse/dependence of pharmaceutical opioids at a drug treatment facility. Participants were recruited by treatment staff to participate in a comprehensive study across multiple domains. Data for this analysis were collected using semi-structured qualitative interviews. Transcribed data were thematically analyzed using in vivo and interpretive coding by three coders for purposes of inter-rater reliability. Following 2, two-hour meetings, consensus was reached on primary themes and sub-themes. Two major themes and several sub-themes were identified: 1) Participants’ feelings and attitudes about CPS (positive and negative); 2) Interaction-based perceptions of CPS’ function and performance. Participants’ feelings toward CPS were often conditioned by their experiences with individual caseworkers. While many pregnant, opioid-using women identify legitimate, and even useful features of CPS, fear of CPS can be a barrier to care. Making substance abuse treatment accessible to this population requires recognition of their complex feelings toward CPS, and coordination among CPS case workers and substance abuse treatment providers. 相似文献
18.
G W Brown 《Child abuse & neglect》1983,7(1):123-126
An eighteen-month-old Alaskan girl suffered transient coma with multiple superficial contusions when injured by her multiple personality disturbed caretaker. The relative disinterest in multiple personality disorder as a psychiatric diagnosis among American trained practitioners is reflected in the great difficulty encountered by child protection workers while seeking psychotherapy for this disturbed family. The public health nurse, pediatrician, and social workers of the child protection team were unsuccessful in attempting to secure psychiatric therapy for this child batterer. Multiple factors, other than psychiatric community disinterest in multiple personality disorders, influenced these unsuccessful attempts. Legal process delays, strongly punitive community attitudes, tired and nearly "burned out" child protection workers, and conflicting psychological and psychiatric consultant opinions are described. A brief review of multiple personality disorder traits is given with emphasis on the common childhood exposure to abuse and violence among reported multiple personality subjects. Despite the obvious hope by the eighteen-month-old child's parents for effective help to reconstitute her family, the multiple factors described show institutional neglect and abuse which has made such recovery impossible to date. A plea is made to all persons involved with child abuse and neglect to more accurately diagnose and treat multiple personality disorders in abusive parents. 相似文献
19.
Previous studies have shown that most abusing parents have a history of physical abuse or neglect in their own childhoods. There is little data on the frequency of prior sexual abuse among parents who physically or sexually abuse their children. Many case reports describe the uncovering of a prior incest experience in a parent during the investigation of the child's current incest accusation, but it is unclear how frequently this occurs. One hundred mothers of abused children were asked about sexual incidents that occurred before age 18; the control group consisted of 500 normal women from the same community who were surveyed during meetings of various voluntary organizations. Age and ethnicity did not differ in the two groups. Of the mothers of abused children, 24% reported a prior incest experience, whereas only 3% of the control women reported prior incest. This eightfold difference was highly significant. The 34 mothers from families where sexual abuse was occurring were no more likely to report prior incest than were the 66 mothers from families where physical abuse occurred. The one case of genital mutilation of a child occurred in a family where both parents had been incest victims. Case studies indicate that the parent who has been an incest victim has inhibitions and fears about tenderness, traceable to the childhood incest experience, which are important in the development of either physical abuse or sexual abuse in the family. 相似文献
20.
G W Brown 《Child abuse & neglect》1985,9(3):383-388
Change in social customs and institutions is usually a slow process. This seems particularly true in attitudes about child abuse. Two key elements for change are being utilized for child protection in a rural area of Alaska with a predominantly Caucasian population. First, application of an old church custom of "constructive gossip" by volunteers is changing this rural community attitude about children. Second, use of an innovative federal government health care delivery program has established this community's first obstetric and pediatric service. With the oil boom in Alaska, widespread family disruption with frequent child abuse and neglect has become commonplace. Despite the oil tax wealth, State of Alaska Child Protection Services are strained to keep up with family and community violence. Deliberate cooperation with local community, church and service organization leaders is helping keep up with child protection needs. The obstetric and pediatric specialists of the National Health Service Corps non-profit practice were co-leaders, along with community leaders, in starting a lay volunteer service called "Friends of Families." Working cooperatively with the state child protection office, 24 families have received assistance from parent aides of Friends of Families. The influence of these two key elements of change on rural community attitudes and institutions are described. 相似文献