Correlates of problem recognition and intentions to change among caregivers of abused and neglected children

Littell, Julia H.; Girvin, Heather

doi:10.1016/j.chiabu.2006.08.004

Cited by 4 publications

(3 citation statements)

References 41 publications

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“…Yet, even for individuals described with serious depressive symptoms, neither sex, age, education, income nor insurance coverage were associated with problem recognition in some studies (Yokopenic et al, 1983). As Littell and Girvin (2006) conclude for recognition of child abuse, only a small portion of variation could be accounted for by individual and case characteristics. Perhaps the most consistent influence on individuals’ lay diagnoses is experience, whether their own or that of others with similar health situations (e.g., Furnham & Wardley, 1991; Gum et al, 2009; Yokopenic et al, 1983).…”

Section: Theoretical Backgroundmentioning

confidence: 99%

Constructing illness: How the public in eight Western nations respond to a clinical description of “schizophrenia”

Ólafsdóttir

Pescosolido

2011

Social Science & Medicine

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According to classic and contemporary social theory, the community is crucial to how individuals respond to the onset of health problems. Cultural response to symptoms provides the foundation for lay diagnosis; offers a gauge for marking individual and societal health literacy; and reflects the cultural embeddedness of modern medical knowledge. Using data collected between 2004 and 2007 from the Stigma in Global Context – Mental Health Study (SGC-MHS) on the recognition of schizophrenia from vignettes describing individuals meeting DSM-IV criteria, we examine the nature and correlates of lay diagnosis. Focusing on Western societies in the SGC-MHS, we ask three questions regarding problem recognition in Bulgaria (N=255), Cyprus (N=253), Germany (N=382), Hungary (N=352), Iceland (N=291), Spain (N=327), Great Britain (N=289), and the United States (N=449). What is the cross-national variation in recognition of schizophrenia as a mental illness? Is lay diagnosis associated with individuals’ socio-demographic characteristics and/or their evaluation of underlying causes? Are lay diagnoses likely to shape the nature and direction of the illness career? We find lay diagnosis of “mental illness” to be high across these Western nations with some, though modest, difference across countries. Variation for the more specific diagnosis of “schizophrenia” is greater, though fairly consistent in country ordering. Lay diagnoses are shaped most consistently by attributions, inconsistently by socio-demographics, and generally associated with respondents’ treatment recommendations and expected outcomes. In light of assumptions about public beliefs and knowledge that often underlie research, community efforts, clinical programs, and health policy, these findings suggest that a greater understanding of the complexities of lay diagnosis is warranted.

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Section: Theoretical Backgroundmentioning

confidence: 99%

Constructing illness: How the public in eight Western nations respond to a clinical description of “schizophrenia”

Ólafsdóttir

Pescosolido

2011

Social Science & Medicine

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“…The influence of caseworkers, other decision makers, and organizational contexts on client-caseworker interactions, service delivery, and outcomes raises questions about the relative importance of client characteristics, such as sincere engagement, on ultimate child welfare outcomes (see Glisson & Hemmelgarn, 1998;Littell & Girvin, 2006;Littell & Tajima, 2000).…”

Section: Research Related To Service Plan Use and Compliancementioning

confidence: 99%

Child Welfare Service Plan Compliance: Perceptions of Parents and Caseworkers

Smith

2008

Families in Society: The Journal of Contemporary Social Service

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Child welfare practice and decision making center around service plans, but few recent studies have focused specifically on service plans and their use in routine child welfare settings. This qualitative study involving interviews, case record reviews, and court observations illuminates parent and caseworker perceptions about the meaning of service plans and service plan compliance, and about influences on compliance. Parents and caseworkers similarly perceive service plans as directives and service plan compliance as parental task completion and cooperation. But whereas caseworkers perceive a motivation to parent as the primary influence on service plan compliance, parents perceive multiple influences. Findings contribute to ongoing work to develop theories that can explain client service participation and its connection to positive child welfare outcomes.

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“…This alarming discrepancy highlights the importance of exploring factors that may contribute to problem awareness and desire to seek treatment. Research has shown that caregivers whose children have been removed from their homes by CWS due to abuse and neglect showed increased problem recognition and intentions to change (Littell & Girvin, 2006). Given that up to nearly 80% of children involved in CWS have caregivers with substance use problems (Young et al., 2007), it may be informative to also more specifically explore the role that children who have been harmed due to substance abuse play in the problem recognition and recovery process.…”

mentioning

confidence: 99%

Children’s Impact on Adults’ Substance Use Problem Awareness and Treatment Optimism

2015

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Substance abuse is associated with a host of harmful consequences to the substance user as well as other individuals and society as a whole. Although harm is an integral component of substance abuse, there is a dearth of research that investigates the relationship between harm and substance use problems. The goal of this study was to explore recovering substance users’ retrospective perceptions of harm caused to self and others during periods of substance abuse and the resulting association with the development of problem awareness and treatment perspectives. The present study found that perceptions of harming children demonstrated a significant impact on adults’ substance use problem awareness and treatment optimism. Perceived harm caused to a child during periods of substance abuse was associated with increased substance use problem awareness and treatment optimism. Findings suggest that harming children as a consequence of adult substance abuse may play an impactful role on adults’ recovery process. Implications for future research are discussed.

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Correlates of problem recognition and intentions to change among caregivers of abused and neglected children

Cited by 4 publications

References 41 publications

Constructing illness: How the public in eight Western nations respond to a clinical description of “schizophrenia”

Constructing illness: How the public in eight Western nations respond to a clinical description of “schizophrenia”

Child Welfare Service Plan Compliance: Perceptions of Parents and Caseworkers

Children’s Impact on Adults’ Substance Use Problem Awareness and Treatment Optimism

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