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Adapting and validating the client engagement scale for the Danish child and family welfare context: A Rasch-based construct validity study 适应和验证丹麦儿童和家庭福利背景下的客户参与量表:一项基于rasch的结构效度研究
Pub Date : 2025-12-05 DOI: 10.1016/j.chipro.2025.100267
Signe Boe Rayce , Anne Marie Villumsen , Maiken Pontoppidan , Tine Nielsen

Background

Client engagement encompasses family involvement in child protection casework and the collaborative relationship between case workers and families. The Client Engagement Scale was developed to assess client engagement within child protective systems.

Objective

Building on Yatchmenoff's conceptual framework, this study aimed to translate and conduct an initial psychometric validation of a client engagement measure specifically within Denmark's child and family welfare system.

Participants and setting

Parents with active cases in the Danish Child and Family Welfare system completed 210 online survey questionnaires.

Methods

The original pool of 37 items was translated and adapted to the Danish context. Construct validity for five subscales of client engagement was examined using Rasch models (RM) and graphical loglinear Rasch models (GLLRM) with a focus on differential item functioning and local dependency of items.

Results

After item elimination, a 5-item expectancy subscale fitted the pure RM. A 6-item receptivity, 4-item mistrust, and a 3-item working relationship subscale presented some differential functioning and/or local dependency, but to a degree which could be accounted for using GLLRM. The investment subscale did not fit the RM nor a GLLRM. The resulting scales demonstrated high to excellent reliability, but poor targeting to the study population.

Conclusion

Essentially valid subscales resulted for four out of five aspects of client engagement within Denmark's Child and Family Welfare system. While these subscales show promise for statistical use, future research should examine their psychometric properties in larger and more diverse samples before attempting to use them at an individual level in an everyday child and family welfare practice.
客户参与包括家庭参与儿童保护个案工作,以及个案工作者和家庭之间的合作关系。制定了客户参与量表,以评估儿童保护系统内客户的参与情况。目的:基于Yatchmenoff的概念框架,本研究旨在翻译并对丹麦儿童和家庭福利系统中的客户参与措施进行初步的心理测量验证。参与者和在丹麦儿童和家庭福利系统中有活跃案例的父母完成了210份在线调查问卷。方法对原始的37个条目进行翻译,并根据丹麦上下文进行改编。使用Rasch模型(RM)和图形loglinear Rasch模型(GLLRM)对客户参与度的五个子量表的结构效度进行了检验,重点关注项目的差异功能和项目的局部依赖性。结果剔除项目后,5项期望分量表拟合了纯RM。6项接受性、4项不信任和3项工作关系子量表表现出一些不同的功能和/或局部依赖,但在一定程度上可以用GLLRM来解释。投资子量表不符合RM和GLLRM。所得量表显示出高至极好的可靠性,但对研究人群的针对性较差。结论:在丹麦儿童和家庭福利系统中,基本上有效的子量表在客户参与的五个方面中产生了四个。虽然这些子量表显示出统计学用途的希望,但未来的研究应该在更大、更多样化的样本中检验它们的心理测量特性,然后再试图在日常儿童和家庭福利实践中在个人层面上使用它们。
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引用次数: 0
Assessing the impacts on child welfare practice of important articles of the UN convention on the rights of the child: A comparison of Australia, Canada and the USA 评估《联合国儿童权利公约》重要条款对儿童福利实践的影响:澳大利亚、加拿大和美国的比较
Pub Date : 2025-12-04 DOI: 10.1016/j.chipro.2025.100270
Bob Lonne , Ashley Stewart-Tufescu , Shawna Lee , Christine Morley
The 1989 Convention on the Rights of the Child (CRC) emphasizes the centrality of the family, culture and community in the nurturing and socialization of all children, and the responsibility of governments to develop laws, policies and programs that support families and children to achieve their human potentials, and to be protected from discrimination, violence, exploitation and other harms. Children requiring protective interventions should be placed in homes within their cultural or community milieu. However, in many countries protective interventions are not required by policy to enact a child rights approach, nor to ensure that children's best interests of are required in case decision-making, and corporal punishment is not outlawed.
In this article we pose the question: How impactful has the CRC been upon the policy and practice in child protection/welfare systems in Australia, Canada and the USA? We apply a critical comparative lens to examine how the CRC has been implemented and operationalized in these nations, focusing upon two important Articles: the best interests principle and corporal punishment. We assess the current state of CYP's rights and describe and analyze the extent to which these countries have formally or informally embedded and operationalized the CRC into their child protection legislations, policies and practices. We compare and contrast these nation's protective system achievements using publicly available sources of analysis and commentary. We examine the ways in which the CRC plays a transformative role in child welfare systems and its potential to be a greater force for much needed system change.
1989年《儿童权利公约》强调家庭、文化和社区在所有儿童的培育和社会化过程中的中心地位,以及政府有责任制定法律、政策和方案,支持家庭和儿童实现其人类潜能,并保护他们免受歧视、暴力、剥削和其他伤害。应将需要保护性干预措施的儿童安置在其文化或社区环境内的家中。然而,在许多国家,制定儿童权利方针的政策不要求采取保护性干预措施,也不要求在决策时确保儿童的最大利益,体罚也不被禁止。在这篇文章中,我们提出了一个问题:《儿童权利公约》对澳大利亚、加拿大和美国的儿童保护/福利制度的政策和实践有多大影响?我们运用批判性的比较视角来研究《儿童权利公约》在这些国家的实施和运作情况,重点关注两个重要条款:最大利益原则和体罚。我们评估了儿童权利的现状,并描述和分析了这些国家在何种程度上正式或非正式地将《儿童权利公约》纳入其儿童保护立法、政策和实践。我们利用可公开获得的分析和评论资料,对这些国家的保护制度成就进行比较和对比。我们研究了儿童权利委员会在儿童福利制度中发挥变革性作用的方式,以及它在迫切需要的制度变革中成为更大力量的潜力。
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引用次数: 0
Measuring impact of Child and Youth Advocacy Centres: Co-developing a theory of change and minimum dataset for Alberta Child and Youth Advocacy Centres 衡量儿童和青年倡导中心的影响:共同为艾伯塔省儿童和青年倡导中心制定变革理论和最低数据集
Pub Date : 2025-12-01 DOI: 10.1016/j.chipro.2025.100263
Naomi Jay Parker , Olivia Cullen , Janine Elenko , Jennifer McAlpine , Gina Dimitropoulos
There is an urgent need to demonstrate the immediate and long-term outcomes for Child and Youth Advocacy Centres (CYACs) and the vulnerable children and youth they serve through ongoing evaluation and research. Collecting and using high-quality data helps CYACs improve services, strengthen program design, and make informed decisions about child abuse prevention, investigation, and response. When consistent data is collected across CYACs it reveals child abuse trends, highlights areas for program improvement, and identifies gaps in understanding of child abuse. CYACs can leverage outcome data to advocate for environmental change and influence policies to improve outcomes for children and youth impacted by child abuse. The Alberta Network of Child and Youth Advocacy Centres worked together to establish a minimum dataset for CYACs. This collaborative effort was born out of a shared vision that by strengthening and establishing consistent approaches to data collection, they could collectively impact the model to continue providing responsive services to the children and youth they serve. In this discussion article we present the co-developed theory of change, minimum dataset and core outcomes to support CYACs in robust impact measurement.
迫切需要通过持续的评估和研究,证明儿童和青年宣传中心及其所服务的弱势儿童和青年的近期和长期成果。收集和使用高质量数据有助于儿童基金会改善服务,加强项目设计,并在预防、调查和应对儿童虐待方面做出明智的决定。当在CYACs中收集一致的数据时,它揭示了虐待儿童的趋势,突出了项目改进的领域,并确定了对虐待儿童的理解的差距。cyac可以利用结果数据倡导环境变化并影响政策,以改善受虐待儿童影响的儿童和青年的结果。艾伯塔省儿童和青年宣传中心网络共同努力建立了cyac的最低数据集。这一合作努力源于一个共同的愿景,即通过加强和建立一致的数据收集方法,它们可以共同影响该模式,继续向所服务的儿童和青年提供响应性服务。在这篇讨论文章中,我们提出了共同开发的变化理论、最小数据集和核心结果,以支持CYACs进行稳健的影响测量。
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引用次数: 0
Measuring social and community services for children, youth, and families in contact with the child welfare system: A scoping review 衡量与儿童福利系统有联系的儿童、青年和家庭的社会和社区服务:范围审查
Pub Date : 2025-11-25 DOI: 10.1016/j.chipro.2025.100266
Lindsay Crompton , Nicholas Chu , Nathaniel J. Pollock , John Fluke , Lil Tonmyr

Background

Administrative data can be used to systematically analyze and evaluate social and community services for families in contact with the child welfare system. These services aim to address social and economic disadvantages and prevent the recurrence of child maltreatment.

Objective

The objectives were to: map the types of social and community services captured in child welfare administrative and linked data sources; describe population-based indicators that measure services; and identify data sources used to create service indicators.

Participants and setting

Children, youth, and/or families in contact with the child welfare system.

Methods

A scoping review was conducted using MEDLINE/PubMed, EMBASE, PsycINFO, Scopus, and a grey literature search (2000–2023). The outcome of interest was social and community service-related indicators captured within or linked to child welfare administrative data.

Findings

Twenty-nine articles met inclusion criteria. Types of services varied widely (e.g., parenting, financial, education). For service indicators, we identified 11 process indicator themes and 11 outcome indicator themes. Information on services were not typically included directly in child welfare administrative data. Most studies combined child welfare administrative data with service data using linkage methodology, with a median of two data sources per study.

Conclusion

This review systematically classified social and community service categories, identified process and outcome service indicators, and examined data sources used to create service indicators. Findings can be used by child welfare agencies, other service providers, and public health organizations to improve child welfare data infrastructure and inform policy and practice decision-making.
背景:行政数据可用于系统地分析和评估为与儿童福利系统有联系的家庭提供的社会和社区服务。这些服务旨在解决社会和经济上的不利条件,防止再次发生虐待儿童事件。目标:绘制儿童福利行政和相关数据来源所涵盖的社会和社区服务类型的地图;描述以人口为基础的衡量服务的指标;并确定用于创建服务指标的数据源。与儿童福利系统接触的儿童、青少年及/或家庭。方法采用MEDLINE/PubMed、EMBASE、PsycINFO、Scopus及灰色文献检索(2000-2023)进行文献综述。感兴趣的结果是与社会和社区服务有关的指标纳入或与儿童福利行政数据相联系。29篇文章符合纳入标准。服务的类型差别很大(例如,育儿、金融、教育)。对于服务指标,我们确定了11个过程指标主题和11个结果指标主题。关于服务的资料通常不直接列入儿童福利行政数据。大多数研究使用关联方法将儿童福利行政数据与服务数据结合起来,每项研究中位数为两个数据源。本综述系统地分类了社会和社区服务类别,确定了过程和结果服务指标,并检查了用于创建服务指标的数据源。研究结果可被儿童福利机构、其他服务提供者和公共卫生组织用于改善儿童福利数据基础设施,并为政策和实践决策提供信息。
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引用次数: 0
Role of social norms on early child marriage decisions among the parents of married and unmarried adolescent girls: Findings from a matched study in Bangladesh 社会规范对已婚和未婚少女父母早婚决定的作用:来自孟加拉国一项匹配研究的结果
Pub Date : 2025-11-21 DOI: 10.1016/j.chipro.2025.100265
Md Abul Kalam , Chowdhury Abdullah Al Asif , Md Mehedi Hasan , Shirin Afroz , Gopesh Chandra Das , Mai-Anh Hoang , Kyly C. Whitfield

Background

Despite widespread recognition of social norms' influence on child marriage (CM), little is known about how to measure the most influential norms in parental CM decisions. Because of their pivotal role in marriage decision-making, measuring social norms among parents is a critical step to address CM through effective intervention. Guided by social norm theory and contextual attitude scale, this study examines the role of parental norms in CM decisions, aiming to inform policies and programs to address CM in Bangladesh.

Participants and settings

Data came from a cross-sectional matched study in Khulna Division, Bangladesh, with parents of unmarried (n = 127) and married (n = 127) adolescent girls.

Methods

We developed several indices reflecting social norms, prudential reasons, combined norms and prudential reasons, and attitudes, based on social norm theory. We performed chi-square tests and logistic regression analyses to identify the role of social norms influencing CM decisions.

Results

Chi-square tests revealed that parents of married girls were more likely to agree with items across all measures. Adjusted logistic regression showed the strongest association with CM for the combined norms and prudential reasons index (aOR = 3.15; 95% CI: 1.84–5.37), followed by attitudes (aOR = 2.78; 95% CI: 1.85–4.18), and prudential reasons (aOR = 2.62; 95% CI: 1.75–3.91). The association was not significant with the social norms index. Item-wise regression models showed that parents of married adolescent girls were more likely to agree on two prudential reasons items and several attitude items related to sexuality, agency, violence, and religious beliefs.

Conclusion

CM decisions are shaped by a complex interplay of social norms, prudential reasons, and attitudes. Effective interventions must address these interlinked drivers to disrupt the cycle of CM.
尽管人们普遍认识到社会规范对童婚的影响,但人们对如何衡量父母童婚决策中最具影响力的规范知之甚少。由于父母在婚姻决策中的关键作用,衡量父母的社会规范是通过有效干预来解决CM的关键步骤。在社会规范理论和情境态度量表的指导下,本研究考察了父母规范在CM决策中的作用,旨在为孟加拉国解决CM的政策和计划提供信息。参与者和环境数据来自孟加拉国库尔纳地区的一项横断面匹配研究,研究对象是未婚(n = 127)和已婚(n = 127)青春期女孩的父母。方法以社会规范理论为基础,构建社会规范、审慎理性、规范与审慎理性相结合、态度等指标。我们进行了卡方检验和逻辑回归分析,以确定社会规范影响管理决策的作用。结果双方检验显示,已婚女孩的父母更有可能同意所有措施的项目。调整后的逻辑回归显示,综合规范和审慎原因指数与CM的相关性最强(aOR = 3.15; 95% CI: 1.84-5.37),其次是态度(aOR = 2.78; 95% CI: 1.85-4.18)和审慎原因(aOR = 2.62; 95% CI: 1.75-3.91)。与社会规范指数的相关性不显著。项目回归模型显示,已婚少女的父母更有可能在两个审慎原因项目和几个与性、代理、暴力和宗教信仰有关的态度项目上达成一致。cm决策是由社会规范、审慎原因和态度的复杂相互作用形成的。有效的干预措施必须解决这些相互关联的驱动因素,以破坏CM的循环。
{"title":"Role of social norms on early child marriage decisions among the parents of married and unmarried adolescent girls: Findings from a matched study in Bangladesh","authors":"Md Abul Kalam ,&nbsp;Chowdhury Abdullah Al Asif ,&nbsp;Md Mehedi Hasan ,&nbsp;Shirin Afroz ,&nbsp;Gopesh Chandra Das ,&nbsp;Mai-Anh Hoang ,&nbsp;Kyly C. Whitfield","doi":"10.1016/j.chipro.2025.100265","DOIUrl":"10.1016/j.chipro.2025.100265","url":null,"abstract":"<div><h3>Background</h3><div>Despite widespread recognition of social norms' influence on child marriage (CM), little is known about how to measure the most influential norms in parental CM decisions. Because of their pivotal role in marriage decision-making, measuring social norms among parents is a critical step to address CM through effective intervention. Guided by social norm theory and contextual attitude scale, this study examines the role of parental norms in CM decisions, aiming to inform policies and programs to address CM in Bangladesh.</div></div><div><h3>Participants and settings</h3><div>Data came from a cross-sectional matched study in Khulna Division, Bangladesh, with parents of unmarried (n = 127) and married (n = 127) adolescent girls.</div></div><div><h3>Methods</h3><div>We developed several indices reflecting social norms, prudential reasons, combined norms and prudential reasons, and attitudes, based on social norm theory. We performed chi-square tests and logistic regression analyses to identify the role of social norms influencing CM decisions.</div></div><div><h3>Results</h3><div>Chi-square tests revealed that parents of married girls were more likely to agree with items across all measures. Adjusted logistic regression showed the strongest association with CM for the combined norms and prudential reasons index (aOR = 3.15; 95% CI: 1.84–5.37), followed by attitudes (aOR = 2.78; 95% CI: 1.85–4.18), and prudential reasons (aOR = 2.62; 95% CI: 1.75–3.91). The association was not significant with the social norms index. Item-wise regression models showed that parents of married adolescent girls were more likely to agree on two prudential reasons items and several attitude items related to sexuality, agency, violence, and religious beliefs.</div></div><div><h3>Conclusion</h3><div>CM decisions are shaped by a complex interplay of social norms, prudential reasons, and attitudes. Effective interventions must address these interlinked drivers to disrupt the cycle of CM.</div></div>","PeriodicalId":100237,"journal":{"name":"Child Protection and Practice","volume":"8 ","pages":"Article 100265"},"PeriodicalIF":0.0,"publicationDate":"2025-11-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145685015","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Missed opportunities to screen for sexual exploitation among youth who have experienced sex trafficking 错过了对经历过性交易的青少年进行性剥削筛查的机会
Pub Date : 2025-11-19 DOI: 10.1016/j.chipro.2025.100264
Cheyenne Smith , Joanne N. Wood , Shelby Davies , Sarah Green , Cynthia Mollen , Cindy W. Christian , Anish Raj , Polina Krass
Sex trafficking and sexual exploitation (SE) of youth remain pervasive but underrecognized crimes in the US. Most youth who experience SE interact with healthcare during their exploitation but many are not recognized. To identify opportunities to strengthen care for youth at risk of SE, we examined the frequency and predictors of youth being screened for SE and receiving other elements of best practice adolescent healthcare in the year prior to their intake at a specialty clinic for sex-trafficked youth. We conducted a retrospective chart review of patients seen for an intake appointment between July 2021–October 2022 at this specialty clinic. We evaluated past-year healthcare visit locations, reasons for visits, screening for SE, and provision of three elements of guideline-compliant adolescent care: confidential conversation with a provider, sexually transmitted infection testing, and social work referral when indicated. We used comparative statistics to evaluate associations with screening for SE, and logistic regression to evaluate the association between SE, guideline-compliant care and prior healthcare visit location. Of the 31 included patients, 87 % (n = 27) had at least one prior-year healthcare visit, corresponding to 102 visits. The most common visit location was the Emergency Department (ED) and the most common reasons for visits were reproductive health/STI testing and injury/assault. During at least one prior-year healthcare visit, 56 % of youth (n = 15/27) had documented screening for SE and 56 % (n = 15/27) received all three elements of guideline-compliant care. Youth who received any of the three elements of guideline-compliant care were more likely to be screened for SE, as were youth who were admitted to the hospital. Despite frequent healthcare utilization, many youth with histories of sexual exploitation did not receive guideline-compliant adolescent care or screening for SE. Embedding trauma-informed adolescent care into routine healthcare practice may improve recognition and support for this population. Looking ahead, it is critical for health systems to develop protocols and trainings to support providers in appropriately identifying and supporting youth with histories of SE.
性交易和性剥削(SE)在美国仍然普遍存在,但未得到充分认识。大多数经历东南偏南的青年在被剥削期间与医疗保健机构有互动,但许多人没有得到认可。为了确定加强对有SE风险的青少年的护理的机会,我们检查了青少年在进入性交易青少年专科诊所之前接受SE筛查和其他最佳实践青少年保健的频率和预测因素。我们对2021年7月至2022年10月在该专科诊所就诊的患者进行了回顾性图表回顾。我们评估了过去一年的医疗保健访问地点、访问原因、SE筛查和提供符合指南的青少年护理的三个要素:与提供者的保密谈话、性传播感染检测和必要时的社会工作转介。我们使用比较统计学来评估与SE筛查的关联,并使用逻辑回归来评估SE、指南依从性护理和既往医疗访问地点之间的关联。在31例纳入的患者中,87% (n = 27)至少有一次以前的医疗保健访问,相当于102次访问。最常见的就诊地点是急诊科(ED),最常见的就诊原因是生殖健康/性传播感染检测和伤害/攻击。在至少一次前一年的医疗保健访问中,56%的青少年(n = 15/27)进行了记录的SE筛查,56% (n = 15/27)接受了所有符合指南的三个要素的护理。接受了符合指南的三个要素中的任何一个的青少年更有可能被筛查为SE,入院的青少年也是如此。尽管经常使用医疗保健,但许多有性剥削史的青少年没有得到符合指南的青少年护理或SE筛查。将创伤知情青少年护理纳入常规保健实践可以提高对这一人群的认识和支持。展望未来,卫生系统制定方案和培训,以支持提供者适当识别和支持有东南偏南病史的青年,这一点至关重要。
{"title":"Missed opportunities to screen for sexual exploitation among youth who have experienced sex trafficking","authors":"Cheyenne Smith ,&nbsp;Joanne N. Wood ,&nbsp;Shelby Davies ,&nbsp;Sarah Green ,&nbsp;Cynthia Mollen ,&nbsp;Cindy W. Christian ,&nbsp;Anish Raj ,&nbsp;Polina Krass","doi":"10.1016/j.chipro.2025.100264","DOIUrl":"10.1016/j.chipro.2025.100264","url":null,"abstract":"<div><div>Sex trafficking and sexual exploitation (SE) of youth remain pervasive but underrecognized crimes in the US. Most youth who experience SE interact with healthcare during their exploitation but many are not recognized. To identify opportunities to strengthen care for youth at risk of SE, we examined the frequency and predictors of youth being screened for SE and receiving other elements of best practice adolescent healthcare in the year prior to their intake at a specialty clinic for sex-trafficked youth. We conducted a retrospective chart review of patients seen for an intake appointment between July 2021–October 2022 at this specialty clinic. We evaluated past-year healthcare visit locations, reasons for visits, screening for SE, and provision of three elements of guideline-compliant adolescent care: confidential conversation with a provider, sexually transmitted infection testing, and social work referral when indicated. We used comparative statistics to evaluate associations with screening for SE, and logistic regression to evaluate the association between SE, guideline-compliant care and prior healthcare visit location. Of the 31 included patients, 87 % (n = 27) had at least one prior-year healthcare visit, corresponding to 102 visits. The most common visit location was the Emergency Department (ED) and the most common reasons for visits were reproductive health/STI testing and injury/assault. During at least one prior-year healthcare visit, 56 % of youth (n = 15/27) had documented screening for SE and 56 % (n = 15/27) received all three elements of guideline-compliant care. Youth who received any of the three elements of guideline-compliant care were more likely to be screened for SE, as were youth who were admitted to the hospital. Despite frequent healthcare utilization, many youth with histories of sexual exploitation did not receive guideline-compliant adolescent care or screening for SE. Embedding trauma-informed adolescent care into routine healthcare practice may improve recognition and support for this population. Looking ahead, it is critical for health systems to develop protocols and trainings to support providers in appropriately identifying and supporting youth with histories of SE.</div></div>","PeriodicalId":100237,"journal":{"name":"Child Protection and Practice","volume":"7 ","pages":"Article 100264"},"PeriodicalIF":0.0,"publicationDate":"2025-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145578956","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Trends in hospitalizations resulting from violent injuries among children and youth in British Columbia during the COVID-19 pandemic 2019冠状病毒病大流行期间不列颠哥伦比亚省儿童和青年因暴力伤害而住院的趋势
Pub Date : 2025-11-18 DOI: 10.1016/j.chipro.2025.100262
Alex Zheng , Alexia Medeiros , Sarah A. Richmond , Fahra Rajabali , Shazya Karmali , Brendan Smith , Sarah Carsley , Alison K. Macpherson , Natasha Saunders , Shelina Babul , Ian Pike

Background

The increased stressors brought on by the COVID-19 pandemic and its subsequent stay-at-home policies were hypothesized to increase violence and abuse among children and youth. Data on this issue are scant and where they do exist, mixed results have been observed, with variation by jurisdiction. The availability of local data is crucial in assessing the impact of local policies on child violence outcomes.

Methods

Using hospitalization records with a diagnosis of a violence-related injury, an interrupted time-series design was used to determine whether the initial stay-at-home public health policies affected the rates of violence-related injury hospitalizations among children and youth aged 0–19 years in British Columbia, Canada. Hospitalization data were obtained from the Discharge Abstract Database from April 1, 2015 to March 31, 2022, with the March 17, 2020 initial lockdown time taken as the interruption point. Effects were examined as the whole cohort, by sex and age-group, and by material deprivation quintiles.

Results

There were 745 violence-related injury hospitalizations observed during the study period, with 571 occurring in the pre-COVID period (0.97 per 100,000 population) and 174 in the 24-months post onset of COVID policy restrictions (0.73 per 100,000 population). There was an overall decreasing trend (0.8 % per month; 95 % CI: 0.2–1.4 %) in hospitalization rates during the five-year pre-COVID period. No significant effects were observed at the interruption point or in the two-year follow-up phase. Older males aged 10–19 years (rate ratio: 9.6; 95 % CI: 7.7–12.0) and females (rate ratio: 2.1; 95 % CI: 1.6–2.7) had higher rates than younger children aged 0–9 years. Children and youth living in the most materially deprived neighborhoods had 4.3 (95 % CI: 3.2–5.6) times the hospitalization rate than those living in least deprived neighborhoods. Neither sex and age-group nor material deprivation quintiles had differential effects on the change at the interruption point or the trend during the follow-up phase.

Conclusions

Violence-related injury hospitalization rates among children and youth in British Columbia, Canada have been on a steady decline during the pre-pandemic years. The COVID-19 stay-at-home measures did not appear to have an impact on this rate.
据推测,2019冠状病毒病大流行及其随后的居家政策带来的压力增加会增加儿童和青少年的暴力和虐待。关于这一问题的数据很少,即使有数据,也观察到结果好坏参半,因司法管辖区而异。在评估地方政策对儿童暴力后果的影响时,获得当地数据至关重要。方法使用诊断为暴力相关伤害的住院记录,采用中断时间序列设计来确定最初的居家公共卫生政策是否影响加拿大不列颠哥伦比亚省0-19岁儿童和青少年的暴力相关伤害住院率。2015年4月1日至2022年3月31日的住院数据取自出院摘要数据库,以2020年3月17日为初始封城时间作为中断点。对整个队列、性别和年龄组以及物质剥夺五分之一进行了研究。结果研究期间共有745例暴力相关伤害住院,其中571例发生在疫情前(0.97 / 10万人),174例发生在疫情政策限制后24个月(0.73 / 10万人)。在covid - 19前的5年期间,住院率总体呈下降趋势(每月0.8%;95%置信区间:0.2 - 1.4%)。在中断点或两年随访阶段未观察到明显的影响。10-19岁的老年男性(发病率比:9.6;95% CI: 7.7-12.0)和女性(发病率比:2.1;95% CI: 1.6-2.7)的发病率高于0-9岁的幼儿。生活在物质最贫困社区的儿童和青年的住院率是生活在最贫困社区的儿童和青年的4.3倍(95% CI: 3.2-5.6)。性别、年龄组和物质剥夺五分位数对中断点的变化或随访阶段的趋势都没有差异影响。结论:在大流行前几年,加拿大不列颠哥伦比亚省儿童和青年中与暴力有关的伤害住院率一直在稳步下降。新冠肺炎的居家措施似乎没有对这一比率产生影响。
{"title":"Trends in hospitalizations resulting from violent injuries among children and youth in British Columbia during the COVID-19 pandemic","authors":"Alex Zheng ,&nbsp;Alexia Medeiros ,&nbsp;Sarah A. Richmond ,&nbsp;Fahra Rajabali ,&nbsp;Shazya Karmali ,&nbsp;Brendan Smith ,&nbsp;Sarah Carsley ,&nbsp;Alison K. Macpherson ,&nbsp;Natasha Saunders ,&nbsp;Shelina Babul ,&nbsp;Ian Pike","doi":"10.1016/j.chipro.2025.100262","DOIUrl":"10.1016/j.chipro.2025.100262","url":null,"abstract":"<div><h3>Background</h3><div>The increased stressors brought on by the COVID-19 pandemic and its subsequent stay-at-home policies were hypothesized to increase violence and abuse among children and youth. Data on this issue are scant and where they do exist, mixed results have been observed, with variation by jurisdiction. The availability of local data is crucial in assessing the impact of local policies on child violence outcomes.</div></div><div><h3>Methods</h3><div>Using hospitalization records with a diagnosis of a violence-related injury, an interrupted time-series design was used to determine whether the initial stay-at-home public health policies affected the rates of violence-related injury hospitalizations among children and youth aged 0–19 years in British Columbia, Canada. Hospitalization data were obtained from the Discharge Abstract Database from April 1, 2015 to March 31, 2022, with the March 17, 2020 initial lockdown time taken as the interruption point. Effects were examined as the whole cohort, by sex and age-group, and by material deprivation quintiles.</div></div><div><h3>Results</h3><div>There were 745 violence-related injury hospitalizations observed during the study period, with 571 occurring in the pre-COVID period (0.97 per 100,000 population) and 174 in the 24-months post onset of COVID policy restrictions (0.73 per 100,000 population). There was an overall decreasing trend (0.8 % per month; 95 % CI: 0.2–1.4 %) in hospitalization rates during the five-year pre-COVID period. No significant effects were observed at the interruption point or in the two-year follow-up phase. Older males aged 10–19 years (rate ratio: 9.6; 95 % CI: 7.7–12.0) and females (rate ratio: 2.1; 95 % CI: 1.6–2.7) had higher rates than younger children aged 0–9 years. Children and youth living in the most materially deprived neighborhoods had 4.3 (95 % CI: 3.2–5.6) times the hospitalization rate than those living in least deprived neighborhoods. Neither sex and age-group nor material deprivation quintiles had differential effects on the change at the interruption point or the trend during the follow-up phase.</div></div><div><h3>Conclusions</h3><div>Violence-related injury hospitalization rates among children and youth in British Columbia, Canada have been on a steady decline during the pre-pandemic years. The COVID-19 stay-at-home measures did not appear to have an impact on this rate.</div></div>","PeriodicalId":100237,"journal":{"name":"Child Protection and Practice","volume":"8 ","pages":"Article 100262"},"PeriodicalIF":0.0,"publicationDate":"2025-11-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145618370","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Sarah's story: A Canadian narrative case study and systems map of the complex barriers IPV victim-survivors and their children must navigate 莎拉的故事:一个加拿大的叙事案例研究和系统地图,IPV受害者-幸存者和他们的孩子必须克服复杂的障碍
Pub Date : 2025-11-16 DOI: 10.1016/j.chipro.2025.100259
Adrienne Ratushniak , Lise Milne , Kendra Nixon , Carlos Rosas-Jiménez

Background

Intimate partner violence (IPV) is one of the most frequently reported forms of violence and child maltreatment in Canada, especially in the province of Saskatchewan. The disconnection of helping systems is a prominent barrier to safety and justice for mothers, children, and families.

Objective

Part of a larger Canadian study, the perspectives of IPV victim-survivors were explored to determine how child protection and collateral support services respond to IPV reports in Saskatchewan.

Participants and setting

Participants included three IPV victim-survivors.

Methods

Semi-structured interviews were conducted and thematically analyzed through a critical feminist lens. A composite character of the participants was created as a narrative case study. A mapping of the intersectional complexities of IPV was developed to better understand the phenomena.

Results

According to participants, intergenerational trauma and violence normalization contributed to unhealthy conceptualizations about their intimate relationships, including a lack of awareness about coercive control. Victim-survivors and their children were distrustful of helping systems due to feeling powerless and traumatized, primarily by child protection and legal systems, where interactions were at times experienced as discriminatory. They also faced barriers with other support services.

Conclusions

Despite recent practice and policy improvements, the responsibilization of victim-survivors continues, driven by structural and systemic issues including sexism, discrimination and ongoing colonialism. Echoed in IPV studies globally, collaborative systemic change is necessary to reduce and prevent IPV and child maltreatment. This cultural shift should include prioritizing perpetrator accountability and increasing education and public awareness of IPV.
在加拿大,特别是在萨斯喀彻温省,最终伴侣暴力(IPV)是最常见的暴力和虐待儿童形式之一。帮助系统的脱节是母亲、儿童和家庭安全与正义的一个突出障碍。目的:作为加拿大一项大型研究的一部分,我们从IPV受害者和幸存者的角度进行了探讨,以确定萨斯喀彻温省的儿童保护和附带支持服务如何应对IPV报告。参与者包括三名IPV受害者-幸存者。方法采用半结构化访谈法,通过批判女性主义视角对访谈对象进行主题分析。参与者的复合角色被创建为一个叙事案例研究。为了更好地理解这一现象,开发了一种IPV交叉复杂性的映射。结果参与者认为,代际创伤和暴力正常化导致了他们对亲密关系的不健康观念,包括缺乏对强制控制的认识。受害者-幸存者及其子女由于感到无能为力和受到创伤而不信任帮助系统,主要是儿童保护和法律系统,其中的互动有时被视为歧视性的。她们在获得其他支持服务方面也面临障碍。尽管最近的实践和政策有所改善,但在结构性和系统性问题(包括性别歧视、歧视和持续的殖民主义)的推动下,受害者-幸存者的责任仍然存在。全球IPV研究也表明,要减少和预防IPV和虐待儿童,必须进行协作性的系统性变革。这种文化转变应包括优先追究肇事者的责任,并加强对IPV的教育和公众意识。
{"title":"Sarah's story: A Canadian narrative case study and systems map of the complex barriers IPV victim-survivors and their children must navigate","authors":"Adrienne Ratushniak ,&nbsp;Lise Milne ,&nbsp;Kendra Nixon ,&nbsp;Carlos Rosas-Jiménez","doi":"10.1016/j.chipro.2025.100259","DOIUrl":"10.1016/j.chipro.2025.100259","url":null,"abstract":"<div><h3>Background</h3><div>Intimate partner violence (IPV) is one of the most frequently reported forms of violence and child maltreatment in Canada, especially in the province of Saskatchewan. The disconnection of helping systems is a prominent barrier to safety and justice for mothers, children, and families.</div></div><div><h3>Objective</h3><div>Part of a larger Canadian study, the perspectives of IPV victim-survivors were explored to determine how child protection and collateral support services respond to IPV reports in Saskatchewan.</div></div><div><h3>Participants and setting</h3><div>Participants included three IPV victim-survivors.</div></div><div><h3>Methods</h3><div>Semi-structured interviews were conducted and thematically analyzed through a critical feminist lens. A composite character of the participants was created as a narrative case study. A mapping of the intersectional complexities of IPV was developed to better understand the phenomena.</div></div><div><h3>Results</h3><div>According to participants, intergenerational trauma and violence normalization contributed to unhealthy conceptualizations about their intimate relationships, including a lack of awareness about coercive control. Victim-survivors and their children were distrustful of helping systems due to feeling powerless and traumatized, primarily by child protection and legal systems, where interactions were at times experienced as discriminatory. They also faced barriers with other support services.</div></div><div><h3>Conclusions</h3><div>Despite recent practice and policy improvements, the responsibilization of victim-survivors continues, driven by structural and systemic issues including sexism, discrimination and ongoing colonialism. Echoed in IPV studies globally, collaborative systemic change is necessary to reduce and prevent IPV and child maltreatment. This cultural shift should include prioritizing perpetrator accountability and increasing education and public awareness of IPV.</div></div>","PeriodicalId":100237,"journal":{"name":"Child Protection and Practice","volume":"8 ","pages":"Article 100259"},"PeriodicalIF":0.0,"publicationDate":"2025-11-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145738036","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Erratum to “COVID-related stress as a driver of unusual medical presentations” [Child Protection and Practice 1 (April 2024) 100017] “与新冠病毒相关的压力是异常医学表现的驱动因素”的勘误表[儿童保护与实践1(2024年4月)100017]
Pub Date : 2025-11-15 DOI: 10.1016/j.chipro.2025.100257
Vincent J. Palusci , Kymme Napoli
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引用次数: 0
Co-designing programmes to address child exploitation 共同设计解决剥削儿童问题的方案
Pub Date : 2025-11-14 DOI: 10.1016/j.chipro.2025.100258
Isabella Lanza Turner, Hilde Neels, Yulidsa Bedoya Zúñiga, Jean Elphick, Kimberley Anderson
This article explores the co-design process employed by Terre des Hommes Netherlands (TdH NL) in developing three thematic programmes to address child exploitation for its Listen Up! Strategy (2023–2030). It highlights the integration of diverse knowledge sources, including insights from existing research, children, staff, local partners, and experts, to create effective thematic programmes targeting sexual exploitation, child labour, and exploitation in humanitarian settings. This process begins with a situational analysis, reviewing the literature to establish a global understanding of child exploitation, its prevalence, and effective interventions. After this stage, co-creation sessions were held with 138 children across 12 countries. In these sessions, children engaged with word cloud exercises, storytelling, problem tree analysis, and intervention evaluation. These exercises were also used on co-creation sessions with 166 staff and partners in 14 countries, adding on a stakeholder and power analysis. The culmination of the information gathered was an integration workshop where draft Theories of Change were developed. The paper demonstrates how participatory methods were used to gather insights and shape interventions. This process emphasizes the value of combining academic research with the lived experiences of those directly affected by exploitation, revealing key factors that are often overlooked in conventional research. By documenting and sharing this process, TdH NL provides a framework for future initiatives, ensuring that thematic programs are relevant, comprehensive, and rooted in the realities of affected communities. The article underscores the importance of ongoing collaboration with all stakeholders to develop context-specific strategies for preventing and responding to child exploitation.
本文探讨了Terre des Hommes Netherlands (TdH NL)在为其“Listen Up!”开发三个主题方案时采用的共同设计过程,以解决儿童剥削问题。战略(2023 - 2030)。它强调整合各种知识来源,包括来自现有研究、儿童、工作人员、当地合作伙伴和专家的见解,以创建针对人道主义环境中的性剥削、童工和剥削的有效专题规划。这个过程从情境分析开始,回顾文献,建立对儿童剥削的全球理解,其流行程度,以及有效的干预措施。在这一阶段之后,与来自12个国家的138名儿童举行了共同创作会议。在这些课程中,孩子们参与了单词云练习、讲故事、问题树分析和干预评估。这些练习还用于与14个国家的166名员工和合作伙伴的共同创造会议,并增加了利益相关者和权力分析。收集到的信息的高潮是一个整合研讨会,在那里制定了变革理论草案。本文演示了如何使用参与式方法来收集见解和形成干预措施。这一过程强调了将学术研究与直接受剥削者的生活经验相结合的价值,揭示了传统研究中经常被忽视的关键因素。通过记录和分享这一过程,TdH NL为未来的举措提供了一个框架,确保专题项目具有相关性、全面性,并植根于受影响社区的现实。这篇文章强调了与所有利益攸关方持续合作,制定针对具体情况的预防和应对儿童剥削战略的重要性。
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引用次数: 0
期刊
Child Protection and Practice
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