Risk factors and services for child maltreatment among infants and young children

Objectives

Child maltreatment (CM) causes injury in large numbers of U.S. children. This study uses a large, multi-state dataset of child protective services reports for infants and young children under five years of age to examine risk factors and the effects of services in confirmed maltreatment investigations and recurrence over five years.

Methods

The Child Files of the National Child Abuse and Neglect Data System (NCANDS) for 2003-2007 were used to study confirmed CM reports to child protective services (CPS) using regression models and survival analysis among a cohort of children first reported during 2003.

Results

There were 1.2 million confirmed maltreatment reports to state child protective services agencies in 22 states during 2003-2007 in NCANDS, including 177,568 infants and young children under five years. 19.3% had a second confirmed CM report within 5 years. White race, inadequate housing and receiving public assistance were associated with significantly increased risk of CM recurrence. Infants and young children received more services and had less recurrence than did older children.

Conclusions

Infants and young children have different risk factors and receive different services than do older children in the CPS system. We need additional research to further assess and better target services for the special needs of infants, young children and their families if we are to protect them and reduce future child maltreatment.     

Nursing home admissions and long-stay conversions among persons with and without serious mental illness

The appropriateness of nursing homes for individuals with serious mental illness remains a controversial issue in long-term care policy more than a decade since the landmark U.S. Supreme Court Olmstead decision in 1999 , which affirmed the rights of persons with disabilities to live in their communities. Using national nursing home Minimum Data Set assessments from 2005, the authors compared the demographic, clinical, and functional characteristics of persons with and without serious mental illness newly admitted to nursing homes. They found that newly admitted people with serious mental illness were younger and more likely to become long-stay residents than those admitted with other conditions, despite a higher proportion of residents with serious mental illness, including the elderly, classified as low-care status. The most substantial and clinically significant difference for rates of low-care status 90 days after initial admission are for persons younger than 65 with serious mental illness versus those younger than 65 without serious mental illness (33% vs. 8.5%, or 3.9 times greater). There is a notable difference in low-care status between persons aged 65 and older with serious mental illness and those aged 65 and older without serious mental illness (14% vs. 6.6%, or 2.1 times greater). These results suggest that a substantial number of adults with serious mental illness residing in nursing homes may have the functional capacity to live in less restrictive environments.     

Dogmatism and Competitive Relationships Between Soccer Teams

In the framework of intergroup relationships, Social Identity Theory (SIT) and Real Conflict Theory (RCT) both hypothesize a positive relationship between social identification and ethnocentrism in threatening en-vironments. The RCT proposes that conflict for scarce resources between groups determines ingroup identification while the SIT predicts that intensity of social identification leads to outgroup hostility in threatening contexts. An examination of these relationships is undertaken in a competitive sports context with the help of the dogmatism scale. Relationships between Belief and Activism Toward One Cause, as a social identification measure, and Out-group Authoritarian Intolerance, as an ethnocentrism measure were studied across two experimental conditions (neutral vs. competitive). The results describe a positive effect of Out-group Authoritarian Intolerance, measured in the neutral condition, on Belief and Activism Toward One Cause, measured in the competitive condition, validating RCT. The results are discussed based on complementary individual and collective analyses (i.e., dogmatism and intergroup relationship theories) of ethnocentrism.     

Validation of Multimedia Models Assessing Exposure to PAHs—The SOLEX Study

Polluted soils have become a public health problem. While population exposure to soil pollutants is generally quantified using multimedia models, their estimations have not been validated, and studies that attempted to do so are scarce. The objective of the SOLEX study was to compare the predictions of pyrene exposure levels (converted into 1 hydroxypyrene) computed by several models with the results of urinary 1-hydropyrene (1-HOP) assays among 110 employees working at three sites polluted during their past use as manufactured gas plants. Four models were used: AERIS (Canada), CalTOX (California, USA), CLEA (UK), and HESP (The Netherlands). Three occupational exposure scenarios--with office, mixed, and outdoor workers--were constructed, based upon job activities during two measurement campaigns, one in winter and one in summer. The exposure levels estimated by the four models could differ markedly (from 7 up to 80 times) according to the exposure scenario. Also, the predominant exposure routes differed according to the model (direct soil ingestion for HESP and CalTOX, inhalation for AERIS, and dermal absorption for CLEA). The predictions of CalTOX are consistent with the 1-HOP measurements for all the scenarios. For HESP, the consistency is observed for the scenarios, office and mixed, for which the pyrene level in the soil is low. AERIS and CLEA yield results that are systematically above the 1-HOP measurements. This study confirms that validation of the models is crucial and points out to the need to proceed to assess components of the models that are the most influential using appropriate statistical analysis in combination with true field data.     

An Integral Approach to Mental Health Recovery: Implications for Social Work

The term recovery has become increasingly popular in the area of mental health care. Recently, it has been described by policy makers as the guiding vision for transforming the mental health system. Problematic, however, is that a lack of clarity continues to exist regarding how recovery is to be defined. Definitional attempts often appear to have competing opinions about what the concept exactly stands for. This causes confusion for both professionals and consumers desiring to adopt a recovery approach. Ken Wilber's integral theory is presented as a framework for organizing and connecting various viewpoints related to the “recovery” concept. Implications for social work are discussed.     

Racial inequality and social control: Historical and contemporary patterns in the U.S. South

Research dealing with disproportionate criminality, arrest, and incarceration among African Americans has tended to emphasize cultural, familial, and structural differences between racial groups while at the same time neglecting patterns and processes of race‐ and class‐based antagonism and subordination that are central, especially in the case of the U.S. South historically. We attempt to address this limitation by posing a model of the contemporary black‐white arrest differential across counties of one southern state. The model itself takes into consideration class‐ and race‐based subordination processes and their impact on local levels of stratification and arrest. Results suggest the continuing influence of racial competition and class dynamics. Racial competition enhances the arrest gap by disproportionately increasing unemployment and family dissolution among African Americans. The existence of a strong and concentrated traditional elite is shown to depress the racial gap, presumably by increasing poverty, unemployment, and family dissolution for both groups or by shaping what it means to go to jail, especially for blacks. In general, the arguments and findings presented suggest that criminological literature and theorizing should take note of local racial and political‐economic processes that, through the perpetuation of race and class inequality, reproduce disparate patterns of criminality, arrest, and incarceration.     

The National Social Distance Study: Ten Years Later

The Bogardus social distance scale, which measures the level of acceptance that Americans feel toward members of the most common ethnic and racial groups in the United States, was administered six times nationally between 1920 and 2001. Replicating the most recent study with its revised list of ethnic and racial groups, the authors of this study analyzed a stratified random sample of 3,166 college students, making it the largest national social distance study ever conducted. The findings indicate an increase since 2001 in the mean level of social distance toward all ethnic groups, as well as in the spread between the groups with the highest and lowest levels of social distance. Further, a consistency between studies in group preferences reaffirms the relevance of the similarity‐attraction bond in accepting those who are racially and culturally different. Mean comparisons and analysis of variance tests also showed that gender, birthplace of respondents and/or their parents, race, and year in college are all significant indicators of the level of social distance toward groups.