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Biomedical subjects

H J Doueck

Publications and source records attributed to H J Doueck.

8 recordsLinked to original sources

Rush to judgment? Child protective services and allegations of sexual abuse.

Two hundred and ninety-three randomly selected cases from a child protection service agency in a large western New York county were examined to test the hypothesis that sexual abuse allegations are investigated and processed more intensively than cases alleging other types of maltreatment. Contrary to the hypothesis, allegations of sexual abuse were substantiated at a lower rate, not investigated more intensively, and not offered more services than were other cases.

Attitude of Health Personnel↗

Effects of legally mandated child-abuse reports on the therapeutic relationship: a survey of psychotherapists.

In a national survey of 907 licensed psychologists regarding mandated reporting of child maltreatment, predictors of outcome included: therapeutic alliance; role strain; therapist explicitness; family vs. individual treatment; and whether or not the client was the perpetrator. Therapists were asked to describe a case involving reporting, its impact on treatment, informed consent procedures, as well as their own attitudes and beliefs. Implications for research are discussed, and recommendations for clinical training and practice are offered.

Adult↗

Reasonable cause: a qualitative study of mandated reporting.

Forty-nine volunteers (29 therapists and 20 child protection workers) were interviewed regarding their experiences with mandated reporting. The results indicated widespread disagreement between the groups about the nature of appropriate reports, the requirements of the law, and the process designed to protect children and help families.

Adult↗

Child age and caseworker attention in child protective services investigations.

Infants and toddlers are at increased risk for severe/fatal abuse, often at the hands of male perpetrators. This paper examined whether child maltreatment cases involving younger children receive more casework services, overall caseworker activity (e.g., home visits, phone contacts), and are more likely to be substantiated, particularly if a male perpetrator is involved. The randomly selected sample consisted of 293 child abuse and neglect reports in a large county in Western New York in 1993. Hierarchical regression analyses showed that younger children generally receive more overall services and caseworker activity, and that while age makes a significant contribution after the decision has been made to substantiate a case, it does not have the same effect on the initial decision of whether or not to substantiate. Gender of the perpetrator did not reliably predict caseworker attention.

Adolescent↗

School-based tobacco use prevention.

Although school-based tobacco use prevention programs have had limited short-term success, questions remain about whether these programs would have the same degree of success with youths at risk for habitual tobacco use. This article describes a pilot project to discriminate these high-risk youths from low-risk youths. Two hundred twenty-five consenting youths from a western state completed a questionnaire containing individual, demographic, and environmental correlates of habitual tobacco use. The total sample consisted of 105 males and 119 females. Nineteen percent came from ethnic minorities, and 69% were from traditional households. Discriminant function analyses identified correlates that discriminated between current tobacco users and nonusers as well as students intending to use tobacco from those who did not.

Child↗

Evaluating risk assessment implementation in child protection: issues for consideration.

The use of systematic risk assessment models by Child Protective Services is a rapidly growing phenomenon. Despite their popularity, we know little about the effect of implementation on casework practice. This article examines some issues that agencies might consider when evaluating the impact of risk assessment implementation on service delivery. The authors recommend an approach that includes the use of qualitative and quantitative measures in a process and an outcome evaluation to determine the degree to which the model has been implemented as intended and the impact of implementation on the case work process. Though this approach is likely to provide agencies with detailed information of the impact of risk assessment implementation, caution is recommended when interpreting the results from an evaluation of a risk assessment model in a field setting.

Child↗

Decision-making in child protective services: a comparison of selected risk-assessment systems.

The use of structured risk-assessment systems by child protective services has increased dramatically during the past ten years. Versions of the Illinois CANTS 17B, the Washington Assessment of Risk Matrix, and the Child at Risk Field System have been put into use in some form in 23 states [Berkowitz 1991]. Despite this widespread acceptance, workload pressures, uncertain reliability and validity of the instruments, and the need for a knowledgeable and well-trained casework staff have limited the models' usefulness once implemented.

Child↗