The impact of child maltreatment on mental health outcome improvements among children and youth accessing community mental health care

Stewart, Shannon L.; Vasudeva, Aadhiya S.; Mistry, Divya; Poss, Jeffrey W.

doi:10.1016/j.chiabu.2023.106066

Child Abuse & Neglect

2023

DOI: 10.1016/j.chiabu.2023.106066

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The impact of child maltreatment on mental health outcome improvements among children and youth accessing community mental health care

Shannon L. Stewart

Aadhiya S. Vasudeva

Divya Mistry

et al.

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2024

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Cited by 3 publications

References 56 publications

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Child Maltreatment: To Report or Not to Report? It’s More Complex than That

Vollmer-Sandholm,

Myhre,

Albæk

et al. 2024

Int. Journal on Child Malt.

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Child maltreatment (CM) is a widespread problem, contributing to health and societal difficulties often throughout the lifespan. Healthcare professionals (HCPs) who see potential warning signs for CM are responsible for protecting the child from future harm, which may involve alerting the authorities. The decision-making is challenging as unwarranted reporting may lead to mistrust and not benefit the child. We sought to explore what factors might influence HCPs’ decisions to report suspected CM in a Norwegian sample. Using a cross-sectional survey among HCPs in Norwegian hospitals with pediatric wards, we presented five case vignettes describing different probabilities of CM and variables assessing experience, knowledge, and confidence. A total of 382 HCPs completed the survey. Despite recognizing warning signs for CM in the case vignettes, a large proportion were reluctant to report to authorities. Recognition of CM and expressed willingness to report four or all five of the case vignettes (high reporters) was associated with the profession, knowledge, experience, and confidence in handling CM cases. Expressed confidence in performing physical examinations for physical or sexual abuse and talking with parents about abuse was significantly associated with high reporting (OR 2.3 to 17.8). Qualitative data further supported the role of self-efficacy. In summary, reporting to the authorities is an important but complex aspect in cases of suspected CM, but many HCPs relate that they fail to do so. This study indicates reporting suspicion of CM is correlated with self-efficacy and knowledge among HCPs, which should inform educational, social, and policy decisions.

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Child Maltreatment: To Report or Not to Report? It’s More Complex than That

Vollmer-Sandholm,

Myhre,

Albæk

et al. 2024

Int. Journal on Child Malt.

View full text Add to dashboard Cite

show abstract

Effectiveness of mental-health interventions for children and adolescents placed in residential care by the welfare services: A systematic review

Ramos Miguel,

Santos,

do Céu Salvador

et al. 2024

Children and Youth Services Review

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Investigating child-facing practitioners' understanding of adversity and its impact on children's development and service provision

Smout,

Buechner,

Lynch

et al. 2024

Heliyon

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The impact of child maltreatment on mental health outcome improvements among children and youth accessing community mental health care

Cited by 3 publications

References 56 publications

Child Maltreatment: To Report or Not to Report? It’s More Complex than That

Child Maltreatment: To Report or Not to Report? It’s More Complex than That

Effectiveness of mental-health interventions for children and adolescents placed in residential care by the welfare services: A systematic review

Investigating child-facing practitioners' understanding of adversity and its impact on children's development and service provision

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