Child Neglect Research Articles

Mitigating rACEsm in K-12 Classrooms: The Consideration of Culturally-Informed Adverse Childhood Experiences and Utilization of Culturally Relevant Education and Systemically Trauma-Informed Practice

Forty-six percent of children in the United States experience a potentially traumatic event (PTE), also known as an Adverse Childhood Experience (or ACE), including abuse (physical, sexual, emotional), neglect, and/or household dysfunction (incarceration of a family member, parental mental illness, divorce, etc.) before their 18th birthday. In the United States, 61% of African-American youth experience at least one ACE (more than any other racial or ethnic group), compared with 40% of White children. A culturally informed conceptualization of the ACEs framework (C-ACEs) that considers the effects of historical trauma, racist social conditions, and race-based biological stress on African-American youth is essential. This is particularly important in K-12 Educational institutions for two reasons: (1) Schools are a major environment in which African-American youth are exposed to racial trauma via teachers, peers, policies, and practices within the school itself; (2) Popularity of the “trauma-informed” movement in schools that overemphasizes and overuses the existing ACEs framework (i.e., a “neoliberal biomedical trauma model”) and does not consider larger systems that cause and perpetuate trauma (p. 105). Further, it is essential to review how school teachers, administrators, and staff can amalgamate Systemically Trauma-Informed Practice (SysTIP) with Culturally Relevant Education (CRE) to increase education equity, reduce the trauma of racism experienced within educational spaces, and help ensure that African-American students succeed academically and personally.

CHILDREN’S HOMES IN THE GORKY REGION IN THE CONTEXT OF THE STRUGGLE AGAINST CHILD HOMELESSNESS AND NEGLECT IN THE MIDDLE TO SECOND HALF OF THE 1940s

Based on the materials of the Nizhny Novgorod archives, this paper sheds light on the organisation of children’s homes in the Gorky region after the Great Patriotic War. The acute problem of child homelessness and neglect required an urgent solution in the 1940s. As a result, the number of children’s homes in the region, which became one of the country’s largest evacuation sites, tripled. In the postwar period, the situation remained critical, and a set of measures were introduced to stabilise it. They also implied ensuring the operation of children’s homes.

Oral and Dental Aspects of Child Abuse and Neglect: Clinical Report.

In all 50 states, the District of Columbia, and the Commonwealth of Puerto Rico, pediatricians, dental professionals, and other physicians are mandated to report suspected cases of abuse and neglect to social service or law enforcement agencies. The purpose of this clinical report is to review the oral aspects of abuse and dental neglect in children and the role of pediatricians, dental professionals, and other physicians in evaluating such conditions. This clinical report addresses recommendations on the evaluation of bite marks, as well as perioral and intraoral injuries, infections, and diseases that may raise suspicion for child abuse or neglect. Some physicians may have received less education pertaining to oral health, dental injury, and oral disease. These physicians may not detect the mouth and gum findings possibly related to abuse or neglect as readily as abuse injuries involving other areas of the body. Therefore, pediatricians, dental professionals, and other physicians are encouraged to collaborate to increase the prevention, detection, and treatment of these conditions in children.

Evaluation of Pediatricians’Attitudes in Reporting Child Abuse and Neglect: A Theoretical Perspective

Evaluation of Pediatricians’Attitudes in Reporting Child Abuse and Neglect: A Theoretical Perspective

Pencabulan terhadap Anak dalam Tinjauan Hukum Pidana Islam dan Undang-Undang Nomor 35 Tahun 2014 (Studi Kasus di Desa Manambin Kecamatan Kotanopan)

This study aims to investigate the perspective of Islamic criminal law and Law No. 35 of 2014 on cases of violence against children in Manambin Village, Kotanopan Regency. This study uses empirical law and case study methodology. We engage in direct communication with those working in the field to ascertain the source of the problem. The results of this study indicate that ta'zir is the right punishment for those who commit acts of violence against children. A fine of up to five million rupiah and a prison sentence of five to fifteen years are the penalties for violating the rules and laws relating to child protection. The findings of this study are expected to inform community norms in responding to child abuse and neglect.

Youth Perspectives of Neglect Signs and Help-Seeking.

Child neglect, recognized as the most prevalent form of child maltreatment with profound repercussions on children's development, has received limited scholarly attention compared to abuse. The current study addresses this shortfall with a qualitative research investigation involving 10 multicultural focus groups of youths aged 12 to 15. The research examined how young individuals identify signs of child neglect and discern whether formal and informal sources of assistance may be relied upon to assist in addressing this issue. Through qualitative-thematic analysis, three primary themes emerged: (1) Characteristics of neglected children, (2) challenges in identifying child neglect, and (3) official and unofficial sources to appeal for assistance when child neglect is identified. This study's insights concern peers' recognition of signs indicating neglect in children and their perspectives on potential assistance.

Examining the relationship between psychosocial adversity and inhibitory control: an fMRI study of children growing up in extreme poverty.

Exposure to psychosocial adversity (PA) is associated with poor behavioral, physical, and mental health outcomes in adulthood. As these outcomes are related to alterations in developmental processes, growing evidence suggests that deficits in executive functions-inhibitory control in particular-may, in part, explain this relationship. However, literature examining the development of inhibitory control has been based on children in higher resource environments, and little is known how low resource settings might exacerbate the link between inhibitory control and health outcomes. In this context, we collected fMRI data during a Go/No-Go inhibitory control task and PA variables for 68 children 5 to 7 years of age living in Dhaka, Bangladesh, an area with a high prevalence of PA. The children's mothers completed behavioral questionnaires to assess the child's PA and their own PA. Whole-brain activation underlying inhibitory control was examined using the No-Go versus Go contrast, and associations with PA variables were assessed using whole-brain regressions. Childhood neglect was associated with weaker activation in the right posterior cingulate, whereas greater family conflict, economic stress, and maternal PA factors were associated with greater activation in the left medial frontal gyrus, right superior and middle frontal gyri, and left cingulate gyrus. These data suggest that neural networks supporting inhibitory control processes may vary as a function of exposure to different types of PA, particularly between those related to threat and deprivation. Furthermore, increased activation in children with greater PA may serve as a compensatory mechanism, allowing them to maintain similar behavioral task performance.

Eating Behaviors in Children in out of Home Care: A Scoping Review

Food shortages have been described as features of child neglect and consequential problematic eating behavior in children in out of home care has been reported in some countries. Other predictors of eating difficulties such as trauma and absence of routine are also high in this cohort. Research in this area is in its infancy and etiological understanding is limited. This scoping review sought to: (1) describe the patterns of eating behavior demonstrated by children in out of home care, (2) summarize the evidence base for any mechanisms behind these patterns and (3) synthesize existing information about appropriate interventions and lines of enquiry for these. Systematic searches were conducted, resulting in 16 studies eligible for inclusion. Patterns and inconsistencies are described; children in out of home care are particularly vulnerable to aberrant eating patterns and future lines of enquiry should consider mechanisms and potential intervention.

C-reactive protein across pregnancy in individuals exposed to childhood maltreatment: The role of psychological and physical sequelae of maltreatment

BackgroundChildhood maltreatment (CM) has long-term consequences for the regulation of stress biology which are particularly pronounced when mental and physical health sequelae have manifested. C-reactive protein (CRP) has been shown to be elevated in the non-pregnant state in association with CM as well as in the setting of CM-associated mental and physical health sequelae. In pregnancy, however, the association between CM and CRP is less clear. We sought to examine this association and consider the moderating role of four common health sequelae of CM (maternal depressive symptoms, overweight/obesity, smoking, and hypertensive disorders during pregnancy). MethodsA prospective, longitudinal study of 744 healthy pregnant participants was conducted, with analyses focusing on a sample of 643 participants. CM was assessed with the Childhood Trauma Questionnaire (CTQ) and categorized by whether no vs. one or more moderate to severe CM experiences were reported. Blood serum concentrations of CRP, maternal depression severity (continuous scores of the Center for Epidemiologic Studies Depression Scale, CES-D) and smoking during pregnancy were assessed in early (16.52 ± 2.50 weeks gestation) and late (33.65 ± 1.18 weeks gestation) pregnancy. Pre-pregnancy body mass index (BMI) was obtained at the first study visit and hypertensive disorders diagnosed during pregnancy were obtained from the medical record. Linear mixed effects models were employed to assess main effects of CM as well as interactive effects of CM and four common CM-associated sequelae as well as a sum score of these sequelae on repeatedly measured CRP concentration. In secondary analyses, we conducted latent class analyses to classify participants based on their specific experiences of childhood abuse and/or neglect and to assess the association of these CM subgroups with CM sequelae and CRP. All analyses were adjusted for potential confounders (maternal race and ethnicity and education/income). ResultsCRP concentration decreased from early to late pregnancy (B = −0.06, SE = 0.01, p < 0.001). While there was no main effect of CM on CRP (p = 0.49), the interaction of CM and depressive symptoms was associated with CRP concentration (B = 0.08, SE = 0.04, p < 0.05), indicating higher CRP across pregnancy with increasing levels of depressive symptoms during pregnancy in participants with CM experience. This interaction was mainly driven by participants with co-occurring physical and emotional maltreatment. For none of the other CM-associated sequelae a statistically significant interaction with CM on CRP concentration was observed. ConclusionsThese results add to the growing empirical evidence suggesting higher inflammation during pregnancy in participants exposed to CM who experience depressive symptoms and highlight the detrimental effects of multiple co-occurring experiences of maltreatment. Given the negative consequences of chronic inflammatory state for the mother and the developing fetus, monitoring and treating psychiatric sequelae during pregnancy among participants exposed to CM is potentially an important opportunity to dampen long-term detrimental effects of CM, serving at least two generations.

Reimagining Supportive Approaches at the Intersection of Mandatory Reporting Policies for the Mother-Infant Dyad Affected by Substance Use.

As rates of substance use during pregnancy persist, the health and optimal development of infants with prenatal substance exposure remain a key priority. Nurses are tasked with identifying and reporting suspected cases of child maltreatment, including abuse and neglect, which is often assumed to be synonymous with substance use during pregnancy. While policies aimed at protecting infants from child abuse and neglect are well intentioned, literature regarding the short- and long-term social and legal implications of mandatory reporting policies is emerging. In this article, we explore the intersections between the condition of substance use in pregnancy and policies related to mandatory reporting. We provide an overview of historical and current trends in mandatory reporting policies for nurses related to substance use in pregnancy and related ethical and social implications for mother-infant dyads. Nurses often function at the intersection of healthcare and social services, underscoring the important role they play in advocating for ethical and equitable care for both members of the mother-infant dyad affected by substance use. We offer recommendations for practice including the integration of respectful care and family-centered support for the mother-infant dyad affected by substance use. Cross-sectoral collaborations, inclusive of the family, are important to the advancement of evidence-based and equity-focused research, advocacy, and policy initiatives to support familial preservation and reduce mother-infant separation.

Child Maltreatment and Metabolic Syndrome: A Systematic Review.

Evidence suggests that child maltreatment (CM) is associated with an elevated risk of adult diseases in later life. Emerging evidence shows that CM in childhood is associated with metabolic syndrome (MetS) in adulthood. However, no study has systematically examined the evidence. Hence, this review aims to synthesise the evidence on the association between forms of CM and MetS in adulthood. Electronic databases of CINAHL, Medline, PsychInfo, SOCINDEX, and Scopus were systematically searched using predefined key terms to identify relevant published studies on the association between CM and MetS from the beginning of indexing to 1st January 2024. Studies were included if they met the selection criteria. The quality of studies was appraised using suitable criteria for cross-sectional and prospective studies. The search revealed a total of 2411 studies. Five studies met the inclusion criteria and were included in the review. The findings revealed that there was an association between physical abuse and MetS in women across two studies and one study in men. In addition, one study reported an association between emotional abuse and the risk of MetS in men, while two studies revealed increased odds with CM. However, no significant associations were reported between MetS and childhood sexual abuse and neglect, respectively. These findings suggest that some forms of CM may increase a person's risk of having MetS. However, there is a need for methodological improvements due to heterogeneity in studies, mainly on the assessment and definition of CM. Further research is needed on forms of CM and MetS to understand the underlying mechanisms of the associations found and to identify targeted strategies to prevent the impact of CM on MetS and subsequent future health.

Child abuse, neglect, and non-accidental injury: challenging diagnoses in paediatric emergency and critical care.

Child abuse, neglect, and non-accidental injury: challenging diagnoses in paediatric emergency and critical care.

Child maltreatment and peer relationship quality: Types and timing of maltreatment and gender differences.

Research demonstrates that child maltreatment can negatively impact adolescent peer relationships. It is not well understood, however, how the type of maltreatment and its timing (when it occurs) affects the dimensions of peer relationship quality (i.e., companionship, conflict, satisfaction, and intimacy) and differences between genders. This study examines the effects of type and timing of child maltreatment on peer relationship quality, while also exploring the role of gender differences. This study involved 851 adolescents (56.1% girls, 56.2% Black, and 26.8% low-income) drawn from the Longitudinal Studies of Child Abuse and Neglect (LONGSCAN). We used Child Protective Services' information for the type and timing of child maltreatment, along with self-reports of peer relationship quality. Generalized Estimating Equations (GEEs) were conducted. Sexual abuse and neglect during adolescence were associated with less satisfaction and lower levels of companionship, respectively. Physical abuse during middle childhood was associated with lower levels of intimacy. We also found interactions between gender and type and timing of maltreatment. Compared to girls, boys exhibited lower levels of companionship and satisfaction if they experienced sexual abuse during adolescence. These findings suggest a need for maltreatment-prevention efforts targeting school-aged children and adolescents, as well as gender-sensitive interventions for high-risk boys with a history of maltreatment.

CHILDREN'S HOMES IN THE SYSTEM OF STATE INSTITUTIONS FOR ORPHANS AND CHILDREN WITHOUT PARENTAL CARE IN THE BSSR: TYPES, FUNCTIONS, THEIR ROLE IN THE SOCIALIZATION OF CHILDREN (1944–1956)

The article examines the activities of the People's Commissariat of Education of the BSSR to solve the problems of child homelessness and neglect in the post-war period. The author examines the features of the development of the system of institutions for orphaned children, analyzes the main regulatory documents that determined and regulated the functioning of orphanages, the basic rules for accepting the enrollment of pupils, and the problems of material support for orphanages.

Mandatory Reporting Laws: A Change in Reporting Behavior?

ABSTRACT Child abuse reporting policies in the form of mandatory reporting continues to expand both in scope and practice across the United States (U.S.). With this development, it is important to understand whether there is a relationship between mandatory reporting laws and reporting behavior while analyzing how any response differs across professional organizations. Mandatory reporting laws serve as a top-down policy used by legislatures to alter the reporting behavior of practitioners, especially within education, law enforcement, and the social services. The reporting behavior of these professionals are important to analyze because they account for the three largest reporting groups in the U.S. After investigating 18 years of child abuse reporting state data from the National Data Archive on Child Abuse and Neglect, I find that the reporting response to this policy differs across professional organizations. Both law enforcement and social workers reporting of suspected abuse does not change regardless of whether the reporting law is adopted. Education personnel, on the other hand, do alter their reporting behavior when a mandatory reporting law is enacted. Specifically, the decline in reporting is attenuated after the policy is put in place. These findings demonstrate the challenges associated with designing child abuse protection policies that influence multiple professional organizations.

U.S. State rates of newborns reported to child protection at birth for prenatal substance exposure

BackgroundIn the U.S., the opioid epidemic has revitalized national attention to newborns with prenatal substance exposure (PSE). These newborns and their caregivers have specific health and treatment needs and frequently interact with multiple systems, including child protection systems (CPS). MethodsThis study calculated rates of newborns (less than 15 days old) reported to CPS per 1,000 births due to PSE by state and year using data from the National Child Abuse and Neglect Data System (NCANDS). Given the lack of a clear definition of PSE reports in the data, we calculated rates using three different definitions. To examine the relationship between different state laws regarding the mandated reporting of PSE and PSE reports rates, we used panel data analysis. ResultsRates of newborn reports more than doubled between 2011 and 2019. There was extensive state variability of rates including some states that were consistently more than 100 % greater than and others consistently more than 150 % less than the annual national mean. Reporting rates were not associated with state requirements to report PSE, but were positively associated with rates of diagnosed neonatal abstinence syndrome. ConclusionState-level inconsistencies in identification, reporting, and CPS responses prevent a clear understanding of the scope of the affected population and service needs.

Investigating the Determinants of Nonaccidental Trauma Evaluation in Pediatric Femur Fractures.

Femoral fractures in children have the highest probability for abuse after skull fractures and humeral shaft fractures. However, the reported proportion of pediatric femur fractures that result from nonaccidental trauma (NAT) varies in the literature from 2% to 60%. The purpose of this study was to determine the patient characteristics associated with a physician's decision to conduct a NAT workup and challenge universal clinical practice guidelines stating that all children younger than 3 years with a diaphyseal femur fracture be evaluated for NAT. A retrospective review was conducted on patients aged 0 to 36 months diagnosed with a femur fracture between January 1, 2004, and April 9, 2019, at our institution. NAT was defined as a diagnosis of trauma that was nonaccidental in the medical chart after a positive workup by skeletal survey, ophthalmological examination, or other appropriate referral made by the institution's child abuse and neglect team. Patients with incomplete medical records were excluded. A total of 299 patients were identified, and 22 were excluded. 71% (197/277) were screened for NAT. Patients younger than 1 year were significantly more likely to undergo a NAT workup (P = 0.009; Odds Ratio [OR], 2.3; 95% CI, 1.2 to 4.4) and receive a positive result from the NAT workup (P < 0.0005; OR, 11.3; 95% CI, 4.6 to 27.4). Additional injuries were also a significant predictor of a positive NAT workup (P < 0.001; OR, 5.3; 95% CI, 2.4 to 11.9). Patient race/ethnicity, sex, and fracture type were not markedly associated with the physician's decision to conduct a NAT workup. Infants younger than 1 year with a femur fracture and children younger than 3 years presenting with a femur fracture and another injury are at increased risk of possible NAT. While clinical practice guidelines may minimize racial bias in NAT evaluation, this study demonstrates that universal NAT workups for walking-age children in the absence of other evidence of abuse may be unnecessary. This is a Level III retrospective cohort study.

Severity of child neglect among acutely poisoned children in Egypt.

Child abuse and neglect pose significant public health challenges, contributing to compromised development and adverse health outcomes. Neglect is the most frequent type of child abuse, presenting substantial challenges for paediatricians. To identify types of neglect associated with poisoned children, analyse potential risk factors and develop a novel severity scoring system to assess child neglect in Alexandria, Egypt. Using a simple random sampling technique, with an observational checklist we collected data on children aged 2 months to 17 years admitted for poisoning at the poison centre of Alexandria Main University Hospital from October to December 2022. We analysed the data using SPSS version 20.0 and tested the associations between neglect score and child data, current condition and carer data using the χ2 test, the Monte Carlo simulation and Fisher's exact P. The study enrolled 147 children, male-to-female ratio 1:1.17. Pesticides were the most common cause of poisoning. Lack of supervision was noted in 83% of cases and the neglect severity score showed that 27.9% of the children experienced severe neglect. There was significant association between severity of neglect and caregiver's education level and between severity of neglect and child's residence; severe neglect cases were significantly higher among children whose caregivers had no formal education (70.7%) and among those from rural areas (61%). These findings highlight the critical need to address educational disparities among caregivers and improve supervision for children, especially in rural areas.

Influence of Diet on Reproducible Corticosterone Levels in a Mouse Model of Maternal Separation with Early Weaning.

Maternal separation with early weaning (MSEW) is a popular early life stress (ELS) model in rodents, which emulates childhood neglect through scheduled mother-offspring separation. Although variations of ELS models, including maternal separation and MSEW, have been published for the mouse species, the reported results are inconsistent. Corticosterone is considered the main stress hormone involved in regulating stress responses in rodents-yet generating a robust and reproducible corticosterone response in mouse models of ELS has been elusive. Considering the current lack of standardization for MSEW protocols, these inconsistent results may be attributed to variations in model methodologies. Here, we compared the effects of select early wean diet sources-which are the non-milk diets used to complete early weaning in MSEW pups-on the immediate stress phenotype of C57BL/6J mice at postnatal day 21. Non-aversive handling was an integral component of our modified MSEW model. The evaluation of body weight and serum corticosterone revealed the early wean diet to be a key variable in the resulting stress phenotype. Interestingly, select non-milk diets facilitated a stress phenotype in which low body weight was accompanied by significant corticosterone elevation. Our data indicate that dietary considerations are critical in MSEW-based studies and provide insight into improving the reproducibility of key stress-associated outcomes as a function of this widely used ELS paradigm.

Local Australian memory activism and the fast and slow violence of institutional abuse

ABSTRACT This article investigates unofficial memory projects that have arisen in Australia in response to the institutional abuse of children. While the role of activists in pushing for the enactment of state responses is beginning to be understood, activist demands for recognition have taken a multitude of forms beyond this. Unofficial memory projects are indicative of this, exemplified by a diverse range of publicly situated cultural forms that re-present abuse to wider audiences. Focusing on two examples that have arisen in Australia in recent years – the grassroots phenomenon known as Loud Fence that grew out of the Victorian town of Ballarat, and the Australian Orphanage Museum that was established by Care leavers in 2023 – I examine these as examples of memory activism which generate counter-archives of institutional violence against children. Loud Fence does so upon institutional fences at the level of the streetscape, while the AOM does so by curating a museum space that honours the experiences of childhood ‘Care’. Seeking to decentre the state from this analysis, I demonstrate how such examples enliven the fast and slow violence of child abuse and neglect, and the role of non-state actors when it comes to the recalibration of collective memory.