2009 KIDS COUNT Data Book: State Profiles of Child Well-being (pdf)
This 20th annual KIDS COUNT Data Book provides national and state-by-state information and statistical trends on the conditions of America’s children and families. The book reports on indicators of educational achievement, economic well-being, and health, among others. The book also ranks states on a composite indicator of child wellness, aggregating measures such as infant mortality rate, graduation rates, and children in poverty.
A Blueprint for Responding to Children Exposed to Domestic Violence in Pediatric Health Care (pdf)
The purpose of this document is to provide training for health care providers when working with and screening for children exposed to domestic violence. A list of recommendations is included.
A meta-analysis of the relationship of child sexual abuse to adult psychological adjustment
"This paper reports on meta-analyses of the relations of child sexual abuse to adult psychological adjustment. Results indicated statistically significant relationships between the experience of child sexual abuse and subsequent difficulties in psychological adjustment as measured by psychological symptomatology, depression, and self-esteem."
Adaptation Guidelines for Serving Latino Children and Families Affected by Trauma
"This document was created by experts in the fields of child trauma research, clinical practice, policy and cultural diversity to serve as a resource for anyone who works with Latino families who have experienced traumatic events. There are 12 priority areas covered ranging from micro issues (assessment and provision of therapy) to macro issues (organizational competence and policy). Each one includes an overview of the priority area, recommendations for improving practice based on that priority area, and additional resources for further information. Portions of these guidelines are geared for advocates and therapists, while other priority areas are designed for program administrators and policy makers."
Addressing Gender-based Violence: UNFPA Strategy and Framework for Action (pdf)
"This report identifies the particular areas where action is most urgently needed and proposes general policy frameworks for combating gender-based violence. The proposals, which focus on reducing gender inequality and discrimination, are aimed at UNFPA's overarching goal of eliminating violence against women and girls. The report critically examines existing policy frameworks, and suggests where future efforts need to be concentrated. "
Advancing the Nation's Health: A Guide to Public Health Research Needs, 2006-2015 (pdf)
"This guide is meant to serve as a critical resource for research areas that should be addressed during the next decade by CDC and its partners in response to current and future public health needs and events."
Adverse Consequences of Intimate Partner Abuse among Women in Non-Urban Domestic Violence Shelters
"This study examined the health consequences of having experienced both sexual and physical abuse relative to women experiencing physical abuse but not sexual abuse."
Building Academic Capacity and Expertise in the HEALTH EFFECTS OF VIOLENCE AND ABUSE (pdf)
This report was created from the Proceedings from a Pre-Conference Symposium at the Family Violence Prevention Fund which offers a blueprint on advancing professional health education from a perspective on the health effects on violence and abuse.
Child Abuse and Neglect Fatalities: Statistics and Interventions (pdf)
"This 2008 brief report presents statistical information on maltreatment-related fatalities of children including who are the victims and perpetrators and how communities often respond. "
Child Abuse and Pediatric Social Illness: An Epidemiological Analysis and Ecological Reformulation
This study discusses the findings as determined by a case-control study of children placed in the hospital for immediate medical attention and their caregivers who brought them there. The comparative samples are those who are suspected to have experienced a form of child abuse/neglect versus those children with comparable presenting symptoms but not likely to have experience child abuse/neglect.
Child Abuse Incidence and Reporting by Hospitals: Significance of Severity, Class, and Race
The study summarizes the data collected from a study that measured the variation in treatment and child protection cases reported by hospital workers. Findings suggested that race, the income and living situation of the family, alleged offender responsible for the child abuse, as well as the degree and type of abuse that occurred were all factors that dictated whether or not a hospital filed a report with child protection on behalf of the child's safety.
Child Physical Abuse: A Problematic Rediscovery
This article addresses the waxing and waning attention that childhood physical abuse has received over the course of history.
Child prostitution: global health burden, research needs, and interventions
"In this article we estimate morbidity and mortality among prostituted children, and propose research strategies and interventions to mitigate such health consequences."
Child Protection Information Sheets (pdf)
"This booklet comprises 14 information sheets which highlight how child protection is crucial to the achievement of the Millennium Development Goals. Covering different forms of abuse, these sheets also outline how to build a protective environment for children and what UNICEF is doing on the ground to protect children."
Child Sexual Abuse and Subsequent Psychopathology: Results From the National Comorbidity Survey
"This study examines the relationship between child sexual abuse (CSA) and subsequent onset of psychiatric disorders, accounting for other childhood adversities, CSA type, and chronicity of the abuse."
"Abuse studies from the author’s laboratory, studies of children in orphanages who lacked emotional contact, and a large number of animal deprivation and enrichment studies point to the need for children and young nonhuman mammals to have both stable emotional attachments with and touch from primary adult caregivers, and spontaneous interactions with peers. If these connections are lacking, brain development both of caring behavior and cognitive capacities is damaged in a lasting fashion. The effects of the childhood environment, favorable or unfavorable, interact with all the processes of neurodevelopment."
Consensus and Difference Among Hospital Professionals in Evaluating Child Maltreatment
This article summarizes the findings revealed through multidisciplinary consultation assessing the severity of known child abuse cases, and reported their conclusions in survey-format. An exploratory factor analysis yielded five categories of maltreatment: physical abuse, sexual abuse, general failures in care, minor neglect/discipline, and lifestyles/values.
Developmental Status and Early Intervention Service Needs of Maltreated Children (pdf)
"In this report, published by the Institute for Social and Economic Development, the authors analyze findings from the National Early Intervention Longitudinal Study and the National Survey of Child and Adolescent Well-Being. They provide information about the developmental status and early intervention service needs of children under age three who are substantiated for maltreatment. Topics include: 1) the extent to which maltreated children have developmental problems or are subject to factors associated with poor developmental outcomes; 2) the services maltreated children might be eligible for and ones they receive through the child welfare systems; 3) case characteristics, such as child welfare setting, that impact the effect of developmental services; and 4) existing barriers to services."
DID YOU KNOW YOUR RELATIONSHIP AFFECTS YOUR HEALTH? (pdf)
A tri-fold patient safety card which contains a checklist to assess safety, healthy/unhealthy relationships, and children's exposure to violence. The card also provides resources and information on how to get help.
DID YOU KNOW YOUR RELATIONSHIP AFFECTS YOUR HEALTH? (Spanish) (pdf)
A tri-fold patient safety card which contains a checklist to assess safety, healthy/unhealthy relationships, and children's exposure to violence. The card also provides resources and information on how to get help.
Domestic Violence and Children: A Children's Health Fund Report (pdf)
The author discusses domestic violence as a pediatric issue and as a valuable source for intervention.
Eliminating Violence against Children (pdf)
"Jointly produced by UNICEF and the Inter-Parliamentary Union, this handbook describes measures parliamentarians can take to end violence against children: they can legislate, oversee government activities, allocate financial resources and, as leaders in their nations and communities, raise awareness of issues."
"Highlights the 2 most prevalent types of abuse in the lives of women and girls around the world: intimate partner violence and rape. Demonstrates how world-wide gender-based violence is a major public health concern, suggesting strategies to respond."
"A controlled prospective study of child abuse and neglect, failure to thrive, accidents and poisonings included 303 inpatients and 257 outpatients. Analysis of maternal interview and clinical data demonstrated significant differences between cases and controls in summative indices of environmental stress, including housing, employment, and access to essential services." - excerpt from abstract
EVALUATING CHILDREN’S ADVOCACY CENTERS’ RESPONSE TO CHILD SEXUAL ABUSE (pdf)
"With funding from OJJDP, researchers have now completed a four-site evaluation of CACs that, for the first time, contrasts them with comparison communities that did not have a CAC. This Bulletin presents an overview of the results. It examines how CACs affect forensic interviewing, child victim disclosures about abuse, children’s receipt of medical exams and mental health services, prosecution and conviction of offenders, removal of children from their homes, and family satisfaction with child abuse investigations."
"This study examines lifetime trauma exposure rates in women with posttraumatic stress disorder (PTSD), major depressive disorder (MDD), or neither diagnosis and whether this is related to measures of PTSD, depression, hostility, health symptoms, and health care utilization. Findings indicate that multiple trauma exposures were prevalent in this sample and PTSD and MDD groups reported greater past year health conditions and health care utilization."
Family Violence Handbook for the Dental Community
This is a guide for all members of the dental team. It deals with how to address family violence issues in dental practice, the educational setting, the professional association, and the community at large.
Family Violence Intervention: The Role of the Dental Team in Recognition and Referral
Designed by students at the New Jersey Dental School. It addresses the issues of child abuse, elder abuse, and domestic violence.
Family Violence Nursing Curriculum
While nurses must be able to respond skillfully to victims of all types of violence, responding to victims of family violence requires sensitivity rooted in understanding how it differs from other types of violence. The content of this curriculum, which grew out of the 1999 American Association of Colleges of Nursing competencies, was developed in response to those findings to provide Minnesota nursing faculty essential curricular information to develop student competence in preventing, assessing, and responding to family violence across the lifespan.
Family Violence: An Intervention Model for Dental Professionals (pdf)
Efforts to strengthen responses by health care professionals to family violence have increased dramatically in recent years. As a result, more health care providers are able to recognize the signs of abuse and assist patients who are victims. However, dental professionals appear to be the least likely of all clinicians to suspect and intervene in family violence, even though injuries to the head and neck are present in 60 percent or more of abuse cases. Although they may see abuse-related injuries during patient visits, dental professionals typically have not been trained to recognize the causes of these injuries or how to offer intervention and referrals to patients. This bulletin describes a training model that teaches dental professionals how to recognize symptoms and patterns of abuse, create a safe environment for disclosure, intervene appropriately, refer patients to appropriate services, and file mandatory reports. The bulletin also underscores the importance of including dental professionals in community efforts to coordinate response to family violence.
Family Violence: Clinical Guidelines for Nurses
These guidelines are designed to provide current information about family violence and to address prevailing myths; to provide clear direction to nurses in a variety of settings; and to raise the awareness and comfort level of individual nurses as we deal with this complex issue.
Female Genital Mutilation/Cutting: A statistical exploration
"This publication analyzes available statistics on female genital mutilation/cutting, with the aim of improving understanding of related issues in the wider context of gender equality and social change."
This handbook is designed to help health professionals address the health care needs of adult female survivors of childhood sexual abuse. It provides background information about childhood sexual abuse and its effects on survivors. It also introduces the principles of sensitive practice and provides practical suggestions that health professionals can incorporate into their clinical practice.
Health Care Costs Associated with Violence in Pennsylvania (pdf)
"Reports the impact of violence in Pennsylvania including interpersonal violence (homicide, aggravated assault, rape) domestic violence (partner, child and elder abuse) and self-directed violence (suicide and attempted suicide)."
Helping Children Cope with Violence: A School-Based Program That Works (pdf)
Violence is one of our most significant public health issues. Children exposed to violence frequently develop post-traumatic stress symptoms. They are more likely to have behavioral problems, poorer school performance, more days of school absence, and feelings of depression and anxiety. School officials are often willing to provide help at school. But these professionals face an important question: What works? There have been no randomized controlled trials of intervention effectiveness with which to answer this question. To fill this gap, a team of clinician-researchers from several institutions collaborated to develop, implement, and evaluate an intervention designed to help children traumatized by violence. The team included professionals from the RAND Corporation, the University of California at Los Angeles (UCLA), and the Los Angeles Unified School District (LAUSD).
Helping Young Children Affected by Domestic Violence: The Role of Pediatric Health Settiings (pdf)
This paper is part of series of paper that addresses the way to mobilize community and programatic resources to provide responsive help to children and families affected both by domestic violence and poverty. This particular paper addresses importance of pediatric health care and mental health care in addressing domestic violence.
The guidelines offered here provide specific recommendations for screening and responding to domestic violence in child health settings, which provide a unique and important opportunity to screen for domestic violence and to educate parents about the impact of such violence on children. These guidelines also speak to the need for child health providers to engage in, model, and take leadership in delivering effective primary prevention of domestic violence, as well as other types of family and community violence, by highlighting violence prevention during well child and other routine visits, as a component of routine anticipatory guidance.
Immigration Reporting Laws: Ethical Dilemmas in Pediatric Practice
"This study assessed the potential impact of immigration reporting requirements on pediatricians' referrals to child protective services. The study concluded that Pediatricians, as mandated reporters of child abuse, will face ethical dilemmas if laws requiring reporting of immigration status is enacted."
Intimate or Childhood Sexual Abuse and Obesity in Kentucky
This study concluded that sexual abuse, whether experienced as an adult or child, was associated with a 32% increase in obesity among 4,391 women in Kentucky. The study also found that intimate partner violence and obesity are common health threats for women. The authors suggest that efforts to prevent physical and sexual abuse and mental health consequences of abuse on victims can have implications to improve women's health.
Mandatory Reporting of Child Abuse and Neglect: State Statutes and Professional Ethics (pdf)
A comprehensive listing of state statutes on mandatory reporting of child abuse and neglect. Also included is a listing of reporting requirements and code of ethics for professionals in various fields.
Multi-Agency Practice Guidelines: Handling Cases of Forced Marriage (pdf)
"This report lists warning signs and appropriate actions for teachers and other school employees to take when they suspect a forced marriage of a child is imminent. The report also contains guidelines for police officers, health care professionals, and social workers, and provides general information on good practices when caring for victims of forced marriage."
Pediatric Social Illness: Toward an Etiologic Classification
"Child abuse is associated with more extreme stresses in all categories studied; failure to thrive with maternal historical stresses, perceived sickness of the index child, and contemporary social isolation; and accidents with contemporary household crises." excerpt from abstract
Preventing violence and reducing its impact: How development agencies can help (pdf)
This document makes the case for increased attention on the impact of violence on development by international development agencies. A key aim is to stimulate dialogue on the role of international development agencies in the prevention of violence globally, and ultimately to increase investment in a commonly agreed set of applied violence prevention strategies. The primary audience for this document is policy-makers, high-level planners, and others in the international development field.
Psychological Abuse: A Discussion Paper (pdf)
"This paper is a review of research on psychological abuse in interpersonal and family relationships including in settings such as long-term care residences.The paper presents research findings on the personal, economic and health related costs of psychological abuse to the individual and to society, and briefly outlines legal recourses for victims. It concludes by exploring ways to recognize and address psychological abuse, while emphasizing the importance of developing holistic approaches "
Reducing the Literal and Human Cost of Child Abuse: Impact of a New Hospital Management System
This article summarizes a study that assessed the medical care costs as well as human total cost of child abuse both before and after the implementation of a new system of care. This new system involved multiple disciplines caring for each child simultaneously as well as involved frequent consultation on an interdisciplinary level.
Reporting of Suspicious Wounds by Health Professionals: Minnesota Statute 626.52
Posted by the Minnesota Office of the Revisor of Statutes. Discusses the statute, the fact that health professionals are required to report suspicious wounds and burns, and immunity from liability.
Sexual Intercourse Among Adolescents Maltreated Before Age 12: A Prospective Investigation (pdf)
"This study found that maltreatment (regardless of type) predicts sexual intercourse by 14 and 16. Emotional distress explains the relationship by 14. By 16, other factors likely contribute to intercourse. Maltreated children are at risk for early initiation of sexual intercourse and sexually active adolescents should be evaluated for possible maltreatment."
Shattered Hearts: The Commercial Sexual Exploitation of American Indian Women and Girls in Minnesota (pdf)
A groundbreaking report released by the Minnesota Indian Women’s Resource Center (MIWRC) highlights the alarming and pervasive sex trafficking of American Indian women and girls in Minnesota. The first comprehensive report of its kind, it highlights risk factors for victims that include poverty, a disproportionate number of American Indian homeless, high incidences of overall sexual assault, Fetal Alcohol Spectrum Disorders (FASD) and pervasive multi-generational trauma.
Starting Smart: How Early Experiences Affect Brain Development
"This report provides a straightforward summary of the interactions between early brain development, childhood emotional experiences and trauma. Drawing from this research, it concludes by making a case for increased services to counter the disadvantages faced by children who experience trauma or neglect."
Surveillance for Violent Deaths -- National Violent Death Reporting System, 16 States, 2005
"This report summarizes data from CDC's National Violent Death Reporting System (NVDRS) regarding violent deaths from 16 U.S. states for 2005. Results are reported by sex, age group, race/ethnicity, marital status, location of injury, method of injury, circumstances of injury, and other selected characteristics."
This report examines the links between eating disorders and violence against women and girls. It is based on information gathered from published literature as well as consultations with community workers, health practitioners, and mental health professionals. “Swallowing the Hurt” has been designed for use by frontline workers, health care and social service professionals, educators, and researchers who offer services directly for or who may interact with women and girls experiencing eating disorders or violence.
The Effects of Childhood Stress on Health Across the Lifespan
"This document summarizes the available research on childhood stress and its long-term consequences. Of particular interest is the stress caused by child abuse, neglect, and repeated exposure to intimate partner violence."
The evaluation of sexual abuse in children
Sexually abused children are seen by pediatricians and family care practitioners in a variety of circumstances, but the diagnosis of sexual abuse and the protection of the child from additional harm depend in part on the provider's willingness to consider abuse as a possibility. Sexually abused children who have not disclosed abuse may present with a variety of symptoms and signs. Released by the National Guideline Clearinghouse (NGC), the Evaluation of Sexual Abuse in Children was developed by the American Academy of Pediatrics to assist pediatric and family care providers in effectively evaluating and caring for children who are sexually abused.
The Facts on Health Care & Domestic Violence (pdf)
"Statistics on dv incidents highlighting health consequences to the victim, children's health issues, hospital and other health service costs, identification and screening practices in health care settings, and domestic violence during and after pregnancy."
The Health Impacts on Adult Women of Childhood Sexual Violence Before the Age of Twelve Years
This is a 1998 report by seven authors of Ipswich, Queensland, Australia. The authors describe the health consequences in adulthood that often emerge as a consequence of childhood sexual violence. High rates of depression and dissociation resulted, as well as a low rate of school completion. The experiences of women when they sought help are described.
The Impact of Conflict on Women and Girls in West and Central Africa and the UNICEF response (pdf)
"This first-of-its-kind study by UNICEF on the situation of war-affected girls and women in the region highlights innovative programmes being implemented with partners to address the impact of conflict, and recommends how UNICEF can more proactively champion the rights of girls - particularly adolescent girls."
"This study seeks to (a) identify and measure the lifetime exposure to community violence of 137 African American and Latino middle school students from a low income neighborhood and apply numerical weights to each violent event; (b) examine the relationship between the objective severity of child self reported violence exposure and the child's subjective perception of the most bothersome event; and (c) examine the relationship between child's exposure and posttraumatic stress disorder (PTSD)."
The Safe Start Center Series on Children Exposed to Violence: Pediatric Care Settings (pdf)
This issue brief translates emerging research and program practice into action steps for practitioners in pediatric care settings to design and implement programs that meet the needs of children who are exposed to violence.
The Sex Trade Industry's Worldwide Exploitation of Children
"This study examines the current state of international trafficking of children and other child sexual exploitation."
The State of the World's Children 2009 Report
"The State of the World's Children 2009 examines critical issues in maternal and newborn health, underscoring the need to establish a comprehensive continuum of care for mothers, newborns and children. The report outlines the latest paradigms in health programming and policies for mothers and newborns, and explores policies, programmes and partnerships aimed at improving maternal and neonatal health. Africa and Asia are a key focus for this report, which complements the previous year's issue on child survival."
This is a good introduction to advocacy concepts used when working with victims of intimate violence, rape and child abuse. It is designed for use both as a workshop outline and as a guide for direct interactions with individual clients.
Trafficking for Sexual Exploitation (pdf)
"This fact sheet provides a brief overview of sex trafficking of women and children in the Americas and explores the life-threatening health consequences of this type of human trafficking."
UN study on Violence Against Children
"A press release on a new effort to provide a detailed global picture of the nature, extent and causes of violence against children, and propose clear recommendations for action to prevent and reduce such violence. The study focuses on violence against children in five settings: the home and family, schools and educational settings, other institutional settings (orphanages, children in conflict with the law), the community and on the streets, and work situations. "
United Nations Report on Violence Against Children
The report describes the scope and nature of violence against children and its impact, approaching its subject from the perspectives of human rights, child protection, and public health. The report is available in 8 languages.
Update on global trends in trauma
This review updates the recent trends in trauma with emphasis on the causes and manifestations of trauma on a global scale.
Violence in Families: Assessing Prevention and Treatment Programs
This is a full-text online book made available courtesy of The National Academies Press. This important book, published in 1998, details out chapter by chapter the different types of interventions to be utilized by different types of professionals, as well as makes recommendations.
Violence Issues: An Interdisciplinary Curriculum Guide for Health Professionals
This guide is designed to increase the sensitivity and awareness of health professionals to family violence issues. Special attention has been given to screening and early intervention, as well as to the needs of survivors.
When the Pediatrician Is a Pedophile
A detailed case study of a pediatrician pedophile is walked through and the moral implications and associated factors are elaborately discussed.