Children's experiences of domestic violence: developing an integrated response from police and child protection services

Police notifications of incidents of domestic violence to child protection services constitute an acknowledgement of the harm that domestic violence inflicts on children. However, these notifications represent a substantial demand on child welfare services and the outcomes for children and victims of domestic violence have been questioned. This paper presents findings from the first UK study to examine these notifications in depth and examines the interface between the police and child protection services in responding to domestic violence incidents. The research reports on police interventions in 251 incidents of domestic violence involving children; the communication of information to child protection services and the subsequent filtering and service response. Social workers found that notifications conveyed little information on children's experiences of domestic violence. Forty per cent of families notified had had no previous contact with child protection services in that area, but those cases most likely to receive social work assessment or intervention were those where the case was already open. Notifications triggered a new social work intervention in only 5% of cases. The study also identified a range of innovative approaches for improving the co-ordination of police and child protective services in relation to children's exposure to domestic violence. Arrangements that maximized opportunities for police and social workers to share agency information appeared to offer the best option for achieving informed decisions about the appropriate level of service response to children and families experiencing domestic violence.     

Social preferences for the inclusion of indirect benefits in the evaluation of publicly funded health services: results from an Australian survey

The inclusion of both monetary and non-monetary indirect benefits in economic evaluations of public health programmes and services can have significant distributive effects between patient groups. As a result, some patients may be advantaged and others disadvantaged for reasons not directly related to health outcomes or (direct) treatment costs. In pluralistic democracies, there is a case for consulting the community on the fairness of policies that have such distributive implications. This paper reports the results of two pilot studies aimed at uncovering the preferences of the Australian public for the inclusion of indirect benefits in the evaluation of services for its national health scheme, Medicare. The initial survey found some support for taking account of non-monetary indirect benefits - for example, the social contribution made by parents of young children and carers of elderly relatives. By contrast, there was little support for giving high taxpayers priority access to general Medicare services, to life-saving organ transplants, or to very costly drugs, despite the indirect social benefits of doing so. However, such support increased significantly in the follow-up study when the outcomes were characterised as certain, identifiable and health related, and the opportunity costs of failing to take account of indirect benefits were made very clear. The follow-up survey provided evidence of public scepticism about the willingness or ability of government to use additional tax receipts for socially beneficial purposes, and/or a preference for programmes and services that focus on health rather than welfare more generally.     

Cuba in Transition? The Civil Sphere's Challenge to the Castro Regime

This article assesses how much the emergence of civil society and private market activities are challenging Cuba's ruling communist regime. The assessment is based on a conceptualization of a "civil sphere," constituted by civil society and private market activities (or the "second economy"), and how this affects democratic transitions from state-socialist societies, using Cuba as a case study. Examining the multiple sectors at play reveals an increasingly organized and vocal opposition, but one hampered by continued government repression. Considering several theoretical and historically possible scenarios, this study concludes that under current conditions, the civil sphere's significant challenge is still not enough for a regime change in the Cuban state.     

Parent-child attachment working models and self-esteem in adolescence

The degree of continuity over time in the quality of parent-child attachments and the relationship between these attachments and current self-esteem was investigated. Subjects were 218 nonparent college students. The attachment working model styles were determined by modified versions of two attachment measures. Epstein's Mother-Father-Peer Scale of 1983 yielded separate scores for independence-encouraging and acceptance, and Hazan and Shaver's 1987 Rocky Mountain Survey indicated secure, avoidant, or ambivalent attachment patterns. Self-esteem was measured by Coopersmith's Self-Esteem Inventory of 1967. Data collected indicated support for Bowlby's 1988 theory of continuity over time of attachment. Self-esteem was related to both childhood and adolescent working model styles of attachment and to the dimensions of independence-encouraging and acceptance. The two attachment measures were related. Subjects who classified their parent-child attachment as secure rated their parents as high in independence-encouraging and acceptance.This paper is based, in part, on the first author's thesis for the M.A. degree at Georgia Southern University. Portions of this paper were presented at the Biennial Conference on Human Development, Atlanta, Georgia, April 1992.Received M.A. in psychology from Georgia Southern University in 1991. Major research interests include attachment theory and nontraditional students.Received Ph.D. in psychology from Georgia State University in 1980. Primary research interests are social competence development, peer relations, and mother-child attachment.     

Corporal punishment: Normative data and sociological and psychological correlates in a community college population

Community college students (N=170) were surveyed regarding the intensity and frequency of methods of corporal punishment they have received and the persons administering the punishment. Results indicate that corporal punishment is a normatively used method of behavioral management. Males reported receiving a greater amount of corporal punishment, especially from their fathers. Overall, those who received a high amount of corporal punishment reported lower grades and a significantly greater number of problems, such as aggression, delinquency, depression, and anxiety. These findings are cause for concern and intervention.Received Ph.D. in psychology from Tufts University. Main research interests are sex-role development and personality development.Received C.A.S. in counseling from Harvard University. Main research interests are battered wives and incest.     

Fatal bupivacaine intoxication following unusual erotic practices

A fatal drug overdose is described which involved unusual erotic practices. A 54-year-old male was discovered supine on the floor surrounded by sexual paraphernalia, syringes, and medications including three empty bottles of bupivacaine. Acute and chronic injection sites of the external genitalia with contusions, scarring, focal necrosis, and calcification were present at autopsy. Toxicology revealed femoral blood, heart blood, and vitreous bupivacaine concentrations of 3.8, 2.8 and 1.3 mg/L, respectively. The urine bupivacaine concentration was 11.4 mg/L. The cause of death was attributed to bupivacaine intoxication and the manner of death was accidental.