Child Abuse & Neglect最新文献_第9页

Development of a universal child abuse screening tool (U-CAST): A qualitative analysis of medical expert perspectives 开发一种普遍的虐待儿童筛查工具：医学专家观点的定性分析

IF 3.4 2区心理学 Q1 FAMILY STUDIES

Child Abuse & Neglect

Pub Date : 2025-12-09 DOI: 10.1016/j.chiabu.2025.107838

Peiqi Chen , Meagan E. Peterson , Arden Morris , Kristen M. Davis-Lopez , Zaria Cosby , Elena Harnish , Jake Gamble , Stephanie D. Chao

Background

Medical providers in the U.S., Canada, and many other jurisdictions are legally obligated to report suspicions of child abuse, but clinicians often find it difficult to recognize the signs, resulting in high risk of missed or under-reporting abuse.

Objective

To improve the quality and fair application of child physical abuse screening in medical settings by developing a user-friendly Universal Child Abuse Screening Tool (U-CAST) within the electronic health record (EHR).

Methods

This qualitative study elicited medical experts' recommendations for development and implementation of a universal child abuse screening tool. To capture multiple viewpoints and refine ideas, Epic conducted a series of video-enabled, audio-recorded expert working groups (EWG) to cover tool components and design, logistics, decision support, challenges to implementation, and adequate follow-up steps.

Participants

14 experts were recruited by Epic from institutions nationwide including pediatric surgeons, child abuse pediatricians, pediatric emergency medicine physicians, nurses, social workers to serve on 9 EWG panels.

Results

EWG discussions explored and defined essential screening tool content and generated recommendations and a descriptive list of logistical challenges to implementation. Key thematic barriers to implementation included: 1) integration of the tool into the electronic medical record system; 2) embedding the tool into current clinical workflows; 3) concerns for performance of the screening tool.

Discussion

EWG achieved consensus on the need for and implementation of universal child abuse screening. Throughout the discussions, experts emphasized the importance of ensuring that positive screens have the flexibility to tailor the tool to diverse workflows and have appropriate follow-up actions.

Conclusion

Our user-friendly, evidence-based design supports implementation in a variety of differently-resourced settings.

背景：在美国、加拿大和许多其他司法管辖区，医疗服务提供者在法律上有义务报告疑似虐待儿童的情况，但临床医生经常发现很难识别这些迹象，导致漏报或漏报虐待的风险很高。目的通过开发电子健康档案（EHR）中用户友好的通用儿童虐待筛查工具（U-CAST），提高医疗机构儿童身体虐待筛查的质量和公平应用。方法本定性研究得出医学专家对开发和实施一种通用的虐待儿童筛查工具的建议。为了捕捉多个观点并完善想法，Epic组织了一系列支持视频和音频录制的专家工作组（EWG），以涵盖工具组件和设计、后勤、决策支持、实施挑战以及适当的后续步骤。Epic从全国各机构招募了14名专家，包括儿科外科医生、儿童虐待儿科医生、儿科急诊医师、护士、社会工作者，参加了9个EWG小组。结果工作组讨论探讨并定义了基本筛选工具的内容，并提出了建议和实施过程中后勤挑战的描述性清单。实施的主要专题障碍包括：1)将该工具纳入电子病历系统；2)将工具嵌入到当前的临床工作流程中；3)对筛选工具性能的关注。工作组就普遍进行虐待儿童筛查的必要性和实施达成了共识。在整个讨论过程中，专家们强调了确保阳性筛查具有灵活性，以便根据不同的工作流程定制工具并采取适当的后续行动的重要性。结论：我们的用户友好、循证设计支持在各种不同资源环境中实施。

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引用次数: 0

Woven lives: The intersection of streetism and resilience in Dodoma City, Tanzania 编织的生活：在坦桑尼亚的Dodoma市，街头主义和弹性的交集

IF 3.4 2区心理学 Q1 FAMILY STUDIES

Child Abuse & Neglect

Pub Date : 2025-12-08 DOI: 10.1016/j.chiabu.2025.107841

Sister Jeston Shitindi , Yinong Zhang

Background

Streetism among children is a global issue linked to socioeconomic inequalities and systemic failures. While various factors lead to children living on the streets, the relationship between streetism and resilience remains largely unexplored.

Objective

The study objectives were: (a) identify the underlying factors driving children to the streets, (b) evaluate the services provided in rehabilitation homes, and (c) analyze the interplay between resilience and street life and its relation to street children in urban environment.

Participants and setting

The study population consisted of street children, and social welfare officers in Dodoma City, Tanzania.

Methods

The study used a qualitative ethnographic approach, gathering data through Focus Group Discussions (FGDs) and In-depth Interviews (IDIs) with 18 participants: 12 street children aged 9 to 17, 4 social welfare officers, and 2 staff from rehabilitation centers.

Results

The findings show that the resilience of street children depends on their coping strategies, social connections, and teamwork. While these strategies offer temporary relief from trauma, they result in community isolation and restricted resource access. Informal work heightens their vulnerability to exploitation, and many children see this vulnerability as a weakness, adopting a tough exterior that hinders long-term solutions. This phenomenon emphasizes the need for targeted interventions to address streetism and strengthen children's resilience.

Conclusions

Peer support networks and structured support systems for children should be enhanced through community-focused programs that create safe spaces for sharing experiences and building friendships. Rehabilitation centers should also actively involve street children in their development to effectively address their needs.

儿童街头暴力是一个全球性问题，与社会经济不平等和系统失灵有关。虽然各种因素导致儿童流落街头，但街头行为与适应力之间的关系在很大程度上仍未得到探索。目的研究的目的是：(a)找出导致儿童流落街头的潜在因素；(b)评估康复院提供的服务；(c)分析弹性与街头生活的相互作用及其与城市环境中街头儿童的关系。研究对象和环境研究人群包括坦桑尼亚多多马市的街头儿童和社会福利官员。方法采用定性民族志方法，通过焦点小组讨论（fgd）和深度访谈（IDIs）收集18名参与者的数据，其中包括12名9至17岁的街头儿童，4名社会福利官员和2名康复中心的工作人员。结果街头儿童的心理弹性与他们的应对策略、社会关系和团队合作有关。虽然这些战略可以暂时缓解创伤，但却导致社区孤立和资源获取受限。非正式工作使他们更容易受到剥削，许多儿童将这种脆弱性视为弱点，采取一种阻碍长期解决方案的强硬外表。这一现象强调需要采取有针对性的干预措施，解决街头歧视问题，加强儿童的适应能力。结论应通过以社区为重点的项目，为分享经验和建立友谊创造安全的空间，加强儿童支持网络和结构化支持系统。康复中心还应积极让街头儿童参与其发展，以有效解决他们的需要。

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引用次数: 0

Family resource centers and the prevention of child maltreatment: A scoping review 家庭资源中心与预防儿童虐待：范围审查。

IF 3.4 2区心理学 Q1 FAMILY STUDIES

Child Abuse & Neglect

Pub Date : 2025-12-08 DOI: 10.1016/j.chiabu.2025.107839

Lacey Jenkins , Catherine A. LaBrenz , Damone Wisdom , Christina Mecca-McClory

Background

Family Resource Centers have emerged globally as key community-based strategies for preventing child maltreatment. Rooted in a public health approach, Family Resource Centers aim to enhance protective factors, reduce risk factors, and support family and community well-being through accessible, prevention-focused services.

Objective

This scoping review synthesizes current research on the impact of Family Resource Centers, with a focus on their role in preventing child maltreatment and promoting family and community well-being.

Participants and setting

The review included 42 studies examining Family Resource Centers in various community-based contexts. Most studies focused on families with children, though population characteristics and geographic settings varied across the literature.

Methods

Following established scoping review methodology, peer-reviewed articles and gray literature were systematically identified, screened, and analyzed. Data were extracted, and findings were thematically categorized.

Results

Four key themes emerged: (1) parenting practices and family well-being, (2) social support and community well-being, (3) child maltreatment, and (4) program satisfaction and engagement. Results suggest that Family Resource Centers have the potential to reduce child maltreatment and associated risk factors. However, limitations in the existing literature include methodological challenges, gaps in population representation, and uncertainty regarding direct impacts on child maltreatment rates.

Conclusion

Family Resource Centers hold significant potential as a public health strategy to prevent child maltreatment and strengthen family systems. Continued research is essential to address gaps, improve evaluation methods, and inform policy and practice to optimize Family Resource Center impact.

背景：家庭资源中心已成为全球预防儿童虐待的关键社区战略。家庭资源中心立足于公共卫生方针，旨在通过可获得的以预防为重点的服务，加强保护因素，减少风险因素，并支持家庭和社区福祉。目的：本综述综合了目前关于家庭资源中心影响的研究，重点关注其在预防儿童虐待和促进家庭和社区福祉方面的作用。参与者和环境：本综述包括42项研究，调查了不同社区背景下的家庭资源中心。大多数研究集中在有孩子的家庭，尽管人口特征和地理环境在文献中有所不同。方法：遵循既定的范围审查方法，对同行评议的文章和灰色文献进行系统的识别、筛选和分析。提取数据，并按主题对结果进行分类。结果：出现了四个关键主题：(1)育儿实践和家庭福祉，(2)社会支持和社区福祉，(3)儿童虐待，(4)项目满意度和参与。结果表明，家庭资源中心有可能减少儿童虐待和相关风险因素。然而，现有文献的局限性包括方法上的挑战，人口代表性的差距，以及对儿童虐待率的直接影响的不确定性。结论：家庭资源中心作为预防儿童虐待和加强家庭系统的公共卫生战略具有巨大潜力。持续的研究对于解决差距、改进评估方法、为政策和实践提供信息以优化家庭资源中心的影响至关重要。

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引用次数: 0

Association between adverse childhood experiences and elder abuse victimization: A systematic review and meta-analysis 不良童年经历与老年虐待受害之间的关系：一项系统回顾和荟萃分析。

IF 3.4 2区心理学 Q1 FAMILY STUDIES

Child Abuse & Neglect

Pub Date : 2025-12-03 DOI: 10.1016/j.chiabu.2025.107759

Yuanyuan Fu , Jingyi Xu , Yuyan Li

Background

Childhood is a critical period for growth and development, and adverse childhood experiences (ACEs) can impair well-being and have long-lasting negative effects into adulthood and old age.

Objectives

This systematic review and meta-analysis aimed to estimate the association between ACEs and elder abuse victimization and to examine potential sources of heterogeneity across studies.

Methods

Web of Science, PubMed, PsycINFO & PsycArticles and ProQuest were searched to identify eligible studies. Random effects models were used to compute odds ratios (ORs) reflecting the association between ACEs and elder abuse victimization. Subgroup analyses were conducted to evaluate whether gender composition, region, study quality, ACE type, the measurement tools (e.g., ACE measurement and elder abuse victimization measurement), and culture contributed to the heterogeneity in the findings.

Results

Nine studies met eligible criteria. The analysis revealed a significant positive association between ACEs and elder abuse victimization, regardless of whether ACEs were treated as a binary variable (presence or absence of ACEs: OR = 1.86, p < 0.001; multiple ACEs or not: OR = 2.45, p < 0.001) or as a continuous variable reflecting the number of ACEs (OR = 1.13, p < 0.05). Subgroup analyses suggested that variations in gender composition, region, and study quality may contribute to heterogeneity in the observed relationship.

Conclusions

This study reinforces life-course perspective and enhances the understanding of the intergenerational transmission of family violence and the accumulation of disadvantage, provides robust empirical evidence through meta-analytic synthesis, and emphasizes the critical importance of addressing ACEs through early prevention and intervention efforts, as well as mitigating their long-term impact across the life course.

背景：童年是成长和发育的关键时期，不良的童年经历（ace）会损害健康，并对成年和老年产生长期的负面影响。目的：本系统综述和荟萃分析旨在估计ace与老年人虐待受害之间的关系，并检查研究中潜在的异质性来源。方法：检索Web of Science、PubMed、PsycINFO & PsycArticles和ProQuest以确定符合条件的研究。随机效应模型用于计算反映ace与老年人虐待受害之间关系的比值比（ORs）。进行亚组分析，以评估性别构成、地区、研究质量、ACE类型、测量工具（如ACE测量和老年人虐待受害测量）和文化是否导致了研究结果的异质性。结果：9项研究符合合格标准。分析显示，无论ace是否被视为二元变量（存在或不存在ace: or = 1.86, p）， ace与老年人虐待受害之间都存在显著的正相关。本研究强化了生命历程视角，增强了对家庭暴力代际传递和不利条件积累的理解，通过荟萃综合分析提供了强有力的经验证据，并强调了通过早期预防和干预措施解决不良家庭暴力的重要性，以及减轻其在整个生命历程中的长期影响。

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引用次数: 0

Sexual abuse of Bangladeshi street-connected children: A mixed methods study 孟加拉国街头儿童的性虐待：一项混合方法研究。

IF 3.4 2区心理学 Q1 FAMILY STUDIES

Child Abuse & Neglect

Pub Date : 2025-12-03 DOI: 10.1016/j.chiabu.2025.107812

Md Hasan Reza , Shirin Sultana , Nicole Bromfield , Larry Bennett , Sharif Haider

Background

Sexual abuse is a grave concern for millions of street-connected children in Bangladesh. Perpetrator-enabling street environments create heightened risks for children though their victimizations have barely been investigated.

Objective

This study aims to explore sexual victimization of street-connected children in Bangladesh.

Participants and setting.

A total of 592 children from Dhaka city participated in the survey, and 32 of them participated in qualitative interviews.

Methods

A concurrent mixed-methods design, comprising a quantitative survey and phenomenological interview, was adopted to estimate magnitude, contexts, processes, and perpetrators of sexual abuse.

Results

Findings demonstrated a wide range of sexual abuse and rape. Seventy-five percent of the children were subjected to forced kissing, 99 % were victims of salacious talk, and 84 % were victims of rape. Linear regression analysis identified gender, shelter, age, and poverty as the significant predictors of sexual abuse (F = 64.262, p < 0.001). Logistic regression analyses identified age (children 13 years or older), night shelter, and gender were significant predictors of rape. The overall model was found to be significant (χ2(df = 3} = 54.301, p < 0.001). Qualitative findings showed that children were sexually assaulted by adults, older youth, police, and strangers. Though children could be victims at any time, “nights are most fearful of all time…” as shared by a participant.

Conclusions

Findings imply that sleeping in an unprotected place is a strong predictor of increased rape, and prevention requires immediate housing of these children in safe places of their choice.

背景：性侵犯是孟加拉国数百万街头儿童严重关切的问题。尽管对儿童的受害情况几乎没有进行调查，但为犯罪者提供便利的街道环境给儿童带来了更大的风险。目的：本研究旨在探讨孟加拉国街头儿童的性受害情况。参与者和环境：达卡市共有592名儿童参与了调查，其中32名儿童参与了定性访谈。方法：采用并行混合方法设计，包括定量调查和现象学访谈，以估计性侵犯的规模、背景、过程和肇事者。结果：调查结果显示了广泛的性虐待和强奸。75%的儿童被强迫接吻，99%的儿童被猥亵谈话，84%的儿童被强奸。线性回归分析发现，性别、住所、年龄和贫困是性虐待的重要预测因素（F = 64.262, p）。结论：研究结果表明，睡在无保护的地方是强奸增加的有力预测因素，预防措施需要立即将这些儿童安置在他们选择的安全地点。

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引用次数: 0

The impact of childhood emotional maltreatment on adulthood smoking behaviour: A systematic review and narrative synthesis 童年情感虐待对成年吸烟行为的影响：系统回顾和叙事综合。

IF 3.4 2区心理学 Q1 FAMILY STUDIES

Child Abuse & Neglect

Pub Date : 2025-12-03 DOI: 10.1016/j.chiabu.2025.107809

Qingyang Lu, Amrita Ahluwalia-McMeddes, Fabio Sani

Background

Childhood emotional maltreatment (CEM) has been linked to adulthood smoking behaviour (ASB). However, variability in how these are defined has hindered understanding of their specific relationship.

Objective

The aim of this systematic review was to valuate evidence for the association between two different forms of CEM – emotional abuse and emotional neglect – and various types of ASB.

Participants and Setting

Eligible studies included adults aged 18 to 70 who experienced CEM before age 18 and reported any form of tobacco use after age 18. A total of 34 studies (N = 534,104) were included.

Methods

A systematic review of studies published between 1997 and 2024 was conducted, and narratively synthesised. This review was registered on PROSPERO (CRD42024572290).

Results

Findings are reported in seven outcome categories, based on different aspects of smoking behaviour. Emotional abuse was most frequently associated with increased smoking outcomes, whereas associations with emotional neglect were mostly non-significant, though the paucity of studies that directly examine neglect limits interpretation, as does variation in study design and operationalisation of key concepts.

Conclusions

These findings indicate that exposure to CEM – particularly emotional abuse – is linked to smoking behaviour in adulthood. Future research should: examine the role of mediating factors; address clarity in conceptualisations of both CEM and ASB; and redress underrepresentation of non-Western populations. This review highlights the need for trauma-informed approaches that account for the long-term impacts of emotional maltreatment on tobacco use.

背景：儿童期情绪虐待（CEM）与成年期吸烟行为（ASB）有关。然而，这些定义的差异阻碍了对它们具体关系的理解。目的：本系统综述的目的是评估两种不同形式的情感创伤-情感虐待和情感忽视-与各种类型的ASB之间的关联证据。参与者和环境：符合条件的研究包括18至70岁的成年人，他们在18岁之前经历过CEM，并在18岁之后报告有任何形式的烟草使用。共纳入34项研究（N = 534,104）。方法：对1997年至2024年间发表的研究进行系统回顾，并进行叙述性综合。本综述已在PROSPERO注册（CRD42024572290）。结果：根据吸烟行为的不同方面，研究结果分为七个结果类别。情绪虐待最常与吸烟结果增加相关，而与情绪忽视的关联大多不显著，尽管直接检查忽视的研究缺乏限制了解释，研究设计和关键概念的操作变化也是如此。结论：这些发现表明，暴露于CEM——尤其是情绪虐待——与成年后的吸烟行为有关。未来的研究应：考察中介因素的作用；厘清CEM和ASB的概念；并纠正非西方人口代表性不足的问题。这篇综述强调需要创伤知情的方法来解释情绪虐待对烟草使用的长期影响。

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引用次数: 0

Early life adversity and violent victimization in adulthood: Examining the moderating role of alcohol use 早期生活逆境和成年后的暴力受害：检查酒精使用的调节作用。

IF 3.4 2区心理学 Q1 FAMILY STUDIES

Child Abuse & Neglect

Pub Date : 2025-12-02 DOI: 10.1016/j.chiabu.2025.107828

Anne C. Wingert , Eric J. Connolly

Background

Early life adversities (ELAs) are positively associated with violent victimization in early adulthood. The use of maladaptive coping behaviors, such as alcohol use, may exacerbate risk for victimization during this life course period.

Objective

The current study assesses whether and to what extent the association between ELAs and violent victimization in adulthood varies across specific ELA type and the moderating role of alcohol use in late adolescence.

Participants and setting

Data are drawn from the Child and Young Adult Supplement of the National Longitudinal Survey of Youth (CNLSY), which has followed respondents from childhood to adulthood (N = 4105).

Methods

Negative binomial and logistic regression models are estimated to assess the independent effects of five different ELAs on overall, single, and chronic violent victimization. Multiplicative interaction terms are used to test for the moderating role of alcohol use.

Results

Several ELAs were significantly associated with violent victimization across all three outcomes. Alcohol use significantly increased risk for overall violent victimization, but was not associated with single or chronic victimization. Contrary to expectations, alcohol use did not strengthen associations between ELAs and violent victimization. Rather, participants without a history of ELA who drank more frequently in adolescence were more likely to experience victimization later in life.

Conclusions

The findings suggest that ELAs are associated with risk for violent victimization in adulthood. Frequency of alcohol use appears to not strengthen these associations, calling for future efforts to clarify its role in the ELA-victimization relationship across the life course.

背景：早期生活逆境（ELAs）与成年早期的暴力受害呈正相关。使用适应不良的应对行为，如饮酒，可能会加剧这一生命过程期间受害的风险。目的：目前的研究评估ELA与成年期暴力受害之间的关联是否以及在多大程度上因特定ELA类型而异，以及青春期晚期酒精使用的调节作用。参与者和环境：数据来自全国青年纵向调查（CNLSY）的儿童和青年补充，该调查跟踪了受访者从童年到成年（N = 4105）。方法：采用负二项回归和logistic回归模型评估五种不同的ELAs对整体、单一和慢性暴力受害的独立影响。乘法相互作用项用于测试酒精使用的调节作用。结果：在所有三个结果中，一些ela与暴力受害显著相关。酒精使用显著增加了整体暴力受害的风险，但与单一或长期受害无关。与预期相反，酒精使用并没有加强ELAs和暴力受害之间的联系。相反，没有ELA史的参与者在青春期更频繁地饮酒，在以后的生活中更有可能遭受伤害。结论：研究结果表明，ela与成年后遭受暴力侵害的风险有关。酒精使用的频率似乎并没有加强这些联系，因此需要未来的努力来澄清其在整个生命过程中在ela -受害关系中的作用。

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引用次数: 0

Measuring adversity without harm: Survivors' critique and recommendations for trauma-informed assessment 测量没有伤害的逆境：幸存者对创伤知情评估的批评和建议。

IF 3.4 2区心理学 Q1 FAMILY STUDIES

Child Abuse & Neglect

Pub Date : 2025-12-02 DOI: 10.1016/j.chiabu.2025.107829

Hannah Rachael Slack , Isobel Fovargue , Xinyang Liu , Anna Matheron

Background

Adverse Childhood Experiences (ACEs) are strongly linked to poor mental, physical, and social outcomes across the lifespan. However, two of the most widely used retrospective ACE tools, the Adverse Childhood Experiences Questionnaire (ACE-Q) and Childhood Trauma Questionnaire - Short Form (CTQ-SF), have been criticised for narrow content and simplistic response formats, raising concerns about validity.

Objective

This study examined how adult survivors of childhood adversity perceive the ACE-Q and CTQ-SF, focusing on their content, structure, language, and emotional impact, and identified survivor-driven recommendations for improvement.

Participants and setting

One hundred adults with self-reported childhood adversity completed an anonymous online survey.

Methods

Participants reviewed both tools and provided open-ended feedback. Reflexive thematic analysis identified key themes on perceived limitations and improvements.

Results

Survivors raised three overarching concerns: (1) Content gaps, including exclusion of socio-environmental adversities (e.g., discrimination) and contemporary forms of trauma; (2) Format limitations, with critiques of ambiguous wording and lack of frequency, duration, or context, and (3) Ethical concerns and trauma-informed recommendations, with participants emphasising explicit and invalidating language and insensitive item ordering.

Conclusions

Findings underscore the urgent need for ACE tools that are inclusive, contextually valid, and co-designed with survivors. Embedding lived experience in measure development is vital to ensure ethical, accurate assessment and enhance their value in research, practice, and policy. We end with a list of key recommendations for future ACE measurement.

背景：不良童年经历（ace）与一生中不良的精神、身体和社会结果密切相关。然而，两种最广泛使用的回顾性ACE工具，童年不良经历问卷（ACE- q）和童年创伤问卷-简短形式（CTQ-SF），因内容狭窄和回答格式简单而受到批评，引起了对有效性的担忧。目的：本研究考察童年逆境的成年幸存者如何感知ACE-Q和CTQ-SF，重点关注其内容、结构、语言和情感影响，并确定幸存者驱动的改进建议。参与者和环境：100名自我报告童年逆境的成年人完成了一项匿名在线调查。方法：参与者回顾两种工具并提供开放式反馈。反思性专题分析确定了关于觉察到的限制和改进的关键主题。结果：幸存者提出了三个主要问题：(1)内容差距，包括排除社会环境逆境（如歧视）和当代形式的创伤；(2)格式限制，批评模棱两可的措辞，缺乏频率，持续时间或背景；(3)道德问题和创伤知情的建议，参与者强调明确和无效的语言和不敏感的项目顺序。结论：研究结果强调了对ACE工具的迫切需求，这些工具具有包容性、情境有效性，并与幸存者共同设计。将实际经验纳入衡量标准的制定，对于确保道德、准确的评估并提高其在研究、实践和政策中的价值至关重要。最后，我们列出了未来ACE测量的一些关键建议。

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引用次数: 0

Aims & Scope 目标及范围

IF 3.4 2区心理学 Q1 FAMILY STUDIES

Child Abuse & Neglect

Pub Date : 2025-12-01 DOI: 10.1016/S0145-2134(25)00580-0

引用次数: 0

When services are no longer voluntary: Exploring child protection workers experiences with Black families and (in)voluntary services 当服务不再是自愿的：探索儿童保护工作者在黑人家庭和（非）志愿服务方面的经验

IF 3.4 2区心理学 Q1 FAMILY STUDIES

Child Abuse & Neglect

Pub Date : 2025-11-28 DOI: 10.1016/j.chiabu.2025.107817

Travonne Edwards , Monique Kiara Clarke , Alicia Boatswain-Kyte , Bryn King

Background

While the overrepresentation of Black families in contact with the child welfare system is a well-established, how child welfare workers specifically engage Black families in voluntary services is poorly understood in Canada.

Objective

This study aims (1) to explore workers' experiences of Black families engaging with voluntary services?; and (2) understand how workers' perceptions shape decision making practices as it relates to voluntary services. Methods: An interpretive phenomenological analysis approach is employed drawing on data collected as part of the Mapping Disparities for Black Families Project (MDBF). Data was collected via in-depth semi-structured interviews and focus groups with a total of 79 participants from April 2022 to January 2023.

Findings

Results from this study reveal racial differences between Black and white families in child welfare practices related to consent and use of legal sanctions. Study findings also uncover a pattern of documenting and perceiving Black families as ‘aggressive’ in child welfare. Lastly, it was found that workers who effectively reframed perceived anger and other emotions in their interactions with Black families had greater engagement success.

Conclusion

Implications of this study highlight the fallacies of consent and voluntary services in child welfare. Findings from this study also suggest that narratives of Black families begin to form even before Black families are formally inducted into the child welfare process due to not only worker's preconceived bias ideas but also prejudicial reporting that is then reinforced by worker bias. Policy and practice recommendations are discussed.

虽然黑人家庭与儿童福利系统接触的比例过高是一个公认的事实，但在加拿大，儿童福利工作者如何专门让黑人家庭参与志愿服务却鲜为人知。本研究旨在(1)探讨黑人家庭工人参与志愿服务的经验；(2)了解工人的观念如何影响与志愿服务有关的决策实践。方法：采用解释性现象学分析方法，利用作为黑人家庭差距测绘项目（MDBF）的一部分收集的数据。从2022年4月到2023年1月，通过深度半结构化访谈和焦点小组收集了79名参与者的数据。这项研究的结果揭示了黑人和白人家庭在同意和使用法律制裁的儿童福利实践方面的种族差异。研究结果还揭示了一种记录和认为黑人家庭在儿童福利方面“咄咄逼人”的模式。最后，研究发现，在与黑人家庭的互动中，有效地重塑感知到的愤怒和其他情绪的员工，敬业度更大。结论：本研究的意义突出了同意和自愿服务在儿童福利中的谬误。这项研究的结果还表明，黑人家庭的叙述甚至在黑人家庭被正式纳入儿童福利过程之前就开始形成了，这不仅是因为工人先入为主的偏见观念，而且还因为工人偏见而加强的偏见报道。讨论了政策和实践建议。

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