Reports Of Abuse Research Articles

The Reliability and Validity of the Greek Version of the Child Abuse Report Intention Scale (CARIS) Questionnaire for Midwives, Along With Factors Associated With Their Intention to Report Child Abuse and Neglect

The Reliability and Validity of the Greek Version of the Child Abuse Report Intention Scale (CARIS) Questionnaire for Midwives, Along With Factors Associated With Their Intention to Report Child Abuse and Neglect

An exploratory analysis of repeat victimisation of domestic violence disclosure scheme applicants

ABSTRACT This study explores the impact of the Domestic Violence Disclosure Scheme (DVDS) on repeat victimisation among applicants. By analysing all ‘Right to Ask’ applications to Avon & Somerset Constabulary in 2021, the study investigates the extent of prior domestic abuse victimisation and the influence of disclosure decisions on subsequent reports. The findings reveal that 80% of applicants had prior victimisation records, and disclosures were made in 53% of the cases. The probability of subsequent abuse reports increased significantly for those with prior victimisation when disclosures were made, highlighting the need for robust support mechanisms post-disclosure. The study complements debate around the theoretical tension between empowerment and responsibilisation within DVDS and calls for enhanced support systems and rigorous outcome evaluations. These results suggest that while DVDS aims to protect victims, its effectiveness in reducing victimisation requires further empirical validation and comprehensive support strategies.

The Force Intervention Brigade in the drc, Civilian Security and Women Peace and Security

Abstract This article examines the UN Security Council (unsc) authorised Force Intervention Brigade (fib) in the Democratic Republic of the Congo (drc) and the component of the mandate that articulates civilian security as a rationale for justified force. In examining civilian protection (articulated as both civilian security and as the protection of civilians), we explore the parallels between the women, peace and security agenda and the image – versus the reality – of civilian vulnerability in the drc. In focusing on the narratives of civilian security we explore how the ten years of repeat authorisations for the fib replicate heteronormative and colonial tropes that have ultimately undermined security in the drc and, for international lawyers, undermine peacekeeping principles, authorisations of force, and understandings of consent. The contradictions between the Security Council’s commitments to addressing and preventing conflict-related sexual violence and the mobilisation of the fib are drawn on to demonstrate the ways in which gender simultaneously strengthens the Council’s legitimacy and yet produces few spaces of significant change from a feminist perspective. We conclude that not only is the legacy of the fib detrimental to women’s security in the drc given reports of sexual exploitation and abuse (sea) perpetrated by peacekeepers but that the fib has transformed peacekeeping away from peace, embedding militarised responses to a complex humanitarian crisis.

Factors associated with perception of harassment in interns, trainees and residents of Veracruz

Abstract Background Harassment among resident physicians remains prevalent, with reports of abuse at 20% in Mexico, potentially creating a hostile learning environment that does not foster comprehensive learning for students. Objectives To determine the factors associated with harassment among interns, medical interns, and residents in Veracruz. Methods This is a prospective cross-sectional study, including interns, social service interns, and residents in the state of Veracruz, excluding those diagnosed with oppositional defiant disorder or mythomania. Workplace harassment was assessed using the Cisneros scale (Cronbach’s alpha 0.98), in addition to perceptions of workplace, psychological, and sexual harassment. Within the statistical analysis, the association was determined using chi-square test, odds ratio, and 95% confidence interval (OR/CI95%). Results A total of 81 participants were included, with a perception of workplace harassment in 42% and sexual harassment in 51.9%; the Cisneros scale shows 2.5% of subjects free from any harassment behavior. Female gender showed association with workplace harassment (0.7/0.01-0.2); meanwhile, attending a public university (OR: 0.22 / CI: 0.07-0.6) and being a pregraduate intern (OR:2.6/CI:1.03-6.6) were associated with perception of psychological harassment. Furthermore, being female (OR:9.28/CI:3.3-25.4), bisexual (OR:11.8/CI:1.4-97.8), a pregraduate intern (OR:3.44/CI:1.32-8.97), an R1 resident (OR:0.09/CI:0.01-0.79), and being affiliated with Veracruz (OR:2.6/CI:1.05-6.58) or Xalapa (OR:0.1-CI:0.05-0.7) were identified with association for experiencing sexual harassment (p < 0.05). Conclusions Gender and level of education are the main factors associated with harassment, while the type of university of origin plays an important role in psychological harassment, warranting further study of these interactions while considering the limitations of this research. Key messages • The results of this research show that the roles of violence within hospital medical education are still maintained despite the social evolution with respect to gender roles and equality. • It is necessary to promote the culture of denunciation and offer courses to eliminate abuse and promote equality and respect among hospital staff.

Divergent interpretations of child abuse in legal judgments: perspectives from clinicians and forensic experts

BackgroundChild abuse in Taiwan is a major societal concern that severely affects the well-being of children. Despite the complexity in detecting abuse, reports of child abuse are increasing, evidenced by a rise in cases and heightened awareness. This study utilizes judicial judgments as a lens to understand the varied interpretations of child abuse by clinical and forensic experts and explores the broader epidemiological trends of such abuse within the declining youth population of Taiwan.MethodsWe conducted a retrospective study by analyzing official court judgments on child abuse allegations judged from 2008 to 2022 from the online database of Judicial Yuan. Furthermore, the study analyzed demographic factors, injury patterns, and opinions from various experts.ResultsThe results reveal that severe criminal cases of child abuse predominantly involve biological fathers as the primary offenders and physical abuse as the most common form of maltreatment. Victims are typically aged less than 5 years, which frequently leads to an unfavorable prognosis. Analysis also highlights the TEN-4-FACESp acronym as a highly predictive indicator of child abuse and underscores the prevalence of abusive head trauma (AHT). Moreover, the findings emphasize ongoing disparities in opinions between forensic medical examiners and clinical physicians, especially in AHT cases, which potentially influences judicial decisions.ConclusionsIn summary, the study reveals ongoing disagreements between forensic medical examiners and clinical physicians, especially in cases of AHT, which may impact judicial decisions. Promoting consensus through interdisciplinary collaboration and improved communication can aid in revealing the truth in child abuse cases.

Childhood Maltreatment and Electrodermal Reactivity to Stress Among Pregnant Women.

There are competing theoretical hypotheses regarding the consequences of early adversity, such as childhood maltreatment, for individuals' autonomic nervous system activity. Research examining potential implications of child maltreatment for sympathetic nervous system activity, specifically, is scarce. In this preregistered study, we examined whether childhood maltreatment history is associated with pregnant adults' sympathetic responses to different stressors. This population is particularly relevant, given potential intergenerational consequences of pregnant individuals' physiological responses to stress. Pregnant women's (N=162) electrodermal levels were recorded while completing the Trier Social Stress Test (TSST), which elicits social-evaluative threat, and while watching a video of an unfamiliar infant crying, which was intended to activate the attachment system. Pregnant women's retrospective reports of childhood maltreatment were negatively associated with their electrodermal reactivity to the TSST and to the video of the infant crying. Follow-up analyses indicated that these associations were specific to reported experiences of childhood abuse and not childhood neglect. Altogether, these findings indicate that self-reported childhood maltreatment experiences, and childhood abuse in particular, may result in blunted activity of the sympathetic nervous system in response to multiple types of stressors.

Developing An Online Course To Increase Staff Awareness And Responses To Unwanted And Illegal Sexual Behaviour Perpetrated Against Older People

Abstract Background The idea that older people can be victims of unwanted sexual behaviour or sexual assault in health and social care settings is relatively recent. In the Irish context, 165 reports of sexual abuse of older people were made to the HSE National Safeguarding and Protection teams in 2022. The prevalence of sexual abuse against older people in health and social care settings is poorly understood and there is an acknowledgement that hospital staff require additional training to understand and manage incidents. Methods In response to the need for training and support for staff, an online awareness-raising course based on a pre-developed course from Australia ‘Preventing unwanted sexual behaviour against older people in health and social care settings’ will be adapted, trialled and tested in a large acute teaching hospital. This course sets out to support acute care staff to identify and manage incidents of sexualised behaviour, to seek expert help and to ensure that older people are protected from unwanted and at times, what may constitute illegal sexual behaviour. Results The adapted course ‘Understanding and Responding to Unwanted or Illegal Sexual Behaviour Perpetrated against Older People in Health and Social Care Settings’ utilises a trauma-informed lens and key themes covered include defining unwanted sexual behaviours, understanding older people and sexual behaviour, risk factors for sexual abuse, barriers to recognising and reporting abuse and managing incidents. Conclusion The ‘trial and test’ will involve a feedback survey (N=50 respondents) and focus groups with participating healthcare professionals from the hospital site informing further refinement of the course content in preparation for wider rollout and implementation across Ireland's health and social care settings.

Unlocking data to inform public health policy and practice: A pilot study on utilising police data for linked population data research

ObjectiveThe UK Government increasingly emphasises a comprehensive, multi-agency approach to tackling crime. This pilot study explores the feasibility of integrating police data with routine health data to develop a holistic understanding of the predictors of domestic abuse (DA). ApproachThe study encompasses three work-packages a) coding the narrative data from Domestic Abuse, Stalking and Harassment (DASH) risk assessment report from Public Protection Notifications (PPNs), which are information-sharing documents recording safeguarding concerns and shared with partner agencies b) exploring to identify what works to harmonise different software systems within police data-sharing approach, c) constructing a case study by linking PPN DASH data with routine health and administrative records. These efforts illustrate the potential of national data-sharing initiatives. Results a) Text mining methods successfully identified and coded (with over 95% accuracy) 17 refereed/involved agencies from the PPN DASH data. b) Barriers to data sharing were attributed to a lack of clarity and consensus regarding appropriate information sharing, rather than technical obstacles. This barrier can be overcome by an unambiguous framework, endorsed at an elevated level, highlighting which data should be shared. c) The data-linkage study revealed that victims of DA had prior interactions with healthcare services before their initial PPN, and younger pregnant victims had higher risk of future healthcare emergency visits. Conclusion and ImplicationPolice and health data integration enhances evidence-based prevention and early identification of vulnerable individuals by both law enforcement and public health services.

Revisiting dezocine for opioid use disorder: A narrative review of its potential abuse liability.

Opioid use disorder (OUD) remains a serious public health problem. Opioid maintenance treatment is effective but under-utilized, hard to access under existing federal regulations, and, once patients achieve OUD stability, challenging to discontinue. Fewer than 2% of persons with OUD stop using opioids completely. There have been calls from public advocacy groups, governmental agencies, and public health officials for new treatments for OUD. Dezocine, a non-scheduled opioid previously used in the United States and currently widely prescribed in China for pain management, could be a candidate for a novel OUD treatment medication in the U.S. Nonetheless, to date, there have been no reviews of the clinical and preclinical literature detailing dezocine's abuse potential, a key consideration in assessing its clinical utility. There are no English language reports of human abuse, dependence, or overdose of dezocine, despite years of extensive clinical use. There are a few case reports of dezocine abuse in the Chinese literature, but there are no reports of overdose deaths. Dezocine is perceived as an opioid and is "liked" by opioid-experienced human and non-human primates, properties that are not dose-dependent and are mitigated by ceiling effects-higher doses do not result in more "liking." There is little withdrawal, spontaneous or precipitated, in humans, monkeys, rats, or mice treated chronically with dezocine alone. However, at some doses, dezocine can precipitate withdrawal in humans and monkeys dependent on other opioids. In rodents, dezocine reduces the severity of morphine withdrawal and the rewarding properties of other opioids. Although dezocine is reinforcing in humans and monkeys with prior or concurrent opioid use within a restricted dose range, there are only a few anecdotal reports of dezocine abuse despite of the long history of use in humans. Given the evidence of dezocine's limited abuse potential, it could be useful both as a treatment for OUD. However, in-depth studies would be required for dezocine to be re-considered for clinical use.

Objective and subjective experiences of childhood maltreatment and their relationships with cognitive deficits: a cohort study in the USA

Cognitive deficits might contribute to the elevated risk of life-course psychopathology observed in maltreated children. Leading theories about the links between childhood maltreatment and cognitive deficits focus on documented exposures (objective experience), but empirical research has largely relied on retrospective self-reports of these experiences (subjective experience), and the two measures identify largely non-overlapping groups. We aimed to test the associations of objective and subjective measures of maltreatment with cognitive abilities within the same individuals. We studied a cohort of individuals from the US Midwest with both objective, court-documented evidence of childhood maltreatment and subjective self-reports of individuals' histories at age 29 years. Between the ages of 29 years and 41 years, participants were assessed with a comprehensive set of cognitive tests, including tests of general verbal intelligence (Quick Test and Wide Range Achievement Test-Revised [WRAT]), non-verbal intelligence (Matrix Reasoning Test [MRT]), executive function (Stroop Test and Trail Making Test Part B [TMT-B]), and processing speed (Trail Making Test Part A [TMT-A]). Participants were also assessed for psychopathology (Center for Epidemiologic Studies Depression Scale and Beck Anxiety Inventory). We tested the associations between objective or subjective measures of childhood maltreatment with cognitive functions using ordinary least squares regression. To test whether cognitive deficits could explain previously described associations between different measures of maltreatment and subsequent psychopathology, we re-ran the analyses accounting for group differences in the Quick Test. People with lived experience were not involved in the research or writing process. The cohort included 1196 individuals (582 [48·7%] female, 614 [51·3%] male; 752 [62·9%] White, 417 [34·9%] Black, 36 [3·8%] Hispanic) who were assessed between 1989 and 2005. Of the 1179 participants with available data, 173 had objective-only measures of childhood maltreatment, 492 had objective and subjective measures, 252 had subjective-only measures, and 262 had no measures of childhood maltreatment. Participants with objective measures of childhood maltreatment showed pervasive cognitive deficits compared with those without objective measures (Quick Test: β=-7·97 [95% CI -9·63 to -6·30]; WRAT: β=-7·41 [-9·09 to -5·74]; MRT: β=-3·86 [-5·86 to -1·87]; Stroop Test: β=-1·69 [-3·57 to 0·20]; TMT-B: β=3·66 [1·67 to 5·66]; TMT-A: β=2·92 [0·86 to 4·98]). The associations with cognitive deficits were specific to objective measures of neglect. In contrast, participants with subjective measures of childhood maltreatment did not differ from those without subjective measures (Quick Test: β=1·73 [95% CI -0·05 to 3·50]; WRAT: β=1·62 [-0·17 to 3·40]; MRT: β=0·19 [-1·87 to 2·24]; Stroop Test: β=-1·41 [-3·35 to 0·52]; TMT-B: β=-0·57 [-2·69 to 1·55]; TMT-A: β=-0·36 [-2·38 to 1·67]). Furthermore, cognitive deficits did not explain associations between different measures of maltreatment and subsequent psychopathology. Previous studies based on retrospective reports of childhood maltreatment have probably grossly underestimated the extent of cognitive deficits in individuals with documented experiences of childhood maltreatment, particularly neglect. Psychopathology associated with maltreatment is unlikely to emerge because of cognitive deficits, but might instead be driven by individual appraisals, autobiographical memories, and associated schemas. National Institute of Justice, National Institute of Mental Health, Eunice Kennedy Shriver National Institute of Child Health and Human Development, National Institute on Aging, Doris Duke Charitable Foundation, and National Institute for Health and Care Research.

Research Review: Why do prospective and retrospective measures of maltreatment differ? A narrative review.

Childhood maltreatment contributes to a large mental health burden worldwide. Different measures of childhood maltreatment are not equivalent and may capture meaningful differences. In particular, prospective and retrospective measures of maltreatment identify different groups of individuals and are differentially associated with psychopathology. However, the reasons behind these discrepancies have not yet been comprehensively mapped. In this review, we draw on multi-disciplinary research and present an integrated framework to explain maltreatment measurement disagreement. We identified three interrelated domains. First, methodological issues related to measurement and data collection methods. Second, the role of memory in influencing retrospective reports of maltreatment. Finally, the motivations individuals may have to disclose, withhold, or fabricate information about maltreatment. A greater understanding of maltreatment measurement disagreement may point to new ways to conceptualise and assess maltreatment. Furthermore, it may help uncover mechanisms underlying maltreatment-related psychopathology and targets for novel interventions.

Examining School Nurses' Knowledge and Confidence Related to Their Intention to Screen for and Report Child Sexual Abuse: A Descriptive Cross-Sectional Study.

Child sexual abuse (CSA) is a preventable national public health problem that results in adverse health consequences. Research suggests youth experiencing CSA are often of school age. Screening for early detection of health issues is integral to school nurse (SN) practice. Still, there is little evidence that routine screening when CSA is suspected is occurring in schools, despite recommendations that it should be. Lack of confidence and knowledge related to screening and reporting for CSA contribute to a SN's missed opportunity for early intervention. The aim of this study was to describe SNs' knowledge and self-efficacy associated with screening for and reporting suspected CSA in school settings. A descriptive cross-sectional survey design was employed. The Child Abuse Report Intention Scale was sent to over 2,000 members of the National Association of School Nurses. Among SN respondents (N = 123), the main findings showed almost half reported being concerned a youth was experiencing CSA but may have missed identifying it. Self-efficacy and professional responsibility were predictors of SNs' intention to screen as well as knowledge about obvious and serious signs of abuse were predictors of SNs' intention to report in this sample. An educational partnership between forensic nurse examiners and SNs can facilitate improving SNs' knowledge about nonspecific physical and behavioral indicators of abuse that are not overtly obvious. The development of a screening tool specific for use by SNs can empower their confidence to screen by providing a resource for them to use as a guide when they are uncertain about the evidence.

Child Welfare Outcomes After Attachment and Biobehavioral Catch-Up Intervention Participation: A Quasi-Experimental Study.

Limited research is available examining distal child welfare outcomes after participation in evidence-based parenting interventions. To address this gap, this study employed a multi-tiered analytic approach to examine child welfare outcomes after participation in Attachment and Biobehavioral Catch-up (ABC). Using propensity score analytic techniques to establish a matched comparison group, logistic regressions examined subsequent maltreatment reports and substantiation, and survival analyses observed time to and likelihood of reunification for children who received one of three ABC curriculums compared to comparison group children (child welfare services as usual). In total, 205 children were included in the impact analysis (n = 66 treatment; n = 139 comparison); the majority of the children were White (53.7%), non-Hispanic (84.4%), males (59.5%) with an average age of 6 months (M [SD] = .50 [1.0]). Over half (56.1%) of the study sample was in out-of-home placement; 23.5% of the removed children experienced reunification. No statistically significant group differences were observed on the likelihood of subsequent or substantiated maltreatment reports. All three ABC curriculums were associated with a statistically significant increased likelihood of reunification, when compared to their matched counterpart. Additional research is warranted, though results indicate ABC may be a promising intervention to help enhance the likelihood of reunification.

Contributions of Public Primary School Teachers Socio-Demographic Variables to Child Abuse Reporting Practices in Nigeria

The study analyzed the contributions of public primary school teachers’ socio-demographic variables to child abuse reporting practices in Alimosho Local Government Area of Lagos State, Nigeria. These were to examine the contributions of the socio-demographic variables of public primary school teachers to child abuse reporting practices and determine the type of association existing between teachers’ socio-demographic characteristics and child abuse reporting practices in the study area. This research is quantitative and utilizes a cross-sectional research design. The population for the study was all the 1,105 public primary school teachers in Alimosho, Local Government Area of Lagos State, Nigeria. The study sample consisted of 314 public primary school teachers in the study area, using a multi-stage sampling technique in four stages. Data collection techniques using questionnaires. The data collected was analyzed using descriptive and inferential statistical analysis. Results showed that the mean age of respondents was 35.89 ± 7.95 years; 72(24.8%) of the respondents were primary five teachers; males were 51.7%; 50% of the respondents were Christians; 49.7% of the respondents had 5-9 years of teaching experience. Also, results showed that religion (X2 = 0.47, p = 0.007), years of teaching experience (X2 = 13.38; p = 0.001), and level of qualification (X2 = 11.21, p = 0.02) varied significantly with respondents’ child reporting practices while respondents age (X2 = 6.99, p = 0.13), gender (X2 = 0.001, p = 0.97), and primary school teachers’ class (X2 = 15.59, p = 0.79) were not significant to child abuse reporting practices.

Developing a model for providing feedback to reporters of elder abuse

ABSTRACT Lack of feedback about reports made to Adult Protective Services (APS) is an important barrier to elder mistreatment reporting. To better understand barriers and facilitators to APS-reporter communication, we conducted an environmental scan of state policies and practices. We gathered publicly available information from 52 states and territories on APS administrative structure, reporting, intake, investigation, and feedback processes; performed a secondary analysis of focus groups with Emergency Medical Services providers and APS staff; and interviewed 44 APS leaders in 24 states/territories. Results revealed variation in information-sharing with reporters. Qualitative analyses revealed three overarching themes related to whether, when, and how information is shared. Results were used to develop a model illustrating factors influencing APS decisions on sharing information. This model incorporates the type of reporter (professional or nonprofessional), their relationship with the APS client (brief or ongoing), and the potential risks and benefits of sharing information with the reporter.

The Prevalence, Predictors, and Health Consequences of Disagreement in Reports of Child Maltreatment Exposure.

The purpose of this study was to examine the prevalence, predictors, and consequences of disagreement between prospective caregiver and retrospective child reports of childhood physical and emotional maltreatment. The design was a secondary analysis of data from the Avon Longitudinal Study of Parents and Children, a three-decade long UK-based birth cohort. Prospective caregiver reports were in poor to fair agreement with retrospective child reports for physical and emotional maltreatment exposure, with caregivers tending to underreport exposure. Disagreement between reporters was associated with increased risk of depressive symptoms and substance use severity, but decreased risk for mental health diagnoses. Screening measures of childhood maltreatment exposure should take caution against using measures from different reporters interchangeably (i.e., from mother versus child). Disagreement in reports may indicate unmet need for mental health evaluation.

Reporting of Child Maltreatment During the COVID-19 Pandemic in a Southern State in the United States.

COVID-19-related stay-at-home orders (SAHOs) created an immediate physical barrier between children and professionals such as pediatricians and teachers, who are often first to identify and report signs of child maltreatment. Our objective was to determine how the SAHO in a southern state was associated with reports of child maltreatment and whether this association was modified by sociodemographic characteristics. We linked data on reports of child maltreatment from a southern state in the United States from October 1, 2018, through September 30, 2020, to data from the US Census Bureau to obtain data on county-level socioeconomic characteristics. We fit a segmented regression model to evaluate changes in reports before and after the SAHO, March 20, 2020. We evaluated potential disparities by child age, case and allegation severity, and socioeconomic characteristics. Of 374 885 hotline calls, 276 878 (73.9%) were made before the SAHO and 98 007 (26.1%) after it. Although an immediate decrease in reports of child maltreatment occurred on the day of the SAHO, the rates of reporting within socioeconomic groups started increasing thereafter. While we found no significant change in the overall rate of change in hotline calls after versus before the SAHO (0.23; 95% CI, -0.11 to 0.58), stratified analyses indicate that the rates at which reporting increased varied by education level, health insurance coverage, median annual household income, and unemployment. Evaluating these trends is important for policy makers and practitioners to understand how policies enforced during the pandemic influence child maltreatment reporting and how these policies may affect reporting differently across socioeconomic groups.

SUBSTANCE ABUSE AND ANTISOCIAL BEHAVIOUR OF YOUTH IN NSUKKA LOCAL GOVERNMENT AREA, ENUGU STATE

Debates over the years, have favored the assumption that individuals who engage in substance abuse have high proclivity to demonstrate antisocial behaviours as direct consequence of substance abuse. But with increase in different psychotropic substances and reports of wide spread substance abuse, this study attempted to revisit youth substance abuse with the hope of ascertaining the current nature of substances they abuse, the extent to which they abuse it, how the abuse relates to their antisocial behaviours, the consequences of the above on them, the challenges associated with the mitigation/control of youth drug abuse and measures that could be adopted to address the phenomenon of youth drug abuse and antisocial behaviours. The study is anchored on containment theory and based its analysis on quantitative data obtained from randomly selected sample of five hundred and ninety-four (594) youth, and qualitative data obtained from purposively selected nine (9) interviewees. Data collected using questionnaire were coded and analyzed with SPSS Version 21 for descriptive and inferential result, while the qualitative responses were transcribed and analyzed to provide in-depth insights, using direct quotes and illustrations. The study found a significant positive correlation between the extent of substance use and degree of indulgence in antisocial behaviours. Property related antisocial behaviours like theft, armed robbery and vandalism were all found to relate with different forms of substance abuse. Measures like youth empowerment, access to counselling services, public sensitization, police border patrol, and increasing the cost of regularly abused substances could be improved to reduce youth drug abuse.

Disclosure and Reporting of Abuse Against Older Adults: Perspectives of Older Adults with Abuse Histories and Service Providers in Alberta, Canada

ABSTRACT This exploratory qualitative study seeks to understand the barriers and facilitators of disclosure and reporting of abuse against older adults by conducting interviews with older adults with lived experience of abuse and service providers working directly with this population in Alberta, Canada. Thematic analysis revealed three key themes: (1) Barriers to disclosure and reporting of abuse; (2) Facilitators to disclosure and reporting; and (3) Key tensions between service providers’ and older adults’ perceptions of the disclosure and reporting process. Based on these findings, we offer recommendations to increase awareness, promote disclosure, and improve services for older adults experiencing abuse.

Amplifying victim–survivor voices: media power, collective action, and ultra-Orthodox Jewish identity in the Leifer case

This article underscores the transformative impact of victim–survivor voices in reshaping public discourse on child sexual abuse (CSA). The research project took as the backbone for analysis the Malka Leifer case that spanned 15 years and is linked to the Australian Royal Commission into Institutional Responses to Child Sexual Abuse's report of Case Study 22, which examined responses in ultra-Orthodox Jewish schools to child sexual abuse. Adopting a mixed methods research approach, this study combines qualitative media analysis of 102 news articles and 8 in-depth focus groups to investigate the impact of media outlets in amplifying victim voice and influencing public discourse, and how this impacts the subjects of mediatised public crises. Drawing on the theorising of Couldry and Cottle, the article considers the capacity and limitations of survivor-advocates to leverage media power in the contemporary media system. By exploring the ‘Privileging Victim Voice’ frame, this paper sheds light on how victim–survivor advocates utilised mainstream, local religious, and social media to solidify their central place in the narrative and its reportage. The media analysis served as the foundation for a ‘peer conversation’ style of focus groups with Jewish community members to investigate local impacts of the case's media reportage. The focus group methodology sought to represent this diverse community as wholly as possible. Findings reveal the significant power of journalists’ framing and sourcing practices, and how Jewish institutional child sexual abuse is framed by media outlets within the Australian media landscape. Further, it showcases the broader implications of public inquiries, such as Australia's Royal Commission, in empowering victim–survivors and centreing their narratives in media reportage.