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Keywords = child protection and welfare

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16 pages, 295 KB  
Article
Supervised Contact Between Children in Care and Their Parents—A Study of Professional Reflections
by Hege Sundt and Ellen Synnøve Aarseth
Soc. Sci. 2025, 14(5), 316; https://doi.org/10.3390/socsci14050316 - 21 May 2025
Viewed by 560
Abstract
Establishing good contact arrangements between children in public care and their parents is of great significance for those involved. To ensure the child’s protection and safety, supervised contact may be necessary. This can be a complex situation that necessitates high-quality social work and [...] Read more.
Establishing good contact arrangements between children in public care and their parents is of great significance for those involved. To ensure the child’s protection and safety, supervised contact may be necessary. This can be a complex situation that necessitates high-quality social work and thorough reflection. Empirical data were derived from a vignette study and eight focus groups conducted by the Norwegian Child Welfare Services. Our research considers the following questions: How does supervised contact become a theme when assessing contact arrangements for children and parents after the child has been taken into care, and how is the concept of supervised contact understood by social workers? The findings show that supervised contact may be recommended for various reasons, such as control, support, and safety, to observe and gather more information. This study reveals a need for social workers to develop greater awareness in their assessments and decisions regarding the implementation of supervised contact. It is important to explore the various ways supervised contact is conceived and practiced. We also need to critically discuss the opportunities and challenges it represents, as well as the need to provide support and guidance to the child and parents and facilitate positive collaboration with child welfare services. Full article
(This article belongs to the Special Issue Contact between Parents and Children in Child Welfare Care)
18 pages, 2261 KB  
Article
Our Children/Our Future: Examining How Indigenous Peoples in the US Assert Self-Determination and Prioritize Child Wellbeing
by Meschelle Linjean and Hilary N. Weaver
Genealogy 2025, 9(1), 26; https://doi.org/10.3390/genealogy9010026 - 16 Mar 2025
Cited by 1 | Viewed by 1320
Abstract
Our children are our future. As noted in the Indian Child Welfare Act (ICWA), “There is no resource that is more vital to the continued existence and integrity of Indian tribes than their children”. Native Americans have always fought for and prioritized child [...] Read more.
Our children are our future. As noted in the Indian Child Welfare Act (ICWA), “There is no resource that is more vital to the continued existence and integrity of Indian tribes than their children”. Native Americans have always fought for and prioritized child wellbeing and will continue to strive for self-determination. Primarily focusing on Indigenous people in the area now known as the United States, this article first discusses the historical underpinnings of Native American experiences in child welfare systems and the ways Native Americans have historically exercised self-determination in child protection matters, including resistance to boarding schools and child removal, and strategies to retain authority with ICWA. Next, it offers examples of exerting self-determination to repair past harms of child welfare systems and relational severance, and prevent future harms, through efforts involving truth and reconciliation, homecoming ceremonies, child-environment reconnection and protection, legal systems, and social work education initiatives. Centering content in ways that are relevant for Indigenous Peoples, it then explores how child welfare systems can be transformed to ensure Native Peoples’ rights to raise our children within our families, cultures, and communities, with emphases on cultural strengths and relational understandings. Full article
(This article belongs to the Special Issue Self Determination in First Peoples Child Protection)
16 pages, 236 KB  
Article
‘What Are We to Each Other?’: Relational Participation as Processes of Positioning, Confirming and Manifesting Relationships
by Mona Kragelund Ravn
Soc. Sci. 2025, 14(3), 177; https://doi.org/10.3390/socsci14030177 - 14 Mar 2025
Cited by 1 | Viewed by 784
Abstract
It is generally recognized in research that participation is lacking in social work and is essential to improve. This article presents findings from qualitative focus group interviews with children and parents in Denmark with supervised contact (SC) after placement focusing on what participation [...] Read more.
It is generally recognized in research that participation is lacking in social work and is essential to improve. This article presents findings from qualitative focus group interviews with children and parents in Denmark with supervised contact (SC) after placement focusing on what participation is for them. Since SC is a context embedded in conflicting perspectives, enabling a sense of participation can be challenging, making SC an interesting case for exploration. The findings show that for both children and parents, participation is about emotionally engaging in, finding, confirming and manifesting their positioning in the relationship, which goes beyond a traditional rights-based understanding. Based on the new empirical knowledge and anchored in the metatheory of agential realism, the article argues for participation as a relational, dynamic and transcendental concept that revolves around three empirical key aspects: positioning, confirming and manifesting, entangled in children’s and parents’ experiences, emotions and thoughts about ‘what are we to each other?’. Children and parents express orientation towards entering relationships, even though these are challenging. Thus, a major point is the need for further research into the relational and emotional processes of participation with awareness of the importance of the specific relationship. Full article
(This article belongs to the Special Issue Contact between Parents and Children in Child Welfare Care)
14 pages, 227 KB  
Article
“It Is Possible to Call More People Mum”—Contact Between Children in Foster Care and Their Birth Parents
by Marianne Rugkåsa and Elisabeth Backe-Hansen
Soc. Sci. 2025, 14(3), 154; https://doi.org/10.3390/socsci14030154 - 2 Mar 2025
Cited by 1 | Viewed by 836
Abstract
Contact arrangements in child protection can often create conflicts and distress. This is an area the Norwegian Child Welfare Services (CWSs) have paid greater attention to in recent years, to a large degree due to several recent decisions made by the European Court [...] Read more.
Contact arrangements in child protection can often create conflicts and distress. This is an area the Norwegian Child Welfare Services (CWSs) have paid greater attention to in recent years, to a large degree due to several recent decisions made by the European Court of Human Rights (ECHR) in the early 2020s and Norway’s Supreme Court in March 2020, as well as subsequent case law, all highlighting the importance of post-care contact. In the article, we focus on conditions that contribute to successful contact arrangements. We also discuss how CWSs can organise such arrangements in ways that lead to cooperative relationships around the children. The article analyses data from two cases where all those participating in the contact arrangements agreed that they worked well. In addition, we draw on supplementary data from a survey of caseworkers in the CWS about their experiences and assessment of contact arrangements in 525 cases. The analyses show that flexibility, openness, recognition, dialogue, and participation are particularly significant. It is essential to look at contact arrangements as ongoing processes, incorporating changes occurring in the child’s situation, the parents or the foster parents. Full article
(This article belongs to the Special Issue Contact between Parents and Children in Child Welfare Care)
21 pages, 293 KB  
Article
The Impossibility of ‘Good Mothering’ in Child Welfare Systems When Referred for Non-Traditional Harms
by Nikki Rutter, Carlene Firmin, Donna Garvey, Kate O’Brien and Rachael Owens
Soc. Sci. 2025, 14(2), 97; https://doi.org/10.3390/socsci14020097 - 10 Feb 2025
Viewed by 1978
Abstract
Due to harmful narratives within child welfare and child protection services and systems, mothers in contact with these services who aim to meet the symbolic representation of the ‘ideal mother’ frequently find themselves being portrayed as the ‘bad mother’, even when their referral [...] Read more.
Due to harmful narratives within child welfare and child protection services and systems, mothers in contact with these services who aim to meet the symbolic representation of the ‘ideal mother’ frequently find themselves being portrayed as the ‘bad mother’, even when their referral is ‘non-traditional’ (i.e., not specifically due to their perceived harmful actions or inactions). Through ‘ideal mother’ symbolism and narratives, there is disenfranchisement of service-engaged mothers; they are mistreated by services, which is normalised by wider discourses around motherhood. Mothers within these child welfare systems consistently experience judgement, the problematising of their parenting practices, and disempowerment despite not being the direct cause of harm to their children. This creates a sense of shame and makes the injustice of mothers’ experiences within child welfare systems invisible. This is a conceptual paper combining data generated from previously published work and a lived experience example (work with young mothers; mothers in contact with the criminal justice system; mothers with children who cause harm; and those with children experiencing extra-familial harm) using qualitative, participatory, and action-based approaches, and through emancipatory interview processes, disenfranchised mothers described their contact with child welfare and child protection systems as a source of structural, political, and/or societal injustice. Thus, such qualitative emancipatory work provides ways to acknowledge mothers in contact with child welfare services due to non-traditional harms, as they are a disadvantaged group who are too often disempowered to action change. Thus, we argue that participatory and action-based research should be a preferred method of exploring mothers’ experiences of child welfare systems, opening routes for reforming, as well as understanding systematic potential of services as oppressive and problematising rather than supportive and empowering. Full article
(This article belongs to the Special Issue Parental Participation in Child Protection)
21 pages, 318 KB  
Article
Child-Centered Anti-Trafficking Approaches in Mediterranean Migration Routes: Italy and Turkey
by Ezgi Yaman Kennedy
Soc. Sci. 2024, 13(12), 700; https://doi.org/10.3390/socsci13120700 - 23 Dec 2024
Cited by 1 | Viewed by 4935
Abstract
Introduction: Child trafficking is a clear violation of human rights, robbing minors of their fundamental entitlements. These encompass the right to personal identity, familial bonds, cultural heritage, access to healthcare and proper nourishment, education, freedom of speech, and the assurance of safety and [...] Read more.
Introduction: Child trafficking is a clear violation of human rights, robbing minors of their fundamental entitlements. These encompass the right to personal identity, familial bonds, cultural heritage, access to healthcare and proper nourishment, education, freedom of speech, and the assurance of safety and security. Children and young people, given their inherent vulnerability and limited access to support networks, frequently struggle to safeguard themselves effectively. This predicament presents traffickers with opportunities to exploit and manipulate them. Therefore, it is essential for professionals across various sectors—including education, healthcare, protective and social services, as well as the justice system—to undergo comprehensive training and be integrated into a robust social protection system. This preparation should equip them to conduct screenings, accurately assess needs, and adhere to international guidelines when addressing cases of child trafficking. Aim: The aim of this study is to explore the child-centered anti-trafficking approaches employed by Italy and Turkey, situated along migration pathways in the Mediterranean region and experiencing significant regular and irregular migration flows in recent years. Both nations fall within the classification of southern European welfare regimes. Methodology: This research specifically delves into the social protection policies aimed at children and young victims established by these two countries. Carried out between 1 February 2020 and 20 May 2021, this study employed a semi-structured interview approach, conducting qualitative in-depth interviews in both Italy and Turkey. This research targeted experts from various disciplines engaged in combating human trafficking in both countries, with a total sample size of 46 participants, comprising 15 experts from Italy and 31 from Turkey. Grounded theory formed the basis of the study, with data analyzed using the MAXQDA 2020 Pro Analytics program, employing a multidisciplinary and empowerment approach. Results: The analysis yielded 2942 codes, 17 sub-themes, and four main themes. The study identified four main themes: (i) characteristics of child victims and vulnerable child groups, (ii) services provided to at-risk groups and child trafficking victims within the current national counter-trafficking framework, (iii) challenges encountered in delivering services to children and young individuals, and (iv) recommendations for establishing an effective and child-centered protection system. Discussion and Conclusion: It is imperative to ensure that victims of child trafficking have access to comprehensive social protection measures. It has been noted that both Italy and Turkey offer various services to victims of child trafficking, including in-kind and -cash social assistance, free legal aid, shelter services, access to education and healthcare, as well as prevention, awareness, and advocacy programs. However, there are also differences between the two countries in certain aspects. Recommendations aimed at addressing these differences can be developed by adhering to the minimum standards outlined in the Council of Europe Convention on Action against Trafficking in Human Beings. Full article
(This article belongs to the Special Issue Emerging Trends and Dimensions of Child Trafficking)
16 pages, 326 KB  
Article
Child Well-Being, Family Functioning, and Contextual Strain: A Study of Multi-Assisted Low-Income Families
by Paula Cristina Martins and Vítor Hugo Oliveira
Children 2024, 11(12), 1533; https://doi.org/10.3390/children11121533 - 18 Dec 2024
Viewed by 1917
Abstract
Objectives: This study aimed to examine the effects of poverty on child well-being and family functioning among low-income families. Specifically, it explored the role of parental stress, family dynamics, and contextual strain on children’s behavioral and emotional outcomes. Using a sample of families [...] Read more.
Objectives: This study aimed to examine the effects of poverty on child well-being and family functioning among low-income families. Specifically, it explored the role of parental stress, family dynamics, and contextual strain on children’s behavioral and emotional outcomes. Using a sample of families receiving welfare support, the research sought to assess the impact of conditional cash transfer programs and the involvement of Child Protective Services on child development and family well-being. Methods: This cross-sectional study involved 99 children aged 8–12 from low-income, welfare-assisted families recruited from the Porto Metropolitan Area. Parental stress, parenting attitudes, family functioning, and child outcomes were assessed using standardized questionnaires. Families with and without Child Protective Services involvement were compared, and a cumulative index of contextual strain was developed to measure the multidimensional impact of stressors on child outcomes. Results: The results revealed that 53% of children exhibited clinical or borderline internalizing behaviors, 47% showed externalizing behaviors, and 39% experienced low psychological well-being. High levels of parental stress, low parenting competence, and significant contextual strain were associated with poorer child outcomes. Families involved with Child Protective Services showed no significant differences in parent or family characteristics, but children from these families exhibited fewer behavioral problems. Conclusions: The study highlights the pervasive impact of poverty and contextual strain on child development, emphasizing the need for more comprehensive interventions. Family functioning and parental stress are critical factors influencing child well-being, pointing to the importance of addressing these areas through targeted welfare and support programs to reduce the intergenerational transmission of poverty and improve child outcomes. Full article
(This article belongs to the Section Pediatric Mental Health)
23 pages, 351 KB  
Article
Protecting the Next Seven Generations: Self-Indigenization and the Indian Child Welfare Act
by Taylor Elyse Mills
Genealogy 2024, 8(4), 139; https://doi.org/10.3390/genealogy8040139 - 7 Nov 2024
Viewed by 3152
Abstract
In 1978, the United States enacted the Indian Child Welfare Act (ICWA) “to protect the best interest of Indian Children and to promote the stability and security of Indian tribes and families by the establishment of minimum Federal standards for the removal of [...] Read more.
In 1978, the United States enacted the Indian Child Welfare Act (ICWA) “to protect the best interest of Indian Children and to promote the stability and security of Indian tribes and families by the establishment of minimum Federal standards for the removal of Indian children and placement of such children in homes which will reflect the unique values of Indian culture.” The ICWA was codified to address centuries of genocidal government policies, boarding schools, and coercive adoptions that ruptured many Native families. Now one of the strongest pieces of legislation to protect Native communities, the ICWA was designed to ensure that Native foster children are placed with Native families. Implementing the ICWA has not been smooth, however, as many non-Native foster parents and state governments have challenged the ICWA. While the ICWA has survived these legal challenges, including the recent 2023 Haaland v. Brackeen Supreme Court case, the rise of non-Natives claiming Native heritage, also known as self-indigenizers or “pretendians,” represents a new threat to the ICWA. This Article presents a legal history and analysis of the ICWA to unpack the policy implications of pretendians in the U.S. legal context. This Article demonstrates how the rise of pretendians threatens to undermine the very purpose of the ICWA and thereby threaten the sovereignty of Native peoples. By legally sanctioning the adoption of Native children into non-Native pretendian homes, the ICWA can facilitate a new era of settlers raising Native children, rather than preventing this phenomenon as intended. In response, this Article offers concrete policy recommendations to bolster the ICWA against this threat. Full article
11 pages, 286 KB  
Article
Parental Attachment and Psychosocial Adjustment in Adolescents Exposed to Marital Conflict
by Jesús Maya, Isabel Fuentes, Ana Isabel Arcos-Romero and Lucía Jiménez
Children 2024, 11(3), 291; https://doi.org/10.3390/children11030291 - 29 Feb 2024
Cited by 2 | Viewed by 3351
Abstract
(1) Background: Interparental conflict is a phenomenon that poses a serious threat not only to the quality of life of the couple but also to the father–child relationship, mother–child relationship, and well-being of adolescents. This study examined the difference in parental attachment and [...] Read more.
(1) Background: Interparental conflict is a phenomenon that poses a serious threat not only to the quality of life of the couple but also to the father–child relationship, mother–child relationship, and well-being of adolescents. This study examined the difference in parental attachment and adjustment in adolescents exposed to marital conflict versus those not exposed to parental conflicts in low-income areas. (2) Methods: 67 adolescents involved in Child Welfare Services (CWS) in disadvantaged neighbourhoods in southern Spain were examined. The sample was split into two groups according to the exposure to marital conflict. Subsequently, differences between groups were analysed on father attachment, mother attachment, aggression, antisocial behaviour, and emotional intelligence. (3) Results: Primarily, the data showed significantly worse attachment with the father among conflict-exposed versus non-conflict-exposed adolescents. These results were not found for the attachment with the mother. Additionally, greater anger and worse stress management were found in conflict-exposed adolescents. (4) Conclusions: The results partially confirmed the spillover and compensatory hypothesis. Practical implications point out that developing preventive interventions that protect the father–adolescent attachment in situations of family conflict is recommended. Full article
(This article belongs to the Special Issue Advances in Mental Health and Well-Being in Children)
12 pages, 222 KB  
Article
Monitoring of Norwegian Foster Homes
by Esben S. B. Olesen and Lea Louise Videt
Soc. Sci. 2024, 13(1), 65; https://doi.org/10.3390/socsci13010065 - 18 Jan 2024
Viewed by 2359
Abstract
Based on interviews, this article explores how the monitoring of foster homes is experienced by children and youths who have been exposed to what they consider abusive behaviour by foster parents. Using a thematic narrative theoretical framework, the article shows that a common [...] Read more.
Based on interviews, this article explores how the monitoring of foster homes is experienced by children and youths who have been exposed to what they consider abusive behaviour by foster parents. Using a thematic narrative theoretical framework, the article shows that a common narrative in the youths’ accounts is a story of mistrust towards social workers and monitoring officers, which relates to a general mistrust towards the child welfare service. The young individuals are reluctant to tell monitoring officers about how they truly experience their situation in their foster home. At the same time, some of the youths have difficulty comprehending what normal parenting behaviour is like, due to previous experiences of neglect from adults. The article discusses how successful monitoring of foster homes largely stands or falls on the children’s and youths’ ability to disclose their experiences to their supervisors and monitoring officers. We argue that the youths’ narratives tell a story of disempowerment. This represents a dilemma in the monitoring of Norwegian foster homes and in the children’s right to protection. Full article
(This article belongs to the Special Issue Children’s Wellbeing and Children’s RightsA Nordic Perspective)
14 pages, 690 KB  
Article
Childcare Subsidy Enrollment Income Generosity and Child Maltreatment
by J. Bart Klika, Kathryn Maguire-Jack, Megan Feely, William Schneider, Garrett T. Pace, Whitney Rostad, Catherine A. Murphy and Melissa T. Merrick
Children 2023, 10(1), 64; https://doi.org/10.3390/children10010064 - 28 Dec 2022
Cited by 13 | Viewed by 3371
Abstract
In the United States, childcare subsidies are available to low-income working parents to assist with the cost of childcare. The subsidies are provided as block grants to states, which allows for a great deal of flexibility in the specific policies guiding their distribution. [...] Read more.
In the United States, childcare subsidies are available to low-income working parents to assist with the cost of childcare. The subsidies are provided as block grants to states, which allows for a great deal of flexibility in the specific policies guiding their distribution. Prior research has found a protective link between childcare subsidies and child maltreatment, but the variations in policies have been much less explored. The current study used longitudinal administrative child welfare data from 10 years (2009–2019) linked with state policies regarding the income eligibility requirements of states to examine the impact of these policies on child abuse and neglect among young children (0–5); early school-age children (6–12), and older children (13–17). Using multiple regression and controlling for state demographic characteristics, the study found that more generous policies surrounding income eligibility were related to lower rates of child abuse and neglect investigations at the state level. Full article
(This article belongs to the Special Issue Child Abuse and Neglect)
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10 pages, 232 KB  
Article
Knowledge and Attitudes of Medical and Nursing Students in Greece Regarding Child Abuse and Neglect
by Dionysia-Chara Pisimisi, Plouto-Antiopi Syrinoglou, Xenophon Sinopidis, Ageliki Karatza, Maria Lagadinou, Alexandra Soldatou, Anastasia Varvarigou, Sotirios Fouzas, Gabriel Dimitriou and Despoina Gkentzi
Children 2022, 9(12), 1978; https://doi.org/10.3390/children9121978 - 16 Dec 2022
Cited by 5 | Viewed by 2435
Abstract
Data on the knowledge and attitudes of healthcare practitioners in training regarding child abuse and neglect (CAN) are scarce. The aim of this study was to investigate the knowledge and attitudes regarding CAN of medical and nursing students in Greek universities. We performed [...] Read more.
Data on the knowledge and attitudes of healthcare practitioners in training regarding child abuse and neglect (CAN) are scarce. The aim of this study was to investigate the knowledge and attitudes regarding CAN of medical and nursing students in Greek universities. We performed a questionnaire-based e-survey on a convenience sample of students and recruited 609 students (366 medical and 243 nursing). An unsatisfactory level of knowledge in the field was reported overall. Most of the students (92.2%) were aware of their future responsibility to protect vulnerable children and report suspected cases of CAN; at the same time, they were willing to obtain further education. Based on the above, appropriate training in the undergraduate curriculum should be developed in order to strengthen future healthcare practitioners and boost their confidence in dealing with suspected cases of CAN and protect children’s welfare. Full article
(This article belongs to the Special Issue Child Abuse and Neglect)
20 pages, 1174 KB  
Article
Driving for Success in Family Reunification—Professionals’ Views on Intervention
by Diana N. Teixeira, Isabel Narciso and Margarida R. Henriques
Int. J. Environ. Res. Public Health 2022, 19(24), 16594; https://doi.org/10.3390/ijerph192416594 - 10 Dec 2022
Cited by 7 | Viewed by 3542
Abstract
Family reunification is a complex process and is consensually considered the best solution for children in care, as soon as the family has changed the dysfunctional patterns that prevent child safety and well-being. Intervention throughout the entire process is crucial to the success [...] Read more.
Family reunification is a complex process and is consensually considered the best solution for children in care, as soon as the family has changed the dysfunctional patterns that prevent child safety and well-being. Intervention throughout the entire process is crucial to the success of family reunification. This study aimed to explore and understand child protection professionals’ views on factors influencing (un)successful family reunification trajectories. Using a qualitative design, 33 Portuguese child protection professionals participated in five focus groups. The thematic analysis revealed a set of influential factors within three different systemic levels: child, family, and child welfare system. The latter level was clearly predominant, pointing to the powerful role of the intervention as a vehicle for successful family reunification. The results showed the relevance attributed by the professionals to some main intervention guidelines, children–professionals’ relationships, multisystemic assessment and intervention, coordinated work of intervention teams, and sufficient time between the court decision and the child’s re-entry into the family home. The need for early intervention and its continuity after the child’s reintegration into the home also emerged as relevant factors. This study provides in-depth knowledge of professionals’ views on the intervention process, thus contributing to a comprehensive understanding of (un)successful family reunification trajectories. Full article
(This article belongs to the Special Issue Health and Well-Being in Vulnerable Communities)
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24 pages, 1017 KB  
Review
Child Welfare Reform: A Scoping Review
by Jill R. McTavish, Christine McKee, Masako Tanaka and Harriet L. MacMillan
Int. J. Environ. Res. Public Health 2022, 19(21), 14071; https://doi.org/10.3390/ijerph192114071 - 28 Oct 2022
Cited by 13 | Viewed by 8232
Abstract
While there have been ongoing calls to reform child welfare so that it better meets children’s and families’ needs, to date there have been no comprehensive summaries of child welfare reform strategies. For this systematic scoping review, we summarized authors’ recommendations for improving [...] Read more.
While there have been ongoing calls to reform child welfare so that it better meets children’s and families’ needs, to date there have been no comprehensive summaries of child welfare reform strategies. For this systematic scoping review, we summarized authors’ recommendations for improving child welfare. We conducted a systematic search (2010 to 2021) and included published reviews that addressed authors’ recommendations for improving child welfare for children, youth, and families coming into contact with child welfare in high-income countries. A total of 4758 records was identified by the systematic search, 685 full-text articles were screened for eligibility, and 433 reviews were found to be eligible for this scoping review. Reviews were theoretically divided, with some review authors recommending reform efforts at the macro level (e.g., addressing poverty) and others recommending reform efforts at the practice level (e.g., implementing evidence-based parenting programs). Reform efforts across socioecological levels were summarized in this scoping review. An important next step is to formulate what policy solutions are likely to lead to the greatest improvement in safety and well-being for children and families involved in child welfare. Full article
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12 pages, 341 KB  
Article
How Stressful Is Examining Children with Symptoms of Child Abuse?—Measurement of Stress Appraisal (SAM) in German Physicians with Key Expertise in Pediatrics
by Louisa Thiekötter, Peter Schmidt, Marie-Léne Scheiderer, Heidrun Lioba Wunram, Michael Paulussen, Daniela Reis and Oliver Fricke
Children 2022, 9(10), 1578; https://doi.org/10.3390/children9101578 - 19 Oct 2022
Cited by 1 | Viewed by 2619
Abstract
Background: Pediatricians frequently feel uncertain about their ability to detect early symptoms of child abuse and how to respond in suspected cases. Aim: This study investigated the transactional stress model in German pediatricians who experienced imagination stories with a child protection scenario and [...] Read more.
Background: Pediatricians frequently feel uncertain about their ability to detect early symptoms of child abuse and how to respond in suspected cases. Aim: This study investigated the transactional stress model in German pediatricians who experienced imagination stories with a child protection scenario and another potentially stress-triggering scenario. Methods: A two-part survey was conducted online. Each part included a different imagination story and evaluation of the Stress Appraisal Measure (SAM), as well as questions on child protection, current problematics, and suggested remedies. In total, 96 pediatricians participated. The child abuse scenario was perceived as significantly more threatening and more stressful than a medical emergency. The pediatricians declared moderate familiarity with the Child Protection Guidelines and the Federal Child Protection Act and an average confidence in their application. The greatest perceived problems were communication difficulties with parents and youth welfare services. Suggested improvements were concrete procedural directives, more training programs, better interdisciplinary networks, and greater exchange among colleagues. Conclusions: To optimize their potential in the child protection system, pediatricians need to be better supported in coping with the identified stressors in child abuse scenarios. Full article
(This article belongs to the Section Global Pediatric Health)
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