Martha L. Coulter

Impact of legal intervention on sexually abused children

OBJECTIVE Examining the psychologic risks of court and related interventions on child sexual abuse victims. DESIGN A prospective cohort study with follow-up at 5 months. SETTING Eleven county social service departments in central North Carolina. SUBJECTS 100 sexually abused children, ages 6 to 17 years, were recruited from consecutive referrals by social service departments; 75 completed the study. MEASUREMENTS AND RESULTS Using a structured psychiatric inventory, the Child Assessment Schedule, we found a high degree of distress at referral. The level of distress fell by 26% over the next 5 months (p less than 0.001). The 33 children not involved in criminal proceedings improved 30%, in comparison with a 17% improvement in the 22 children waiting for the proceedings (p = 0.042). The 12 children who had testified in juvenile court improved 42% on the Anxiety subscale, in comparison with a 17% improvement in all other subjects (p less than 0.01). With mathematical modeling that controlled for the factors of vaginal or anal penetration, the relationship to the perpetrator, an estimate of verbal IQ, duration of abuse, and whether counseling was received, it was estimated that children waiting for court proceedings at the follow-up examination were only one twelfth as likely to have improved by one standard deviation on the Depression subscale (p less than 0.05). A second model revealed that children who testified in juvenile court were 20.11 times more likely to improve by one standard deviation on the CAS Anxiety subscale (p less than 0.05). CONCLUSIONS Testimony in juvenile court may be beneficial for the child, whereas protracted criminal proceedings may have an adverse effect on the mental health of the victim.

Perceived violence climate: A new construct and its relationship to workplace physical violence and verbal aggression, and their potential consequences

Abstract Workplace accidents and violence are both potential sources of employee injuries that have been dealt with in entirely separate literatures. In this study we adapted the concept of safety climate from the accident/injury literature to violence in developing the concept of perceived violence climate. A scale was developed to assess perceived violence climate, including items about management attention, concern, and policies designed to keep employees safe from violence. Data were collected from a sample of 198 nurses from a US Hospital. Perceived violence climate was found to correlate significantly with both physical violence and verbal aggression experienced by the nurses, injury from violence, and perceptions of workplace danger. Furthermore, regression analyses showed that climate explained additional variance in psychological strain and perceptions of danger over experienced violence. These results have implications for interventions aimed at producing a good perceived violence climate in order to reduce the incidence of violence and aggression within an organization.

Police-Reporting Behavior and Victim-Police Interactions as Described by Women in a Domestic Violence Shelter

Previous research has addressed the motivations of domestic violence victims to contact police and police responses to domestic violence calls. In a study of 498 women who entered a battered womens shelter, a questionnaire was used to elicit types of abuse they experienced, police contact, and police-victim interactions. Approximately 58% of victims called the police in response to physical, emotional, and other forms of domestic abuse; however, less than one fourth of the batterers were arrested. Batterers who physically abused their victims or used other forms of abuse such as sexual abuse or stalking were more frequently arrested compared to those batterers who used emotional abuse. The women arrested for domestic violence felt that they had acted in self-defense. These results suggest that the police response to domestic violence is variable and the majority of batterers, regardless of type of abuse, may not be receiving any legal or therapeutic intervention.

Reducing domestic violence and other criminal recidivism: effectiveness of a multilevel batterers intervention program

This study evaluated whether the use of a multilevel system of intervention based on batterer assessment resulted in lowered risk of re-arrests for both domestic violence and other crimes. The study conducted analysis of data from 1995 to 2004, including initial arrest and program placement information and re-arrest rates for 17,999 individual batterers. The study found that recidivism rates were substantially lower for participants who completed the programs when compared to those who did not and that the re-arrest rates were substantially lower than are generally found in the literature on batterer recidivism. The study provides guidance to batterers intervention programs in approaches to designing countywide programs that are most effective in reducing recidivism in domestic violence batterers.

Domestic Violence Victims Support Mandatory Reporting: For Others

Five states now have mandatory reporting laws when a victim of domestic violence is identified in a clinical setting, and many other states are considering such legislation. Advocates for battered women have frequently warned that abused women may not wish mandatory reporting laws. Published data derived from the opinions, wishes, and beliefs of women victims of domestic violence have been noticeably lacking. This study presents a preliminary study of 45 abused women. Results indicate that women victims overwhelmingly support mandatory reporting laws. In an apparent paradox, however, they were much less certain that mandatory reporting would have been helpful to them in their specific case.

Determinants of placement for sexually abused children

While conducting a prospective study of 100 sexually abused children, we found a much higher rate of out-of-home placement than has been previously described for child maltreatment. This study was designed to determine which factors were most influential in predicting the placement experiences of this cohort. The children, ages 6-17 years, were recently substantiated victims of intrafamilial sexual abuse whose parents or guardians permitted study involvement. We examined child and family demographics, abuse characteristics, and family response as possible determinants of immediate and later placement. At the initial assessment, within a few weeks of the disclosure, 50% of the children had already been removed. A follow-up assessment of 83 children two years later revealed that 73% had been removed from the abusing home. In a multivariate regression model, only maternal support of the child emerged as a significant predictor of immediate placement and placement over time. The offenders status as a resident in the childs home was an important predictor of immediate placement but was not significant as a predictor of all placements at any time. As maternal support is an important predictor of the need for placement, workers are encouraged to seek ways of enhancing maternal support as a means of reducing placement.

Depression in Women Who Have Left Violent Relationships: The Unique Impact of Frequent Emotional Abuse.

Intimate partner violence (IPV) exposure has been associated with poor mental health outcomes for victims, but fewer studies have examined the unique contributions of emotional abuse to mental health. This study explored the contextual relationships between the type and frequency of IPV, community factors, and emotional health. Data were collected from a community-based IPV intervention program. Logistic regression found an increased likelihood of depression for respondents who experienced emotional abuse more than once per week (odds ratio [OR] = 4.864) and were worried about contact by the abuser (OR = 5.898). Results indicate the need for specific policy and practice attention to this issue.

Co-Occurrence of Intimate Partner Violence and Child Maltreatment: Service Providers’ Perceptions

Intimate partner violence (IPV) places children at risk for maltreatment (CM). It is critical for both IPV and CM professionals to assess the possibility of the co-occurrence of both of these types of family violence, whose risk factors are nearly identical. However, little is known about the attitudes and perceptions of child welfare (CW), IPV, child protection, or other related professionals when serving families where both of these circumstances may occur. This study examined the perceptions of service providers in Hillsborough County, Florida on the co-occurrence of CM and IPV. Findings demonstrate the inequitable knowledge, training, and perceived ability to deal with the co-occurrence of IPV and CM among professionals from different employment areas. These discrepancies serve as opportunities for different agencies to collaborate in reducing knowledge gaps and increasing respondent’s capacity to effectively identify and intervene with victims.

Conflicting needs and interests of researchers and service providers in child sexual abuse cases

A child sexual abuse research project was designed which was dependent on referrals from local departments of social services. Significant differences in needs and goals existed between the referral sources and the research team. Modifications of project designs were necessary in the areas of subject recruitment, allocation of project resources, design and measurement, and analysis and reporting. These modifications resulted in a beneficial blend of service and research and produced a useful service in the setting of competent research.

A Preliminary Investigation of Risks for Adverse Outcomes of Relationship Seeking on Social Network Sites (SNS): A Descriptive Study of Women Over 50 Seeking Relationships on MySpace in Hillsborough County, Florida

In contrast to younger populations, little attention has been paid to the increase in seniors using Internet-based venues to find relationships and the potential risk for adverse outcomes this poses. This study examined data collected via an online survey from 45 ethnically diverse women aged 50+ “seeking relationships” on MySpace. The majority of women reported a relationship with someone they met online (85%). They also reported experiencing adverse events including financial exploitation (40%), threats (55%), and physical harm (38%) by someone they met online at levels greater than traditional relationship seeking in the general population. Directions for future research are explored.