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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 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 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 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 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 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。
{"title":"Early life adversity and violent victimization in adulthood: Examining the moderating role of alcohol use","authors":"Anne C. Wingert ,&nbsp;Eric J. Connolly","doi":"10.1016/j.chiabu.2025.107828","DOIUrl":"10.1016/j.chiabu.2025.107828","url":null,"abstract":"<div><h3>Background</h3><div>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.</div></div><div><h3>Objective</h3><div>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.</div></div><div><h3>Participants and setting</h3><div>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 (<em>N</em> = 4105).</div></div><div><h3>Methods</h3><div>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.</div></div><div><h3>Results</h3><div>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.</div></div><div><h3>Conclusions</h3><div>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.</div></div>","PeriodicalId":51343,"journal":{"name":"Child Abuse & Neglect","volume":"171 ","pages":"Article 107828"},"PeriodicalIF":3.4,"publicationDate":"2025-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145670766","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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 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 Pub Date : 2025-12-01 DOI: 10.1016/S0145-2134(25)00580-0
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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 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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引用次数: 0
Child maltreatment detection practices in Israeli pediatric emergency departments: A national study 以色列儿科急诊科的儿童虐待检测实践:一项全国性研究
IF 3.4 2区 心理学 Q1 FAMILY STUDIES Pub Date : 2025-11-28 DOI: 10.1016/j.chiabu.2025.107813
Ravit Alfandari , Tal Solomonica , Tal Frolinger , Michal Levy , Amit Levin Koren , Bat-El Rehavi Bernstein , Ido Rivlin , Asaf Schacham , Eyal Heiman , Yuval Barak-Corren

Background

Healthcare is a prominent governmental sector responsible for addressing and preventing child maltreatment. Yet underdetection of child maltreatment in health systems is a longstanding international concern.

Objective

This is the first national scale study investigating child maltreatment detection and management practices at hospital pediatric emergency departments in Israel, from the staff point of view. Given the current technological era, particular attention was given to hospital staff experiences using computerized systems.

Participants and setting

Participants were 179 healthcare professionals (46 % physicians, 41 % nurses, and 14 % social workers) employed in 22 hospitals around the country.

Methods

Participants completed an online questionnaire.

Results

Findings indicate several patterns suggesting inadequate and insufficient practice, including underdetection of suspected child maltreatment cases and low confidence in identifying possible child sexual abuse. Being a parent was significantly and negatively associated with staff confidence in detecting physical abuse (β = −0.17, p = .046), sexual abuse (β = −0.19, p = .030), and neglect (β = −0.19, p = .036). The most common practice reported when faced with cases of suspected child maltreatment was to consult with multiprofessional staff members. Although most participants reported having prior academic or departmental training in child maltreatment, findings suggest training did not play a notable role in practice. A key finding was the underuse of computerized systems in hospitals to support practice.

Conclusions

Evidence suggests unsatisfactory quality of available computer materials and functions. Policymakers should mandate basic effective computing experience for staff members to improve practice.
卫生保健是负责处理和防止虐待儿童问题的重要政府部门。然而,卫生系统对儿童虐待的发现不足是一个长期存在的国际问题。目的:这是第一个从工作人员的角度调查以色列医院儿科急诊科儿童虐待检测和管理实践的全国性研究。鉴于当前的技术时代,特别关注医院工作人员使用计算机化系统的经验。参与者和环境参与者是179名医疗保健专业人员(46%的医生、41%的护士和14%的社会工作者),他们受雇于全国22家医院。方法参与者完成在线问卷调查。结果调查结果表明,有几种模式表明实践不足,包括对疑似儿童虐待案件的发现不足,以及对识别可能的儿童性虐待的信心不足。为人父母与员工在发现身体虐待(β = - 0.17, p = 0.046)、性虐待(β = - 0.19, p = 0.030)和忽视(β = - 0.19, p = 0.036)方面的信心呈显著负相关。在面对涉嫌虐待儿童的案件时,报告的最常见做法是与多专业工作人员协商。尽管大多数参与者报告说,他们之前接受过有关虐待儿童的学术或部门培训,但研究结果表明,培训在实践中并没有发挥显著作用。一个重要的发现是计算机系统在医院的使用不足,以支持实践。结论现有计算机材料质量和功能不理想。政策制定者应该强制要求工作人员获得基本有效的计算经验,以改进实践。
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引用次数: 0
Lived experiences of First Nations children in Therapeutic Residential Care 第一民族儿童在治疗性住宿护理中的生活经验
IF 3.4 2区 心理学 Q1 FAMILY STUDIES Pub Date : 2025-11-27 DOI: 10.1016/j.chiabu.2025.107816
Kylie Day , Lynne McPherson , Antonia Canosa , Robbie Gilligan , Kathomi Gatwiri , Janise Mitchell , Tim Moore , Anne Graham

Background

First Nations children and young people are disproportionately represented in residential care in Australia. This overrepresentation is a direct consequence of the enduring legacy of colonialism and assimilation policies that have fractured Indigenous families and communities.

Objective

This article examines the lived experiences of First Nations young people living in Therapeutic Residential Care (TRC) settings, exploring what supports their wellbeing and what constrains it.

Participants

Sixteen First Nations young people aged 12–18 living in TRC settings across New South Wales, Australia.

Methods

Using thematic analysis informed by Critical Race Theory, the study privileges the voices of young people, positioning them as knowledge-holders whose insights are too often marginalised or excluded from policy discourse.

Results

Participants identified key enablers of wellbeing, including relational stability, cultural affirmation, and opportunities for autonomy and growth. Constraints included frequent relocations, disempowering routines, fractured identity, and cultural disconnection. Themes of systemic racism and the need for cultural safety emerged strongly. Young people articulated both what the system must stop doing (e.g., disempowering practices) and what it must do more of (e.g., honoring relationships, embedding cultural safety, and enabling agency).

Conclusions

The study highlights the urgent need for structural reform in TRC, grounded in Indigenous perspectives and relational accountability. Elevating the lived expertise of First Nations young people is essential to creating culturally safe, empowering care environments.
在澳大利亚,第一民族的儿童和年轻人在寄宿照料中所占的比例不成比例。这种比例过高是殖民主义和同化政策长期遗留下来的直接后果,这些政策分裂了土著家庭和社区。目的本文考察了生活在治疗性住宿护理(TRC)环境中的第一民族年轻人的生活经历,探索是什么支持了他们的幸福,又是什么限制了他们的幸福。参与者16位12-18岁的第一民族年轻人,他们生活在澳大利亚新南威尔士州的TRC环境中。方法采用批判性种族理论为基础的主题分析,该研究将年轻人的声音置于特权地位,将他们定位为知识持有者,他们的见解往往被边缘化或被排除在政策话语之外。结果:参与者确定了幸福的关键因素,包括关系稳定、文化肯定、自主和成长的机会。限制因素包括频繁的搬迁、失去权力的日常生活、身份的断裂和文化的脱节。系统性种族主义和需要文化安全的主题强烈地出现了。年轻人阐述了系统必须停止做什么(例如,剥夺权力的做法)和它必须做更多的事情(例如,尊重关系,嵌入文化安全和授权机构)。本研究强调了基于土著视角和关系问责制的TRC结构改革的迫切需要。提高第一民族青年的生活技能对于创造文化上安全、赋予权力的护理环境至关重要。
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Child Abuse & Neglect
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