Abstract：
BACKGROUND:Drug abuse in the family is known to increase the risk of child abuse, but its impact on outcomes of hospitalizations for non-accidental trauma (NAT) has not been characterized. OBJECTIVE:We aimed to identify how frequently drug abuse in the household was documented among children with known or suspected NAT, and to correlate drug abuse in the family with hospitalization outcomes. PARTICIPANTS AND SETTING:At our tertiary care hospital, we retrospectively queried hospital admissions of children ages 0-17 who had a Child Abuse and Neglect consultation ordered during an inpatient stay. METHODS:Case manager documentation and consult notes from the inpatient response team were used to determine suspected or confirmed presence of household substance abuse. RESULTS:We identified 185 children meeting inclusion criteria (59 % <1 year; 34 % 1-5 years; 7% 6-14 years of age). Drug abuse in the family was documented in 44 cases (24 %). Among 178 children surviving to discharge, drug abuse was associated with lower likelihood of discharge home (50 % vs. 70 % among children with no documented drug abuse, p = 0.018). After discharge, we found no statistically significant differences in rehospitalizations or emergency department visits according to documentation of drug abuse in the family. CONCLUSION:Our study addresses the role of family drug abuse in outcomes of hospitalizations for NAT. Significantly, half of cases with suspected or known drug abuse had no prior CPS involvement, and drug abuse was associated with discharge outcomes after controlling for prior CPS involvement.
journal_name
Child Abuse Negljournal_title
Child abuse & neglectauthors
De Avila C,Andrews B,Buckman C,Tumin D,Ledoux Mdoi
10.1016/j.chiabu.2020.104696subject
Has Abstractpub_date
2020-11-01 00:00:00pages
104696eissn
0145-2134issn
1873-7757pii
S0145-2134(20)30351-3journal_volume
109pub_type
杂志文章abstract：:Cross-system collaboration among child welfare (CW), alcohol and other drugs (AOD), and court organizations shows promise in addressing the many needs of CW-involved families experiencing parental substance use disorders (SUDs). Research has suggested that differing perceptions of parents with SUDs among staff in thes...
journal_title：Child abuse & neglect
pub_type： 杂志文章
doi：10.1016/j.chiabu.2013.10.020
更新日期：2014-05-01 00:00:00
abstract：BACKGROUND:Children in out-of-home care are consistently found to have poor mental health compared to children in the general population. However, UK research has so far failed to disentangle the impact of the care system on children's mental health outcomes from the effects of the adverse circumstances that led to the...
journal_title：Child abuse & neglect
pub_type： 杂志文章
doi：10.1016/j.chiabu.2018.11.011
更新日期：2019-02-01 00:00:00
abstract：:The goals of the present study are to examine the relationship between childhood adversity and adult well-being among vulnerable young adults formerly placed in substitute care, and to investigate how characteristics of their social support networks mediate this association. A sample of 345 Israeli young adults (ages ...
journal_title：Child abuse & neglect
pub_type： 杂志文章
doi：10.1016/j.chiabu.2017.07.020
更新日期：2017-10-01 00:00:00
abstract：OBJECTIVE:The aim of this study was to test whether alexithymia mediates the relationship between childhood maltreatment and self-injurious behaviors (SIB) in college women. METHOD:The sample was comprised of 100 female undergraduate students. Measures were the Childhood Trauma Questionnaire [D. Bernstein, L. Fink, Ma...
journal_title：Child abuse & neglect
pub_type： 杂志文章
doi：10.1016/j.chiabu.2003.11.018
更新日期：2004-03-01 00:00:00
abstract：:Current sexual abuse prevention programs have been forced to rely on anecdotal clinical information to guide curriculum development. Recent evidence that suggests that sexual abuse offenders can reliably offer information regarding their modus operandi implies that sexual abuse offenders can be important sources of in...
journal_title：Child abuse & neglect
pub_type： 杂志文章
doi：10.1016/0145-2134(94)90037-x
更新日期：1994-04-01 00:00:00
abstract：BACKGROUND:Safe harbor laws have been implemented to change the way systems of care respond to juveniles exploited in commercial sex in the U.S., yet there is little research on the way these laws have impacted the identification and rehabilitation of juveniles. OBJECTIVE:Using administrative data, this study investig...
journal_title：Child abuse & neglect
pub_type： 杂志文章,评审
doi：10.1016/j.chiabu.2019.104320
更新日期：2020-03-01 00:00:00
abstract：OBJECTIVE:A recent meta-analytic review of cross-sectional studies examining correlations between peer victimization and indices of internalizing problems indicates that victims of bullying are highly distressed. However, the reliance on cross-sectional studies precludes interpretation of the direction of effects. The ...
journal_title：Child abuse & neglect
pub_type： 杂志文章,meta分析
doi：10.1016/j.chiabu.2009.07.009
更新日期：2010-04-01 00:00:00
abstract：:This article presents findings of a state-wide trauma informed child-welfare initiative with the goal of improving well-being, permanency and maltreatment outcomes for traumatized children. The Massachuetts Child Trauma Project (MCTP), funded by the Administration of Children and Families, Children's Bureau was a mult...
journal_title：Child abuse & neglect
pub_type： 杂志文章
doi：10.1016/j.chiabu.2018.04.023
更新日期：2018-07-01 00:00:00
abstract：BACKGROUND:Most children exposed to father-perpetrated domestic violence (DV) continue to have contact or live with fathers, yet there is little research on the impact of fathering in the context of domestic violence. OBJECTIVE:This paper aimed to identify pathways from children's exposure to father-perpetrated DV to ...
journal_title：Child abuse & neglect
pub_type： 杂志文章
doi：10.1016/j.chiabu.2020.104866
更新日期：2021-02-01 00:00:00
abstract：:This study follows a group of women who had their first babies by emergency caesarian section under a general anaesthetic and compares them with a control group who had a normal vaginal delivery. The emergency caesarian sections were not done for a clear cut medical emergency but for reasons such as foetal distress, p...
journal_title：Child abuse & neglect
pub_type： 杂志文章
doi：10.1016/0145-2134(83)90045-5
更新日期：1983-01-01 00:00:00
abstract：:This study aimed to examine the pathways from child sexual abuse to sexual assault victimization and perpetration in adolescence and early adulthood, considering risky sexual behavior and lowered sexual self-esteem as mediator variables. In a two-wave longitudinal study with 2251 college students in Germany, male and ...
journal_title：Child abuse & neglect
pub_type： 杂志文章
doi：10.1016/j.chiabu.2016.10.004
更新日期：2017-01-01 00:00:00
abstract：:Research on youth sexual offending has focused primarily on its prevalence. However, recent efforts have begun to consider the collateral consequences for the relatives of offending youth, although little has been done in this regard toward exploring caregiver accountability. This study presents qualitative data on pa...
journal_title：Child abuse & neglect
pub_type： 杂志文章
doi：10.1016/j.chiabu.2017.12.005
更新日期：2018-02-01 00:00:00
abstract：:The relation of parental support to abuse has rarely been considered in research on the sequelae of childhood abuse in adulthood. In this study, using the Exposure to Abusive and Supportive Environments Parenting Inventory (EASE-PI), young adults who reported higher emotionally abusive parenting (EA) consistently repo...
journal_title：Child abuse & neglect
pub_type： 杂志文章
doi：10.1016/s0145-2134(96)00115-9
更新日期：1996-12-01 00:00:00
abstract：:Research and policies on child and adolescent sexual exploitation frequently focus on the sexual exploitation of girls and fail to recognize the experiences of sexually exploited boys, including their potentially unique health care and social support needs. This oversight limits the ability of health care and social s...
journal_title：Child abuse & neglect
pub_type： 杂志文章,评审
doi：10.1016/j.chiabu.2017.01.019
更新日期：2017-04-01 00:00:00
abstract：:The issue of sexual abuse in the family backgrounds of offenders and mothers of victims is explored in a clinical sample of 154 cases of intrafamilial sexual abuse. More than a third of the offenders and about half of the mothers had experienced or been exposed to sexual abuse as children. Cases were divided into thos...
journal_title：Child abuse & neglect
pub_type： 杂志文章
doi：10.1016/0145-2134(89)90058-6
更新日期：1989-01-01 00:00:00
abstract：OBJECTIVE:The purpose of this study was to explore how mothers' developmental history and current functioning affects their sexually abused children's functioning and recovery. METHOD:A sample of 67 African-American mothers and their sexually abused children participated in this study. Interviews and a range of adult ...
journal_title：Child abuse & neglect
pub_type： 杂志文章
doi：10.1016/s0145-2134(01)00268-x
更新日期：2001-09-01 00:00:00
abstract：:To examine both mental and physical health profiles of children diagnosed as maltreated in the community, we studied diagnoses in the electronic health records (EHRs) of youth assigned maltreatment-related diagnoses (N = 406) and well-matched youth without a maltreatment-related diagnosis (N = 406) during a four-year ...
journal_title：Child abuse & neglect
pub_type： 杂志文章,多中心研究
doi：10.1016/j.chiabu.2018.07.019
更新日期：2018-10-01 00:00:00
abstract：:The Diagnostic Inventory of Personality and Symptoms (DIPS) was used to assess psychopathology in a clinical sample of 30 women with histories of intra-familial sexual victimization, 22 women with histories of extra-familial sexual victimization, and 30 women with no victimization experiences. The present study examin...
journal_title：Child abuse & neglect
pub_type： 杂志文章
doi：10.1016/0145-2134(94)00115-b
更新日期：1995-02-01 00:00:00
abstract：OBJECTIVE:The study's objective was to examine the relationship of polygraph findings to other indices of likelihood of sexual abuse and to case decisions by prosecutors, child protection workers, and professional evaluators. METHOD:This is an exploratory study of 42 cases with sexual abuse allegations and polygraph r...
journal_title：Child abuse & neglect
pub_type： 杂志文章
doi：10.1016/s0145-2134(97)00060-4
更新日期：1997-10-01 00:00:00
abstract：:The rate at which children are maltreated is one of the most sensitive measures of demographic, social, and economic conditions. Although the consequences of maltreatment and the effectiveness of treatment programs in reducing the incidence have been extensively studied, little attention has been given to identifying ...
journal_title：Child abuse & neglect
pub_type： 杂志文章
doi：10.1016/0145-2134(94)00101-y
更新日期：1995-01-01 00:00:00
abstract：:This paper describes child protection teams in rural Newfoundland and Labrador, Canada. The teams have developed an innovative model that encourages a community-based response to child abuse. Child protection teams usually follow the case consultation model, which is a group of professionals dealing with specific case...
journal_title：Child abuse & neglect
pub_type： 杂志文章
doi：10.1016/s0145-2134(95)00142-5
更新日期：1996-03-01 00:00:00
abstract：OBJECTIVE:The purpose of this study is to identify factors that predict recidivism among families in which the father is the perpetrator of physical abuse and to compare these factors to the factors that investigators believe are related to higher risk. METHOD:A case-comparison design was used to understand risk among...
journal_title：Child abuse & neglect
pub_type： 杂志文章
doi：10.1016/j.chiabu.2004.10.016
更新日期：2006-05-01 00:00:00
abstract：OBJECTIVE:The present study extends field research on interviews with young children suspected of having been abused by examining multiple assessment interviews designed to be inquisitory and exploratory, rather than formal evidential or forensic interviews. METHODS:Sixty-six interviews with 24 children between the ag...
journal_title：Child abuse & neglect
pub_type： 杂志文章
doi：10.1016/j.chiabu.2008.12.012
更新日期：2009-08-01 00:00:00
abstract：OBJECTIVE:The purpose of this study was to further the validation process of the Adolescent Dissociative Experiences Scale (A-DES). In this study, a 6-item Likert response format with descriptors was used when responding to the A-DES rather than the 11-item response format used in the original A-DES. METHOD:The intern...
journal_title：Child abuse & neglect
pub_type： 杂志文章
doi：10.1016/j.chiabu.2004.01.006
更新日期：2004-07-01 00:00:00
abstract：:As there is no "gold standard" in determining whether a fracture is caused by accident or abuse, agreement among medical providers is paramount. Using abstracted medical record data from 551 children <36months of age presenting to a pediatric emergency department, we examined the extent of agreement between specialist...
journal_title：Child abuse & neglect
pub_type： 杂志文章
doi：10.1016/j.chiabu.2017.08.001
更新日期：2017-10-01 00:00:00
abstract：:Drawing distinctions on the basis of at least some case characteristics in making reporting decisions makes considerable sense. Using data from a national survey of mandated reporters that included vignettes in which case and personal characteristics were systematically varied, this paper examines the impact of select...
journal_title：Child abuse & neglect
pub_type： 杂志文章
doi：10.1016/0145-2134(92)90008-f
更新日期：1992-01-01 00:00:00
abstract：:Psychological maltreatment is an important social and public health problem and associated with a wide range of short and long-term outcomes in childhood to adulthood. Given the importance of investigating mitigating factors on its effect, the purpose of the present study is to investigate the mediating effect of acti...
journal_title：Child abuse & neglect
pub_type： 杂志文章
doi：10.1016/j.chiabu.2017.03.023
更新日期：2017-06-01 00:00:00
abstract：:Teachers are potentially helpful resource persons for large numbers of sexually abused children who may have difficulty disclosing abuse, particularly to family members. In the present study, the effectiveness of a 6-hour teacher training workshop on child sexual abuse prevention was evaluated. Responses of 26 female ...
journal_title：Child abuse & neglect
pub_type： 杂志文章
doi：10.1016/0145-2134(88)90072-5
更新日期：1988-01-01 00:00:00
abstract：:The Social Information Processing (SIP) model postulates that parents undergo a series of stages in implementing physical discipline that can escalate into physical child abuse. The current study utilized a multimethod approach to investigate whether SIP factors can predict risk of parent-child aggression (PCA) in a d...
journal_title：Child abuse & neglect
pub_type： 杂志文章
doi：10.1016/j.chiabu.2015.10.028
更新日期：2016-01-01 00:00:00
abstract：OBJECTIVE:The objectives of this study were to examine whether girls with attention-deficit/hyperactivity disorder (ADHD) are at increased risk of having histories of abuse and to assess whether the presence of an abuse history may constitute a distinct subgroup of youth with ADHD. METHOD:We examined rates and correla...
journal_title：Child abuse & neglect
pub_type： 杂志文章
doi：10.1016/j.chiabu.2006.04.008
更新日期：2006-11-01 00:00:00
