Services and Recurrence After Psychological Maltreatment Confirmed by Child Protective Services

2012 ◽  
Vol 17 (2) ◽  
pp. 153-163 ◽  
Author(s):  
Vincent J. Palusci ◽  
Steven J. Ondersma

Recurrence rates of psychological maltreatment (PM) and the services that may reduce those rates have not been systematically evaluated. The National Child Abuse and Neglect Data System was used for 2003–2007 to study a cohort of children in 18 states with PM reports first confirmed by child protective services (CPS) during 2003. PM recurrence rates after counseling and other referrals were assessed while controlling for factors associated with service referral and other maltreatment. A total of 11,646 children had a first CPS-confirmed report with PM, and 9.2% of them had a second-confirmed PM report within 5 years. Fewer than one fourth of families were referred for services after PM, with service referrals being more likely for families with poverty, drug or alcohol problems, or other violence. Controlling for these factors, counseling referral was associated with a 54% reduction in PM recurrence, but other services were not associated with statistically significant reductions. Few families in which PM was confirmed receive any services, and most services provided were not associated with reductions in PM recurrence. Clarification of key services associated with efficacious prevention of PM is needed.

Author(s):  
Susan J. Wells ◽  
Geoff Johnson

The true extent of child abuse and neglect is unknown but reports to state agencies indicate over 3 million reports concerning maltreatment of over 6 million children are made each year. Confirmed reports involved over 679,000 children in 2013. Yet, only 32% of the children known to be harmed by maltreatment in the community are investigated by child protective services. The perplexing dilemma in surveillance and service delivery is how to identify those who need help without spuriously including those who do not. This entry focuses on the definition of maltreatment and provides an overview of the history, etiology, and consequences of child abuse and neglect as well as the current trends and dilemmas in the field. To afford some perspective for the reader, some international data and information are provided.


PEDIATRICS ◽  
1990 ◽  
Vol 86 (5) ◽  
pp. 805-806
Author(s):  
ALLAN R. DE JONG ◽  
MIMI ROSE

In Reply.— We thank Dr Smith for his interesting perspective regarding screening for child abuse. We had hoped our article would help physicians focus on the verbal evidence of abuse and show how insensitive the physical evidence is in predicting which child had been abused sexually. To apply the principles of sensitivity and specificity to the assessment of child abuse or sexual abuse, we must have a gold standard which characterizes these problems. Neither a child protective services decision nor a legal determination of "no proven abuse" can be used as a gold standard, unless we can accept a "gold standard" made of iron pyrite.


PEDIATRICS ◽  
2008 ◽  
Vol 121 (Supplement 2) ◽  
pp. S109.1-S109 ◽  
Author(s):  
Maria Guadalupe Vega-Lopez ◽  
Guillermo J. Gonzalez-Perez ◽  
MPH Ana Valle ◽  
Maria E Flores ◽  
Samuel Romero-Valle ◽  
...  

1991 ◽  
Vol 3 (1) ◽  
pp. 19-29 ◽  
Author(s):  
Douglas Barnett ◽  
Jody Todd Manly ◽  
Dante Cicchetti

More than any other subtype of abuse and neglect, psychological maltreatment offers a number of unique challenges to theoreticians and researchers. Although progress has been made, contention still remains over the definition of psychological maltreatment and its relation to other forms of child abuse and neglect (Brassard, Germain, & Hart, 1987; Garbarino, Guttmann, & Seeley, 1986). Thus, the definition and operationalization of psychological maltreatment continue to be important issues that require further research and explanation. In fact, the development of standardized definitions and assessment techniques for all forms of maltreatment is crucial to increase communication across laboratories, and across disciplines.


2019 ◽  
Vol 31 (1) ◽  
pp. 95-111 ◽  
Author(s):  
Madelyn H. Labella ◽  
K. Lee Raby ◽  
Jodi Martin ◽  
Glenn I. Roisman

AbstractResearch suggests intergenerational links between childhood abuse and neglect and subsequent parenting quality, but little is known about the potential mechanisms underlying intergenerational continuities in parenting. Adult romantic functioning may be one plausible mechanism, given its documented associations with both adverse caregiving in childhood and parenting quality in adulthood. The present study used data from the Minnesota Longitudinal Study of Risk and Adaptation to (a) investigate prospective associations between childhood experiences of abuse and neglect and multiple parenting outcomes in adulthood, and (b) evaluate the degree to which adult romantic functioning mediates those associations. Information regarding childhood abuse and neglect was gathered prospectively from birth through age 17.5 years. Multimethod assessments of romantic functioning were collected repeatedly through early adulthood (ages 20 to 32 years), and parenting quality was assessed as participants assumed a parenting role (ages 21 to 38 years). As expected, childhood abuse and neglect experiences predicted less supportive parenting (observed and interview rated) and higher likelihood of self-reported Child Protective Services involvement. The association with interview-rated supportive parenting was partially mediated by lower romantic competence, whereas the association with Child Protective Services involvement was partially mediated by more relational violence in adult romantic relationships. Implications of these novel prospective findings for research and clinical intervention are discussed.


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