A population-based examination of maltreatment referrals and substantiation for children with autism spectrum disorder

Fisher, Marisa H.; Epstein, Richard A.; Urbano, Richard C.; Vehorn, Alison; Cull, Michael J.; Warren, Zachary

doi:10.1177/1362361318813998

Cited by 18 publications

(11 citation statements)

References 19 publications

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“…In a 2018 study from Tennessee, children with ASD had more referrals to a child abuse hotline than those without ASD, although substantiation rates were similar between the 2 groups. 39 In a 2018 study using data from the National Survey of Child and Adolescent Well-Being II data, children with multiple developmental delays were more likely to have recurrence of child abuse reporting. 40…”

Section: Association Between Disability Type and Form Of Abusementioning

confidence: 99%

Maltreatment of Children With Disabilities

et al. 2021

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Over the past decade, there have been widespread efforts to raise awareness about maltreatment of children. Pediatric providers have received education about factors that make a child more vulnerable to being abused and neglected. The purpose of this clinical report is to ensure that children with disabilities are recognized as a population at increased risk for maltreatment. This report updates the 2007 American Academy of Pediatrics clinical report "Maltreatment of Children With Disabilities." Since 2007, new information has expanded our understanding of the incidence of abuse in this vulnerable population. There is now information about which children with disabilities are at greatest risk for maltreatment because not all disabling conditions confer the same risks of abuse or neglect. This updated report will serve as a resource for pediatricians and others who care for children with disabilities and offers guidance on risks for subpopulations of children with disabilities who are at particularly high risk of abuse and neglect. The report will also discuss ways in which the medical home can aid in early identification and intervene when abuse and neglect are suspected. It will also describe community resources and preventive strategies that may reduce the risk of abuse and neglect.

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Section: Association Between Disability Type and Form Of Abusementioning

confidence: 99%

Maltreatment of Children With Disabilities

et al. 2021

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“…A child's disability status has been robustly associated with increased rates of maltreatment within the United States and internationally (Fisher et al, 2019;Norman et al, 2012), while intellectual disorder has consistently been associated with heightened maltreatment risk (Gee, 2020). Evidence is ambiguous with regard to autism spectrum disorder (Dion, Paquette, Tremblay, Collin-Vézina & Chabot, 2018).…”

Section: Introductionmentioning

confidence: 99%

Extents of abuse and behavioural disorders in autistic children who were abused and who were not abused

Ahmed

2021

CJES

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This study aimed at identifying the extents of abuse of autistic children and some behavioural disorders in who were abused and who were not abused from parents and teachers’ perspective. To achieve the study’s objectives, the researcher adopted a descriptive research method and used a survey as a tool for the task. The sample consisted of 200 autistic children. The study found a positive relationship between the extents of abuse (physical, emotional, neglect and sexual) and the degrees of behavioural disorders (self-harm, aggression, anxiety and depression) in children with autism who were abused. Autistic children who were abused suffered more from these behavioural disorders. The study recommends an increase in interest in children with autism within the family and community levels by planning and implementing programmes that can help them to adapt socially to the environment, which keeps them away from the exposure to abuse. Keywords: Abuse extents, behavioural disorders, autistic children.

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“…Autistic youth experience high rates of childhood abuse (Fisher et al, 2019; Mandell et al, 2005; McDonnell et al, 2019). Beyond binary indicators of abuse (whether any form of abuse occurred during childhood), abuse can vary along several dimensions, including subtype (e.g., physical, sexual, or emotional) and comorbidity (the number of different subtypes a child has experienced; Manly et al, 1994).…”

Section: Abuse Subtypes Among Autistic Youthmentioning

confidence: 99%

Intergenerational trauma: Parental PTSD and parent‐reported child abuse subtypes differentially relate to admission characteristics in the autism inpatient collection

2022

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Autistic youth experience high rates of maltreatment. Little research has considered how distinct abuse dimensions differentially relate to meaningful outcomes, nor taken an intergenerational approach to consider how caregiver trauma and child maltreatment are related. This study sought to identify how parent-reported child abuse subtypes and parent posttraumatic stress disorder (PTSD) relate to each other and to admission characteristics upon inpatient service entry. Autistic youth (N = 527; 79% White, 21.3% girls, mean age = 12.94 years) participated in the autism inpatient collection. Parents reported on child abuse subtypes (physical, sexual, emotional) and their own PTSD, child behavior and emergency services, and parenting stress. Youth of parents with PTSD were nearly three times more likely to have parent-reported physical and emotional abuse. Autistic girls were more likely to experience parent-reported sexual abuse and a higher number of subtypes. Lower income related to higher rates of parent-reported child emotional abuse and parent PTSD. Emotional abuse associated with child behavior whereas both child physical and emotional abuse related to emergency services. Reported parent PTSD associated with child behavior and parental distress. When considered jointly, parent PTSD and number of parent-reported child abuse subtypes differentially related to child behavior and interacted to predict psychiatric hospitalizations. Intergenerational continuity of trauma is important to consider among autistic youth, and both parent-reported child abuse and parent PTSD relate to admission characteristics. Critical limitations include reliance on binary parent reports of child abuse and parent PTSD and the low representation of youth of minoritized identities. Implications for trauma-informed care are discussed.

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A population-based examination of maltreatment referrals and substantiation for children with autism spectrum disorder

Cited by 18 publications

References 19 publications

Maltreatment of Children With Disabilities

Maltreatment of Children With Disabilities

Extents of abuse and behavioural disorders in autistic children who were abused and who were not abused

Intergenerational trauma: Parental PTSD and parent‐reported child abuse subtypes differentially relate to admission characteristics in the autism inpatient collection

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