Community-based forensic child and adolescent mental health services in England,Scotland and Wales: a national mapping exercise

Aim: We sought to ascertain the current nature of specialist community mental health provision for young people presenting with risk of harm to others or involvement with the youth justice system in England, Wales and Scotland. Methods: Questionnaire-based survey. Results: Fifty-five services were contacted, 48 responded and 35 of these were found to be providing some form of community mental health provision to high-risk young people. Thirteen services provided comprehensive community forensic child and adolescent mental health (FCAMH) services, whilst the remainder offered more ad hoc clinical input. Amongst the comprehensive FCAMH services, staffing, function, commissioning arrangements and population served varied widely. Conclusions: There is patchy geographical provision of comprehensive community FCAMH services across England, Scotland and Wales with heterogeneous commissioning arrangements, staffing and function. Development of a national commissioning strategy for community FCAMH services is required to ensure that the complex needs of high-risk young people are adequately addressed.     

Child Sexual Abuse in Turkey: An Analysis of 1002 Cases

This study investigated the characteristics of abuse suffered by children, the dimensions of the psychiatric effects associated with abuse, and the factors affecting these. One thousand two cases aged under 18, exposed to sexual abuse, and referred over a 7‐year period were assessed. Girls represented 80.8% of cases, and the numbers rose with age. The aggressors were all male, and 88.2% were known to their victim. Approximately half the children were exposed to sexual abuse involving penetration. Psychological pathology was identified in 62.1%. Female gender, the presence of penetration, physical violence, and incest significantly increased the development of psychological pathology. Levels of awareness in people close to and trusted by the child must be raised to minimize the adverse effects of trauma in the long term, preventive measures must be taken, and medical and social support units from which victims can receive assistance need to be established.     

儿童是目的:教育的伦理基础

人在任何时候任何情况下都是目的,而永远不能只视为手段。如果康德这一主张是对的,那么,儿童是教育的目的便是对的。教育自始至终都应以儿童为目的,这就否定了教育常常将儿童视为工具的旧观念。以儿童为目的的教育尊重儿童的生活和世界,尊重儿童的兴趣和需要,助推儿童按其本性生长。以儿童为目的的教育不是去设计、制造儿童,而是帮助儿童自我建设与自我完善。"以儿童为目的"是现代教育的基本特征,亦是入手考察与理解现代教育的重要维度。以儿童为目的的教育只能扎根于民主的或向往民主的社会中。     

Distributive justice and willingness to pay for municipality child care

With the aim of investigating factors affecting willingness to pay for municipality child care, a survey was undertaken in Sweden of 1840 parents living in five municipalities of different sizes. On the basis of the greed-efficiency-fairness hypothesis (Wilke, 1991) which is supported by results from experimental social dilemma research, it was hypothesized that perceived fairness of how the quality of child care is distributed (equal, proportional to need, or proportional to payment) as well as of method of payment (collectively by taxes or proportional to use by fees) would be important determinants of willingness to pay. Results showed that perceived fairness of how quality of child care is distributed played some role but that other factors had stronger effects. Perhaps also reflecting fairness considerations, willingness to pay by fees was on average higher than willingness to pay by taxes. Predicted from previous research, willingness to pay by taxes was furthermore found to increase with income and degree of use. However, willingness to pay by taxes showed an increase rather than the predicted decrease with municipality size.     

Methodological Issues in Assessing the Effects of Maltreatment Characteristics on Behavioral Adjustment in Maltreated Children

This paper explored methodological issues in examining the impact of maltreatment characteristics on behavioral adjustment in a sample of maltreated school-age children. Different approaches to assessing the effects of maltreatment type were used to determine whether maltreatment characteristics differed by type of maltreatment and whether relationships between maltreatment characteristics and child behavioral functioning differed according to type of maltreatment. Results revealed several differences among the three types of maltreatment subgroups (physical abuse, neglect, and sexual abuse) on characteristics of maltreatment experiences. Correlations between maltreatment characteristics and outcome measures for the sample as a whole obscured findings that relationships were often specific to particular types of maltreatment. Developing generic definitions for maltreatment characteristics applicable to all forms of maltreatment is difficult because of differences in meaning across maltreatment types. Findings suggest that the role of maltreatment characteristics in children's behavioral functioning should be examined separately for each form of maltreatment.     

PARENT-CHILD OBSERVATIONS IN CUSTODY EVALUATIONS

Child custody evalutors need to increase the scientific foundations of their work, both for the benefit of clients and to address criticisms of the field. Observations of parents with children potentially yield huge amounts of data, and it is important for evaluators to consistently apply scientific and professional principles to make sense of all that information. Recommendations for observation sessions are made that integrate theory, research, and practice. These recommendations include the most important interactional dimensions to focus on, which family members to have present, the optimal level of stress, the number of sessions needed, and considerations about home visits.     

STRICTLY LIABLE: GOVERNMENTAL USE OF THE PARENT–CHILD RELATIONSHIP AS A BASIS FOR HOLDING VICTIMS LIABLE FOR THEIR CHILD'S WITNESS TO DOMESTIC VIOLENCE

Studies estimate that between three and ten million children in the United States witness domestic violence annually. Although studies have demonstrated a co‐occurrence of domestic violence and child abuse, there is no concrete evidence to support the assumption that a child's exposure to domestic violence increases the risk to the child of abuse or neglect. Recently the New York State Court of Appeals determined that a child's witness to abuse does not suffice, in and of itself, to show that removal of the child is necessary or that removal is in the “best interests” of the child. Programs which have developed alternatives to presumptive removal understand the importance of viewing the interests of the battered parent and children as being in accord with each other rather than in opposition. Private and government sponsored programs have demonstrated some success in protecting the parent‐child relationship, ensuring the safety of both parent and child, and increasing accountability of batterers while reducing the necessity for removals. Alternative programs are less costly to the state than foster care, and emotionally less costly to the families.     

Descriptive Study of Precursors to Sex Offending among 813 Boys and Girls: Antecedent Life Experiences

In order to understand the precursors to sexual offending among youth and the associated gender differences, the records of 813 sexually abusive children (659 boys and 154 girls) referred for an evaluation of their sexually inappropriate and coercive behavior were reviewed and coded. These children ranged in age from 3 to 18 when they committed their first hands-on offenses. All were under the care of the Massachusetts Department of Social Services either prior to or as a result of their behavior. Principle findings included: (1) a high proportion of girls (19 percent) in a sample of children flagged as sexually abusive to other children, (2) an exceptionally high base rate of severe maltreatment and associated clinical and psychiatric sequelae, and (3) girls were significantly more likely to be sexually abused, and when sexually abused the abuse lasted longer, was more severe, and involved more perpetrators. In addition, the girls were significantly more likely to witness domestic violence and to witness sexual deviance within the home. For all other types of abuse, there were no group differences, and (4) all of the children were subjected to a very high level of caregiver instability.     

CRITIQUE OF CHILD CUSTODY EVALUATIONS BY THE LEGAL PROFESSION

This study explored the congruency between child custody evaluations and the needs of the legal profession. One hundred twenty-one judges and attorneys were surveyed. In general, both groups expressed similar attitudes and beliefs. Findings indicated that court-ordered evaluations were most useful, and objectivity was paramount. Judges and attorneys also expressed a need for improvements in child custody reports, particularly greater child focus, provision of custody and visitation recommendations, discussion of legal criteria, and timely completion of evaluations. It is hoped that the findings will inform professional practice and help evaluators better serve the needs of the family court.     

When parents kill their young children: Detroit 1982–1986

The population of 36 parents or parent figures arrested for killing their children or charges, who were under the age of 6 years in Detroit, Michigan, between 1982 and 1986, are described in the context of their deadly acts. This profile of parent-on-child homicide includes demographic and social characteristics of offenders and victims, circumstances of offense, andarrest and court dispositions.