Client Violence Research Articles

The influence of post-traumatic stress on the intention to leave among Korean child welfare workers

Abstract Background and aims Previous research have highlighted the challenges faced by social workers who are exposed to traumatic events, such as client violence, and vicarious traumas. These experiences often lead social workers to leave their agencies. However, it is commonly assumed that child welfare workers are immune to such experiences as they primarily work with non-violent children. This study aims to investigate whether post-traumatic stress among Korean child welfare workers influences their intention to leave, and whether peer support and organizational culture mediate this relationship. Methods A total of 246 participants were recruited in 2021 through purposive sampling. Due to the ongoing Covid-19 pandemic, a self-administered online survey method was employed. Only workers who reported direct and/or indirect traumatic experiences at their workplaces were included in the final analysis. Structural equation modeling was utilized to examine the relationships among variables in this study. Results While organizational culture had a partial mediating effect in the relationship between post-traumatic stress and intention to leave, peer support did not show a significant effect. This suggests that fostering a supportive organizational climate may be crucial in reducing work-related stress, including post-traumatic stress. It also highlights the need for social work administrators to actively promote such climates to prevent turnover within the child welfare workforce. Discussion and conclusions The findings of this study suggests that child welfare organizations can take proactive measures to address this issue. Creating a supportive organizational culture that fosters resilience and provides resources for coping with post-traumatic stress is crucial. Organizations may explore additional strategies for reducing workforce turnover, which will have negative effects on their clients and organizations as well. Key messages • Fostering a supportive organizational climate may be crucial in reducing work-related stress, including post-traumatic stress. • Child welfare organizations may explore additional strategies for reducing workforce turnover, which will have negative effects on their clients and organizations as well.

Client Violence and Emotional Health Among Child Protection Services Workers

Client Violence and Emotional Health Among Child Protection Services Workers

Exploring client violence during home visits: a qualitative study of perceptions and experiences of Israeli nurses

BackgroundHome care provides an excellent opportunity for personalizing treatment as nurses see patients in their natural environment. Along with its many advantages, the home care environment carries unique risks, as nurses are usually alone, without the protection and security provided by primary care clinics. There are no accurate data in Israel on the scope and characteristics of client violence against nurses during home visits. We conducted a qualitative study to investigate the nature of client violence faced by Israeli nurses during home visits, to gain insights into their perceptions and experiences, and to contribute to the development of effective policies and strategies to combat client violence in the healthcare sector.MethodsTwenty-seven female nurses from primary care clinics, who were exposed to client violence during a home visit, were interviewed using a semi-structured interview guide. The interviews were transcribed and analyzed, and categories and themes were extracted.ResultsMost nurses interviewed experienced at least three incidents of client violence, the most common of which was verbal abuse. The nurses perceived that the location of the encounter between the nurse and the patient in the patient’s natural surroundings, rather than within the controlled boundaries of a clinic, contributes to the risk of violence. Violence affected the nurses’ professional decisions. The nurses reported that their organization had no established guidelines or instructions for safely conducting home visits, they were not provided with protective or security measures for emergencies, nor did they perceive that they had sufficient training to deal with client violence in clients’ homes.ConclusionsNurses encounter a range of challenges that make it difficult for them to deal with client violence during home visits, affecting their personal safety and professional decisions. Their ability to manage such situations is shaped by a complex interplay of personal and organizational factors and requires a range of strategies and resources to effectively address them.

Effect of police enforcement and extreme social inequalities on violence and mental health among women who sell sex: findings from a cohort study in London, UK

Objectives To examine legal and social determinants of violence, anxiety/depression among sex workers. Methods A participatory prospective cohort study among women (inclusive of transgender) ≥18 years, selling sex in the last 3 months in London between 2018 and 2019. We used logistic generalised estimating equation models to measure associations between structural factors on recent (6 months) violence from clients or others (local residents, strangers), depression/anxiety (Patient Health Questionnaire-4). Results 197 sex workers were recruited (96% cisgender-women; 46% street-based; 54% off-street) and 60% completed a follow-up questionnaire. Street-based sex workers experienced greater inequalities compared with off-street in relation to recent violence from clients (73% vs 36%); police (42% vs 7%); intimate partner violence (IPV) (56% vs 18%) and others (67% vs 17%), as well as homelessness (65% vs 7%) and recent law enforcement (87% vs 9%). Prevalence of any STI was 17.5% (17/97). For street-based sex workers, recent arrest was associated with violence from others (adjusted OR (aOR) 2.77; 95% CI 1.11 to 6.94) and displacement by police was associated with client violence (aOR 4.35; 95% CI 1.36 to 13.90). Financial difficulties were also associated with client violence (aOR 4.66; 95% CI 1.64 to 13.24). Disability (aOR 3.85; 95% CI 1.49 to 9.95) and client violence (aOR 2.55; 95% CI 1.10 to 5.91) were associated with anxiety/depression. For off-street sex workers, financial difficulties (aOR 3.66; 95% CI 1.64 to 8.18), unstable residency (aOR 3.19; 95% CI 1.36 to 7.49), IPV (aOR 3.77; 95% CI 1.30 to 11.00) and alcohol/drug use were associated with client violence (aOR 3.16; 95% CI 1.26 to 7.92), while always screening and refusing clients was protective (aOR 0.36; 95% CI 0.15 to 0.87). Disability (aOR 5.83; 95% CI 2.34 to 14.51), unmet mental health needs (aOR 3.08; 95% CI 1.15 to 8.23) and past eviction (aOR 3.99; 95% CI 1.23 to 12.92) were associated with anxiety/depression. Conclusions Violence, anxiety/depression are linked to poverty, unstable housing and police enforcement. We need to modify laws to allow sex workers to work safely and increase availability of housing and mental health services.

Precarity Factors of Street-Based Sex Work Within Criminalised Contexts: A Study in Athens, Greece

This community research study aims to investigate the intersecting self-identified precarity factors and identities associated with street-based sex work in a criminalised context, specifically in Athens, Greece, to improve the effectiveness of individualised care interventions. Interviews of 264 cis and trans female sex workers were conducted from June 2021 to December 2022, at a community day centre for sex workers in Athens. The community-based precarity index for sex workers was used, which was developed at the community centre, using factors identified by sex workers themselves. Street-based sex workers more commonly reported interrelated precarious factors, such as perceived problematic substance use, homelessness, client violence, medical issues, and trouble with the police. Trans and refugee identities were both associated with street-based sex work as well. Harm reduction, gender-affirmative and multilingual and multicultural interventions are essential in street-based sex work intervention programs. Decriminalisation of sex work is recommended to reduce the harms and risks associated with sex work.

The impact of policing and homelessness on violence experienced by women who sell sex in London: a modelling study

Street-based sex workers experience considerable homelessness, drug use and police enforcement, making them vulnerable to violence from clients and other perpetrators. We used a deterministic compartmental model of street-based sex workers in London to estimate whether displacement by police and unstable housing/homelessness increases client violence. The model was parameterized and calibrated using data from a cohort study of sex workers, to the baseline percentage homeless (64%), experiencing recent client violence (72%), or recent displacement (78%), and the odds ratios of experiencing violence if homeless (1.97, 95% confidence interval 0.88–4.43) or displaced (4.79, 1.99–12.11), or of experiencing displacement if homeless (3.60, 1.59–8.17). Ending homelessness and police displacement reduces violence by 67% (95% credible interval 53–81%). The effects are non-linear; halving the rate of policing or becoming homeless reduces violence by 5.7% (3.5–10.3%) or 6.7% (3.7–10.2%), respectively. Modelled interventions have small impact with violence reducing by: 5.1% (2.1–11.4%) if the rate of becoming housed increases from 1.4 to 3.2 per person-year (Housing First initiative); 3.9% (2.4–6.9%) if the rate of policing reduces by 39% (level if recent increases had not occurred); and 10.2% (5.9–19.6%) in combination. Violence reduces by 26.5% (22.6–28.2%) if half of housed sex workers transition to indoor sex work. If homelessness decreased and policing increased as occurred during the COVID-19 pandemic in 2020, the impact on violence is negligible, decreasing by 0.7% (8.7% decrease-4.1% increase). Increasing housing and reducing policing among street-based sex workers could substantially reduce violence, but large changes are needed.

Trajectories and Predictors of Client Violence Among Child Protection Services Workers.

This study used social dominance theory and the Jobs Demands-Resources (JD-R) model to: (1) examine child protective services (CPS) workers' trajectories of client violence, including yelling, threats, and physical violence over job tenure; and (2) assess how demographic characteristics and job attributes contributed to the trajectories. Using data from a longitudinal study of newly-hired CPS workers (n = 837-859 depending on outcome), we examined trajectories of client violence from 6 months to 3.5 years. Multi-level mixed effect logistic regression was used to examine how demographic variables and time-lagged job attribute predictors (e.g., caseload characteristics, time pressure, role demands) contributed to the occurrence of client violence over time. Over the study period, the experience of being yelled at declined from 80% to 64%. Being threatened declined from nearly 48% to nearly 39%, while physical violence did not change. Younger and White workers as well as women generally experienced higher rates of non-physical violence. Caseload difficulty, role demands, and time pressure related to higher rates of non-physical violence, while organizational supports were not significant. Physical violence occurred sporadically; time pressure was the only significant variable. The influence of job attributes on each form of violence did not change over time. The high rates of non-physical violence, particularly during early tenure, suggest the need for providing vulnerable workers the skills to assess for and manage client violence. When violence occurs, developing responsive protocols for CPS workers at all levels can nourish a culture of safety thereby reducing future incidents.

East London Project: a participatory mixed-method evaluation on how removing enforcement could affect sex workers' safety, health and access to services in East London

Background Sex workers’ risk of violence and ill-health is shaped by their work environments, community and structural factors, including criminalisation. Aim We evaluated the impact of removing police enforcement on sex workers’ safety, health and access to services. Design Mixed-methods participatory study comprising qualitative research, a prospective cohort study, mathematical modelling and routine data collation. Setting Three boroughs in London, UK. Participants People aged ≥ 18 years, who provided in-person sexual services. Interventions Simulated removal of police enforcement. Outcomes Primary – recent or past experience of sexual, physical or emotional violence. Secondary – depression/anxiety symptoms, physical health, chlamydia/gonorrhoea, and service access. Results A combination of enforcement by police, local authorities and immigration, being denied justice when reporting violence, and linked cuts to specialist health and support services created harmful conditions for sex workers. This disproportionately affected cisgender and transgender women who work on the streets, use drugs, are migrants and/or women of colour. Among women (n = 197), street-based sex workers experienced higher levels than indoor sex workers of recent violence from clients (73% vs. 36%), police (42% vs. 7%) and others (67% vs. 17%); homelessness (65% vs. 7%); anxiety and depression (71% vs 35%); physical ill-health (57% vs 31%); and recent law enforcement (87% vs. 9%). For street-based sex workers, recent arrest was associated with violence from others (adjusted odds ratio (AOR)) 2.77, 95% confidence interval (CI) 1.11 to 6.94). Displacement by police was associated with client violence (AOR 4.35; 95% CI 1.36 to 13.90) as were financial difficulties (AOR 4.66; CI 1.64 to 13.24). Among indoor sex workers, unstable residency (AOR 3.19; 95% CI 1.36 to 7.49) and financial difficulties (AOR 3.66; 95% CI 1.64 to 8.18) contributed to risk of client violence. Among all genders (n = 288), ethnically and racially minoritised sex workers (26.4%) reported more police encounters than white sex workers, partly linked to increased representation in street settings (51.4% vs. 30.7%; p = 0.002) but associations remained after adjusting for work setting. Simulated removal of police displacement and homelessness was associated with a 71% reduction in violence (95% credible interval 55% to 83%). Participants called for a redirection of funds from enforcement towards respectful, peer-led services. Limitations Restriction to one urban locality prevents generalisability of findings. More interviews with under-represented participants (e.g. trans/non-binary sex workers) may have yielded further insights into inequities. Correlation between different risk factors restricted outcomes of interest for the modelling analyses, which were largely limited to experience of violence. Conclusion Our research adds to international evidence on the harms of criminalisation and enforcement, particularly for women who work on street and/or are racially or ethnically minoritised. Findings add weight to calls to decriminalise sex work, tackle institutionally racist, misogynist and otherwise discriminatory practices against sex workers in police and other agencies, and to (re)commission experience-based, peer-led services by and for sex workers particularly benefiting the most marginalised communities. Future work Realist informed trials, co-produced with sex workers, would provide rigorous evidence on effective approaches to protect sex workers’ health, safety and rights. Funding This synopsis presents independent research funded by the National Institute for Health and Care Research (NIHR) Public Health Research programme as award number 15/55/58.

The Effect of Client Violence on Caring Attitudes among Home-visiting Care Workers: Dual Mediating Effect of Emotional Dissonance and Emotional Exhaustion

The Effect of Client Violence on Caring Attitudes among Home-visiting Care Workers: Dual Mediating Effect of Emotional Dissonance and Emotional Exhaustion

Consequences of client violence towards the social worker: A systematic review

Client violence towards social workers is a phenomenon with serious consequences that affect the professional, service and organisation. However, it is not known what effect such violence has on each. A systematic review of 26 studies found that the consequences have an impact on the social worker, the service and the organisation. In particular, it affects the health of the social worker, the professional relationship the professional relationship with the client and organisational functioning. It is stressed that prevention measures should be holistic and comprehensive to reduce violence, focusing on actions involving the professional and influencing organisational and contextual policies.

The impact of policing and homelessness on violence experienced by women who sell sex in London: a modelling study

Street-based sex workers experience considerable homelessness, drug use and police enforcement, making them vulnerable to violence from clients and other perpetrators. We used a deterministic compartmental model of street-based sex workers in London to estimate whether displacement by police and unstable housing/homelessness increases client violence. The model was parameterized and calibrated using data from a cohort study of sex workers, to the baseline percentage homeless (64%), experiencing recent client violence (72%), or recent displacement (78%), and the odds ratios of experiencing violence if homeless (1.97, 95% confidence interval 0.88–4.43) or displaced (4.79, 1.99–12.11), or of experiencing displacement if homeless (3.60, 1.59–8.17). Ending homelessness and police displacement reduces violence by 67% (95% credible interval 53–81%). The effects are non-linear; halving the rate of policing or becoming homeless reduces violence by 5.7% (3.5–10.3%) or 6.7% (3.7–10.2%), respectively. Modelled interventions have small impact with violence reducing by: 5.1% (2.1–11.4%) if the rate of becoming housed increases from 1.4 to 3.2 per person-year (Housing First initiative); 3.9% (2.4–6.9%) if the rate of policing reduces by 39% (level if recent increases had not occurred); and 10.2% (5.9–19.6%) in combination. Violence reduces by 26.5% (22.6–28.2%) if half of housed sex workers transition to indoor sex work. If homelessness decreased and policing increased as occurred during the COVID-19 pandemic in 2020, the impact on violence is negligible, decreasing by 0.7% (8.7% decrease-4.1% increase). Increasing housing and reducing policing among street-based sex workers could substantially reduce violence, but large changes are needed.

Effects of organisational factors and employee characteristics on employers' reporting of client violence in non‐institutional social services in Sweden

AbstractSocial services in the welfare sector consist of women‐dominated jobs generally characterised by arduous working conditions, including exposure to client violence. Although there is a rather extensive research base on client violence in institutional social services, less is known about how client violence is handled in noninstitutional social services. Using longitudinal data obtained from the Swedish Work Environment Agency's register on work injuries caused by workplace violence, we examined the effects of organisational factors and employee characteristics on the reporting of client violence in noninstitutional social services. We found that most of the reports about work injuries caused by client violence are filed by public employers and that most reports concern occupational groups performing direct care services in clients' homes. Moreover, although most reports include female employees and incidents of physical violence, reports concerning male employees are comparatively more likely to include physical violence, and reports concerning female employees are comparatively more likely to include threats. Taken together, our findings point to a much‐needed improvement of health and safety measures for care workers in noninstitutional social services in Sweden.

Emergency departments as under-utilized venues to provide HIV prevention services to female sex workers in Nairobi, Kenya

BackgroundFemale sex workers (FSW) in sub-Saharan Africa are disproportionately affected by HIV and remain a key target population for efforts to reduce transmission. While HIV prevention tools such as PEP and PrEP are available through outpatient FSW clinics, these services are underused. Emergency medicine is a rapidly expanding field in Kenya and may provide a novel venue for initiating or optimizing HIV prevention services. This study examined the characteristics of FSW from Nairobi, Kenya, who had utilized an emergency department (ED) during the past year to broaden our understanding of the patient factors related to usage.MethodsAn anonymous questionnaire was administered to a convenience sample of 220 Nairobi FSW attending dedicated clinics from June to July 2019. The participants were categorized into those who attended an ED over the past year (acute care users) and clinic-only users (control). A modified version of the WHO Violence Against Women Instrument assessed gender-based violence. Multivariable negative binomial logistic regressions evaluated predictors of health care use among these populations.ResultsOf the total 220 women (median [IQR] age 32 [27–39]), 101 and 116 were acute care and control populations, respectively. Acute care users had 12.7 ± 8.5 healthcare visits over a 12-month period, and the control population had 9.1 ± 7.0 (p < 0.05). ED attendance did not improve the PrEP usage, with 48.5%, and 51% of acute care and clinic users indicated appropriate PrEP use. Patient factors that correlated with health care utilization among acute care users included client sexual violence (OR 2.2 [1.64–2.94], p < 0.01), PrEP use (OR 1.54 (1.25–1.91), < 0.01), and client HIV status (OR 1.35 (1.02–1.69), p < 0.01).ConclusionsMany FSW at high risk for HIV were not accessing HIV prevention tools despite attending a dedicated FSW clinic offering such services. FSW who had attended an ED over the past year had a higher prevalence of HIV risk factors, demonstrating that emergency departments may be important acute intervention venues to prevent HIV transmission in this population. These results can guide policy design, health care provider training, and facility preparedness to support strategies aimed at improving HIV prevention strategies for FSW in Kenyan ED’s.

Is social work a dangerous profession in China? An analysis of client violence towards social workers in central China

Abstract Client violence is a persistent problem that seriously disturbs the physical and mental health of social workers worldwide; however, there is very limited discussion around this issue in China. This mixed-methods study included 602 social workers from three provinces in central China. The quantitative results (N = 602) revealed an overall level of violence of 48.17 per cent, with verbal violence being the most common. Significant differences were found in client violence by gender, work experience and field of work. The qualitative results (N = 20) revealed that client violence is closely related to the institution, culture and work patterns in the field. The results of this study can be combined with the Chinese social background and cultural context to discuss the reasons for lower levels of client violence in China compared to other countries.

A Longitudinal Analysis of Residential Mobility and Experience of Client Violence Among Women Who Exchange Sex in Baltimore.

Residential mobility remains an underexplored yet critical construct that may influence the risk of violence among women who exchange sex. This study examined the longitudinal relationship between residential mobility and experience of client-perpetrated physical or sexual violence among women who exchange sex in Baltimore, Maryland. Participants were at least at 18 years of age, were cisgender women, reported having engaged in transactional sex three or more times within the last 3 months, and were willing to be contacted for 6-, 12-, and 18-month follow-up visits. Analyses of responses from 370 women who exchange sex participating in at least one study visit were conducted. Unadjusted and adjusted Poisson regression models of the association over time between residential mobility and recent experience of physical or sexual violence were fit. Generalized estimating equations with an exchangeable correlation structure and robust variance estimation were used to account for clustering of participants' responses over time. Findings demonstrated that those who had lived in at least four places in the past 6 months had a 39% increased risk of client-perpetrated physical violence (aRR: 1.39; 95% CI: 1.07-1.80; p < .05) and a 63% increased risk of sexual violence (aRR: 1.63; 95% CI: 1.14-2.32; p < .01) compared to their less-mobile counterparts. These findings provide necessary evidence of correlations over time between residential mobility and experience of client-perpetrated violence among women who exchange sex. Strengthening our understanding of how residential mobility intersects with violence is critical for the development of public health interventions that are relevant to women's lives and needs. Future interventions should explore including residential mobility, a critical pillar of housing instability, with efforts to address client-perpetrated violence.

Association of gender-based violence with sexual and drug-related HIV risk among female sex workers who use drugs in Kazakhstan.

Little is known about the prevalence of intimate partner violence (IPV) or client violence, and associated HIV risk among women who engage in sex work (WESW) and use drugs in Kazakhstan, despite a growing HIV epidemic. Women who reported engaging in sex work and using illicit drugs were recruited from Almaty and Temirtau, Kazakhstan between 2015 and 2017. A cross-sectional analysis was conducted to determine prevalence and correlates of physical and sexual violence perpetrated by intimate partners and clients. Associations between each type of violence with sexual and drug-related HIV risk behaviors were assessed with negative-binomial and logistic regression models, respectively. Of the 400 women, 45% and 28% reported recent IPV and client violence, respectively. IPV and client violence was associated with a greater number of sex work clients [IPV: adjusted incidence rate ratio (aIRR)physical: 1.86, 1.28-2.71; aIRRsexual: 2.28, 1.56-3.35]; [client violence: aIRRphysical: 2.20, 1.44-3.42; aIRRsexual: 2.54, 1.72-3.83], and client violence was associated with greater frequency of condomless sex with clients [aIRRphysical: 2.33, 1.41-4.03; aIRRsexual: 2.16, 1.35-3.56]. Violence was not associated with injection drug use, despite exchanging sex for drugs being associated with higher odds of violence. HIV prevention programs for WESW in Kazakhstan should consider multi-sectoral approaches that address economic hardship and relationship-based components, in addition to violence reduction.

Client Violence Towards Social Workers in Spain: A Systematic Review

Violence in the workplace has important consequences for workers and their own environment. Health and social services professionals are high-risk professional groups. This research has a main aim to identify the studies on client violence towards the social worker in Spain. This aim has four specific objectives to understand the phenomenon: (1) to identify those investigations that study the violence of clients against social workers; (2) to analyze the descriptive characteristics of the selected studies; (3) to analyze the methodological characteristics of the selected studies; (4) to identify the variables associated to client violence towards the social worker. In order to achieve these objectives, the method was based on a review of the literature on studies of violence towards social workers in Spain through the PRISMA-S guidelines (Rethlefsen et al., 2021). The results show that this phenomenon effectively exists, and cast a light on a situation that social workers experience in isolation. Exploring the phenomenon in a descriptive way, the review provides information on the variables studied and the current extent of violence towards social workers by clients. The lack of studies on this subject underlines the need to continue researching into the problem from both descriptive and inferential perspectives.

Relationship between Experience of Client Violence and Turnover Intention among Workers in Long-Term Care Facilities for Older Adults: Focusing on Nurses, Social Workers, and Care Workers

To prevent discontinuity of long-term care service and guarantee the quality of care, it is important to clarify the determinants of turnover intentions of long-term care workers. They are at a higher risk of experiencing violence-including physical, emotional, and sexual-from patients or their families, possibly leading to high turnover intention. This study aims to verify how having experienced client violence affect turnover intention of long-term care workers and to suggest implications to prevent frequent turnover in long-term care field. Logistic regression analysis was conducted between groups who have experienced client violence and who have not, using 2019 Korean LTC Survey data. Results revealed that, first, there were differences in determinants of turnover intention depending on groups. Second, having experienced client violence had a different effect on turnover intention based on personal characteristics. Third, gender and occupational differences were found. Based on our results, we highlighted the need for discussions on interventions to address client violence exposure among long-term care workers.

Helping or Controlling? Choice of Coping Methods When Dealing with Violent Clients in Statutory Social Work

Client violence in social work is a workplace problem in Sweden and internationally. Frontline workers in public agencies have the discretion to decide how they deal with clients to cope with challenges like violence and threats. The coping methods may favour some clients while disadvantaging others. Ultimately, the coping practices may become de facto policy, which may not match official organisational policy. This article explores coping methods statutory social workers use to manage violence and threats in their day-to-day dyadic interactions with clients. The article is based on qualitative interviews with social workers (n = 19) who, according to their perception, were victims of client violence. Theory on street-level bureaucracy and frontline workers’ discretion is used. Based on thematic analysis, the results show that social workers draw from four groups of coping methods depending on their moral and normative dispositions. These include (1) the forced helper, (2) the compassionate helper, (3) the distanced helper, and (4) the authoritarian helper. Social workers oscillate between different dispositions depending on situational needs, striving to find the appropriate balance between helping and controlling clients. Studying social workers’ day-to-day dyadic interactions with clients highlights how coping methods could shape social work policy and practice.

Independent and Combined Effects of Workplace Harassment among Child Welfare Workers

ABSTRACT Workplace harassment, or perceived mistreatment directed toward a worker, is dangerous to worker health and job attitudes. Child welfare workers are particularly susceptible to workplace harassment due to high-stress job environments. Using a work stress process framework, this study examined how perceptions of status-based bias (i.e., discriminatory behaviors based on a status characteristic), supervisor bullying (i.e., bullying behaviors from a supervisor), and client violence (i.e., violence perpetrated by clients) related to personal and work-related outcomes among child welfare workers. Separate models considered independent and collective effects. This study used data from the Florida Study of Professionals for Safe Families (FSPSF), a statewide sample of child welfare workers (n = 969). Regression models tested the associations among the types of workplace harassment and workers’ outcomes. Descriptive findings indicated that, largely regardless of status characteristics, status-based bias, supervisor bullying, and client violence are pervasive. Linear regression results showed that harassment related to negative, independent, collective, and largely additive effects to mental health and job attitudes. The widespread nature of workplace harassment among child welfare workers coupled with the evidence that each additional form of harassment is associated with worse outcomes suggests the importance of proactive and responsive measures at the agency level.