Child abuse & neglect
-
Child abuse & neglect · Jun 2012
Supervisory neglect and risk of harm. Evidence from the Canadian Child Welfare System.
This study explores prevalence and characteristics associated with supervisory neglect and physical harm in children in the child welfare system in Canada. ⋯ Child risk factors are often present in cases of supervisory neglect with physical harm. Nonetheless, 96% of all cases of supervisory neglect substantiated by Canadian child welfare authorities do not involve physical harm. Clearer guidelines are needed for the assessment of supervisory neglect. Alternative response systems may be more suitable for low-risk cases.
-
Child abuse & neglect · Jun 2012
Parental agreement of reporting parent to child aggression using the Conflict Tactics Scales.
This study examined mothers' and fathers' reporting congruency using the Parent-Child Conflict Tactics Scales. We asked if the mother's report of the father's parenting aggression was consistent with the father's self-report of parenting aggression and if the father's report of the mother's parenting aggression was consistent with the mother's self- report of those same behaviors. We assessed moderators of parental reporting congruency: severity of the aggression, interparental conflict, child temperament, and child gender. ⋯ Prior studies indicate only a moderate level of agreement in couples' reports of violence between intimate partners and suggest that perpetrators tend to underreport their use of aggression. The results of this study suggest that parents may be more consistent in their reports of parent to child violence using the Parent-Child Conflict Tactics Scales than they are when reporting intimate partner violence. The results suggest that parental reports of their spouse's parent to child aggression are reliable.
-
Child abuse & neglect · Jun 2012
Child maltreatment and onset of emergency department presentations for suicide-related behaviors.
To determine whether the rates of a first presentation to the emergency department (ED) for suicide-related behavior (SRB) are higher among children/youth permanently removed from their parental home because of substantiated maltreatment than their peers. To describe the health care settings accessed by these children/youth before a first SRB presentation to help design preventive interventions. ⋯ Children/youth permanently removed from their parental home because of substantiated child maltreatment are at an increased risk of a first presentation to the ED for SRB. The prevention of child maltreatment and its recurrence and the promotion of resilience after maltreatment has occurred are important avenues to study toward preventing ED SRB presentations in children/youth. Provider and system level linkages between care sectors may prevent the need for such presentations by providing ongoing environmental support.
-
Child abuse & neglect · May 2012
Diagnostic accuracy in child sexual abuse medical evaluation: role of experience, training, and expert case review.
(1) The purpose of this study was to assess the ability of clinicians who examine children for suspected sexual abuse to recognize and interpret normal and abnormal ano-genital findings in magnified photographs using an online survey format. (2) Determine which factors in education, clinical practice, and case review correlate with correct responses to the survey questions. ⋯ Child Abuse Pediatricians, examiners who perform many CSA examinations on a regular basis, examiners who regularly review cases with an expert, and examiners who keep up to date with current research have higher total scores in this survey, suggesting greater knowledge and competence in interpreting medical and laboratory findings in children with CSA. Review of cases with an expert in CSA medical evaluation and staying up to date with the CSA literature are encouraged for non-specialist clinicians who examine fewer than 5 children monthly for suspected sexual abuse.