The relationship between intelligence as measured by the Shipley Institute of Living Scale, Coping Processes as measured by the Ways of Coping Scale and resilience as measured by Global Severity Index of the Brief Symptom Inventory, was examined in 88 individuals who had been sexually abused and 88 individuals who had not been sexually abused. The study attempted to assess whether more intelligent individuals and those who used certain coping styles would experience less distress in the face of adversity than individuals with lower levels of intelligence and who used different coping styles. The results indicated that intelligence was not associated with resilience in either the sexually abused or the non-sexually abused group. In the sexually abused group, the coping processes of Confronting, Distancing, Self Controlling, Accepting Responsibility, Escape Avoidance, Planful Problem Solving and Positive Reappraisal were all significantly positively correlated with the GSI. In the non-sexually abused group, however, the coping processes of Self Controlling, Accepting Responsibility and Escape Avoidance were all significantly positively correlated with the GSI. Results of a simultaneous regression indicated that in the sexually abused group, none of the variables that were correlated with resilience accounted for a significant amount of variance in GSI scores. In the sample of individuals who had not been sexually abused, the coping strategy of Escape Avoidance was the only individual predictor accounting for a significant amount of the GSI variance in the model. Possible reasons and implications of these results are discussed.

<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.

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.

Many children in Sweden are exposed to maltreatment. Among the purposes of the Child health care (CHC) are to decrease mortality, infirmity and handicaps among mothers and their children, and to decrease hurtful strains for parents and their children. CHC-nurses get critizism for not reporting child maltreatment in high enough numbers to the Social service. The aim of this study was to chart how CHC-nurses finds their work with families suffering from maltreatment. Ten CHC-nurses were interviewed with semistructured interviews. The study has a qualitative approach and the interviews were analysed with the help of content analysis. In the result it appears that CHC-nurses experiences working with families suffering from maltreatment is very emotional. The support from collegues, psychlogists and co-operation with Mother Health Care, pre-school and Social Service is valuable. It’s hard to judge which who are exposed to maltreatment because the definition is unclear. There’s a wish to be able to help more families without needing to report to the Social service. The prevented work by the CHC agains maltreatment should get a more prominent clear position in CHC’s standard program for the entire family.

Child maltreatment is a significant public health problem that increases when children live in homes in which intimate partner violence (IPV) is present. Child maltreatment and IPV often co-occur, and the sequelae of IPV frequently appear in both the victimized mother and her children. Home visitation programs, such as SafeCare®, are used as intervention strategies to reduce the risk of child maltreatment, but rarely are these programs adapted for Latino populations. The importance of cultural sensitivity in parenting programs has been highlighted as a means of producing successful outcomes when working with Latino families. The present single-case research design study evaluated the efficacy of SafeCare's Parent-Infant Interaction (PII) module when delivered in Spanish to a Latino mother with prior experiences of IPV. Observational data were used to document changes in parenting behaviors, while self-report measures assessed exposure to IPV and changes in mental health, parenting stress, and the risk of child maltreatment. Qualitative data provided suggestions for culturally adapting PII for Latino families. Data from this study suggest that PII improves parent-infant interactions when delivered in Spanish and reduces the risk of child maltreatment. Additionally, self-report measures indicate that IPV, parent mental health distress, and the risk of child maltreatment co-occur. This study also shares with the field the importance of providing culturally adapted programs when working with Latino families.

Despite high rates of alcohol and marijuana use and dating violence among individuals between the ages of 15 and 24, limited research has examined a link between substance use and dating violence within adolescent samples. Moreover, although both problem drinking and dating violence perpetration have been linked to a history of childhood maltreatment (CM), few studies have examined the potential mechanisms of a relationship between these variables. The current study tested the predictive role of CM in adolescent alcohol and cannabis use and dating violence perpetration in a sample of youth with CM histories; in particular, we were interested in predicting the temporal co-occurrence of these behaviours. It was hypothesized that trauma symptomatology would play a mediating role in this relationship. Results demonstrated that only witnessing emotional domestic violence predicted the co-occurrence of substance use and dating violence; in general, trauma symptomatology was not found to be a significant mediator.

This qualitative study examines collective responsibility for the well-being of maltreated children who remain at home. Based on accounts of mothers, teachers and child welfare workers, and policy officials, the study uses institutional ethnography to examine how schools and child welfare authorities work together and with families. Contributing to the socio-legal literature, it explores understandings of responsibility in formal law and in practice. The policy response to these children’s needs raises significant theoretical and political issues because they are on the borderlands of public and private responsibility. Child welfare involvement signals public intervention is required to ensure protection and well-being. Strong, proactive, and coordinated support by public authorities should follow. However, data suggest three pervasive theoretical or political accounts legitimize very limited support. (1) The notion of home and school as separate spheres. Participants understand and in theory support the highly prescriptive regulation governing reporting and contact between schools and CAS. But in practice participants pointed to limits on responsibility for knowledge or communication across the boundaries. Participants acknowledged limited knowledge or communication despite a regulatory regime that promotes and assumes it. (2) Comprehensive family responsibility. Deeply-rooted notions of family responsibility and autonomy render public support for struggling families and children relatively discretionary. A policy and practice scan shows child welfare provides less educational support to children living in the community relative to those in foster care, and minimal individual or systemic accountability for services to these children. (3) Persistent heroic narratives of the teacher who ‘makes a difference’ through exceptional commitment to struggling students. To relegate caring work to realm of personal commitment privatizes responsibility for an important aspect of effective teaching. Though cited as exemplary, the exercise of these responsibilities is not supported, not demanded, and not planned for, which is problematic for interagency co-operation and teacher burnout. These political and institutional narratives limit the system’s response to the needs of these vulnerable children to discretion and chance. Meeting their needs requires not only a focus on coordination across bureaucratic boundaries, but also strengthening the visibility of, and accountability for, issues of well-being within education and child welfare.

This investigation examined multidimensional perfectionism, shame and maltreatment in 45 women with bulimia nervosa, 14 women with binge eating disorder and 26 women with anorexia nervosa, purging type, all of whom suffered from comorbid substance use disorders. Participants completed three perfectionism scales, one shame scale and one maltreatment scale. Results revealed that in the bulimia nervosa and binge eating disorder group, perfectionistic self-promotion and bodily shame were significant predictors of eating disorder severity while other-oriented perfectionism was a significant predictor of alcohol use severity. In the anorexia group, other-oriented perfectionism and bodily shame were significant predictors of eating disorder severity and nondisplay of imperfection was a significant predictor of drug use severity. All participants experienced elevated levels on all types of shame and maltreatment and on most perfectionism dimensions compared to normative samples. Findings should be utilized in developing treatment programs for those with comorbid eating and substance use disorders.

This investigation examined multidimensional perfectionism, shame and maltreatment in 45 women with bulimia nervosa, 14 women with binge eating disorder and 26 women with anorexia nervosa, purging type, all of whom suffered from comorbid substance use disorders. Participants completed three perfectionism scales, one shame scale and one maltreatment scale. Results revealed that in the bulimia nervosa and binge eating disorder group, perfectionistic self-promotion and bodily shame were significant predictors of eating disorder severity while other-oriented perfectionism was a significant predictor of alcohol use severity. In the anorexia group, other-oriented perfectionism and bodily shame were significant predictors of eating disorder severity and nondisplay of imperfection was a significant predictor of drug use severity. All participants experienced elevated levels on all types of shame and maltreatment and on most perfectionism dimensions compared to normative samples. Findings should be utilized in developing treatment programs for those with comorbid eating and substance use disorders.