Thesis (Ph.D. in Nursing) -- University of Colorado Denver, 2008. / Typescript. Includes bibliographical references (leaves 122-135). Free to UCD Anschutz Medical Campus. Online version available via ProQuest Digital Dissertations;

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.

The sexual abuse of children has become recognised as a major problem affecting children in most, if not all, countries of the world. The prevention of such abuse has, in the last decade, become an issue of international significance. In South Africa, prevention efforts are mainly informal ad hoc strategies initiated by individuals or organisations. As such they suffer from being short-lived and often isolated. Prevention efforts fall into the general categories of primary, secondary and tertiary prevention. Primary prevention focuses on preventing abuse from occurring at all. There are two main aspects to this type of prevention. The first aims at teaching children to protect themselves. The second aims at preventing the development of a disposition to abuse. This study set out to suggest and justify the adoption of a national strategy appropriate to the South African situation, including an overview of what can be done through the schooling system. This strategy will provide a framework and context for individual efforts, and hopefully stimulate new programmes. In addition, a detailed prevention programme for implementation in the secondary school, through the medium of the subject Guidance, was developed. This programme addressed itself mainly to that primary aspect of prevention concerned with preventing people from developing a disposition to abuse. The programme consists of lesson plans, teacher's notes and worksheet materials for pupils.

The thesis draws attention to the most frequent causes of children unfavourable life situations which are solved in crisis centres. Introductory part focuses on theoretical definitions of crisis, crisis intervention, family and its importance for children, the problems of divorces and CAN syndrome. The aim of the thesis was to find out which are the most frequent problems encountered by the crisis centres workers and compare the clients and services of two selected crisis centres in Prague and České Budějovice. At the beginning the hypothesis was stated: the problems of CAN syndrome in clients of crisis centres occurs more often than other problems. The hypothesis was proved only in Children Crisis Centre in Prague. For the service comparison of the chosen centres semi-standardized interview with nine informants was used. From the answers of crisis centre workers the following hypothesis emerged: crisis centre workers suppose that provided services in terms of crisis intervention are sufficient.

Assessment tools have been used for various purposes, including for protecting children from maltreatment. The main aim of this study was to to evaluate and determine the relevance of the Family Assessment for Leased Developed Countries (FALDC) assessment tool for child protection services in the Eastern Cape Province. The research was conducted using the social developmental welfare approach (Patel, 2005) and ecological systems theory (Healy, 2005). The study made use of the qualitative research method; in doing so the study made use of the case study design. In using the qualitative research method, focus group discussions were conducted with 29 social workers involved in child protection services. The findings of the study indicated that the FALDC assessment tool provides information useful for child protection services even though it contains sections that are regarded as less relevant to child protection. The study also founded that the FALDC assessment tool is relevant to child protection in the South African context, yet it needs to be aligned so that it provides much of the information desired by those involved in child protection. A conclusion drawn from this study is that the FALDC assessment tool appears to be relevant for child protection services. The FALDC assessment tool needs to be adjusted taking into consideration other aspects important to child protection in the South African child protection context.

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.

The Master thesis entitled as "The Personal View of a Child on Sexual abuse and Its Social Impact" is a research work dealing with the analysis of the monograph "The Spider Games" by Zuzana S. The main aim of the work is to find out what social impact sexual abuse had on the author's life. The research was conducted as a qualitative investigation based on an anchored theory using a monograph analysis as a data acquisition technique. The Student has used the individual case studying method. The results showed that a sexual abuse had an impact on the author's life in all aspects. The sexual abuse has influenced the most the partner's relationships, the relationships in her family, the author's health, author's self-concept, and her sexuality. The work could be beneficial for the general public interested in this problematic, because it provides theoretical basics and refers to the direct resources. Furthermore, we can see the beneficial possibility of this work, to carry out a more extensive research to investigate the theoretical claims. The thesis can be useful for workers in helping professions, as to understand the victims of sexual abuse.

Child abuse has become more recognised in the Kingdom of Saudi Arabia (KSA), after many years of receiving very little attention. Since 2014 domestic violence, including child abuse, has been made a criminal offence in KSA. This study takes place against a background where protection laws (2013 Legislation) have been introduced, where there are cultural limitations, and where professional child protection agencies are requiring their practitioners to deal with child abuse in the light of these new laws. The aim of this study was to identify the issues for social workers and other professionals in responding to child abuse and how these responses can be improved in KSA. There are two phases to this study. The first phase examines developments in child protection practices and policy through the analysis of newspaper reports and through a series of interviews with professionals, practitioners and managers in the Social Protection Department (SPD) in Riyadh, KSA. The findings of this initial study suggest that KSA is in the early stages of developing and implementing programmes in child protection practice. It was found that training was a major issue, in particular the provision of training that was accessible and relevant to the needs of the practitioners. The second phase focused on ways that professional child protection training programmes for practitioners may be improved to increase both their quality and relevance to child protection professionals and trainees. In order to achieve these objectives, interviews, written responses and surveys were conducted with child protection practitioners, training providers and social work educators and trainees in the (SPD), the National Family Safety Programme (NFSP), Al-Wafa Association (AWA), Ministry of Social Affairs (MSA) and three universities in Riyadh, KSA. The findings provide more understanding of how child protection training, teaching and learning for practitioners can be improved to enable them to respond more effectively to child abuse in KSA. Findings are discussed with reference to the current practices as England and in other Arab countries and recommendations are offered with a view to their suitability in KSA.

Made available in DSpace on 2014-06-11T19:27:46Z (GMT). No. of bitstreams: 0 Previous issue date: 2012-03-26Bitstream added on 2014-06-13T20:36:14Z : No. of bitstreams: 1 joaquim_rc_me_araca.pdf: 804038 bytes, checksum: f16b67ccb492d70de250724e74f56890 (MD5) / A violência tornou-se um problema de saúde publica, pois suas consequências alteram o estado de saúde individual ou coletivo, provocando enfermidades e podendo ainda ocasionar a morte. Deve ser entendida como um fenômeno articulado a uma questão estrutural e social. É ainda reconhecida e considerada como um problema de saúde pública dada às altas taxas de morbimortalidade que ocasiona. Embora alcance todos os grupos etários e classes sociais, podendo causar morte, lesões, traumas físicos e emocionais, existem grupos mais vulneráveis como: mulheres, crianças, adolescentes e idosos. É importante conhecer o perfil das ocorrências de violência na população, para o planejamento de estratégias de enfrentamento do problema dentro do setor da saúde e pelos profissionais que nele atuam. O objetivo deste estudo foi verificar a ocorrência de maus-tratos físicos, psicológicos, sexuais e negligência contra crianças, adolescentes e contra idosos, com a finalidade de determinar as relações de parentesco, descrever o perfil de agressores e vítimas e analisar as características envolvidas nas agressões. Trata-se de um estudo transversal descritivo, de análise documental, onde foram analisados todos os registros policiais da Delegacia de Defesa da Mulher de Araçatuba-SP, nos anos de 2008 e 2009, quanto à agressão: local; motivo; relação vítima-agressor; presença de drogas durante a agressão; características sociodemográficas de agressores e vítimas; procura das vítimas por serviço de saúde e o laudo médico. Foram analisados 2.514 Boletins de Ocorrência e 474 Termos Circunstanciados, destes 512 fizeram parte da pesquisa, sendo 311 contra crianças e adolescentes e 201 contra idosos. Foi realizada a análise... / The violence became a public health problem due its consequences that change the health condition of subject or population, promoting infirmities and can cause death. It must be understood as a phenomenon linked to structural and social question. It is recognized and considered as a public health problem because it causes high rates of morbidity and mortality. Although this violence involves all age groups and social classes, and can cause deaths, lesions, physical and emotional traumas, there are more vulnerable groups: women, children, adolescents and the elderly. It’s important to know the profile of violence occurrences in population, allowing to planning coping strategies of problem into health session and by professionals that works there. The aim of this study was to verify the occurrence of physical, psychological and sexual abuse and negligence against children, adolescents and the elderly, aiming to determine relationship, to describe the profile of aggressor and victims and to analyze the characteristics involved on cases. Dealing with transversal descriptive study where it were analyzed all police records of Defense of Women Police from Araçatuba City, São Paulo State, in 2008 and 2009, about aggression: local, causes, relation victim:agressor, presence of drugs during aggression, social and demographic characteristics of aggressors and victims, the search for health services and medical report by victims. It were analyzed 2.514 Accident Reports and 474 Detailed Terms, among them, 512 made part of research and 311 were against children and adolescent and 201 against the elderly. It was performed a descriptive statistical analysis using the program Epi-Info version 3.5.1 and Fisher’s Test and Chi-squared Test with p set at <0.05 using the... (Complete abstract click electronic access below)

Orientador: Cléa Adas Saliba Garbin / Banca: Tânia Adas Saliba Rovida / Banca: Eduardo Pizzatto / Banca: Eduardo Daruge Júnior / Resumo: A violência tornou-se um problema de saúde publica, pois suas consequências alteram o estado de saúde individual ou coletivo, provocando enfermidades e podendo ainda ocasionar a morte. Deve ser entendida como um fenômeno articulado a uma questão estrutural e social. É ainda reconhecida e considerada como um problema de saúde pública dada às altas taxas de morbimortalidade que ocasiona. Embora alcance todos os grupos etários e classes sociais, podendo causar morte, lesões, traumas físicos e emocionais, existem grupos mais vulneráveis como: mulheres, crianças, adolescentes e idosos. É importante conhecer o perfil das ocorrências de violência na população, para o planejamento de estratégias de enfrentamento do problema dentro do setor da saúde e pelos profissionais que nele atuam. O objetivo deste estudo foi verificar a ocorrência de maus-tratos físicos, psicológicos, sexuais e negligência contra crianças, adolescentes e contra idosos, com a finalidade de determinar as relações de parentesco, descrever o perfil de agressores e vítimas e analisar as características envolvidas nas agressões. Trata-se de um estudo transversal descritivo, de análise documental, onde foram analisados todos os registros policiais da Delegacia de Defesa da Mulher de Araçatuba-SP, nos anos de 2008 e 2009, quanto à agressão: local; motivo; relação vítima-agressor; presença de drogas durante a agressão; características sociodemográficas de agressores e vítimas; procura das vítimas por serviço de saúde e o laudo médico. Foram analisados 2.514 Boletins de Ocorrência e 474 Termos Circunstanciados, destes 512 fizeram parte da pesquisa, sendo 311 contra crianças e adolescentes e 201 contra idosos. Foi realizada a análise... (Resumo completo, clicar acesso eletrônico abaixo) / Abstract: The violence became a public health problem due its consequences that change the health condition of subject or population, promoting infirmities and can cause death. It must be understood as a phenomenon linked to structural and social question. It is recognized and considered as a public health problem because it causes high rates of morbidity and mortality. Although this violence involves all age groups and social classes, and can cause deaths, lesions, physical and emotional traumas, there are more vulnerable groups: women, children, adolescents and the elderly. It's important to know the profile of violence occurrences in population, allowing to planning coping strategies of problem into health session and by professionals that works there. The aim of this study was to verify the occurrence of physical, psychological and sexual abuse and negligence against children, adolescents and the elderly, aiming to determine relationship, to describe the profile of aggressor and victims and to analyze the characteristics involved on cases. Dealing with transversal descriptive study where it were analyzed all police records of Defense of Women Police from Araçatuba City, São Paulo State, in 2008 and 2009, about aggression: local, causes, relation victim:agressor, presence of drugs during aggression, social and demographic characteristics of aggressors and victims, the search for health services and medical report by victims. It were analyzed 2.514 Accident Reports and 474 Detailed Terms, among them, 512 made part of research and 311 were against children and adolescent and 201 against the elderly. It was performed a descriptive statistical analysis using the program Epi-Info version 3.5.1 and Fisher's Test and Chi-squared Test with p set at <0.05 using the... (Complete abstract click electronic access below) / Mestre