Household, Family, and Child Risk Factors After an Investigation for Suspected Child Maltreatment

Campbell, Kristine A.; Cook, Lawrence J.; LaFleur, Bonnie; Keenan, Heather T.

doi:10.1001/archpediatrics.2010.166

Cited by 44 publications

(22 citation statements)

References 48 publications

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“…[43][44][45] Family preservation is an official priority of child protection services in the US and many other countries, yet foster care is a predominant social service used to protect children at risk, and it supersedes alternative social services to preserve and strengthen the family unit. 29,43,[46][47][48][49][50][51][52][53][54][55] Although some children may benefit from foster care services, research reveals that young adults with a history of foster care placement experienced disproportionate rates of psychiatric problems associated with cumulative adversities such as maltreatment, numerous foster care placements, and interpersonal losses. 56 Researchers noted that the rate of posttraumatic stress disorder was higher in this population compared with the general population and close to twice the rate of US war veterans.…”

Section: Foster Carementioning

confidence: 99%

Adverse Childhood Experiences and Psychosocial Well-Being of Women Who Were in Foster Care as Children

Bruskas¹,

Tessin²

2013

TPJ

117

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Background and Objective: Research has shown that many children in foster care later have psychosocial problems as adults; this is often attributed to cumulative adversities and a lack of supportive caregivers. The risk factors associated with foster care, such as maternal separation and multiple placements, often counteract many protective factors that can ameliorate the effects of childhood adversities. This study assessed the relationship between adverse childhood experiences (ACEs) and psychosocial well-being in women who were in foster care as children.Methods: A total of 101 women aged 18-71 years (mean, 36.83 [12.95] years) completed an anonymous online survey based on the 10-item ACE Questionnaire, the Sense of Coherence questionnaire, and the General Health Questionnaire.Results: More than 56% of respondents were identified as experiencing current psychological distress. Sense of coherence scores (mean, 54.26 [15.35]) showed a significant inverse association with both General Health Questionnaire (mean, 14.83 [5.88]) and ACE (mean, 5.68 [2.90]) scores (r = -0.64 and -0.31, respectively) and 97% reported at least 1 ACE, 70% reported ≥ 5 and 33% reported ≥ 8. Linear regressions indicated that ACEs reported to occur before foster care were associated with lower levels of sense of coherence (8%) and higher levels of psychological distress (6%). Physical neglect and living in a dysfunctional household (parental loss, maternal abuse, or household member associated with substance abuse or prison) significantly decreased during foster care by 16 and 19 percentage points, respectively. Rates of emotional and physical abuse did not change.Conclusion: The number of ACEs was associated with the level of psychological distress. Our findings suggest that children entering the foster care system are already vulnerable and at risk of experiencing ACEs during foster care and psychological distress during adulthood. Measures implemented to protect children must not cause more harm than good. Social services that preserve and strengthen the family unit and reduce the number of ACEs both before and during foster care are recommended. Social workers and clinicians who are trained to address and manage the unique developmental needs of children in foster care may help reduce the effects of ACEs and optimize developmental health.

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Section: Foster Carementioning

confidence: 99%

Adverse Childhood Experiences and Psychosocial Well-Being of Women Who Were in Foster Care as Children

Bruskas¹,

Tessin²

2013

TPJ

117

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“…While early recognition of abuse is certainly key to preventing the worst outcomes of abuse, recent studies have suggested that child abuse pediatricians, and the medical community as a whole, can, and should, address the special medical and social needs of victims of maltreatment. (Campbell, Cook, LaFleur, & Keenan, 2010; Greiner et al, 2015; Hewes, Keenan, McDonnell, Dudley, & Herman, 2011; Ludwig, 2010) Our results also recognize the need for greater effectiveness in the interdisciplinary systems involved in the support, safety and prevention of further maltreatment of this pediatrics population. (Deans et al, 2013; Putnam-Hornstein, Simon, Eastman, & Magruder, 2014)…”

Section: Discussionmentioning

confidence: 62%

Research priorities for a multi-center child abuse pediatrics network − CAPNET

Lindberg

Wood

Campbell

et al. 2017

Child Abuse & Neglect

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Although child maltreatment medical research has benefited from several multi-center studies, the new specialty of child abuse pediatrics has not had a sustainable network capable of pursuing multiple, prospective, clinically-oriented studies. The Child Abuse Pediatrics Network (CAPNET) is a new multi-center research network dedicated to child maltreatment medical research. In order to establish a relevant, practical research agenda, we conducted a modified Delphi process to determine the topic areas with highest priority for such a network. Research questions were solicited from members of the Ray E. Helfer Society and study authors and were sorted into topic areas. These topic areas were rated for priority using iterative rounds of ratings and in-person meetings. The topics rated with the highest priority were missed diagnosis and selected/indicated prevention. This agenda can be used to target future multi-center child maltreatment medical research.

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“…1 More than 80% of these children will remain at home after maltreatment, often living with the same childhood adversities (eg, parental substance abuse, mental illness, and/or family and community violence) that first brought the child to CPS attention. 2,3 Previous research has established a consistent, dosedependent relationship between exposure to these adversities and long-term health problems, including high-risk health behaviors, physical illness, and emotional challenges. 4 -11 It is not surprising, therefore, that some children with a history of maltreatment incur higher health care costs.…”

mentioning

confidence: 99%

Medicaid Expenditures for Children Remaining at Home After a First Finding of Child Maltreatment

et al. 2016

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Household, Family, and Child Risk Factors After an Investigation for Suspected Child Maltreatment

Cited by 44 publications

References 48 publications

Adverse Childhood Experiences and Psychosocial Well-Being of Women Who Were in Foster Care as Children

Adverse Childhood Experiences and Psychosocial Well-Being of Women Who Were in Foster Care as Children

Research priorities for a multi-center child abuse pediatrics network − CAPNET

Medicaid Expenditures for Children Remaining at Home After a First Finding of Child Maltreatment

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