A Longitudinal Study of Modifying Influences in the Relationship Between Domestic Violence and Child Maltreatment

The increased risk of child maltreatment in the presence of domestic violence is well documented, but much remains unknown about factors that modify this relationship. This study investigates the roles of risk and protective factors in the relationship between domestic violence and being reported to the Department of Social Services for child maltreatment. Consistent with the literature, we find a significant overlap between domestic violence and maltreatment. Young maternal age, low education, low income, and lack of involvement in a religious community add to the risk for maltreatment associated with domestic violence. Separation between the maternal caregiver and her partner significantly reduces the risk for maltreatment when domestic violence is reported. A significant reduction in the risk for maltreatment is also found with higher levels of support from the maternal caregiver reported by the child in the context of domestic violence.     

THE FORGOTTEN BONDS: THE ASSESSMENT AND CONTEMPLATION OF SIBLING ATTACHMENT IN DIVORCE AND PARENTAL SEPARATION

Attachment theory is increasingly being considered when contemplating post‐divorce parenting plans. Historically, there has been a strong emphasis on assessing the strength of the parent‐child bond as well as a child's attachment style. Surprisingly little research has focused on sibling bonds and the implications for post‐divorce parenting plans. This article provides an overview of sibling attachment theory, sibling attachment considerations in foster care decisions, and the limited research examining sibling attachment in divorce and parenting schedules. Several key questions are offered for mental health and legal professionals to consider when factoring sibling relations into post‐separation parenting plans.     

Practice tips for managing challenges in parenting capacity assessments in child protection court

Courts frequently rely on parenting capacity assessments to make decisions about visitation and case progress in child protection court. Although these evaluations can provide valuable information to courts, they often involve assessing areas of human behavior that are not clearly defined in the literature. For example, mental health professionals are often tasked with identifying risk and protective factors for child maltreatment while identifying factors that can impede progress towards reunification. Although some of these factors may be easy to identify and assess (e.g., symptoms of mental illness or substance abuse), others may be more challenging. For example, factors such as denial and minimization about risk factors and maltreatment, a parent(s)’ ability to protect their child(ren) from future incidents of maltreatment, the parent(s)’ potential for change, and the consideration of what is in the best interest of the child are hard to assess. This article will provide a summary of the research in these areas, provide tips for managing these areas, and highlight directions for future investigation that will help inform parenting capacity assessments in child protection court.     

Ecological correlates of neglect in infants and toddlers

Infants and toddlers are more likely to be victims of neglect than any other form of maltreatment. Infants and toddlers are at highest risk of fatality because of maltreatment and experience behavioral, social, academic, medical, and cognitive consequences of neglect during their most formative years. Within an ecological framework, this study examines the correlates of the substantiation of neglect in children 0 to 36 months of age. Using an ex post facto design and a random sample of 148 child protective services cases, bivariate analysis revealed significant differences in families who were substantiated for neglect in the areas of child characteristics, home environment, social environment, caregiver, and maltreatment situations. Multivariate analysis found children who were substantiated for neglect were exposed to greater environmental dangers and had caregivers who had poor parenting skills. Implications for practice and future research are discussed.     

Consideration of Risk and Protective Factors for Families at Risk for Child Maltreatment: An Intervention Approach

Child maltreatment is associated with a complex interplay of risk and protective factors. Intervention service decisions for child maltreatment need an empirically-supported approach integrating targeted risk and protective factors. A literature review led to the proposed approach to address the interplay between risk (intimate partner violence; IPV and depression) and protective factors (social support and family resources) to help guide decision-making in home-based prevention services for vulnerable families. This approach suggests that social support and family resources are two pivotal protective factors in buffering against child maltreatment potential, while addressing core risk factors. This approach is consistent with research suggesting that home-based parenting programs should target central risk and protective factors in child maltreatment. Application of this approach can guide training of providers delivering home-based services and support decision-making. Future research is warranted to test this approach in empirically-supported interventions.     

Using Reasonable Efforts Determinations to Improve Systems and Case Practice in Cases Involving Family Violence and Child Maltreatment

The Adoption and Safe Families Act (ASFA) of 1997 reinforced that the safety, permanency, and well‐being of the child should be the primary concerns when making decisions about child protection interventions, child placement, and efforts at reunification. The court's role in oversight of agency practice in individual cases through the requirement of specific judicial findings as a condition of receipt of certain funding was also maintained and strengthened by ASFA. Based on the recognition of the number of cases where there is a co‐occurrence of domestic violence and child maltreatment, there is a need for communities and agencies to set reasonable expectations of good practice for responding to the issues raised. As the community sets the expectations of good practice through agency policy, training, and service delivery, the judiciary, through the findings regarding “continuation in the home” or “reasonable efforts” in each individual case, provides the oversight of practice required by ASFA. This article will explore the current applications of reasonable efforts, discuss ways that courts and communities are defining the concept, and examine the need for the development of a reasonable efforts protocol.     

African American Caregivers and Substance Abuse in Child Welfare: Identification of Multiple Risk Profiles

Despite the strong correlation between caregiver substance abuse and child maltreatment, little information exists to understand the typology of African American caregivers with substance abuse problems in the child welfare system. Research shows African American caregivers contend with multiple problems stemming from substance abuse. Unfortunately, we do not yet know how to best tailor resources to be responsive to varying groups of African American caregivers. Using data from the National Survey of Child and Adolescent Well-being (NSCAW), this investigation tested for distinct multivariate profiles among a subset of African American caregivers with substance abuse problems (n=258). Latent Class Analysis (LCA) was used to classify caregivers, and five classes were identified among this high risk sample - each with distinct risk profiles. Based on these findings, we discuss implications for tailored practices to enhance the safety and stability of children involved with child welfare.     

Factors that contribute to the improvement in maternal parenting after separation from a violent husband or partner

The authors test the hypothesis that separation from a violent husband or partner improves maternal parenting in Japan and examine how childhood abuse history (CAH), experience of domestic violence (DV), mental health problems, husband or partner's child maltreatment, and other demographic factors affect maternal parenting after such separation. A self-administered questionnaire survey is conducted for mothers (n = 304) and their children (n = 498) staying in 83 mother-child homes in Japan to assess the mothers' CAH, DV experiences, current mental health problems, and exposure to a husband or partner's child maltreatment. The authors also assess maternal poor parenting (physical and psychological abuse, neglect, no playing, and no praise) before and after admission into the mother-child homes. The total poor parenting score (specifically for neglect, no playing, and no praise) significantly reduces after separation from a violent husband or partner (p = .001, paired t test). However, scores for psychological abuse significantly increase after admission (p < .001, paired t test). CAH, DV, and mental health problems are not associated with a reduced total poor parenting score after admission. Husband or partner's child maltreatment is independently significantly associated with a reduced maternal poor parenting score: A 10% increase in such maltreatment is associated with a 5% reduction in the poor parenting score after separation. Marital status also contributes to the score reduction: The reduction is less in married or divorced mothers than in those who did not marry the partner. Mother-child homes might be useful for improving maternal parenting. Further study is needed to elucidate the mechanism of the impact of separation from a violent husband or partner on maternal parenting.     

Mother–infant separations in prison. A systematic attachment-focused review of the academic and grey literature

This review systematically searched UK academic and grey literature in relation to mother and child separation in prison. Attachment theory is referred to in current prison policy for mothers and could provide a framework linking policy and practice. Reviewing grey literature provided an opportunity to explore practice-based literature. Twenty-four academic papers and 51 grey documents were reviewed. Use of attachment theory in the academic literature varied according to discipline, ranging from extensive use to no use. There was greater use of attachment theory in the grey literature. Despite linguistic differences, all documents highlighted the detrimental impact of separation on imprisoned mothers. However, specificity was lacking regarding support for mothers, and staff needs were overlooked. Given its use across the sparse research and practice literature, and its basis for policy, attachment theory could underpin theoretically informed support for imprisoned mothers separated from their infants and staff who support them.     

GUEST EDITOR'S INTRODUCTION TO SPECIAL ISSUE ON ATTACHMENT THEORY,SEPARATION, AND DIVORCE: FORGING COHERENT UNDERSTANDINGS FOR FAMILY LAW

Every day in family law courts and mediation rooms across the world, complex decisions are made about postseparation parenting that affect the developmental outcomes of countless children. Attorneys, judges, parents, and even mental health professionals are often poorly equipped to accurately apply developmental knowledge to these decisions, including knowledge from the vast field of attachment theory. A mounting body of research from developmental psychology and neuroscience confirms attachment relationships to be a central axis of the child's developmental pathway, in every family, in every culture throughout the world. The health of a child's attachments can influence multiple and far‐reaching outcomes. As such, attachment theory and knowledge deserve a place in the family court's deliberations and planning for children, but to date, that place remains ill defined. Inconsistencies and misunderstandings, conundrums and complexities of applying attachment knowledge to divorce and separation matters are evident throughout the field. This Special Issue went in search of a shared praxis of meaning about attachment. The resulting collection of papers and interviews documents the views of multiple, eminent attachment experts, who discuss advances in the theory and consider guidelines for legal and mental health practitioners in applying attachment concepts to post‐separation decision making. This opening paper charts the course of this project and summarizes the major points of convergence.     

Classifying Type of Child Maltreatment: Does the Source of Information Make a Difference?

To determine whether antecedents or consequences of maltreatment differ by type of maltreatment, researchers must address the question of how to classify type of maltreatment. However, maltreatment rarely occurs in the pure forms desirable for research. Children often experience multiple forms of maltreatment at one time or experience different types of maltreatment at different times. This paper examines six different methods for classifying type of maltreatment in a sample of cases reported to a state protective service agency. The greatest shifts in type of maltreatment group membership occurred when the definition was expanded from a single maltreatment report to include prior history of maltreatment for the study child and present and prior maltreatment for siblings. Multiple forms of maltreatment increased as more maltreatment history was taken into account. Regardless of the classification source, the most frequent multiple type was the combination of physical abuse and neglect.     

Crafting the Greenbook: framers reflect on the vision, process, and lessons learned

Guided by research and the experiences of judges nationwide, the National Council of Juvenile and Family Court Judges made a commitment in 1998 to improve community response to families experiencing domestic violence and child maltreatment. A year later, the council's work culminated in a set of recommendations commonly called the Greenbook, which summoned child welfare agencies, domestic violence service providers, and dependency courts to implement internal changes and collaborate to address co-occurring domestic violence and child maltreatment. In 2000, the federal government funded six community-based demonstration programs to implement the Greenbook recommendations. As part of the evaluation of the Greenbook initiative, the evaluation team asked the national experts who helped frame the Greenbook to reflect on the processes used and the decisions that shaped the document. In addition, the experts were asked to describe their expectations for the systems and communities that implemented the recommendations, including anticipated challenges.     

Munchausen by Proxy: A Qualitative Investigation into Online Perceptions of Medical Child Abuse

In Munchausen by proxy (MBP) maltreatment, increasingly termed “medical child abuse” (MCA), a caregiver fabricates or induces illness in another. The perpetrator's goal for the behavior is to meet personal emotional needs by forcing unnecessary or misguided medical or psychological treatment. Generally, a mother is the perpetrator and her child is the victim. There is a serious lack of research into most aspects of MCA, and this study is the first to utilize the anonymity of an Internet forum to investigate victims' first‐hand experiences of, and the public's opinions about, suspected and confirmed MCA. Three‐hundred and fifty‐six posts by 348 members were explored and coded using formal qualitative content analysis. By accessing an open‐thought online forum, this paper acquired information regarding social perceptions about the nonperpetrating partners who are unaware of the maltreatment; the disturbing and counterintuitive phenomenon of MCA itself; and the resistance often faced by those who attempt to report it.     

Effects of Family Violence on Child Behavior and Health During Early Childhood

Looking at families where children have been abused/neglected in early childhood, this study examined measures of child behavior and health to see if they tended to be worse when domestic violence is or has been present in a family. Further, caregiver and family characteristics as well as other case factors were examined, as possible moderators or mediators of the effects of domestic violence. Results indicate that domestic violence, of the type and severity occurring in our sample, does not have a direct effect on child outcomes by Age 6, when other associated variables are taken into account, but has considerable indirect effects. There is a pronounced impact of domestic violence on family functioning, the caregiver's general health and well being, and the quality of the caregiver's interaction with the child, which in turn are significantly associated with decrements of child functioning related to behavior problems and health. Some implications of this study for research in the area of domestic violence and child maltreatment are discussed.     

Biology, childhood trauma, and murder: rethinking justice

This article reviews recent findings in the developmental neurophysiology of children subjected to psychological trauma. Studies link extreme neglect and abuse with long-term changes in the nervous and endocrine systems. A growing body of research literature indicates that individuals with severe trauma histories are at higher risk of behaving violently than those without such histories. This article links these two research areas by discussing how severe and protracted child abuse and/or neglect can lead to biological changes, putting these individuals at greater risk for committing homicide and other forms of violence than those without child maltreatment histories. The implications of these biological findings for forensic evaluations are discussed. Based on new understanding of the effects of child maltreatment, the authors invite law and mental health professionals to rethink their notions of justice and offender accountability, and they challenge policymakers to allocate funds for research into effective treatment and for service delivery.     

Mother–infant separations in prison. A systematic attachment-focused policy review

Abstract

Mothers in prison separated from their young children are an overlooked group. Attachment theory could provide a useful model to underpin interventions and better support women affected by separation from their infants. Current policy draws on a limited body of evidence and research has developed considerably since its first design. This review systematically searched all relevant UK prison policy and government documents with regards to mother and child separation in prison and analysed the extent to which these documents draw on attachment theory. Following initial searches, 58 documents were thematically analysed. Attachment was implicitly referred to in most documents but only explicitly mentioned in four. Global themes identified included ‘separation as trauma’. However, document groups varied in focusing either on the mother or the child and there were no joint perspectives. Developing and researching specific attachment-informed interventions might be one way forward as would further attachment-based research in this area.     

Informal social support interventions and their role in violence prevention: an agenda for future evaluation

There is increasing interest among policymakers and practitioners in tapping the potential of family, friends, volunteers, peer support groups, and mutual aid organizations to help prevent violence. The popularity of these informal social support (ISS) interventions stems, in part, from their flexibility, responsiveness to individual needs, and perceived low cost. However, there is still limited understanding of whether and how ISS interventions can improve social support, reduce violence, or save money. Furthermore, mobilizing and sustaining ISS interventions appears to be difficult, particularly for families living in high-risk environments. Rigorous and creative evaluations of ISS interventions are needed to inform policy decisions and refine program development and implementation. Focusing on the field of child maltreatment, we describe different kinds of ISS interventions and outline an evaluation agenda that includes core research questions and evaluation challenges and strategies.     

The Role of Shame in Predicting Adult Anger and Depressive Symptoms Among Victims of Child Psychological Maltreatment

Previous research on child maltreatment and adult outcomes has failed to consider affective reactions to the maltreatment, which may play a critical role in victim outcomes. One such affective reaction—shame—may help to explain this relationship. In the context of maltreatment, feelings of shame are seen as a natural extension of the helplessness experienced by many victims of child maltreatment [Finkelhor, D., and Browne, A. (1986). Initial and long-term effects: A conceptual framework. In Finkelhor, D. (ed.), A Sourcebook on Child Sexual Maltreatment, Sage, Newbury Park, CA, pp. 180–198]. The current study examined the moderating role of shame in the relationship between victim reactions to child psychological maltreatment and adult anger and depressive symptoms. Results showed that shame moderated between child psychological maltreatment and adult anger for men but not for women, whereas shame moderated between child psychological maltreatment and depressive symptoms for adult women. Presence of gender-related differences suggests that gender should be considered in the design and development of therapeutic techniques for the treatment and prevention of anger and depression in adult survivors of child psychological maltreatment.     

THE RELATIONSHIP BETWEEN CHILDHOOD MALTREATMENT AND ADOLESCENT INVOLVEMENT IN DELINQUENCY*

Recent research suggests a link between childhood maltreatment and later involvement in delinquency. This study examines this issue using official and self-report data from the Rochester Youth Development Study. The analysis addresses three central issues: the magnitude of the relationship between early child maltreatment and later delinquency, official and self-reported; the possibility of spuriousness in this relationship; and the impact of more extensive measurement of maltreatment on later delinquency. A significant relationship between child maltreatment and self-reported and official delinquency is found and this relationship, especially for more serious forms of delinquency, remains when controlling for other factors. The results also suggest that more extensive maltreatment is related to higher rates of delinquency. Implications and suggestions for further research are discussed.     

Adolescent self-image as a mediator between childhood maltreatment and adult sexual offending

Purpose

The link between maltreatment and offending has been well established in the literature, with research examining the etiology of criminal behavior consistently documenting the negative effects of experiencing trauma early in life. Theoretically, ideas behind the cycle of violence hypothesis have greatly contributed to our understanding of this connection; however, there is a lack of understanding of the mechanisms underlying this relationship. We address this research gap by examining the mediating role that adolescent mental health, particularly self-image, plays in the relationship between child maltreatment and subsequent adult sex offending.

Methods

We utilize retrospective data from a sample of incarcerated sex offenders at a maximum security penitentiary located in Canada (N = 565).

Results

Results indicate that poor self-image in adolescence partially mediates the relationship between child maltreatment and the extent of sex offending in adulthood.

Conclusions

Implications for research, theory, and policy are discussed.