Base teórica: A violência contra crianças e adolescentes é um problema que está assumindo proporções epidêmicas, manifestando-se em todas as culturas, classes, níveis de escolaridade, faixas de renda e origens étnicas. Tal fenômeno, que contradiz obrigações de respeito aos direitos humanos e às necessidades de desenvolvimento da criança, é frequentemente aprovado e autorizado pela sociedade e pelo Estado. Diante do problema apresentado, a legislação brasileira determina, ao Sistema de Saúde, diferentes obrigações, objetivando restabelecer os direitos violados de crianças e adolescentes vítimas de violência. Tais obrigações envolvem o atendimento integral da saúde da criança e do adolescente, incluindo, como obrigação, a notificação dos casos de suspeita ou confirmação de violência. Apesar das determinações legais, o atendimento às crianças e aos adolescentes vítimas de maus-tratos se encontra pouco estruturado em muitos locais do país, sendo insuficiente para a demanda que chega aos serviços de saúde. Objetivo:Avaliar o atendimento hospitalar de crianças e adolescentes em situações de violência.Método:Foram realizadas entrevistas semi-estruturadas com 28 profissionais que atuam no atendimento de crianças e adolescentes vítimas de violência. Foram incluídas perguntas sobre a percepção de violência, o entendimento sobre proteção à criança e interdisciplinaridade, além da percepção sobre os diferentes recursos intra e extra-hospitalares de proteção.A avaliação dos dados foi realizada com o programa QSR NVivo ®, versão 11, utilizando como referência a Análise de Conteúdo. Conclusão:A partir do presente trabalho, pode-se constatar que o atendimento hospitalar de crianças e adolescentes em situação de violência, por vezes, se apresenta de modo precário. Tal precariedade surge da limitação e fragmentação que os profissionais de saúde demonstram em relação à percepção e à compreensão da violência e proteção sobre crianças e adolescentes. / Background: Violence against children is a problem that is assuming epidemic proportions, manifesting itself in all cultures, social classes, schooling levels, income brackets and ethnic origins. Such a phenomenon, which contradicts obligations to respect human rights and the child's developmental needs, is often approved and authorized by society and the State. In view of the problem presented, the Brazilian legislation determines, to the Health System, different obligations, aiming at restoring the violated rights of children and adolescents victims of violence. These obligations involve the integral care of the children's health, including, as an obligation, the notification of cases of suspected or confirmed violence. Despite the legal provisions, the care of children and adolescents victims of abuse is poorly structured in many places througout country, being insufficient for the demand that reaches the health services. Aim: To evaluate the hospital care of children in situations of violence. Method: Semi-structured interviews were conducted with 28 professionals who work in the care of children victims of violence. Questions about perceptions of violence, understanding about child protection and interdisciplinarity, and perceptions about the different intra- and extra-hospital protection resources were included. The data evaluation was performed with the QSR NVivo ® program, version 11, using as a reference the Content Analysis. Conclusion: Based on the present study, it can be observed that the hospital attendance of children in a situation of violence sometimes presents in a precarious way. Such precariousness arises from the limitation and fragmentation that health professionals demonstrate regarding the perception and understanding of violence and protection of children.

Background: Adverse childhood experiences (ACEs) lead to high risk behaviors in adults. In 2015, an estimated 700,000 children reported abuse; 8.4% reported experiencing sexual abuse. In 2014, nearly 10,000 people died from alcohol-related motor vehicle injuries, and >1.1 million were arrested for driving under alcohol or narcotic influence. Studies have reported the role of ACEs in alcohol consumption among adults. However, the association between adult drunk driving (DD) and childhood sexual abuse (CSA) has not been investigated. Objective: This study aimed to estimate the association between CSA and DD in US adults. Methods: Data were obtained from 4,374,390 adults who participated in the 2012 Behavioral Risk Factor Surveillance System (BRFSS). Participants’ self-reported responses were used to define past experience for DD (no/yes) and CSA (no/yes). Covariates included age, sex, race, income, education, marital status and parental substance abuse. Logistic regression models were used to estimate the relative odds of DD among victims of CSA adjusting for covariates. Results: Approximately 3.6% of adults reported DD, and 11.1% adults experienced CSA. Compared to adults who didn’t experience CSA, those who experienced CSA were significantly associated with increased odds of DD behavior (adjusted Odds Ratio (aOR): 1.67, 95% confidence interval (CI):1.27-2.20). Compared to females, males who experienced child sexual abuse were 2.88 times more likely to DD (aOR: 2.88, 95% CI: 2.32-3.59). Conclusion: CSA is significantly associated with DD behavior in adults. Higher estimates of the relationship were identified in males. Future studies, such as prospective cohort studies, are imperative for further evaluation. These findings aided in identifying adults with CSA experience to target and minimize their DD behavior, thus preventing alcohol-related injuries. Public Health Implications: Adults who experienced CSA were associated with increased odds of DD behavior. A multifaceted approach involving several stakeholders at all levels of governance is needed to address this issue. Appropriate public health interventions and/or policies should be developed to prevent sexual abuses during childhood. Health education and promotional campaigns are vital to minimize drunk driving cases by targeting communities and individuals with high risk behaviors.

Thesis (M. A. (African Languages)) -- University of the North, 2004 / Refer to the document

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Child abuse is a pressing national issue that affects thousands of children every year in the United States. The lifelong implications of child abuse been well documented in the literature, which identifies psychopathology, interpersonal violence and suicide risk, and substance abuse as a prominent triad of the negative sequelae of child abuse. Parents abused as children represent a subgroup that introduces additional domains of clinical interest and unique needs, including parenting stress and perceived parenting competence. These complex clusters of needs are clinically significant, and the beliefs licensed clinical social workers (LCSWs) hold about parents abused as children can significantly affect the assessment process. This study sought to assess LCSW beliefs about assessing parents abused as children through qualitative interviews with 10 LCSWs with clinical experience that could have included this population. This study found that LCSWs emphasize the three domains of psychopathology, interpersonal violence and suicide risk, and substance abuse in their assessment processes, thus reflecting LCSW beliefs about the saliency of these issues. The exploration of strengths and resources also emerged as a significant area of assessment and case conceptualization, which demonstrates congruence with core social work values. Culture, parental stress and client-perceived competence were not, however, emphasized in the participant responses. Overall, this study points to the strong congruence between the expressed LCSW beliefs about assessing this population and the domains emphasized in the literature, as well as core social work values.

WILD EMBRACE is a collection of poetry that explores the themes of abuse, survival, and fragility. The speaker of these poems, older and distanced from the abuse, asks what it means to be a survivor, and explores our obligation of compassion that, as human beings, we owe one another. While much of the work in this collection is rooted in personal experience, it is not intended to be read as memoir or autobiography. Many of these poems may have begun as lived experience, but between memory, the transcription of memory, and their final form on the printed page, they have been run through a variety of embellishment, artistic license, and shifting narrative forms. The poems in this collection attempt to capture a heightened emotional truth that can’t be attained by mere reporting of fact. WILD EMBRACE sifts through the ashes of suffering and loss, and constructs a mythology as personal as it is collective.

The current study focuses on exploring the effects of previous child neglect on current psychological distress in college students. By bringing attention to the lasting impact of neglect through adulthood, mental health professionals will see the need for increased services for this population. A convenience sample of 93 Master of Social Work students responded to questions geared towards experience of neglect as a child and current psychological distress. Correlation analysis was used to examine the relationship between the two variables. No significant results were found. However, future studies are suggested as alternate versions of this study may support the need for early intervention and treatment services for individuals who have experienced neglect as a child. Recommendations for future studies include using a more diverse population and possibly including a qualitative portion to further explore correlations.

The purpose of the following study was to explore and examine the prevalence of Adverse Childhood Experiences (ACE) and coping methods among social work students at a Southern California university. The literature on ACE scores suggests that higher levels of ACE can impact well-being and functioning in adults, yet, provides limited information relating to social work. A quantitative survey instrument constructed by Felitti and colleagues (1998) and two additional questions relating to coping methods and strategies were constructed by the researchers were used to gather data for the purpose of this study. Data for the following study was collected through a self-administered, online questionnaire distributed by a Southern California university school of social work administration via Qualtrics online survey software. The data was analyzed with SPSS software, using descriptive statistics, frequencies, and independent sample t-tests. The study’s results suggest that social work students, in general, have higher ACE scores than are found in the general population. The majority of respondents reported having more than 2 instances of ACE. Yet, less than half of respondents reported using effective, healthy coping methods to cope with experiences of childhood hood trauma. These findings suggest that schools of social work, and the agencies that employee their graduates, should consider providing enhances, supports, and training for social work students and professionals coping with ACE events.

Treatment for child abusers was evaluated using two methods: reviewing three areas of literature and surveying practitioners.

Extralegal Factors Important to Judges' Decisions in Child Abuse Custody Cases by Marilyn J. Nolan MS, Pittsburg (Kansas) State University, 1986 BS, Missouri Southern State University, 1982 Dissertation Submitted in Partial Fulfillment of the Requirements for the Degree of Doctor of Philosophy Human Services Walden University May 2015 Research has shown juvenile court judges are skeptical of mental health testimony; however there is a lack of research regarding what types of testimony by what kinds of experts are valued by judges. Using the theory of legal pragmatism, the purpose of this study was to assess how 83 Oklahoma District Court judges rated extralegal factors influencing their perceptions of the credibility of mental health expert testimony. Quantitative survey research methods were used to collect the data. Friedman ANOVAs by ranks with multiple comparisons were used to test differences across multiple characteristics, and Spearman rho coefficients assessed relationships of age and gender of judges with their importance ratings of extralegal factors. The results showed that judges preferred PhD psychologists over other mental health professionals, witnesses who drew firm conclusions, testimony in layman's terms, and citing theories accepted by the scientific community. A child's testimony and educational credentials of experts were important to younger female judges when deciding custody as was maintaining the integrity of the family when deciding termination issues. Other findings included: all judges agreed sexual abuse was the most important criteria for terminating parental rights, all forms of child abuse were important case factors that influenced judges' decisions, and disparaging parents and substance abuse by a parent were important to older male judges in their decisions. Results from this study will assist in the development of core curricula for courtroom skills training for mental health experts, paving the way for positive social change. With improved training and quality of expert testimony, judges will be more likely to use testimony from knowledgeable unbiased experts when making decisions which will benefit children, families, and communities.