Identifying families with complex needs after an initial child abuse investigation: A comparison of demographics and needs related to domestic violence, mental health, and substance use

Simon, James David; Brooks, Devon

doi:10.1016/j.chiabu.2017.03.001

Cited by 23 publications

(9 citation statements)

References 48 publications

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“…These experiences have been associated with long-term adverse effects on physical and psychological health, along with substance abuse issues (Simon & Brooks, 2017). Early childhood trauma has been linked to negative effects on adolescent self-esteem, the ability to build healthy relationships, school performance, self-regulation, critical thinking, and self-motivation (O'Connell, Boat, & Warner, 2009).…”

Section: Trauma and Trauma-informed Carementioning

confidence: 99%

Trauma-Informed Care: Essential Elements for Pediatric Health Care

Hornor¹,

Davis²,

Sherfield³

et al. 2019

Journal of Pediatric Health Care

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Childhood psychosocial trauma exposure is highly prevalent and associated with risk for poor physical and mental health outcomes extending throughout life. In a study of nearly 54,000 adult Americans (Gilbert et al., 2015), 60% reported experiencing at least one adverse childhood experience (ACE). According to the National Survey of Child Health, 48% of American children have suffered at least one ACE (Bethell, Newacheck, Hawkes, & Halfon, 2014). The U.S. Department of Health and Human Services (2017) states that more than 650,000 American children experienced child maltreatment in 2016 and up to 10 million children in the United States witness domestic violence each year (National Coalition Against Domestic Violence, 2015).

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Section: Trauma and Trauma-informed Carementioning

confidence: 99%

Trauma-Informed Care: Essential Elements for Pediatric Health Care

Hornor¹,

Davis²,

Sherfield³

et al. 2019

Journal of Pediatric Health Care

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“…Children and families investigated by the child welfare system often have complex needs that may require various types of supportive services that span across numerous sectors [ 1 , 2 , 3 , 4 ]. The decision to refer children and families to supportive services can signal the child welfare systems’ recognition of child and/or family need [ 5 ].…”

Section: Introductionmentioning

confidence: 99%

“…Yet, there is minimal literature focusing on service referrals within the context of child welfare service provision [ 10 ]. There is little understanding of the types of services that children and families are referred to, including referrals to concrete services that may assist families in meeting their basic needs (e.g., food, housing, utilities), educational services (e.g., parent support groups), and clinical services (e.g., mental health counseling) [ 1 , 10 ]. There is no study that has explored the factors associated with the decision to provide service referrals to families of infants; nor, is there a study that has explored the types of services that families of infants and older children are referred to within the context of maltreatment-related investigations in Canada.…”

Section: Introductionmentioning

confidence: 99%

Infants Investigated by the Child Welfare System: Exploring a Distinct Profile of Risks, Service Needs, and Referrals for Support in Ontario

et al. 2017

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The science of early childhood development underscores that maltreatment and other adversities experienced during infancy heightens the risk for poor developmental and socio-emotional outcomes. Referrals to supportive services by the child welfare system are particularly critical during infancy given the rapidity of brain development and infants’ sensitivity to their environment. The main objectives of the current study are to: (1) examine age-specific differences in clinical and case characteristics; (2) determine the factors associated with the service referral decision involving infants; and (3) explore the types of services families have been referred to at the conclusion of a maltreatment-related investigation. Using data from the Ontario Incidence Study of Reported Child Abuse and Neglect for 2013, descriptive analyses were conducted, as was a logistic regression to identify factors associated with the decision to refer families of infants to supportive services. Overall, the findings reveal that the profile of infants and their families differs distinctly from those of older children with respect to risks, service needs, and service referrals, although this is rarely reflected in child welfare practice and policy. Investigations involving infants were most likely to have a referral made to supportive services, least likely to have an infant functioning concern identified; most likely to have a primary caregiver risk factor identified; and, the greatest likelihood of experiencing economic hardship. Multiple risks, identified for the primary caregiver of the infant are correlated to referral decisions for infants. However, the needs of the infant are likely under-identified and require cross-sectorial collaboration.

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“…Factors such as these are well documented in the literature. [39][40][41][42] In this research however, parents perceived having two people with mental illness in the family compounded socioeconomic and other issues.…”

Section: Discussionmentioning

confidence: 59%

A parent’s perspective of the bidirectional impact of mental illness in families

Naughton

Maybery

Goodyear

2018

CNS

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Objective: Recent research has found over 70% of children attending a mental health service also have a parent with a mental illness. Research on the impact of mental illness in families focuses primarily on how parental mental illness impacts on children. What is not understood is the experience of parents and children where both have a mental illness. The aim of this study was to investigate the experiences of parents where both a child and a parent have a mental illness.Methods: Thirty-seven parents were interviewed using a narrative design to determine their personal and family experiences. Interviews were analyzed using interpretative phenomenological analysis with a number of themes highlighted.Results: Themes particular to this family type were: impact of parental mental illness; specific strategies; bidirectional impacts of mental illness; and intergenerational factors. Also raised were supports parents would have liked. From the narrative of these parents the challenges of families, where both a parent and a child have a mental illness, are highlighted.Conclusions: It is from these interviews, that awareness of clinicians can be raised, and more effective, well-thought-out interventions put in place. Interventions that take account of the bidirectional influences of mental illness will be more successful in meeting the needs of all members of a family. People do not operate in isolation and providing a family focused approach is an essential first step in helping people manage where mental illness is a prevalent factor for different family members.

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Identifying families with complex needs after an initial child abuse investigation: A comparison of demographics and needs related to domestic violence, mental health, and substance use

Cited by 23 publications

References 48 publications

Trauma-Informed Care: Essential Elements for Pediatric Health Care

Trauma-Informed Care: Essential Elements for Pediatric Health Care

Infants Investigated by the Child Welfare System: Exploring a Distinct Profile of Risks, Service Needs, and Referrals for Support in Ontario

A parent’s perspective of the bidirectional impact of mental illness in families

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