Judith Naddour, Tania Bosqui, Sara Issa, Nour El Assi, Marianne Majdalani, Rasha Sawaya, Leyla Akoury Dirani
{"title":"How a collapsing state impacts child safeguarding: Reflecting on the challenges of implementing a hospital-based child safeguarding program in Lebanon","authors":"Judith Naddour, Tania Bosqui, Sara Issa, Nour El Assi, Marianne Majdalani, Rasha Sawaya, Leyla Akoury Dirani","doi":"10.1002/car.2901","DOIUrl":"https://doi.org/10.1002/car.2901","url":null,"abstract":"<p>In Lebanon, a country facing multilayered crises and an increase in reported cases of child maltreatment, the availability of a unified and comprehensive child safeguarding protocol in healthcare facilities remains limited. Healthcare providers are frontline in recognizing and detecting child abuse and neglect (CAN) cases in hospital settings. Therefore, the adoption of a child protection system in healthcare settings is much needed. We attempted to establish a program for child safeguarding identification, intervention and monitoring mechanisms in Lebanese teaching hospitals. Despite high levels of need, the establishment of this program faced major challenges in the context of multiple national emergencies. The latter included fragmentation of the child protection system and the collapse of the health sector. This paper aims to share these challenges and extract lessons learned for future implementation of a unified child safeguarding protocol in Lebanese hospitals.</p>","PeriodicalId":47371,"journal":{"name":"Child Abuse Review","volume":"33 5","pages":""},"PeriodicalIF":0.9,"publicationDate":"2024-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142404398","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Child protection and developmental trajectories of children who entered care as infants","authors":"Fernando Lima, Stephanie Taplin, Miriam Maclean, Olivia Octoman, Mariko Grose, Melissa O'Donnell","doi":"10.1002/car.2900","DOIUrl":"https://doi.org/10.1002/car.2900","url":null,"abstract":"<p>Infants have the highest rate of admission into out-of-home care in Australia, with rising rates of entry to care occurring around the world. Our previous research identified children who entered care as infants as having high levels of developmental vulnerability. The objective of this study was to determine the child protection and developmental trajectories of children who entered care as infants and whether meeting developmental needs through service provision improves trajectories and outcomes for these children. This is a prospective cohort study using three waves (2011–2016) of survey data from the New South Wales Pathways of Care Longitudinal Study which includes standardised assessments (Age and Stages Questionnaire, Brief Infant Toddler Social Emotional Assessment and the Child Behaviour Checklist), as well as linked administrative child protection and health data. Our findings suggest that children who entered care as infants predominantly remained in the care system and had a high level of developmental vulnerability as infants. A large group had positive physical and cognitive developmental trajectories with service provision increasing over time; however, early service provision is needed. Another group was identified as having early social–emotional concerns and displaying worsening social–emotional trajectories. Intervention for this group is an important priority to reduce risk of ongoing poor mental health outcomes.</p>","PeriodicalId":47371,"journal":{"name":"Child Abuse Review","volume":"33 5","pages":""},"PeriodicalIF":0.9,"publicationDate":"2024-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/car.2900","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142130449","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
India Bryce, Simone Collier, Lottie Harris, Daryl Higgins, Joseph Toohey
{"title":"Measuring accumulation: Constructing a tool for evaluating cumulative harm in children engaged with an intensive family support service","authors":"India Bryce, Simone Collier, Lottie Harris, Daryl Higgins, Joseph Toohey","doi":"10.1002/car.2897","DOIUrl":"https://doi.org/10.1002/car.2897","url":null,"abstract":"<p>There is a significant body of research that attests to the deleterious impact of an accumulation of adverse childhood experience across the lifespan, which provides a strong rationale for the development of a means for evaluating this accumulation in a high-risk population. We developed a theory-driven measure, the Cumulative Experiences Index, and conducted a pilot study to test its utility. The Cumulative Experiences Index derives a cumulative harm score that can be used to inform intervention and prevention strategies, programmes and initiatives across all tiers of public health prevention intervention. The Cumulative Experiences Index was piloted with 50 participants aged 8–17 years old who were actively engaged with an Intensive Family Support service. The study explores whether cases rated as low, medium or high severity on the Cumulative Experiences Index corresponded with severity ratings on the three measures of concurrent validity: the Strengths and Difficulties Questionnaire, Kessler-10 and Children's Revised Impact of Events Scale. The Index provides a valid and accurate means of reflecting the interconnectedness and complexity of exposure to different forms of harm that accumulates over time. Practitioners and researchers will benefit from using the Cumulative Experiences Index—a new valid and reliable measure of cumulative harm.</p>","PeriodicalId":47371,"journal":{"name":"Child Abuse Review","volume":"33 5","pages":""},"PeriodicalIF":0.9,"publicationDate":"2024-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/car.2897","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142100138","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Re: Let's not overlook those children who are subject to ‘Care Orders at home’.","authors":"","doi":"10.1002/car.2899","DOIUrl":"https://doi.org/10.1002/car.2899","url":null,"abstract":"","PeriodicalId":47371,"journal":{"name":"Child Abuse Review","volume":"33 4","pages":""},"PeriodicalIF":0.9,"publicationDate":"2024-08-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141986064","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The effect of beliefs and self-efficacy on the levels of sexual abuse-related anxiety in parents of children with disabilities","authors":"Filiz Özkan, Nurcan Uzdil, Serkan Karakaya, Bülent Köseoğlu","doi":"10.1002/car.2896","DOIUrl":"https://doi.org/10.1002/car.2896","url":null,"abstract":"<p>This study was conducted to investigate the relationship between self-efficacy, sexual abuse-related anxiety and belief levels of the parents of children receiving special education support. The study was descriptively conducted with the parents of 141 students who received special education in primary school in Kayseri in the 2021–2022 academic year. Parent information form, Parental Beliefs Form on Child Sexual Abuse (PBFCSA), Sexual Abuse Parental Anxiety Scale (SAPAS) and Parental Self-Efficacy Instrument for Children with Disabilities (PSICD) were used in the study. Independent samples <i>t</i> test, Pearson rank correlation coefficient and multiple linear regression analysis were used for data analysis. In the study, statistically significant and positive correlations were found between parental beliefs about sexual abuse and anxiety about sexual abuse (r = 0.318; 95% CI [0.188, 0.438]), between anxiety about sexual abuse and parental self-efficacy (r = 0.389; 95% CI [0.213, 0.531]) and between parental beliefs about sexual abuse and parental self-efficacy (r = 0.324; 95% CI [0.116, 0.514]). In the study, it was found that 24.4% of parental anxiety was explained by parental self-efficacy, beliefs about sexual abuse, parent status, working status and age. In the study, a weak but positive and significant relationship was found between parental beliefs about sexual abuse and anxiety about sexual abuse. It is recommended that studies should be conducted to determine appropriate coping methods for parents' concerns about sexual abuse and to monitor changes in their beliefs and self-efficacy. In addition, it is predicted that applied studies addressing self-efficacy and beliefs should be conducted to understand how levels of anxiety might be reduced.</p>","PeriodicalId":47371,"journal":{"name":"Child Abuse Review","volume":"33 4","pages":""},"PeriodicalIF":0.9,"publicationDate":"2024-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141980295","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Development and initial validation of the me and my child interview to assess parental acceptance–rejection","authors":"Adriana Carrolino, Joana Baptista","doi":"10.1002/car.2895","DOIUrl":"https://doi.org/10.1002/car.2895","url":null,"abstract":"<p>Parental acceptance–rejection exerts a key influence on child psychological adjustment. The present study aimed to contribute to this topic by focusing on the development and initial validation of a new assessment tool—that is, the Me & My Child: The Parental Acceptance-Rejection Interview. The study included 69 mothers with children aged two to 12 years. In addition to the interview, mothers completed the Me as a Parent questionnaire, which assessed parental self-regulation to test for convergent validity, as well as the short version of the Mental Health Inventory, which assessed maternal psychological problems to test for discriminant validity. Significant associations were found between higher levels of maternal acceptance and self-efficacy and self-management. Furthermore, mothers exposed to more socioeconomic risk factors in the family showed lower levels of parental acceptance. Conversely, no significant associations were observed between maternal acceptance–rejection and mental health symptoms. The intraclass correlation coefficient was found to be excellent. Overall, the findings support the Me and My Child Interview as a helpful tool for assessing parental acceptance–rejection. However, further research is required, given the exploratory nature of this study.</p>","PeriodicalId":47371,"journal":{"name":"Child Abuse Review","volume":"33 4","pages":""},"PeriodicalIF":0.9,"publicationDate":"2024-08-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141967769","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Bringing ‘care’ back into locked residential institutions: What can we learn from adolescents' experiences of secure care?","authors":"Mathilde Turcotte, François Fenchel","doi":"10.1002/car.2891","DOIUrl":"https://doi.org/10.1002/car.2891","url":null,"abstract":"<p>In Canada and elsewhere, efforts have been made to regulate the use of secure care on welfare grounds. Yet, studies raise questions about its usefulness as a psychosocial intervention since it appears to be mostly experienced as a punishment. The main objective of the current study was therefore to explore adolescents' experiences of secure care. We conducted qualitative interviews with 25 adolescents aged 14 to 17 years old while they were placed in secure care units in the province of Quebec, Canada. Uncertainty regarding how to exit secure care was the most important theme that emerged. Participants did not always understand the words used by practitioners to frame their expectations. Adolescents were also uncertain about how to prove they no longer presented a risk to others or themselves while being in locked settings. This uncertainty generated a lot of anger and distress. To get some control back, adolescents chose to just comply and pretend to agree with practitioners. The present paper questions the utility and even legitimacy of secure care as it is currently used. However, we argue that if an ethic of care predominated our conceptualisation of secure care, rather than an ethic of justice, adolescents could feel both secure and cared for.</p>","PeriodicalId":47371,"journal":{"name":"Child Abuse Review","volume":"33 4","pages":""},"PeriodicalIF":0.9,"publicationDate":"2024-08-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141967776","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"‘My childhood life falling apart’: A retrospective study of young carers managing parental mental illness in Taiwan","authors":"Esabella Hsiu-Wen Yuan, Yeun-Wen Ku","doi":"10.1002/car.2893","DOIUrl":"https://doi.org/10.1002/car.2893","url":null,"abstract":"<p>The population of young carers of parents with mental illness is more likely to be hidden in the community due to the family's concerns related to stigma. Many young carers struggle with caring difficulties with a lack of social support. The aim of this study was to gain insight into the difficulties of young carers managing parental mental illness in Taiwan from retrospective perspectives. Semi-structured interviews were conducted with 19 participants who used to be young carers of parents with mental illness. Interviews were analysed using thematic analysis. Three themes emerged. First, participants experienced grief over the loss of their parent's normality and the disruption of the parent–child relationship. Having to deal with issues alone, they described their childhood lives as falling apart. Second, families tended to conceal mental illness by refusing to seek outside support, resulting in young carers struggling in vulnerable situations. Third, participants used coping strategies to find a balance between maintaining parental mental illness and reducing the impact on their well-being. Most participants used solitary strategies to cope with their emotional distress. Some participants used destructive ways to suppress their pain and sorrow when there seemed no way to improve their family situation. The findings reflect on the vulnerabilities of young carers of parents with mental illness. Services and practitioners should work together to recognise young carers' identities and provide suitable resources to young carers to help them deal with life crises and meet their developmental needs.</p>","PeriodicalId":47371,"journal":{"name":"Child Abuse Review","volume":"33 4","pages":""},"PeriodicalIF":0.9,"publicationDate":"2024-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141597139","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Case recording in child protection: An exploration of the evidence base and good practice","authors":"Rebecca O'Keefe","doi":"10.1002/car.2894","DOIUrl":"https://doi.org/10.1002/car.2894","url":null,"abstract":"<p>There is a statutory duty for all practitioners to record information in child protection work in England. Case recording is a daily task for practitioners, yet an under-researched area of practice. This continuing professional development (CPD) paper will consider the context in which case recording takes place and highlight messages from child protection reviews and enquiries before exploring learning from contemporary research. The complexities of case recording will be considered and how practitioners can reflect upon and improve their daily case recording skills. Practitioners are encouraged to keep the child's views and experiences central and consider the long-term impact of case recording on adults who have experienced abuse and neglect in childhood.</p>","PeriodicalId":47371,"journal":{"name":"Child Abuse Review","volume":"33 4","pages":""},"PeriodicalIF":0.9,"publicationDate":"2024-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141608014","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}