Development of a Comprehensive Child Protection Support Service model and its effects on child maltreatment recurrence prevention

2021 ◽  
Vol 25 (1) ◽  
pp. 49-74
Author(s):  
Haerynn Jeong ◽  
Bong Joo Lee
Keyword(s):  
Child Maltreatment ◽  
Child Protection ◽  
Support Service ◽  
Service Model ◽  
Recurrence Prevention

Addressing cumulative harm: responding to chronic child maltreatment in the context of an intensive family support service

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Simone Collier ◽  
India Bryce
Keyword(s):  
Child Maltreatment ◽  
Service Delivery ◽  
Family Support ◽  
Child Protection ◽  
Childhood Adversity ◽  
Support Service ◽  
Assessment Method ◽  
Childhood Experiences ◽  
Content Type ◽  
The Impact

Purpose Adverse childhood experiences that are consistently experienced over a sustained period of time throughout childhood result in an accumulation of childhood adversity, which is often referred to in the literature as cumulative harm. This paper aims to closely examine statutory child protection practice, which favours an episodic and incident-focused approach to assessing risk and harm, failing to account for the evaluation of the accumulation of adversity and harm, commonly experienced by children exposed to maltreatment. The paper defines an existing gap in practice frameworks to adequately identify and respond to the accumulation of adversity. Design/methodology/approach Drawing on practice experiences in Queensland Australia, the paper examines service delivery responses to cumulative harm in the context of the Intensive Family Support model of service delivery. Findings Within current frameworks for child protection service delivery, there is no method of assessing the diverse and cumulative effects of ongoing chronic child maltreatment and adversity, despite research confirming that cumulative harm very often co-occurs with other child protection concerns. To effectively and collaboratively intervene in matters of chronic and cumulative abuse and neglect, practitioners and stakeholders must be guided by frameworks and assessments that accurately recognise and acknowledge the impact of ongoing exposure to adverse experiences and maltreatment. Research limitations/implications The need for a valid and reliable assessment method that draws together all elements contributing to the chronic maltreatment experience for a child and family: multiplicity, diversity and severity. Social implications Practice solutions tailored to each child’s specific cumulative experiences of adversity and maltreatment will promote better social, emotional and health outcomes across the lifespan. Originality/value This paper highlights a significant gap in assessment and practice frameworks and advances the impetus for cumulative harm to be proactively integrated into social care and service delivery.

scholarly journals Early Prevention of Maternal Sexual Abuse

2021 ◽  
Author(s):  
Jelena Gerke ◽  
Tatjana Dietz
Keyword(s):  
Sexual Abuse ◽  
Early Childhood ◽  
Child Sexual Abuse ◽  
Child Maltreatment ◽  
Child Protection ◽  
Early Prevention ◽  
Marginalized Groups ◽  
Raising Awareness ◽  
Hebrew University ◽  
Research Findings

AbstractChild sexual abuse has been discussed thoroughly; however, marginalized groups of victims such as victims of child sexual abuse in early childhood and victims of maternal sexual abuse have rarely been considered. This essay combines these two relevant perspectives in child protection and aims to pin out future directions in the field of child abuse and specifically maternal sexual abuse and its early prevention. In the course of the 7th Haruv International PhD Workshop on Child Maltreatment at the Hebrew University, Jerusalem, in 2019 the topics of maternal sexual abuse and early prevention of child maltreatment in Germany were discussed and intertwined. Problems concerning the specific research of maternal sexual abuse in early childhood and prevention were identified. Both, maternal sexual abuse as well as sexual abuse in early childhood, i.e. before the age of three, are underreported topics. Society still follows a “friendly mother illusion” while recent cases in German media as well as research findings indicate that the mother can be a perpetrator of child sexual abuse. Similarly, sexual abuse in early childhood, namely abuse before the age of three, is existent; although the recognition of it is difficult and young children are, in regards to their age and development especially vulnerable. They need protective adults in their environment, who are aware of sexual abuse in the first years of life. Raising awareness on marginalized or tabooed topics can be a form of prevention. An open dialog in research and practice about the so far marginalized topics of maternal sexual abuse and sexual abuse in early childhood is crucial.

scholarly journals The Emergence of Child Protection Capacities in Oman

2021 ◽  
Author(s):  
Medical Journal ◽  
Shamsa S. Al Balushi ◽  
Gillian Morantz ◽  
Geoffrey Dougherty
Keyword(s):  
Child Maltreatment ◽  
Child Protection ◽  
Protection System ◽  
Health It ◽  
Potential Harm ◽  
Gulf Countries ◽  
Abuse And Neglect ◽  
Basic Reference ◽  
Widespread Phenomenon ◽  
Keywords Child

Child Maltreatment (CM) is the abuse and neglect of children under the age of 18 years. It has many types which results in actual or potential harm to the child’s health. It is a widespread phenomenon and is well reported from western countries in contrast with the gulf countries. Reports documenting CM from Oman are now available. The aim of this review is to provide an overview of the state and the patterns of Child Maltreatment in Oman. It will also addresses the current Child Protection System (CPS) in Oman and the sociocultural considerations . The study was conducted by reviewing all relevant medical literature published in English before 2020. It will serve as a basic reference in the field of CM in Oman. It should help to identify lacunas in the current CPS, and guide to the establishment of a more effective one. Keywords: Child Maltreatment; Child Protection System; Oman.

In Reply: Residency Training and Child Abuse

PEDIATRICS ◽  
1989 ◽  
Vol 83 (5) ◽  
pp. 806-807
Author(s):  
HOWARD DUBOWITZ
Keyword(s):  
Child Abuse ◽  
Child Maltreatment ◽  
Residency Training ◽  
Child Protection ◽  
The State ◽  
State Agencies ◽  
Initial Report ◽  
Pediatric Residents ◽  
Medical Opinion ◽  
The Family

Dr Johnson provides interesting data indicating the need for improved training in child maltreatment for pediatric residents. I agree with most of his suggestions and would like to make several additional observations. Even when pediatricians might see themselves in a screening role, it is apparent that a report of child abuse can have far-reaching ramifications, such as removal of the child from the family. Frequently, the state agencies involved in child protection give enormous weight to the medical opinion, perhaps too much at times, and so it becomes important that the initial report be reasonably justified.

scholarly journals Association between child maltreatment and central sensitivity syndromes: a systematic review protocol

BMJ Open ◽  
2019 ◽  
Vol 9 (2) ◽  
pp. e025436 ◽  
Author(s):  
Joht Singh Chandan ◽  
Tom Thomas ◽  
Karim Raza ◽  
Siddhartha Bandyopadhyay ◽  
Krishnarajah Nirantharakumar ◽  
...  
Keyword(s):  
Child Maltreatment ◽  
Child Protection ◽  
Binary Data ◽  
Myofascial Pain ◽  
Meta Analysis ◽  
Grey Literature ◽  
Pain Syndrome ◽  
Chronic Fatigue ◽  
Cochrane Library ◽  
Chronic Lower Back Pain

IntroductionA growing body of evidence is identifying the link between a history of child maltreatment and a variety of adverse health outcomes ultimately leading to significant social and healthcare burden. Initial work has identified a potential association between child maltreatment and the development of a selection of somatic and visceral central sensitivity syndromes: fibromyalgia, chronic fatigue syndrome, temporomandibular joint disorder, chronic lower back pain, chronic neck pain, chronic pelvic pain, interstitial cystitis, vulvodynia, chronic prostatitis, tension-type headache, migraine, myofascial pain syndrome, irritable bowel syndrome and restless legs syndrome.Methods and analysisPrimary electronic searches will be performed in the Embase, MEDLINE, PubMed, Scopus, PyscINFO, CINAHL and Cochrane Library databases and a number of Grey Literature sources including child protection and paediatric conference proceedings. Following independent screening of studies by two review authors, the Preferred Reporting Items for Systematic Reviews and Meta-Analyses template will be used to aid extraction. A meta-analysis will be conducted on the included case-control and cohort studies. The Newcastle-Ottawa grading system will be used to assess the quality of included studies. Results will be expressed as pooled ORs for binary data and mean differences for continuous data.Ethics and disseminationEthics approval will not be required. The final results of the review and meta-analysis will be submitted for peer-review publication and also disseminated at relevant conference presentations.PROSPERO registration numberCRD42018089258.

Assessing, Consulting, Reporting Heuristics in Professional Decision-Making Regarding Suspected Child Maltreatment in Community Healthcare Services

2020 ◽  
pp. 107755952093735
Author(s):  
Guy Enosh ◽  
Ravit Alfandari ◽  
Hani Nouman ◽  
Lilach Dolev ◽  
Hagit Dascal-Weichhendler
Keyword(s):  
Decision Making ◽  
Child Maltreatment ◽  
Community Health ◽  
Child Protection ◽  
Healthcare Professionals ◽  
Health Management ◽  
Survey Design ◽  
Healthcare Services ◽  
Community Health Services ◽  
Community Healthcare

This study investigated child protection decision-making practices of healthcare-professionals in community-health-services. We examined the effect of heuristics in professional judgments regarding suspected maltreatment, as affected by the child’s ethnicity, gender, and family socioeconomic-status, as well as the healthcare-worker’s workload-stress, and personal and professional background. Furthermore, we examined how these variables influence judgments regarding suspected maltreatment and intentions to consult and report child-maltreatment. We used an experimental survey design including vignettes manipulating the child’s characteristics. Data was collected from 412 professionals employed at various community-health-service-clinics of the largest health-management organization in northern Israel. Findings show that all subjective factors have a significant effect on suspected child-maltreatment assessment, which appears as a significant predictor of later decisions regarding consultation and reporting. This study lends support to prior research indicating that healthcare-professionals’ decisions may incorporate biases, and suggests how the effects of these biases’ are mediated through a sequence of decisions. Recommendations focus on providing regular consultation opportunities for practitioners.

scholarly journals How parents suspected of child maltreatment change their cognition and behavior: A process model of outreach and child protection, generated via grounded theory

2016 ◽  
Vol 71 ◽  
pp. 257-265 ◽  
Author(s):  
Kota Takaoka ◽  
Fumitake Mizoguchi ◽  
Ichiro Wada ◽  
Michiko Nakazato ◽  
Tetsuya Shiraishi ◽  
...  
Keyword(s):  
Grounded Theory ◽  
Child Maltreatment ◽  
Child Protection ◽  
Process Model ◽  
And Behavior

Child protection, risk assessment and blame ideology

2008 ◽  
Vol 33 (1) ◽  
pp. 18-24 ◽  
Author(s):  
Philip Gillingham ◽  
Leah Bromfield
Keyword(s):  
Risk Assessment ◽  
Decision Making ◽  
Child Maltreatment ◽  
Significant Influence ◽  
Child Protection ◽  
Qualitative Data ◽  
Risk Society ◽  
Best Interests ◽  
The Future

In this article we use qualitative data drawn from a sample of child protection cases to demonstrate how the process of attributing blame to parents and carers for child maltreatment is a significant influence on decisionmaking, sometimes to the detriment of assessing the future safety of children. We focus on two cases which both demonstrate how the process of apportioning blame can lead to decisions which might not be considered to be in the best interests of the children concerned. We conceptualise blame as an ‘ideology’ with its roots in the discourse of the ‘risk society’, perpetuated and sustained by the technology of risk assessment. The concept of blame ideology is offered as an addition to theory which seeks to explain the influences on decision making in child protection practice.

scholarly journals Examining the Prospects for Developing a National Child Maltreatment Surveillance System in Ireland

2021 ◽  
Author(s):  
Donna Leary ◽  
Olive M. Lyons
Keyword(s):  
Child Maltreatment ◽  
Child Protection ◽  
Surveillance System ◽  
Public Health Approach ◽  
Surveillance Programme ◽  
National Surveys ◽  
Policy Context ◽  
Irish Government ◽  
Irish Data ◽  
Regional Committee

AbstractThe Irish Government pledged to reducing the prevalence of child maltreatment under the WHO Regional Committee for Europe plan on reducing child maltreatment. As a first step towards a rights-based and public health approach to maltreatment prevention, the WHO plan recommends making child maltreatment more visible across the region, with better surveillance through the use of national surveys that use standardized, validated instruments. We review the policy context, present current Irish data holdings, and outline some of the complexities reported in the literature concerning various surveillance methods in the context of the proposal to establish and maintain a surveillance system for CM in Ireland. Conclusions highlight the need for Ireland to adopting an approach to surveillance as soon as it is feasible. The paper outlines how such a programme is necessary to address the current absence of evidence on which prevention policies can be developed and to compliment the current child protection system. Drawing on a review of current methods in use internationally, we outline options for an Irish child maltreatment surveillance programme.

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