Resolution of Intimate Partner Violence and Child Behavior Problems After Investigation for Suspected Child Maltreatment

Campbell, Kristine A.; Thomas, Aleyamma; Cook, Lawrence J.; Keenan, Heather T.

doi:10.1001/2013.jamapediatrics.324

Cited by 17 publications

(14 citation statements)

References 25 publications

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“…One US study of maltreated children showed a decrease in internalising and externalising problems associated with resolution of IPV in the home over time. 29 Our findings also suggest that many children are experiencing violence in homes where they are not aware of any IPV, suggesting that other child maltreatment prevention strategies are also needed. Programmes which seek to address norms and attitudes about violence against children may change levels of violence, 16 and programmes which build safe, stable, nurturing and supportive relationships may assist children who have been maltreated or who otherwise have difficulties in achieving better outcomes.…”

Section: Discussionmentioning

confidence: 70%

Witnessing intimate partner violence and child maltreatment in Ugandan children: a cross-sectional survey

et al. 2017

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ObjectivesExisting evidence, mainly from high-income countries, shows children who witness intimate partner violence (IPV) at home are more likely to experience other forms of violence, but very little evidence is available from lower income countries. In this paper we aim to explore whether Ugandan children who witness IPV at home are also more likely to experience other forms of maltreatment, factors associated with witnessing and experiencing violence, and whether any increased risk comes from parents, or others outside the home.DesignA representative cross-sectional survey of primary schools.Participants3427 non-boarding primary school students, aged about 11–14 years.SettingLuwero District, Uganda, 2012.MeasuresExposure to child maltreatment was measured using the International Society for the Prevention of Child Abuse and Neglect Child Abuse Screening Tool-Child Institutional, and 2 questions measured witnessing IPV.Results26% of children reported witnessing IPV, but nearly all of these children had also experienced violence themselves. Only 0.6% of boys and 1.6% of girls had witnessed partner violence and not experienced violence. Increased risk of violence was from parents and also from other perpetrators besides parents. Both girls and boys who witnessed and experienced violence had between 1.66 (95% CI 0.96 to 2.87) and 4.50 (95% CI 1.78 to 11.33) times the odds of reporting mental health difficulties, and 3.23 (95% CI 1.99 to 5.24) and 8.12 (95% CI 5.15 to 12.80) times the odds of using physical or sexual violence themselves.ConclusionsIn this sample, witnessing IPV almost never occurred in isolation—almost all children who witnessed partner violence also experienced violence themselves. Our results imply that children in Uganda who are exposed to multiple forms of violence may benefit from intervention to mitigate mental health consequences and reduce use of violence. IPV prevention interventions should be considered to reduce child maltreatment. Large numbers of children also experience maltreatment in homes with no partner violence, highlighting the need for interventions to prevent child maltreatment more broadly.Trial registration numberNCT01678846, results.

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Section: Discussionmentioning

confidence: 70%

Witnessing intimate partner violence and child maltreatment in Ugandan children: a cross-sectional survey

et al. 2017

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“…Researches have demonstrated the effectiveness of risk-focused parenting programs, and that parenting characteristics reduce the detrimental effects on children’s mental or behavior outcomes [ 53 ]. For IPV exposure, past research showed that resolution of IPV after CPS involvement was significantly associated with the child’s mental and behavior outcomes [ 54 ]. Despite that, a lack of coordination between CPS and IPV response agencies is not uncommon [ 55 , 56 ].…”

Section: Discussionmentioning

confidence: 99%

Cumulative risk effect of household dysfunction for child maltreatment after intensive intervention of the child protection system in Japan: a longitudinal analysis

Ohashi

Wada

Yamaoka

et al. 2018

Environ Health Prev Med

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BackgroundBuilding an effective casework system for child maltreatment is a global issue. We estimated the effect of household dysfunction (i.e., interparental violence, caregiver mental health problems, and caregiver substance abuse) on child maltreatment to understand how to advance the current framework of child welfare.MethodsThe sample comprised 759 children (1- to 17-year-old; mean age was 10.6; 404 boys and 355 girls) placed in temporary custody units (one of the strongest intervention of the Japanese child protection system). Caseworkers from 180 units across 43 prefectures completed questionnaires on children and their family and were asked whether a child maltreatment report had been made after cancelation of custody in a 15-month follow-up period. The relations of household dysfunction and maltreatment reports were assessed using the Cox proportional hazard model.ResultsAbout half (48.4%) of the children had been placed in the unit because of maltreatment, and 88.3% had a history of victimization. Seventy-six cases had maltreatment reports after cancelation. We entered household dysfunction variables individually into the model, and each had a significant relationship with maltreatment reports (hazard ratios for interparental violence, caregiver mental health problem, and substance abuse were 1.69, 1.69, and 2.19, respectively) after covariate adjustment. When treating these three variables as cumulative risk score model of household dysfunction, the hazard ratio increased with increasing number of score (1.96 for score two; 2.35 for score three; score 0 as reference).ConclusionsGreater household dysfunction score is a risk of maltreatment after intensive intervention. It is imperative to construct systems facilitating cooperation between child and adult service sectors and to deliver seamless services to children and families. Our findings provide child protect services with risk-stratified interventions for children at victimization risk and promote adult-focused services to be proactive in prevention or intervention for adults with perpetration risk.Electronic supplementary materialThe online version of this article (10.1186/s12199-018-0703-6) contains supplementary material, which is available to authorized users.

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“…Overall, our response rate was 39–52% for child reports and 36–52% for parent reports. This rate is low compared with some studies of children in treatment programmes (Lamers‐Winkelman et al ), general school samples (Alink et al ) or children in Child Protective Services (Campbell et al ), but it is similar or high compared with other studies in schools (Kirchner et al ), Child Protection Teams (Lynch et al ) (Jud et al ) and primary or emergency care settings (Dubowitz et al ; Hegarty et al ; MacMillan et al ). Fourth, it is possible that a social desirability bias exists, although it was clearly explained to participants that the results of the questionnaires were handled anonymously and would have no personal consequences.…”

Section: Discussionmentioning

confidence: 72%

“…Second, the parental visit to the emergency department might not always represent a serious underlying problem but could be due to a one‐time only event, with limited influence on children. Recent studies showed that children whose mothers reported intimate partner violence at one‐time point had less behavioural and emotional difficulties than children whose mothers reported ongoing violence (Campbell et al ; Gartland et al ). On the other hand, since 47% of children in our cohort have ever been engaged with educational support or child protection, it could be that these services have improved children's psychosocial well‐being.…”

Section: Discussionmentioning

confidence: 99%

“…However, it is unclear if, and to what extent, these children experience psychosocial problems. Previous studies have shown that children who witness intimate partner violence are at increased risk for adverse mental, social and medical health outcomes, including internalizing and externalizing behaviour problems and trauma symptoms (Wood and Sommers 2011;Evans et al 2008;Campbell et al 2013;Kitzmann et al 2003). Other risk factors for child maltreatment include parental substance (Chassin et al 1999;Walsh et al 2003;Dunn et al 2002;Keller et al 2008;Kuperman et al 1999;Chaffin et al 1996) and psychiatric problems of parents, such as maternal depression (Walsh et al 2002;Chaffin et al 1996;Ammerman et al 2010).…”

Section: Introductionmentioning

confidence: 99%

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Psychosocial problems of children whose parents visit the emergency department due to intimate partner violence, substance abuse or a suicide attempt

Konijnenburg

Lee

Teeuw

et al. 2016

Child

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Resolution of Intimate Partner Violence and Child Behavior Problems After Investigation for Suspected Child Maltreatment

Cited by 17 publications

References 25 publications

Witnessing intimate partner violence and child maltreatment in Ugandan children: a cross-sectional survey

Witnessing intimate partner violence and child maltreatment in Ugandan children: a cross-sectional survey

Cumulative risk effect of household dysfunction for child maltreatment after intensive intervention of the child protection system in Japan: a longitudinal analysis

Psychosocial problems of children whose parents visit the emergency department due to intimate partner violence, substance abuse or a suicide attempt

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