Child Maltreatment Among U.S. Air Force Parents Deployed in Support of Operation Iraqi Freedom/Operation Enduring Freedom

Rabenhorst, Mandy M.; McCarthy, Randy J.; Thomsen, Cynthia J.; Milner, Joel S.; Travis, Wendy J.; Colasanti, Marie P.

doi:10.1177/1077559514560625

Cited by 18 publications

(6 citation statements)

References 34 publications

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“…129 Children of deployed US military personnel have higher rates of emotional and behavioral problems and substance abuse 130,131 and are at a higher risk for physical abuse and neglect both during and after parental return from deployment. [131][132][133]…”

Section: Children With Remote Exposure To Armed Conflictmentioning

confidence: 99%

The Effects of Armed Conflict on Children

Kadir¹,

Shenoda²,

Goldhagen³

et al. 2018

Pediatrics

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More than 1 in 10 children worldwide are affected by armed conflict. The effects are both direct and indirect and are associated with immediate and long-term harm. The direct effects of conflict include death, physical and psychological trauma, and displacement. Indirect effects are related to a large number of factors, including inadequate and unsafe living conditions, environmental hazards, caregiver mental health, separation from family, displacement-related health risks, and the destruction of health, public health, education, and economic infrastructure. Children and health workers are targeted by combatants during attacks, and children are recruited or forced to take part in combat in a variety of ways. Armed conflict is both a toxic stress and a significant social determinant of child health. In this Technical Report, we review the available knowledge on the effects of armed conflict on children and support the recommendations in the accompanying Policy Statement on children and armed conflict.

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Section: Children With Remote Exposure To Armed Conflictmentioning

confidence: 99%

The Effects of Armed Conflict on Children

Kadir¹,

Shenoda²,

Goldhagen³

et al. 2018

Pediatrics

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“…Studies among U.S. military personnel have documented increased rates of physical abuse and neglect in the children of veterans, both during the period of deployment and after return. [96, 97] A large study of Californian children in civilian public schools found that the children of US military personnel have higher rates of experiencing violence in school and are more likely to carry a weapon. [98]…”

Section: Resultsmentioning

confidence: 99%

Effects of armed conflict on child health and development: A systematic review

2019

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BackgroundArmed conflicts affect more than one in 10 children globally. While there is a large literature on mental health, the effects of armed conflict on children’s physical health and development are not well understood. This systematic review summarizes the current and past knowledge on the effects of armed conflict on child health and development.MethodsA systematic review was performed with searches in major and regional databases for papers published 1 January 1945 to 25 April 2017. Included studies provided data on physical and/or developmental outcomes associated with armed conflict in children under 18 years. Data were extracted on health outcomes, displacement, social isolation, experience of violence, orphan status, and access to basic needs. The review is registered with PROSPERO: CRD42017036425.FindingsAmong 17,679 publications screened, 155 were eligible for inclusion. Nearly half of the 131 quantitative studies were case reports, chart or registry reviews, and one-third were cross-sectional studies. Additionally, 18 qualitative and 6 mixed-methods studies were included. The papers describe mortality, injuries, illnesses, environmental exposures, limitations in access to health care and education, and the experience of violence, including torture and sexual violence. Studies also described conflict-related social changes affecting child health. The geographical coverage of the literature is limited. Data on the effects of conflict on child development are scarce.InterpretationThe available data document the pervasive effect of conflict as a form of violence against children and a negative social determinant of child health. There is an urgent need for research on the mechanisms by which conflict affects child health and development and the relationship between physical health, mental health, and social conditions. Particular priority should be given to studies on child development, the long term effects of exposure to conflict, and protective and mitigating factors against the harmful effects of armed conflict on children.

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“…This is a concerning, since research shows rates of child maltreatment by female civilian spouses triple when soldiers are deployed (Panton, 2018). Rates of neglect and emotional abuse are even higher postdeployment (Rabenhorst et al, 2015).…”

Section: Discussionmentioning

confidence: 99%

Readiness of Non-Veteran Health Administration Advanced Practice Registered Nurses to Care for Those Who Have Served: A Multimethod Descriptive Study

Maiocco

Vance

DiChiacchio

2020

Policy, Politics, & Nursing Practice

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Federal, state, and educational policy, as well as public and professional initiatives, should influence how care is delivered to veterans from non-Veteran Health Administration (VHA) advanced practice registered nurses (APRNs) located in civilian health care facilities. Due to the MISSION Act, more veterans are receiving care outside the VHA, but little is known about the readiness of APRNs to address the needs of this population. This mixed-methods study describes the perceptions of 340 non-VHA APRNs concerning practice, clinical needs, and challenges they face while delivering care to veterans. Survey results show only 8% of APRNs consistently asked about military service; less than 1% asked if the patient has a family member with military history; and only 25% applied research by inquiring into military history when patients presented with conditions like chronic pain, interpersonal violence, or insomnia. Technology use via mobile application was minimally reported (<1%). “Missing in Action,” the overarching theme from qualitative data, included three subthemes: (a) absence facilitated collaboration with VHA, (b) concerns regarding personal competency in the care of the military person, and (c) lack of recognition of the significance of the need to know about military status. Practice implications proffered include implementation of mandatory inquiry into military service and enactment of APRN veteran-centric nursing competencies. Education actions involve updating graduate nursing programs to include veteran health content and increased policy awareness. Future research should encompass replication of this study in specific APRN roles and consist of ongoing evaluation of veteran care by the civilian sector as the MISSION Act is implemented.

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Child Maltreatment Among U.S. Air Force Parents Deployed in Support of Operation Iraqi Freedom/Operation Enduring Freedom

Cited by 18 publications

References 34 publications

The Effects of Armed Conflict on Children

The Effects of Armed Conflict on Children

Effects of armed conflict on child health and development: A systematic review

Readiness of Non-Veteran Health Administration Advanced Practice Registered Nurses to Care for Those Who Have Served: A Multimethod Descriptive Study

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