Youth who have experienced maltreatment (abuse, neglect, exposure to violence) typically exhibit worse life outcomes (lower graduation rates, higher incident of substance use, unplanned pregnancies, etc.). Effective therapeutic interventions are important to combat these negative effects. Animal Assisted Intervention (AAI) is a popular and growing field. Anecdotal evidence abounds on the efficacy of AAI, however, there is a lack of quantitative and qualitative research and evidence-backed models of treatment particularly with youth. This study sought to increase the amount of quantitative evidence on AAI by specifically focusing on evaluating the Power Tools for Living Equine Assisted Psychotherapy (EAP) model with youth who have experienced maltreatment. This study analyzed secondary data collected from Special Spirit Inc., an equine therapy center. Three groups of youth placed in out-of-home care at residential treatment facilities in Los Angeles County participated in the Power Tools for Living EAP program. Prior to and after the intervention the youth’s guardian or clinician filled out a Youth Outcomes Questionnaire (YOQ). This data was analyzed but no statistical significant associations were yielded from the analysis. Analysis of the data does provide suggestions for further study that may potentially establish the Power Tools for Living EAP model as an effective intervention for youth who have experienced maltreatment, particularly younger participants and those with higher YOQ scores prior to treatment.

Child maltreatment, including physical abuse, neglect, emotional, and sexual abuse is a continuing social problem in the United States, resulting in a number of children who experience challenges with family and peer relationships in adolescence. Child neglect is one of the most common forms of abuse however, it is less likely to be investigated or substantiated than is physical abuse. Female child maltreatment in particular results in possible problems for victims with family and peer relationships in early adolescence. In 2015, state agencies reported an estimated 683,000 victims of child maltreatment, with two-thirds of this group representing child neglect victims. This study examined differences between reported child neglect and child physical abuse in predicting family and peer relationship problems among 12-year-old females. Relational theory provided a theoretical framework for this study's hypotheses. Records from the Midwest site of the LONGSCAN research project provided the archival data from a criterion sample of 68 12-year-old females. The hypotheses were there would be differences in adolescent mother-child and peer relationships between victims of neglect and victims of physical abuse. Data were analyzed using descriptive, correlational, and multiple regression analyses. The results of the analyses revealed the quality of the mother-child relationship was significantly related to both earlier neglect and to physical abuse. In the multiple regression, early child neglect was more predictive of the mother-child relationship in early adolescence than was child physical abuse. This study contributes to social change by directing those who develop and design policy and programs to place additional attention on child neglect interventions to promote family stability.

Researchers have explored the effects of sociocultural factors on male and female sexual expression, as well as the relationship between sexual objectification and overall sexual well-being; however, few scholars have focused on how, when combined with early experiences of childhood maltreatment, such factors can result in increased long-term risks for a variety of concerns that may impede the development of healthy relationships in women. This quantitative study explores the relationship of childhood maltreatment and sexual coercion proclivity in adult women. The purpose of this study was to measure self-reports of 1 or more experiences with childhood maltreatment (i.e., physical, sexual, or emotional abuse or neglect) to determine if it is significantly correlated with sexual coercion (physical or verbal sexually aggressive behaviors as well as nonverbal or psychological sexually coercive behaviors) in adult women. The differences in the incidence of self-reported experiences of sexual aggression in 211 female participants recruited via an online survey over a 7-day period were explored to examine if there is a relationship between the development of sexually coercive behaviors as a result of their self-reported experiences of childhood maltreatment. Data were collected using the Qualtrics database and indicated a positive correlation between childhood maltreatment and sexual coercion. Positive social change implications resulting from this research are the inclusion of another professional perspective on childhood maltreatment and sexual coercion, providing information to improve existing public health education and training forums, preventing or reducing the potential negative effects of childhood maltreatment, and ultimately improving the delivery of competent mental health services to all clients.

Lack of elder abuse awareness and underreporting is an increasing problem in the United States in that only 1 in 14 cases of elder abuse is reported. The failure to report incidents of elder abuse and suspected elder abuse allows further abuse of elders and for elder abusers to go unpunished. The purpose of this quantitative nonexperimental study was to understand the relationship between race, gender, and elder abuse awareness and fill the gap in elder abuse literature. Research questions tested mean differences between race and gender, respectively, and elder abuse awareness. The theoretical frameworks for this study were the social cognitive theory, self-perception theory, and Dunning Kruger Effect. The study included a convenience sample of 75 federal corrections retirees with diverse educational and professional backgrounds living in the United States. Data were collected using an online survey that ascertained the respondents' attitudes toward elder abuse and knowledge of elder abuse laws. Independent samples t tests were performed to test the mean differences of elder abuse awareness between different races and genders. Results of the study revealed African Americans have a statistically significant higher mean than Caucasians. However, there was not a statistically significant mean difference between males and females, respectively, and elder abuse awareness. The implications for social change include aiding public and private sector elder abuse prevention advocates adopt programs and policies that will increase elder abuse awareness campaigns, increase elder abuse reporting behavior of different races and genders, and prevent deaths resulting from a lack of elder abuse awareness.

Research has suggested that behaviors beginning in childhood or adolescence may play a mediating role in the relationship between childhood maltreatment and involvement in prostitution. It is currently unknown how poor self-concept and low self-efficacy play a mediating relationship in this association. The primary purpose of this correlational study was to evaluate early youth problem behaviors such as poor self-concept and reduced self-efficacy as possible mediators in the association between childhood abuse/neglect and participation in prostitution during young adulthood. The central research questions explored the association between childhood maltreatment and involvement in prostitution, as well as how self-concept and self-efficacy mediate the association between childhood maltreatment and engagement in prostitution in young adulthood. The Eco-developmental theory provided the theoretical framework for the study. Data consisted of 4,882 adolescents in Grades 7-12 in the United States during the 1994-1995 school year from the National Longitudinal Study of Adolescent Health, 61 of whom self-reported activity in prostitution. Results from Pearson correlations and Structural Equation Models indicated a relationship between childhood maltreatment and prostitution during young adulthood; self-efficacy and self-concept did not mediate this relationship. Childhood abuse was not a significant predictor of self-efficacy and self-efficacy was not significantly related to prostitution. Childhood maltreatment was a significant, negative predictor of positive self-concept. By demonstrating that childhood maltreatment is linked to prostitution in young adulthood, this research can foster positive social change, by showing the value of creating intervention programs that target childhood abuse in order to reduce involvement in prostitution in young adulthood.

New Zealand's figures for child maltreatment are consistently amongst the highest in the OECD. The purpose of this thesis is to understand what the legal system can do to protect children in New Zealand from maltreatment and why legal responses to child maltreatment often appear to be ineffectual or of limited effect. This thesis uses the theories of Luhman and Teubner to argue that the law's ability to protect children from maltreatment is limited because the legal system creates and responds to its own abstract world. This process arises from the functional requirements of the law and its operation as an autopoietic system of power that produces its own abstract knowledge about the world. The legal system's function within New Zealand society is to stabilise behavioural expectations and maintain society's coherence and it does so by reducing the complexity of subjective human existence into binary alternatives. However, this process of reducing complexity limits the way in which the law produces its knowledge about the world and controls how power is distributed within the law's abstract world to such an extent that the legal system is closed from the world of subjective experience. This closure from the world outside the legal system limits the law's ability to regulate and reform that outside world and protect the children who live within it. By identifying these limits, this thesis will contribute to an understanding of the limits of the law's ability to protect children from maltreatment and thereby improve the effectiveness of New Zealand society's attempts to protect its children.

<p>The purpose of this study is to investigate preschool personnel experiences concerning their obligation to report existing and suspicions of child maltreatment. This is a qualitative study based on in-depth interviews that can provide a good understanding of the subject and of the informants’ views. The theoretical starting points we used were the communication theory, Kelly’s personality theory and the role theory. We carried out eight interviews with pre-school personnel who work in four different counties in Sweden. The interviews lasted between 45 to 60 minutes. The result from our study shows that the pre-school personnel have a positive view upon their obligation to report child maltreatment. In contradiction to this, the result also shows that there is a fear and concern about making a report. The main reasons for not reporting, is the relationship with the preschool children’s parents, lack of knowledge to identify the children who suffer the abuse, previous bad experiences from the social services and poor feedback from the social services.</p>

Child protection is the process that aims to find, investigate and help maltreated children. In many countries this process is initiated by professionals who compile mandated reports that are then submitted to a designated agency that in many cases is part of a separate child protection system. In Sweden there is no separate child protection system. In Sweden, the child protection process is part of the family-service organization system. The system has two main objectives, one is voluntary (provide family service), the other coercive (provide child protection). This system is administered by the municipal social services agencies (referred to throughout as Social Services). Aim: The overall purpose of this study was to gain knowledge of the child protection process in Sweden. The aim was two fold, one to carry out an in-depth study of a population of reports, the other to analyse the results of the findings in relation to the child protection system. The child protection system consists of elements outlined in the macro system: the underlying ideology and the framing of the problem, and the legislation, administration and the demands placed on professionals. Method: A total population of reports made to one municipality during 1998 was followed to a final decision. The reports were collected in 2000.´There were 1 570 reports made regarding 1 051 children, which composed 4 % of children age 0-18. This initial study was used in four papers where data were analysed covering four different issues. In 2003 a follow-up study was conducted in order to determine the extent to which the child appeared in the database of Social Services. In the first paper the children’s age, gender and contacts with Social Services were described as were the content of the reports and the outcome of reporting. The objective of the second paper was a description of the reporter, and the measurement of the extent to which the reports indicated child maltreatment. The third paper aimed at analysing how the first decision, the decision not to investigate reports, was made in the child protection process. Then a re-evaluation of these decisions was made to see how well the decision was justified. The contacts taken were described. In the fourth paper the influence of the socio-economic load on the child protection process was measured. Findings: Few reports (16 %) led to an intervention being provided, and 41% of the reports were not investigated further. In the follow-up study 61% of all 1 051 children appeared in the files of Social Services. As Sweden lacks a juvenile delinquency system these cases are automatically passed from the police to Social Services and are there registered as mandated reports. Hence the police became the largest report group of reporters, followed by professionals. Of the professionals’ reports 22 % were not investigated. In the follow-up study 53 % of these re-occurred at the Social Service and were then investigated. Seventy six percent of the reports not investigated were when re-evaluated found to indicate child maltreatment. The social worker used the parents as the main source for information in 74 % of the cases. The social worker did not contact the child at all in 53 % of the cases and only nine of the reporters were contacted. In the follow-up study 45 % of the children investigation re-appeared in the files of Social Services. Children from high socio-economic load districts were more often reported than those from middle or low (4.3%, 3.1% 2.3%). The socio economic load when measured in logistic regression was not found to correlate with the decision to investigate. A main finding in this study was that the child protection process was difficult to separate from other systems within the family service. This makes it much more difficult to evaluate the child protection process. The reports filed by professionals were not investigated adequately, and the lack of criteria of specifying how reports are to be evaluated creates a risk that maltreated children will not be found. The professional reports were handled in a way that increased the risk that professionals will have negative experiences with Social Services that consequently can lead them to refrain from filing eports. Conclusion: These findings suggest the following: Pass new legislation that makes it easier to separate each of the three systems from the other. Create a national database in which data on the handling of child-protection cases is systematically recorded. Develop a national reporting form that is to be used by all who file mandated reports of suspected maltreatment. Create clear criteria that specify how a report is to be handled to ensure that the reporting professionals are met with appropriate respect and that the quality of the decisions is guaranteed all over the country.

The purpose of this study is to investigate preschool personnel experiences concerning their obligation to report existing and suspicions of child maltreatment. This is a qualitative study based on in-depth interviews that can provide a good understanding of the subject and of the informants’ views. The theoretical starting points we used were the communication theory, Kelly’s personality theory and the role theory. We carried out eight interviews with pre-school personnel who work in four different counties in Sweden. The interviews lasted between 45 to 60 minutes. The result from our study shows that the pre-school personnel have a positive view upon their obligation to report child maltreatment. In contradiction to this, the result also shows that there is a fear and concern about making a report. The main reasons for not reporting, is the relationship with the preschool children’s parents, lack of knowledge to identify the children who suffer the abuse, previous bad experiences from the social services and poor feedback from the social services.

Baksidestext Barnmisshandel är ett omfattande folkhälsoproblem med långsiktiga negativa konsekvenser för den enskilda individen och för samhället i stort. Förebyggande insatser kan vara livsavgörande för de utsatta barnen. Denna avhandlings övergripande syfte var att öka kunskapen om barn som riskerar att fara illa i sin hemmiljö samt att identifiera utmaningar i ett förebyggande perspektiv. Två områden har studerats: (1) Våld mot barn med långvarig sjukdom/funktionsnedsättning (2) Förskolan som upptäckande och stödjande arena Gemensamt för inriktningarna är att barn med långvarig sjukdom/funktionsnedsättning och barn i förskoleåldern utgör särskilt sårbara grupper, som löper ökad risk att fara illa i sin hemmiljö. De har också unik kontakt med professionella med möjlighet att upptäcka och agera vid oro. Avhandlingen bygger på fyra delstudier; en nationell kartläggning riktad till skolelever, en intervjustudie med föräldrar samt två förskolestudier. Resultaten från studierna diskuteras utifrån identifierade utmaningar i ett förebyggande perspektiv. Utmaningarna inkluderar emotionella hinder samt behov av ett mer nyanserat och proaktivt förhållningssätt för att kunna utveckla tidiga insatser till barn och föräldrar. / The aim with this thesis was to increase the knowledge about children at risk of maltreatment and to identify challenges in a preventive perspective. Two areas have been studied; Physical abuse of children with chronic conditions/disabilities and Detection and support within the pre-school environment.  Four data sets were used: a national survey of school children (I), an in-depth interview study with parents (II) and two pre-school studies (III, IV). I-II: Chronic conditions in children increase the risk for physical abuse, but vary with socio-economic circumstances. The highest risk for physical abuse was found among children with chronic conditions born outside Sweden. The subsequent study revealed direct risk factors related to parent and child (emotional demands in precarious situations), and indirect risk factors related to parent and professional (gradual shift in responsibility and emotionally closed environment) and social norms (taboo on talking about abuse). III-IV: Preschool staff suspected child maltreatment for two percent of the preschool children. In less than half of the cases, the parents were informed and a report to social services was made in a third of the cases. The most common reason for not making a report was that the staff believed that the pre-school had sufficient resources to help the child. In the subsequent study, preschool teachers’ concerns about the child’s home environment were explored in a broader perspective over a one year period. The study showed that concern for the children’s home situation related to increased concern for several aspects of children’s health and development, increased need of special support in preschool, insufficient contact with parents, and lower parental socioeconomic status. The results are discussed according to identified challenges in a preventive perspective. These include emotional obstacles for prevention and a need for a more nuanced and proactive professional approach to enable early support to children at risk of maltreatment and their parents.