Service Outcomes Following Disclosure of Child Sexual Abuse During Forensic Interviews: An Exploratory Study

Few children disclose sexual abuse and participate in a formal investigation. Furthermore not all children that disclose abuse during a forensic interview receive services to address trauma or safety. Despite the importance of such outcomes little is known about which factors may influence when children will receive services. Through content analysis of 139 case records findings indicate that a child's race/ethnicity abuse-related factors and level of family support are all significant in predicting service and placement outcomes in child protection cases. Implications for social work practice include the need for ongoing engagement in culturally sensitive strengths-based practice with families     

Does caregiver abuse history relate to caregiver focus,support, and attendance at follow-up sessions in a child advocacy setting?

Utilizing quantitative and qualitative clinical service data collected at a Child Advocacy Center, the present study investigated whether caregiver history (history of childhood abuse or adult victimization, mental health treatment history) was associated with caregiver focus and attendance at a scheduled follow-up appointment. Results of mixed method analyses indicated that caregiver history of abuse was positively associated with caregivers being supportive/protective. Other than a history of prior service-related problems, our study did not identify any predictors of attendance at follow-up sessions. This and other findings are discussed in the context of engaging caregivers in child welfare services.     

Racial Disparities in Service Referrals for Families in the Child Welfare System

Among families in the child welfare system, family reunification depends largely upon the services to which families are referred. This study examines whether race/ethnicity influences the number and types of services to which families are referred. Findings suggest that compared to African American families, Hispanic families were more often referred to psychosocial services (e.g., mental health) than basic needs (e.g., housing). These findings indicate a need to reduce service referral disparities between ethnic groups.     

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.     

Opportunities for Prevention of Domestic Neglect and Abuse of the Elderly

Abstract

Recent research has demonstrated that domestic neglect and abuse of the elderly is not uncommon in the United States. It is a social problem that has not been extensively researched, however. One of the few studies, conducted in Michigan, found that the oldest and most frail elderly were a target group of elevated risk. Victims of neglect or abuse tend to be living with adult children or other informal caretakers who become neglectful or abusive when the burdens of providing care for a frail, elderly person interact with stress, little or no preparation for providing personal care over a long time span, medical problems of the caretaker, alcohol abuse, financial difficulties, and other situational factors. Family histories of neglect or abuse and other causal hypotheses have also been investigated. Recent studies are reviewed and found to be in general agreement regarding the nature and apparent dynamics of this emerging problem among the elderly. Opportunities for prevention are discussed in terms of current models of service to the aging and redirection of other public health and social services.     

Mental Health Treatment Experiences and Expectations in Foster Care: A Qualitative Investigation

This study explores perspectives on mental health treatment experiences and expectations for youth in foster care and their foster parents. In-depth interviews were conducted and identified for major themes: (1) the dual stigma of foster care and mental health care; (2) the lack of engagement in mental health therapy; (3) trust issues with the therapist and other individuals; and (4) the desire to integrate mental health services with primary care services. These results have implications for mental health service delivery and suggest opportunities to improve mental health treatment through an integrated care approach.     

PSYCHOSOCIAL CHANGE IN RISK GROUPS:

A consideration of psychosocial change in groups of infants and children at risk for schizophrenia, developmental retardation, delinquency, learning disability, substance abuse, child abuse, and hyperactivity leads to the conclusion that individuals are likely to move in and out of risk status as far as any given developmental phase is concerned. The frequency of review needed for disorders involving a long time span and major phases of development makes periodic developmental assessment by service providers more feasible than screening by an external screening team.     

HIV prevention services for adults with serious mental illness in public mental health care programs

Despite well-documented need, little is known about the HIV prevention services provided to adults with serious mental illness in the public mental health system. This study examined the types, frequency, and client-level correlates of HIV prevention services provided to a representative sample of clients in five public mental health care programs. Although results indicate that HIV prevention care is infrequent, clients identified as being at higher risk for HIV infection reported receiving prevention interventions more frequently. However, both the clients' gender and the service setting influenced the types and frequency of services that clients received.     

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.     

Alcohol and Other Drug Problems in Older Adults

SUMMARY

While there is considerable awareness and knowledge on the part of the health and human service community on the problems of the misuse and abuse of alcohol and other drugs in the general population, this unfortunately often does not extend to older adults, those who are 60+. Problems with alcohol and other drugs in older persons is in itself not a sudden crisis or new problem. However, as with any health problem affecting a specific demographic group, when the problem is not recognized and appropriately dealt with the repercussions pose greater risks for the individuals with the problem as well as for the larger community. This is particularly true in regard to older adults where natural physical changes and increased age related health risks can only be exacerbated by the misuse and abuse of substances.     

Rapid assessment of existing HIV prevention programming in a community mental health center

In preparation for implementation of a comprehensive HIV prevention program in a Community Mental Health Center for persons with mental illness who are also abusing substances, a rapid assessment procedure (RAP) of existing prevention services that may have developed in the setting over time was undertaken at baseline. In addition to an ecological assessment of the availability of HIV-related information that was available on-site, in-depth interviews and focus groups were conducted with Center administrators, direct-care staff, and mental health consumers. Results indicated that responses regarding available services differed depending upon type of respondent, with administration reporting greater availability of preventive programs and educational materials than did direct-care staff or mental health consumers themselves. But overall, formalized training on HIV prevention by case managers is extremely rare. Case managers felt that other providers, such as doctors or nurses, were more appropriate to deliver an HIV prevention intervention.     

Psychology in the community: a community psychologist looks at 30 years in community mental health

I review my 30 years in the community mental health field, emphasizing the personal and historical context that shaped this career. I especially highlight the origins of the values that guided significant career decisions, including family, neighborhood, religious and educational influences. The core guiding value was the belief that public service is both a privilege and an obligation, and that righting social injustice through such service is a noble calling. I trace the evolution of my thoughts and actions reflecting this value, from an early desire to "help children," through preparation to become a child psychologist, and ultimately to practice in a public community mental health setting and a career dedicated first to primary prevention and then to broader safety net services for those in need. I highlight a corresponding intellectual evolution as well, a progressive change in identity from "clinical psychologist in the community" to community psychologist.     

Stress,Coping, and Black Mental Health:

Despite the fact that blacks are disproportionately exposed to social conditions considered to be antecedents of psychiatric disorder, epidemiologic studies have not conclusively demonstrated that blacks exhibit higher rates of mental illness than whites. The present paper employed a research approach which considered not only rates of psychological distress, but also the stressors that blacks face and thc various coping strategies used to adapt to those stressors. The data were obtained from the National Survey of Black Americans, the first study of a national probability sample of the adult black population. The information on mental health and coping was collected within the context of a single stressful personal problem. The analysis indicates that prayer was an extremely important coping response used by blacks especially among those making less than $10,000, above the age of 55 and women. The informal social network was used quite extensively as a means of coping with problems. This was true for all sociodemographic groups studied. The young (18-34) were less likely than those age 35 and above to seek professional help, while women were more likely than men to seek formal assistance. Income was not related to professional help seeking. With respect to the use of specific professional help sources, hospital emergency rooms, private physicians and ministers were used most frequently. The implications of these findings for research on black mental health and primary prevention are discussed.     

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.     

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。     

Supports for Families Affected by Substance Abuse

Using an in-home services program model, Project Connect works collaboratively with the child welfare system, substance abuse treatment providers, the courts, and other community agencies to support parental recovery, enhance safety and permanency, and strengthen family relationships. Results from the most recent evaluation of the program, which used a dosage level design to examine project outcomes for 415 families, are presented here. Data indicate that the program was particularly helpful in strengthening parenting capacity. Child safety and permanency were also positively correlated with program participation.     

Primary Prevention for Children:

This paper discusses the role of needs assessment procedures in the development of effective primary prevention strategies for children and youth. A number of techniques which may be employed in the assessment of need for such services are presented and their strengths and limitations for such application are discussed. Particular problems for needs assessment planning and implementation stemming from differences in the goals and objectives of preventive, as opposed to more traditional mental health services for children, are elaborated and possible strategies for their resolution suggested.     

The Relationship Between Use of Specific Services,Parental Problems,and Reunification With Children Placed in Foster Care

Research studies have found that for parents with children in foster care, use of problem-targeted services increases the likelihood of reunification. However, available research focuses almost entirely on substance abusing mothers, and rarely considers parents' use of parenting classes and counseling, services that are commonly ordered for most reunifying parents. This study examined the effects of parents' use of specific services on reunification. Findings suggest that in addition to parents' use of problem-targeted services, use or compliance with parenting classes and counseling services is also heavily weighted in reunification decision-making. Further research is needed to identify factors associated with service use and advance our understanding of the effectiveness of reunification services.     

Substance Abuse Prevention Among High Risk Youth

The abuse of alcohol and other drugs (AOD) by youth is, once again, on the rise, emphasizing the need for prevention intervention. This article discusses the research on the prevention of substance abuse among youth who are identified as especially vulnerable to, or at high risk of, AOD abuse. The individual, interpersonal, and institutional risk factors associated with substance abuse among youth are described. Research on prevention programs for high risk youth is presented next, with a consideration of the methodological problems associated with this research. Despite the problems noted, the findings suggest there may be some effective methods of preventing substance abuse among high risk youth. The article concludes with a discussion of implications for prevention practice, as well as social policy.