Child Abuse Review最新文献

This research aimed to explore how clinical psychologists respond to child safeguarding dilemmas, with special attention to the role of psychology in child welfare. Transcripts from 20 semi-structured interviews with clinical psychologists working in Child and Adolescent Mental Health Services in England were analysed using a qualitative framework approach. In these interviews, two family case vignettes were used to examine how psychologists respond to child safeguarding dilemmas. We identified three overarching themes: operating within a system of stretched resources; characterising who is considered ‘supportable’ by psychological services; and challenges around conceptualising and responding to risk. Clinical psychologists viewed social services as responsible for family cases with safeguarding concerns and were reluctant to engage in high-risk cases where stability in the home was not yet established. They saw their role in child welfare primarily as sense-makers for families, by offering a contextualised explanation/formulation for the presenting difficulties.

This article aims to cast light on the negative but silent effects of the COVID-19 pandemic on girls' education and welfare in Ghana. Since the pandemic emerged in 2019, unprecedented changes have occurred in ordinary people's health, education and social life. As a response to the pandemic, governments globally implemented social distancing regimes, lockdowns and school closures to curtail the spread of the virus. While this approach did help in curtailing the spread of the pandemic, implementing lockdowns and school closures in Ghana had unintended consequences: they amplified gendered inequalities in access to education. Drawing on one-on-one semi-structured interviews with (i) 10 teachers and one head teacher, 13 parents of child brides, and 11 child brides (aged 15–19), and (ii) Focus group discussions (FGDs) with 15 community leaders in a rural Ghanaian setting (Mion), this article provides empirical evidence to show how the pandemic has disrupted the lives and education of 11 girls. In particular, school closures and rising poverty due to the pandemic led to increased child marriage. These 11 schoolgirls were seen as a burden by their parents, and, consequently, married off to older men as an adverse coping strategy. Furthermore, some of the girls themselves requested to be married, due to rising household chores occasioned by the school closures. Finally, the school closures also offered the community the justification to reactivate deeply held notions about the value of a girl's education as a basis for marrying them off.

The aim of this systematic review was to determine the positive and negative outcomes of working with children who had experienced sexual abuse for health and social care professionals. The following four databases were searched using predetermined terms: PsycINFO, PubMed, CINAHL and Web of Science. Inclusion criteria included peer-reviewed qualitative, quantitative, multi-method or mixed method studies written in the English language. Study identification, quality assessment and data extraction were independently completed by two researchers, with a high degree of inter-rater reliability. Eight studies (six qualitative, one quantitative and one multi-method) met the inclusion criteria. Reviewed studies were conducted in the United States, Israel, Ireland and South Africa. Both positive and negative outcomes for healthcare professionals working with childhood sexual abuse (CSA) were identified. Additionally, a range of personal and contextual mitigating and risk factors were identified that may affect professionals' vulnerability to negative outcomes from CSA work, which have implications for practice. Due to the limited evidence base, clinical implications are tentative. Future research should adopt longitudinal methodologies and focus on participants from a range of disciplines and work contexts, particularly outside the United States.

Children who feel unaccepted by their mothers tend to have poor mental health. Although school factors (social support from homeroom or from teachers and friends, as well as classroom satisfaction) can protect students, few studies have examined these factors at the classroom level. Understanding the relationships between sense of acceptance, school factors and mental health may help students. This study, conducted in Japan, examines how sense of acceptance at the student level and school factors at the student and classroom levels affect the mental health variables of depression, loneliness, subjective happiness and emotional wellbeing. In total, 1470 Japanese school students (8–15 years old) from 68 classes participated. Multilevel analysis was conducted at the student and classroom levels. At the classroom level, social support from friends was associated with lower depression and loneliness and higher emotional wellbeing (p < 0.01). A positive classroom climate moderated the relationships of sense of acceptance with depression, loneliness, subjective happiness and emotional wellbeing (p < 0.05). Social support from friends at the classroom level and positive classroom climate at the student level serve as protective factors for students who feel unaccepted by their mothers. More activities boosting classroom student interactions would benefit such students.

According to the attachment theory, the establishment of emotional bonds with significant figures is an important process in human development throughout life. The quality of the relationships between adolescents and their caregivers in residential care (RC) may act as a protective factor for internal reorganisation and the development of emotional regulation skills. The present study aims to analyse the effect of insecure attachment orientation and the quality of relationships developed with caregivers in RC settings and adolescent emotion regulation. It also aims to assess the mediating role of emotion regulation in the association between attachment and the quality of the relationship with caregivers. The sample consisted of 249 adolescents, aged between 12 and 18 years old, living in RC facilities in Porto (Portugal). The results suggest that perceived insecurity of attachment to significant figures has a negative effect on emotional regulation and on the quality of the relationship with caregivers. We also found a negative mediating effect of the differentiating emotions dimension on the association between attachment and the quality of the relationship with caregivers. It is relevant to highlight the importance of close affective relationships in developing adolescents' ability to regulate their emotions and particularly the impact of caregivers and their work in residential care.

Child neglect has devastating enduring consequences for children and its identification and assessment remains challenging for practitioners. In England, assessment tools and standardised measures have been incorporated in welfare and safeguarding practice to help practitioners' critical observation and analysis and improve their assessments of risk. However, the picture regarding child neglect assessment practice trends on the ground remains unknown. This mapping exercise aimed to, firstly, provide an overview of the approaches to neglect practice and neglect assessment tools promoted by Local Safeguarding Children Partnerships (LSCPs) across England, and secondly, provide a brief examination of the types of tools advocated. An email survey was sent to the safeguarding leads or chairs of LSCPs in England (n = 121). Forty-two valid responses were received (34.7%). Almost all participating LSCPs had a Neglect Strategy in place and recommended the use of tools and chronologies when working with neglect. Eighteen individual neglect tools were reported with only two of these having undergone psychometric testing. The findings affirm that the use of tools or instruments with low or no testing for psychometric properties continues to be widespread in children's social care and welfare practice in England. Implications and recommendations for practice, policy and future research are discussed.

Despite a history of critique, concentrated discussion and improved assessment processes, neglect continues to be a major challenge for child protection services. This paper draws on findings from a government-commissioned analysis of ‘serious case reviews’ (SCRs) in England, arising from incidents of serious child abuse in 2017–2019. There were 235 cases, for which 166 final reports were available. Alongside a quantitative analysis of the whole cohort, we undertook an in-depth qualitative analysis of 12 cases involving neglect. A key challenge in responding to neglect in its different forms is that it can be so widespread amongst families that practitioners no longer notice its severity or chronicity – it becomes normalised. In this paper we explore two dimensions of the ‘paradox of neglect’ where it seems to be everywhere and nowhere simultaneously. The first is that neglect is so closely bound up with the prevalence of poverty that little action is taken to address it. The second is that the overwhelming nature of neglect can blind practitioners to other forms of maltreatment that may also be present within a family. Practitioners, now more than ever, need to recognise the dimensions of this paradox to protect children from neglect.

Despite the growing numbers, awareness and reporting rates of male child sexual abuse (MCSA) are still well below the real values, especially in developing countries like Turkey. We examined MCSA to determine the predisposing factors, the characteristics of perpetrators and victims, and the consequences of sexual abuse in a Turkish sample. We retrospectively analysed the files and forensic reports of 51 MCSA victims aged between 6 and 18. The mean age of children was 13.6 ± 3.8 years, and the mean age at the time of abuse was 11.1 ± 3.52. The average exposure time for sexual abuse was 91 ± 226.8 days, and the frequency was 2.4 ± 2.47 times. 17.6 per cent of them had previously been sexually abused. Disclosure times until legal notification was 240.1 ± 552.25 days. Most (56.9 per cent) had suffered anal penetration, developed post traumatic stress disorder, and needed medical treatment. Most perpetrators (58.8 per cent) were strangers outside the family, reaching the children from the neighbourhood. In conclusion, although the number of our sample is limited, the results of our study will contribute valuably to the literature, given that there are few studies on MCSA. Further studies with large samples evaluating MCSA in multidimensional ways are needed to raise awareness and protect vulnerable children.

The purpose of this study was to describe public health nurses' assessment of the background factors of familicide, factors that promote or prevent identification of these factors and familicide-related education. The researchers sought to provide information that would help public health nurses recognise and prevent family tragedies as well as the development of education. Public health nurses (n = 85) working at clinics in Finland were surveyed using an electronic questionnaire. The quantitative data was described through statistics and open questions were analysed using inductive content analysis. Approximately one-third (33 per cent) of the nurses considered their ability to identify the background factors of familicide as very poor or poor, and most (87 per cent) felt that they needed additional training. The identification of background factors is hindered by a lack of both resources and multiprofessionalism, fragmentation of care conditions, fear, cultural challenges, and education inadequacies.