Thesis (Ph.D. (Clinical Psychology)) -- University of Limpopo, 2000 / Refer to document

This thesis explores the idea that those who have childhood victimization through abuse may be more likely to go into professions that directly help others as adults. This idea comes from Agnew's general strain theory and is an example of positive coping and prosocial coping. Coping is the response necessary when strains are introduced to an individual. They may be positive or negative. Prosocial coping is an individual using their coping mechanisms to help themselves by helping others in their community. This thesis uses data from the “National Longitudinal Study of Adolescent to Adult Health (Add Health), 1994-2008" Harris and Udry, North Carolina Chapel Hill. Questions about abuse and employment are coded and run through statistical analysis. These analyses are independent sample t-tests binary regression models. Findings are discussed and further research in this area is suggested.

This review began with an interest in treatment of child abuse and in how a study of social isolation might lend direction to treatment of abusing families. The literature leads one to believe that social isolation is somehow involved, but that the process is far from clear. The intent of this review is to synthesize the findings available on the relationship between social isolation and child abuse, to encourage further thought on how the concept of social isolation can be refined and operationalized, and to discuss the implications of that relationship for treatment and prevention of physical abuse. The information gained might assist those responsible for community programs to understand the role of social resources in the prevention of child abuse.

Every year, about 1 million children are abused in the United States and an average of 4.5 of those children die daily at the hands of caretakers, parents, relatives, or friends. Using the ecological model as a guide, the purpose of this study was to investigate the relationship between family structure and specific types of child maltreatment utilizing cases from an agency in Montgomery, Alabama, in 2012-2013. Approximately 727 cases of child maltreatment were reviewed. Logistic regression results indicate married and common law families' children are 1.83 times more likely to experience sexual abuse than the reference category (single) (OR= 1.834, 95% CI:1.19, 2.81). As it relates to relationship to the offender, children are 2.1 times more likely to experience sexual abuse from an acquaintance; someone who is known by the child but is a non-family member, compared to the reference level (stranger) (OR= 2.1, 95% CI:1.20, 3.65). This research can promote positive social change by providing awareness to the local community about child maltreatment; the findings provide policymakers, public health departments, healthcare officials, health advocates, and communities needed information on the child maltreatment and the specific family structures that are associated.

The purpose of this study was to fill a gap in the literature regarding survivors of child abuse and their capacity to continue their educational pursuits beyond high school. Thus, this study explored the lived experience of self-identified abuse survivors who were enrolled in higher education. The theoretical bases for this study included Bandura'€™s social cognitive theory, Rotter'€™s theory of locus of control and Heider'€™s and Weiner'€™s theory of attribution. Open-ended interviews were conducted with 15 survivors of child abuse enrolled in an undergraduate or graduate degree program at an online or brick and mortar university. The interviews were then transcribed and analyzed for relevant codes and themes. Results of this phenomenological qualitative study revealed that external supports played a major role in motivation for survivors of abuse to pursue higher education and that middle school was a pivotal point for child abuse survivors. This study contributes to social change by providing information to survivors of child abuse, educators, family members, and counselors that may lead to better understanding the needs of the survivors of child abuse and increase training effectiveness for interventions useful in meeting the unique needs of child abuse survivors.

ABSTRACT The purpose of this paper is to demonstrate that one way New Zealand's high prevalence of child abuse can be reduced is by the government increasing the legislative and policy responses within an ecological framework, to child abuse prevention. This is because such responses would ensure a 'best practice' approach to child abuse prevention. This 'best-practice' approach is one where child abuse prevention measures are community-driven, child-centred, multi-disciplinary and inter-sectoral. Section 1 of this thesis will provide a background on the different types of child abuse, why child abuse occurs and what the consequences of child abuse are. This section will also cover some current statistics on the incidences of child abuse in New Zealand. Additionally, there is a discussion on how child abuse is increasingly being minimised within a family violence paradigm - even though family violence is only one form of child abuse. New Zealand does not have a good track record when it comes to its rates of child abuse. Section 1 is intended to give the reader a very clear picture of how children in New Zealand are not currently being protected adequately enough from child abuse. This protection should be coming from the adults in their lives, in their community and in their nation. Section 2 of this thesis outlines an ecological framework for child abuse prevention. More specifically the way in which such an ecological model is operating presently in New Zealand, at particularly an exosystem (community) and macrosystem (national) level. The second part of this section discusses factors which will ensure the 'success' of an ecological framework for child abuse prevention. By 'success' the author is referring to a framework in which the primary outcome is the prevalence of child abuse in New Zealand is reducing. Section 3 of this thesis will contain the substantive arguments of this paper. New Zealand does currently have in place legislative and policy responses to child abuse prevention. However, the author maintains these responses to date have not been sufficient because New Zealand's rates of child abuse continue to escalate. This section consists of 19 recommendations of legislative and policy responses that could be implemented at a macrosystem/national level. At the conclusion of the recommendations contained in this thesis, it becomes clear that the government does need to respond urgently to New Zealand's growing child abuse rates. New Zealand can no longer afford to have a reactive, ad-hoc approach to child abuse. Nor can the response at a macro level continue to be one of rhetoric where there is more talk on child abuse prevention than there is on activating, monitoring and funding practical solutions. It is the author's contention that if the government considered the interests and welfare of children as paramount in legislative and policy decisions that relate to children, then this will send a strong and clear signal to the adults in childrens' lives that children are not to be abused. Instead, children are to be nurtured, respected and cherished in every way.

Burgeoning numbers of child abuse and neglect reports throughout the developed world has prompted calls for preventive and early intervention measures to support and prepare families for parenting. Nurse home visiting is one form of service delivery gaining acceptance as an appropriate strategy. Although home visiting is not a new concept in service delivery, enthusiasm for home-visitation programmes has re-emerged not only in Australia in recent years, but in many other developed countries with initiatives being launched or recommended at state, national and international levels. This thesis presents a review of the tenets of home visiting and examines a home visiting intervention programme targeting children born into families with child abuse or neglect risk factors. A randomised controlled trial using a cohort of 181 families was undertaken to evaluate the impact of this home visiting programme. Mothers were recruited in the immediate postnatal period and allocated either into the home visiting programme or into a comparison group. The research design required self-identification into the study by providing positive responses to a range of risk factors. This procedure was shown to have utility in the context of recruitment to a research trial, in that respondents were willing to disclose sensitive personal issues using this form of screening as the basis for targeted intervention. The home visiting programme examined by this study was also shown to have social validity, with mothers willing to accept this form of intervention from the immediate postnatal period. High retention and satisfaction rates strengthened this conclusion. The ability of this study to evaluate the effectiveness of the home visiting intervention programme may have been compromised by a range of contextual factors influencing programme outcomes detailed in this thesis. Nonetheless, the study found that, for a group of families reporting risk factors for child abuse and neglect potential, provision of an intensive home visiting intervention using nurses, social workers, and parent aides was not effective in producing more favourable adjustment to the parenting role over time compared with nonintervention or clinic based service provision. The intervention programme group participants gained knowledge of child development and child management skills during the early postnatal weeks while the comparison group participants developed knowledge and skills later in the first year of their infant's lift. Early adaptation to the parenting role, parenting knowledge, and skill acquisition bodes well for parent-infant attachment and the children's long-term health and developmental outcomes. However, a 12-month assessment of maternal, family, and child development variables did not demonstrate maintenance of a positive intervention impact on parenting stress, parenting competence, or quality of the home environment. Finally, predictive analysis of fictors measured in the immediate postnatal period revealed an absence of any predictive value to demographic characteristics, which secondary prevention efforts typically target. These results not only demonstrate that there is a relationship between maternal, family and enviromnental factors identified in the immediate postnatal period, and adjustment to the parenting role, but also challenge demographic targeting for child abuse and neglect risk. Findings are discussed and placed within the context of previous research and reference is made to implications for future child health practice, development, and research. Recommendations arising from this discussion relate to both future research and community child health practice.

Thesis (Ph. D.)--University of Texas at Austin, 2007. / Vita. Includes bibliographical references.

<p>Förskola och skola kan upptäcka om ett barn far illa och anmäler till socialtjänsten som utreder fallet. Studiens syfte var att med kvalitativ metod i form av intervjuer undersöka hur samarbetet mellan dessa instanser upplevs, samt vilka möjligheter och hinder som upplevs för att hjälpa barnet. Tio personer från de olika instanserna intervjuades. Studien visade att (1) möjligheter finns att hjälpa familjerna, (2) det är svårt då föräldrar inte samarbetar samt då samarbetet mellan förskola, skola och socialtjänst begränsas genom socialtjänstens tystnadsplikt och (3) samarbetet mellan instanserna är bra men kan förbättras med mer insikt i varandras arbete. Det framkom att ett behov av bättre samarbete behöver utvecklas. Åtgärder på ett tidigare stadium skulle vara resursbesparande.</p>

Maltreatment affected an estimated 794,000 children in the 50 States, the District of Columbia, and Puerto Rico in 2007 (United States Department of Health and Human Services [USDHHS], 2009). The purpose of this study was to examine the risk factors of young maternal age, parents' marital status, multiple birth, preterm birth, birth defects/disability, low economic status, and parental substance abuse related to suspected maltreatment of children 3 years of age or younger from the prospective of pediatric nurse practitioners (PNPs). A cross-sectional survey design, using the Tailored Design Method, was used in this study. A convenience sample consisting of the National Association of Pediatric Nurse Practitioners (NAPNAP) email registry was used for this study with a response rate of 11%. The respondents represented all regions of the United States. Seventy-nine percent of the PNP's (n=363) who completed the survey had suspected child abuse or neglect within the last year in a child three years of age or younger compared to 21% of PNPs (n=96) who did not suspect child maltreatment within the past year. The prevalence of suspected child maltreatment in the study population was 2.35%. According to the model examining child risk factors and abuse, the log of the odds of a child being abused was negatively related to preterm birth (p = .036) and birth defects/disability (p = .001). Multiple birth was positively related but not significant (p = .359). There were no statistically significant child risk factors found in the logistical regression for neglect (preterm birth, p = .180; multiple births, p = .938; birth defects/disabilities, p = .234). When examining the abuse and neglect groups together, the log of the odds of a child being abused and neglected was negatively related to birth defects/disabilities (p = .030). Preterm birth (p = .364) and multiple birth (p = .298) were positively related to the abuse and neglect group but were not significant. According to the model examining parental risk factors and abuse, the log of the odds of a child being abused due to a parent characteristic was negatively related to low economic status, with the proxy being WIC eligibility (p = .001) and a history of substance abuse (p = .031). The regression for abuse indicated a positive, yet insignificant, relationship with young maternal age (p = .129) and single marital status (p = .816). The logistic regression for neglect indicated a positive significant relationship with a substance abuse history (p = .012). The regression for neglect indicated positive but insignificant relationships for young maternal age (p = .693), marital status (p = .343), and WIC eligibility (p = .106). There were no statistically significant parental risk factors found in the logistical regression for abuse and neglect together (young maternal age, p = .263; marital status, p = .523; WIC eligibility, p = .131; substance abuse, p = .985). Findings indicated that child maltreatment is suspected by PNPs in primary care settings, and that PNPs recognize signs and symptoms of abuse and neglect.