Translating the Adverse Childhood Experiences (ACE) Study into Public Policy: Progress and Possibility in Washington State

On June 15, 2011, Washington became the first state in the United States to enact legislation aimed at preventing adverse childhood experiences (ACE), reducing their prevalence, and mitigating their effects. House Bill 1965 (HB 1965) was established on the understanding among legislators and Washington communities of the need for policies aimed at preventing child abuse, promoting healthy development of children, and building community capacity to improve public health. Empirical examples of integrating ACE-related research with public policy and programmatic design are chronicled. The legislators who developed HB 1965 lay out questions that, if answered, would further improve policymakers' ability to craft public policy and programs that prevent ACE, reduce their effects, and promote a healthier, safer future.     

Age Differences Among Homeless Individuals: Adolescence Through Adulthood

The present study examines differences between homeless adolescents, young adults, and older adults served by homeless shelters or food programs to inform service provision. Four homeless studies using the same sampling and measurement methods were pooled to permit comparisons across age groups. Results showed that homeless adolescents demonstrated greater resilience than younger and older adults. Adolescents reported the shortest duration of homelessness, lowest number of life stressors, fewest physical symptoms, largest social networks, and fewest clinically significant mental health problems. Adolescents also received fewer alcohol and drug abuse diagnoses than younger and older adults. Younger adults reported less time homeless and fewer physical symptoms than older adults, but more life stressors. Younger adults also endorsed higher levels of hostile and paranoid psychological symptoms. Implications for service provision and policy are discussed.     

论我国防治虐童行为法律体系的完善--基于法教义学的分析

虐童行为主要表现为躯体虐待、情感虐待、性虐待及忽视等形式,对儿童身心健康会造成潜移默化的损害,进而阻碍儿童身心的健康发展。《儿童权利公约》规定了儿童的生命权和发展权等基本权利,上述权利免受一切形式的暴力侵害是其应有之义。当前,我国已构建以宪法为统领、以未成年人保护法为核心的防治虐童行为法律体系,同时以司法机关和行政机关出台的司法解释文件、部门规章予以补充。在法治社会建设过程中,以法教义学的研究方法为切入点,结合相关案例对我国防治虐童行为法律体系进行全面梳理并进行体系化的分析,可以为我国防治虐童行为法律的进一步完善提供有益的思路。     

Parental attitudes following exposure to child abuse prevention campaign materials: a randomized trial

The purpose of this study was to evaluate child abuse prevention campaign materials. Using a randomized posttest design, 600 parents from an online research panel were recruited and surveyed. Multiple regression results indicate that exposure to the campaign materials had a significant relationship with four of the five domains (effects of child maltreatment, the appropriateness of harsh parenting, the physical dangers and needs unique to childhood, and the power to prevent child maltreatment). These results have implications for the child abuse prevention practitioners who seek to design and distribute effective campaign materials.     

Police Charging Decisions in Child Maltreatment Investigations: Findings from the 2008 Ontario Incidence Study of Reported Child Abuse and Neglect

The objective of this study was to use logistic regression and examine factors that influence charging decisions by the police during child maltreatment investigations. An estimated 4,808 substantiated child maltreatment investigations that involved police were obtained from the 2008 Ontario Incidence Study of Reported Child Abuse and Neglect. Of the 4,808 cases examined, police laid charges in about one-third of the cases. Controlling for all other factors, police were 1.6 times more likely to lay charges in physical abuse cases and 2.5 times more likely to lay charges in sexual abuse cases. Other factors associated with police charging decisions include: older victim, cases with multiple types of maltreatment, cases opened for ongoing services, and cases of the child living in a house known to have drugs or household hazards. The article discusses the results and their implications for child welfare policy and practice.     

Bullying in Childhood,Externalizing Behaviors,and Adult Offending: Evidence From a 30-Year Study

This study examined the developmental processes linking childhood bullying to criminal offending in adulthood, using data from a 30-year longitudinal study. The linkages between bullying in childhood and three criminal offending outcomes in adulthood were estimated both before and after control for a range of confounding factors. A series of protective factors that potentially mediated these linkages were also examined. The results of the study showed that while the majority of the association between childhood bullying and adult offending could be explained by confounding factors including childhood externalizing behavior, there was evidence for direct linkages from bullying to violent offending and arrest/conviction. There was little evidence to suggest mediation of the associations. The results suggest that bullying prevention requires interventions aimed specifically at bullying behavior.     

Developing a Tripartite Prevention Program for Impoverished Young Women Transitioning to Young Adulthood: Addressing Substance Use,HIV Risk,and Victimization by Intimate Partners

Little is known about the transition to adulthood for adolescent females and young women who are impoverished and homeless. Co-occurrence of drug use and abuse, HIV risk, and victimization is notable among homeless women, highlighting the need for comprehensive interventions. Unfortunately, evidence-based prevention approaches addressing these inter-related problems among impoverished women transitioning into adulthood are lacking. To address this gap, we designed an innovative prevention program by utilizing open- and closed-ended interview data from impoverished women (n = 20), focus groups with community experts and providers (2 groups; n = 9), and a theoretical framework to direct the research. Information provided by our focus groups and interviews with women supported our theoretical framework and highlighted the importance of addressing normative information, providing skills training, and utilizing a non-confrontational approach when discussing these sensitive issues.     

We're All in This Together: Moving Toward an Interdisciplinary Model of Practice Between Child Protection and Substance Abuse Treatment Professionals

Many studies have documented the deleterious effect of substance abuse on the child protection system. The lack of collaboration between child protection and substance abuse treatment professionals has been identified as a contributing factor related to poor outcomes among parents with histories of addiction. The purpose of this study was to identify key components and conflicts of interdisciplinary practice between 21 child protection and substance abuse treatment professionals. The interdisciplinary components and conflicts were: having a shared vision, presenting as a unified team, having different goals, taking sides, and limited information sharing and involvement. Moving toward an interdisciplinary model of practice is vital to providing families with histories of addiction with the optimal chance for success.     

Intrafamilial Child Sexual Abuse in the Hispanic Community:

This paper outlines prevention strategies using mar keting techniques in the area of intrafamilial child sexual abuse for the Hispanic community. Data from a study of child sexual abuse in the hispanic community are presented. These data point out a few of the sociocultural similarities and differences between Hispanic and non-Hispanic cases. The paper suggests the use of broadcast media, Spanish language formats targeting audiences, and the use of spokespersons as factors in prevention program development.     

A Statewide Study of the Public's Knowledge of Child Abuse Reporting Laws

This study conducted telephone interviews with a random sample of adults (N = 509) in a state with a universal child abuse reporting law. A substantial proportion of the interviewees (39%) were not aware of this law. Findings indicated that the public's understanding was mixed. Most respondents knew that reports could be made anonymously and that their identity could be kept private. However, most believed that children are automatically removed from the home if there is maltreatment and more than 50% were not aware they could be charged with a misdemeanor for failing to report a suspicion of child abuse. The respondents who had ever made a report (19%), had a greater knowledge of the laws than those who had not made a report. Older adults and those with less education had the least accurate perception of child abuse reporting policies. When asked about barriers to reporting, respondents cited worries that reporting would not help the child. Findings suggest that efforts to increase the public's comfort with reporting may require strategies to increase their confidence that the benefits will outweigh the risks for the child.     

In the Eye of the Reformer: Higher Education Personnel Perspectives on Campus Sexual Assault Policy Implementation

ABSTRACT

Despite recent attention to campus sexual assault (CSA), we know little about how institutions of higher education (IHE) have approached policy reform. Using anonymous web-based survey responses of 190 staff, faculty, and administrators from IHEs, we examined priorities that guided CSA policy implementation, as well as characteristics that explain attitudes toward CSA policy reforms. Respondents were significantly more likely to think policies had improved than to think that CSA is exaggerated or feel frustrated by the process of implementing CSA reforms. Respondents were also more likely to name due process and fairness as a high priority on their campus than creating a victim-centered response or managing the campus’ public image, suggesting that IHEs have carefully considered due process protections as they have implemented policies.     

完善儿童权益保护之探析——以设立虐童罪为视角

少年之于国家的重要性是不言而喻的,我们理应保证未成年人有一个健康安全的成长环境,然而近年来越来越多虐待儿童事件的爆发,引起了人们对于儿童健康成长的强烈关注。目前,我国尚未设立虐童罪,然而调查表明90%的人支持设立虐童罪。随着虐童事件的发酵,关于虐童罪的讨论成为最受关注的话题之一。鉴此,分析虐童现象及其产生的原因,通过立法增设"虐童罪",无疑是遏制虐童现象的重要举措。     

Mobilizing Resilience and Recovery in Response to Adverse Childhood Experiences (ACE): A Restorative Integral Support (RIS) Case Study

The Restorative Integral Support (RIS) model is a comprehensive, whole person approach to addressing adversity and trauma. The Adverse Childhood Experiences (ACE) Study conducted by the Centers for Disease Control (CDC) and Kaiser Permanente reveals a relationship between childhood trauma and adult health and social problems. The current empirical case study presents the Committee on the Shelterless (COTS), in Petaluma, CA, as an example of one social service agency employing RIS to break cycles of homelessness. By applying RIS, research-based programming is offered within a culture of recovery that mobilizes resilience through social affiliations. The authors recommend RIS model implementation and research in programs serving populations with ACE backgrounds.     

Adolescent Parents and Their Children: A Multifaceted Approach to Prevention of Adverse Childhood Experiences (ACE)

Childhood experiences can have long-term effects. Research shows that children who undergo adverse childhood experiences (ACE) often have negative health and mental health outcomes later in life. Children of adolescent parents with high ACE Scores are at greater risk of ACE. As such, an intergenerational approach to preventing ACE is proposed in this article, addressing the needs of both the adolescent parent and their children. A review of the literature indicates that a public health perspective can guide the development of a prevention model aimed at reducing the effects of ACE. The current article proposes a universal, multifaceted, and interdisciplinary prevention science model that has two targets: adolescent parents and their children. Schools and early childhood programs can be mobilized to offer community prevention strategies across realms to include the individual, community, provider, coalitions/networks, organizational practices, and policy/legislation.     

Triple jeopardy for HIV: substance using Severely Mentally Ill Adults

Severely Mentally Ill (SMI) adults have disproportionately high HIV seroprevalence rates. Abuse of alcohol and other substances (AOD) and lifetime exposure to trauma by others are particularly potent risk factors, which, in combination with psychiatric disabilities, create triple jeopardy for HIV infection. This study examined the predictive utility of demographic characteristics; history of physical, emotional, or sexual abuse; extent of drug and alcohol abuse; knowledge about HIV/AIDS; sexual self-efficacy; and condom attitudes toward explaining the variance in a composite of HIV high-risk behavior among 188 SMI women and 158 SMI men. History of sexual abuse, engaging in sexual activities while high on substances, and lower cannabis use were the most significant predictors of HIV sexual risk behaviors. Given the triple jeopardy for HIV risk in this population, a triple barreled approach that simultaneously addresses multiple health risks within an integrated treatment setting is warranted.     

Adverse Childhood Experiences (ACE) Within a Social Disadvantage Framework: Distinguishing Unique, Cumulative, and Moderated Contributions to Adult Mental Health

The deleterious impact of adverse childhood experiences (ACE) may be confounded with frequently co-occurring social disadvantage. In this analysis we test the effects of ACE on adult mental health within a social disadvantage framework, using a population-based survey (n?=?7,444; mean age?=?55.2 years) from Washington State. We also examined the protective effects of socioemotional support, and the distinct and combined contribution of the measured ACE factors. Results demonstrated sustained impact of ACE on mental health many decades later, even net of social disadvantage and demographic contributors. Protective factors provided both direct and moderating influences, potentially masking the elevated effects of ACE for those with few resources. Toxicity examination of ACE items evinced differential effects of ACE experiences on mental health. These results demonstrate that interventions ameliorating the effects of ACE and bolstering protective resources such as socioemotional support may be effective toward augmenting mental health even late in life.     

Sexual Assault within Intimate Partner Violence: Impact on Helpseeking in a National Sample

Within intimate partner violence (IPV), sexual assault is often subsumed under the heading of physical abuse, but evidence suggests qualitative differences in outcomes when both types of abuse occur. This study explores the cumulative effect of sexual assault and physical abuse by a current or former intimate partner on helpseeking. Using a dataset of 1,072 IPV victims from 8 states, we found that women who had experienced sexual assault in addition to physical abuse (44%) used more help, but were also more likely to say that they did not seek help when they needed it. Among those who were aware of services, fear was the greatest obstacle to reaching out for help. Implications include the need for information on best practices in addressing the sequelae of both physical and sexual assault in victim service agencies.     

困境与出路：预防本位下“虐童罪”之设立——以浙江温岭颜某某虐童案为例

我国现行立法无法有效规制虐童行为,主张扩大虐待罪、故意伤害罪的适用范围或增设虐待被保护人罪存在理论上的缺陷。基于罪名所具有的针对犯罪人的特殊预防功能和针对社会公众的一般预防功能,以预防为本位增设＂虐童罪＂是规制虐童行为的最佳选择。借鉴域外法之规定并结合我国当前立法现状,＂虐童罪＂的罪状应表述为＂以报复、取乐或侮辱为目的,虐待不满十四周岁的未成年人,情节恶劣的＂。     

The role of community in facilitating service utilization

Guided by an integrated theory of parent participation, this study examines the role community characteristics play in influencing a parent's decision to use voluntary child abuse prevention programs. Multiple regression techniques were used to determine if different community characteristics, such as neighborhood distress and the community's ratio of caregivers to those in need of care, predict service utilization levels in a widely available home visiting program. Our findings suggest that certain community characteristics are significant predictors of the extent to which families utilize voluntary family supports over and above the proportion of variance explained by personal characteristics and program experiences. Contrary to our initial assumptions, however, new parents living in the most disorganized communities received more home visits than program participants living in more organized communities. The article concludes with recommendations on how community capacity building might be used to improve participant retention.