Showing posts with label child abuse. Show all posts
Showing posts with label child abuse. Show all posts

Monday, April 08, 2013

Honoring Sara O'Meara and Yvonne Fedderson - ChildHelp USA

April is Sexual Assault Awareness Month

Honoring Sara O'Meara and Yvonne Fedderson
Co-Founders of ChildHelp USA


Back in 1959 Sara O'Meara and Yvvon Fedderson founded ChildHelp USA, one of the first organizations dedicated to helping survivors abused children worldwide.

In 2006 the movie "For the Love of a Child" was created that's an overview of the history of their important work, which is available on YouTube and available below by clicking on each link.

"For the Love of a Child"
Part 1
Part 2
Part 3
Part 4
Part 5
Part 6
Part 7
Part 8
Part 9

To learn more about Sara and Yvonne: CLICK HERE.



Sunday, February 17, 2013

Harlow's Study on Attachment: Child Abuse and Neglect in the Chasidic World

When I think of some of my friends who grew up in the Chasidic world, I often think of Harlow's study on attachment.  All too often I hear horror stories of how many children are left to fend for themselves. Never really ever having the opportunity to develop healthy attachments with either parent.  The same thing happens with children who grew up in cult like settings, boarding schools, yeshivas or with extremely abusive families.  –– Vicki Polin


Monday, February 11, 2013

Case of sex crimes within the Nazi Party

Case of child abuse within the Nazi Party

This page is under construction

_________________________________________________________________________________


Disclaimer: Inclusion in this website does not constitute a recommendation or endorsement. Individuals must decide for themselves if the resources meet their own personal needs.

Table of Contents:

  1. Documentary Nazi The Occult Conspiracy (02/13/2013)
_________________________________________________________________________________

Documentary Nazi The Occult Conspiracy
February 11, 2013




_________________________________________________________________________________



FAIR USE NOTICE
 
Some of the information on The Awareness Center's web pages may contain copyrighted material the use of which has not always been specifically authorized by the copyright owner. We are making such material available in our efforts to advance understanding of environmental, political, human rights, economic, democracy, scientific, and social justice issues, etc.

We believe this constitutes a 'fair use' of any such copyrighted material as provided for in section 107 of the US Copyright Law. In accordance with Title 17 U.S.C. Section 107, the material on this site is distributed without profit to those who have expressed a prior interest in receiving the included information for research and educational purposes.

For more information go to: http://www.law.cornell.edu/uscode/17/107.shtml . If you wish to use copyrighted material from this update for purposes of your own that go beyond 'fair use', you must obtain permission from the copyright owner.
_________________________________________________________________________________

 "Never doubt that a small group of thoughtful, committed citizens can change the world. Indeed, it is the only thing that ever has." -- Margaret Mead

_________________________________________________________________________________

Friday, January 25, 2013

Songs About Incest, Child Abuse, Sexual Assault & Domestic Violence

Songs About Incest, Child Abuse, Sexual Assault and Domestic Violence
This Page Is Under Construction


If you know of songs that are about child abuse, sexual abuse, sexual assault or domestic violence and are not listed here, please let us know.
___________________________________________________________________________________
 
Table of Contents



Child Abuse and Neglect
  1. Hell Is For Children
  2. Luka
  3. Mother
  4. The Rose 
  5. Sad Lisa 

Clergy Sexual Abuse
  1. Smackwater Jack

Domestic Violence
  1.  Behind The Wall

Incest
  1. Janie's Got A Gun (Incest)

Incest and Child Sexual Abuse


Sexual Assault
 
___________________________________________________________________________________
  
Songs about Child Abuse and Neglect


Hell Is For Children - Pat Benatar


 
Luka
By Suzanne Vega 


Mother
By Pink Floyd



The Rose 
By Bette Midler



Sad Lisa
By Cat Stevens



___________________________________________________________________________________
 
Songs About Clergy Sexual Abuse


Smackwater Jack
By Carole King  




___________________________________________________________________________________
  
Songs about Domestic Violence

Behind the Wall 

By Tracy Chapman



___________________________________________________________________________________
 
Songs About Incest


Janie's Got A Gun
By Aerosmith

___________________________________________________________________________________
 
Songs About Incest and Child Sexual Abuse


___________________________________________________________________________________
 
Songs About Sexual Assault 

___________________________________________________________________________________
 

Tuesday, January 15, 2013

12-year-old boy found criminally responsible for murdering neo-Nazi father

12-year-old boy found criminally responsible for murdering neo-Nazi father
Joseph Hall was just 10 years-old when he shot and killed his white supremacist father

By Tim Walker
The Independent - Jan. 15, 2013


A California judge has found a 12-year-old boy criminally responsible for murdering his neo-Nazi father.

Joseph Hall was just 10 years-old when he shot and killed his white supremacist father, Jeffrey, in the early hours of 1 May 2011. The verdict, delivered yesterday, which pronounced Joseph guilty of second-degree murder, means that the young defendant could be incarcerated in a juvenile facility until he is 23 years-old.

Judge Jean Leonard, who heard the juvenile court case without a jury, made her ruling following a trial that turned on whether the boy was fully cognisant of right and wrong when he used a .357 revolver to shoot his 32-year-old father in the head at point blank range, as he dozed on a sofa at the family’s home in Riverside County, 60 miles east of Los Angeles.

Prosecutors insisted that the killing was premeditated, and that Hall knew precisely what he was doing despite his young age. But his defense lawyer, Matthew Hardy, argued that the Hall household was defined by physical abuse, and that his client believed shooting his father would put an end to that violence. Last week Hardy withdrew Hall’s initial plea of not guilty by reason of insanity, and instead urged the judge to convict him of voluntary manslaughter. Joseph Hall chose not to testify at the trial.

Jeff Hall, an unemployed plumber with Nazi insignia tattooed on his head, was a regional director for the National Socialist Movement, which advocates the expulsion of Jews and non-white citizens from the US. He had taken his young son on night-time “patrols” of the Mexican border, donning night-vision goggles and combat clothing in a bid to detain illegal immigrants. The boy attended rallies during his father’s unsuccessful campaign for election to the local water board, at which the pair performed Nazi salutes together.

They also shared the family home – decorated with swastikas and Nazi memorabilia – with four siblings and Joseph’s stepmother, Krista McCary. A psychologist acting as a witness for the defence claimed the boy was conditioned to violence by repeated beatings from his father, as well as emotional and even sexual abuse. He was expelled from several schools, in one instance for trying to strangle a teacher with a telephone cord.

The prosecution, however, called the descriptions of Jeff’s abuse, “fiction, a smoke-screen, a red herring.” Riverside County Deputy District Attorney Michael Soccio told the court, “Joseph was not raised in the home described by the defense.” Instead, Soccio suggested, the boy killed his father because Jeff was planning to divorce McCary, to whom Joseph was close.

On the night in question, a documentary-maker was at the Hall house to capture footage of a meeting of the local National Socialist party, hosted by the victim. The footage shows a skinny, blonde Joseph listening closely to the party members’ speeches. After his father’s colleagues left, the boy returned to the room with the snub-nosed handgun that detectives later found under his bed. When police arrived at the scene, he was cowering beneath his duvet. “This father and son thing had to come to an end,” he said as he was arrested.

According to experts, 8,000 murder victims in the US in the past 32 years were killed by their children, but 16 such crimes were committed by defendants aged 10 or younger. “He’s been conditioned to violence,” Hardy told the New York Times before the trial. “He thought what he was doing was right, and while that may be hard for other people to understand, in his mind, in a child's mind, if he thought it was right, or at least didn't think it was wrong, then he cannot be held responsible.”


Tuesday, January 01, 2013

Sex Offender Registry: Other Related Cases

Sex Offender's Registry of Alleged and Convicted Offenders

Other Related Cases
THIS PAGE IS UNDER CONSTRUCTION

(Rabbis, Cantors and Other Trusted Officials)
 
Thou shalt not go up and down as a talebearer among thy people; neither shalt thou stand idly by the blood of thy neighbor" (Leviticus 19:16).


_________________________________________________________________________________

The Awareness Center is currently on an extended sabbatical due to lack of funding.  If you feel that the information our web page is worthwhile please consider making a donation to our organization. Suggested donation is $1.00 per page that you visit.

_________________________________________________________________________________

  1. Case of Eyal Benyosef (Hollis Hills, NY; Toms River, NJ) (Eyal Benyosef is wanted for faily to comply with bail from an incident in 1994 when he was charged with kidnapping of a law enforcement officer; armed robbery, carjackijng and escape.)
  2. Case of Unnamed The Dentist Couple (Kfar Sava, Israel) (Charged with Severely Abusing Daughters)
  3. Case of Rabbi Tzvi Flaum (Far Rockaway, NY; Lawrence, NY) (Breach of Confidentiality)
  4. Case of Rabbi Bernard Freilich (Borough Park/Brooklyn, NY)  (Acquitted of death threats to an alleged victim)
  5. Case of Kenneth Gribetz, District Attorney (Rockland County, NY) (Plead guilty to two misdemeanor counts of defrauding the government in a deal he worked out with the U.S. Attorney. Although married, a father and grandfather, Gribetz was partly done in by his former mistress, who went to the media with information about him.)
  6. Case of Michael Hersh, Miriam Hersh (Brooklyn, NY) (Allegations were made that Isaac Hersh's parents and rabbi knew that Isaac Hersh would be abused and neglected if he was sent to Tranquility Bay Reform School in Jamaica).
  7. Case of Rabbi Steven Jacobs (Los Angeles, CA) (Accused of clergy sexual abuse. according to Michele Samit's book, "No Sanctuary: The True Story of a Rabbi's Deadly Affair" -- after Anita Green's husband learned Rabbi Jacobs was sexually involved with his wife, Anina Green, he murdered her )
  8. Case of Asher Lipner  (Accused of misrepresenting himself as a psychologist prior to being licensed. He also was accused numerous times of violating confidentiality of clients and other survivors he worked with)
  9. Cases Involving Modesty Patrol in Chasidic and Charedi Communities
  10. Case of Amy Neustein (This is a case of alleged child abuse and neglect. As of October 27, 2008 there have never been any allegations of a sex crime)
  11. Case of Rabbi Rabbi Aharon Schechter  (Allegations were made that Isaac Hersh's parents and rabbi knew that Isaac hersh would be abused and neglected if he was sent to Tranquility Bay Reform School in Jamaica).
  12. Case of Rabbi Sholom Twersky (Brooklyn, NY) - (Case of alleged child physical abuse).
  13. Case of Rabbi Dovid Weinberger (Lawrence, NY) (Breach of Confidentiality)
  14. Case of Rabbi Gershon Winkler (Cuba, NM; Thousand Oaks, CA) ("Acknowledged that he fathered a child with a student, carried on several "intimate relationships" with students over the years and said he is currently in a relationship with two women." Winklder also believes it is wrong to insist on an "across-the-board" ban on sexual relationships involving rabbis and followers, teachers and students, and counselors and patients.") 


__________________________________________________________________________________

FAIR USE NOTICE
 
Some of the information on The Awareness Center's web pages may contain copyrighted material the use of which has not always been specifically authorized by the copyright owner. We are making such material available in our efforts to advance understanding of environmental, political, human rights, economic, democracy, scientific, and social justice issues, etc.

We believe this constitutes a 'fair use' of any such copyrighted material as provided for in section 107 of the US Copyright Law. In accordance with Title 17 U.S.C. Section 107, the material on this site is distributed without profit to those who have expressed a prior interest in receiving the included information for research and educational purposes.

For more information go to: http://www.law.cornell.edu/uscode/17/107.shtml . If you wish to use copyrighted material from this update for purposes of your own that go beyond 'fair use', you must obtain permission from the copyright owner.

__________________________________________________________________________________

Wednesday, November 21, 2012

Teaching Hate

Communities teaching children to hate.

Communities teaching children to hate

Communities teaching children to hate


Friday, October 19, 2012

The Problem with the Jewish Taskforce Against Family Violence and Sexual Assault

The Problem with the Jewish Taskforce Against Family Violence and Sexual Assault
By Vivien Resofsky
Galus Australia - October 19, 2012

I have been attempting to engage The Jewish Taskforce Against Family Violence and Sexual Assault (The Taskforce) since 2006, both directly and in the pages of The Australian Jewish News because I am deeply worried by their approach – particularly by their assertion that children can and should be taught to protect themselves against adult predators. The truth is, they can’t.

I am so concerned that I have also submitted complaints to the JCCV, Jewish Care and the Rabbinical Council of Victoria about what I believe is The Taskforce’s dangerously misguided approach to a very complex issue; however, nothing has changed.

The best evidence indicates that we cannot leave children to protect themselves; however, The Taskforce refuses to acknowledge this. The Protecting our Vulnerable Children Inquiry Report (Feb 2012), weighed up all the worldwide research and evidence about the effectiveness of teaching children personal safety to prevent abuse. It accepted Finkelhor (2009 ),Smallbone et al. (2008) “There is little convincing evidence for the effectiveness of these programs for preventing sexual abuse.”

Ms Weiner, who has no degree or equivalent in any field related to child protection does not agree with the research. She states that, “Giving a child the tools to say NO denies the perpetrator the opportunity to abuse.”

Why would Ms Weiner advocate a position that goes against the best evidence? Unfortunately, Ms Weiner’s position is echoed by Mrs Balfour, head of The Early Learning Centre at Beth Rivkah, who believes The Taskforce – that schools do not need to educate parents, because children under the age of five can protect themselves!

Alongside Debbie Weiner, Taskforce board member, Sheiny New, also speaks publicly on behalf of the group and about child abuse. Ms New has spoken and written extensively about this issue, however, like Ms Weiner, she has no degree or equivalent in the area.

This information, however, is not available on The Taskforce website. In fact, much information about who comprises the Taskforce and their work with children is absent from their website. There is a serious lack of transparency that characterises the group. It is usual practice for a group that purports to protect children to articulate this and to clearly state it as part of their vision; however, the word, “child,” is hardly mentioned on The Taskforce site.

While The Taskforce has existed for 17 years, it only first acknowledged the issue of child abuse  in 2006. It then moved to gain a monopoly on the protection of our children despite its lack of experience and the lack of qualifications of Taskforce volunteers.

In 2006, The Taskforce emailed Di Hirsh of the NCJW, strongly requesting that Ms Hirsh and her organisation withdraw their support from a community child protection awareness and education campaign. The Taskforce’s reasoning for this demand was that they wanted to present an efficient and unified communal response to such a sensitive subject in The Taskforce’s forthcoming forum.
In doing this, The Taskforce successfully removed support for a campaign that included child welfare professionals so that a group of volunteers could be the sole providers of communal education on child abuse.

It is important to remember that The Taskforce is a voluntary organisation whose members are not professionals in the area of child protection; however, The Taskforce have positioned themselves as the community’s authority on the matter.

Because they have worked for 17 years to raise awareness of family violence, they believe that qualifies them to advise on child abuse. Not only is this a logical problem, it also requires a real leap of faith because The Taskforce has only spoken out against child abuse in the last 6 years.

The Taskforce personnel also base their credibility on the training they receive from experts. Many of these experts are highly respected in their fields; however, educational seminars that last for a couple of hours, or at most, a couple of days, can not qualify people to do the work of trained professionals. The Taskforce should not therefore position itself as able to give advice on a par with professional advice.

The Taskforce’s lack of professional personnel leads it to offer poor advice (such as the idea that children can protect themselves). Ms New’s public statement that with the right treatment, victims of child sexual abuse will be, “just fine,” goes against research that demonstrates that only 1 in 10 cases of abuse is even reported. Many abused children cannot get help at all, because their abuse is unknown. Educating parents to spot signs of abuse can address this issue. This is not, however, what The Taskforce is doing.

This makes Ms Weiner’s claim that The Taskforce is, “tackling abuse head on,” difficult to believe. Ms Weiner’s and The Taskforce’s refusal to support parent-directed education is evidence that best practice is not in place. Parents need guidance to help them learn how to assess whether or not good child protection procedures are in place in schools and other institutions. They need to know what to look for. For example, does the organization train staff about child sexual abuse? Does the organization have a code of conduct for adults working with children? Does it outline clear expectations about boundaries between staff and children? How is staff misconduct handled?

It is difficult to understand why The Taskforce relies on extremely out of date ideas of child self protection. We used to think programs that teach children to identify and refuse inappropriate touch would prevent child sexual abuse. Personal safety programs for children have been in existence for over 25 years but experts now advise that children can’t fend off would-be abusers by themselves.

The Protecting our Vulnerable Inquiry 2012, weighed up all the worldwide research and evidence about the effectiveness of teaching children personal safety to prevent abuse. It agreed with Finkelhor 2009 and Smallbone et al. 2008: “There is little convincing evidence for the effectiveness of these programs for preventing sexual abuse.” (The Protecting our Vulnerable Children’s Inquiry Report 2012)
Telling parents that something will prevent abuse when it clearly will not puts children at unacceptable risk. Sexual abuse is most commonly a gradual process of desensitization, further complicated by the power imbalance between the victim and perpetrator. Would-be abusers use a grooming process to gain trust and acceptance.

Grooming can be described as a psychological process that breaks down a child’s resistance by using techniques such as gift giving, engaging the child in peer like activities, desensitizing the child to touch, isolating the child and then making the child feel responsible for the abuse. Grooming can take place over months or longer. Those who would offend try to get themselves into a situation where they are alone with a child who trusts them. The abused child is then caught in a web of confusion, guilt, deceit and mistrust and a child commonly feels overwhelmed and powerless to stop the abuse.

Ms New, however, advises that parents should educate themselves and then educate their children. The Child Protection Inquiry, however, does not expect parents to educate themselves. It recommends that efforts should focus on raising public awareness of child sexual abuse and providing parents of all school-aged children with education.

Parents need to become aware and even trained in the defence of their children. They can create a barrier between those who would abuse and their children. They need to discuss matters with their children in language that is not threatening and gives the child age-appropriate references. Parents can vet situations when they leave their children in the care of others and ensure that stringent screening, monitoring, training and reporting policies are in place. They need to know the steps they can take when they suspect something is not right. Schools should continue to teach children about personal safety, but the responsibility for protecting children should be placed on adults.

Finally, we must ask ourselves if it is appropriate for a single group to address matters of abuse in both the Ultra Orthodox and less religious communities. The differences in attitudes, values, and culture are enormous between the extremely religious and the less religious sub-groups in our community. Can and should a single group be charged with such a broad agenda?

According to Ms New there are “Jewish” specific factors that impact on why victims of child sexual abuse don’t report. When she refers to “Jewish” factors, are these applicable across the board or only to the Ultra-Orthodox community?

When The Taskforce makes statements like, “We consider ourselves to be a light unto other nations, and if we start talking about violence and abuse in what we consider a perfect Jewish family that light will be dimmed just a little bit and she (the victim) did not want to be the cause of more anti-Semitism…”

or “Living in a host country we would prefer not to create anti Semitism.” or (referring to the Shidduch system)“…The first question asked is: “Is it a nice family?” sexual assault does not a nice family make. Don’t be judgemental. If your brother had to choose between two equally lovely girls but one had been raped 6 months ago which would you choose?”


Do any of these statements apply to non-religious Jews who are the vast majority in the community?
Why then have the JCCV and Jewish Care welcomed The Taskforce’s attempt to be the sole organisation dealing with abuse in the community? Many non-religious Jews are horrified by such attitudes and might wonder why The Taskforce is not doing more to combat them. Meanwhile Ms New asks us not to be judgmental of that belief system. Surely such a group cannot represent our entire community.

***
Vivien Resofsky is a social worker whose specialist training (in both Australia and the USA) underpins her extensive practical professional experience in areas relating to child protection and domestic violence. She has worked with children and families at Jewish Care, The Women’s Domestic Violence Crisis Service and DHS Child Protection and is an accredited trainer of several programs.


Her writing has appeared in numerous publications; for the Australian government; and for the wider media, including The Herald Sun, The Courier Mail, and The AJN. Vivien is also the author of the highly regarded Wesley World series of books which are parent/child guides to personal safety.

Vivien’s work, which has focused primarily on child abuse in the past six years, draws together research and evidence-based theory, practical experience and programmes with evaluated, evidence-based success.

***
The Jewish Taskforce Against Family Violence and Sexual Assault has been contacted to offer them a right-of-reply. To read a previous article about The Taskforce written from their own point of view, please see Breaking the Conspiracy of Silence.


Thursday, October 11, 2012

Murder of a child back in 1851 –– Brooklyn, NY


 

 
FAIR USE NOTICE 
 
Some of the information on The Awareness Center's web pages may contain copyrighted material the use of which has not always been specifically authorized by the copyright owner. We are making such material available in our efforts to advance understanding of environmental, political, human rights, economic, democracy, scientific, and social justice issues, etc. 
 
We believe this constitutes a 'fair use' of any such copyrighted material as provided for in section 107 of the US Copyright Law. In accordance with Title 17 U.S.C. Section 107, the material on this site is distributed without profit to those who have expressed a prior interest in receiving the included information for research and educational purposes. 
 
For more information go to: http://www.law.cornell.edu/us code/17/107.shtml . If you wish to use copyrighted material from this update for purposes of your own that go beyond 'fair use', you must obtain permission from the copyright owner.

Sunday, September 02, 2012

Mind Control 101: Being Told What To Do

One major issue for adult survivors of child abuse who grew up in the ultra-orthodox Jewish world is learning to think for themselves.  They have always been taught to go to their rebbe's for everything.  Yet when their rabbis are more interested in protecting offenders, assets and their own reputations -- survivors often feel extremely trapped and many start feeling suicidal.  

Many chasidic survivors feel they have no other option to leave in order to heal.  They end up walking away from not only their communities, yet also their families of origin.  A huge stumbling block for these survivors is that fact that for many, they have never been taught to utilize their own personal critical thinking. 

The quasi-orthodox Jewish world compared to the "BITE" Model of Cult Mind Control (11/06/2013)

Thursday, July 05, 2012

Child Protection Is Everyones Responsibility


HISTORY: 50 years ago today "The Battered-Child Syndrome recognized by medical professionals


Viewpoint | July 4, 2012
“The Battered-Child Syndrome” 50 Years Later:  Much Accomplished, Much Left to Do

John M. Leventhal, MD; Richard D. Krugman, MD
http://jama.jamanetwork.com/article.aspx?articleid=1212314

Author Affiliations: Department of Pediatrics, Yale School of Medicine, New Haven, Connecticut (Dr Leventhal); and Office of the Vice Chancellor for Health Affairs, University of Colorado School of Medicine, Aurora (Dr Krugman).



A half century ago, Kempe and colleagues1 published in JAMA “The Battered-Child Syndrome,” an article that would change the way physicians and others care for children with injuries. Although this article was not the first in the medical literature to address the problem of physical abuse of children, the authors did report the first epidemiologic study and highlighted important aspects of the evaluation of suspected abuse: (1) the discrepancy between the stated history and clinical findings, (2) questions that can be asked of parents when physicians are concerned about possible abuse, (3) some of the key physical examination and radiographic findings in abused children, (4) associated findings such as poor hygiene and failure to thrive, and (5) reasons physicians might have difficulty believing that parents can hurt their children.

Since 1962, several major developments have occurred regarding maltreated children in the United States, including the development of state-mandated reporting laws; the establishment of county- or state-based child protective services (CPS) agencies, which are responsible for the investigation of suspected maltreatment, decisions about whether a child has been maltreated, placement of children in foster care when necessary, and services for the families when maltreatment has occurred; the broadening of the term “child abuse” to “child maltreatment,” which now includes physical abuse, neglect, sexual abuse, and emotional maltreatment; and the establishment in 2009 of a new pediatrics subspecialty, child abuse pediatrics.

The 50th anniversary of the article by Kempe et al is an opportunity to reflect on 3 salient lessons learned over the past 5 decades about the care of maltreated children: (1) many children and families are affected; (2) the consequences can be lifelong and intergenerational; and (3) treatment and prevention can work but need to be expanded.


MANY ARE AFFECTED

Maltreatment is far more common than first reported by Kempe et al. Data about the scope of the problem have been obtained from CPS agencies, mortality statistics, hospital discharge data, and national surveys of adults, parents, and older children and adolescents.

In 2010, 3.3 million reports affecting 5.9 million US children were filed with CPS agencies; 695 000 children (0.9% of all children in the country) were substantiated as having experienced maltreatment.2 Approximately 78% were substantiated for neglect, 18% for physical abuse, and 9% for sexual abuse, and 1560—most younger than 5 years—died from maltreatment,2 although this number is likely an underestimate.

Based on data from CPS agencies, the incidence of substantiated cases of child physical abuse and sexual abuse has decreased since 1990 by more than 50%.3 These declines are believed to be attributable, in part, to increased services for children and families, including prevention programs; widespread use of psychiatric medications; and jailing offenders. Data from other sources have not provided as optimistic a picture about a decrease in the occurrence of specific kinds of maltreatment. For example, the national incidence of hospitalization of children for serious injuries attributable to physical abuse has remained stable at about 6 cases per 100 000 children from 1997 to 2009.4 These cases represent less than 4% of all physically abused children, but the marked difference in the results comparing these rates of hospitalizations with the CPS data suggests that different aspects of the phenomenon of physical abuse are being measured.

Research has clearly shown that children who have experienced one type of maltreatment often have experienced other types of maltreatment and often other types of violence, such as exposure to domestic violence.


CONSEQUENCES CAN BE LIFELONG
The consequences of maltreatment to the child can range from mild to severe depending on many factors, including the length of time the maltreatment occurs, the age of the child, the relationship of the abuser to the child, other stressors affecting the child and family, individual vulnerabilities, and whether treatment is available. Felitti et al5 have examined the long-term relationship between adverse childhood experiences, including physical and sexual abuse and neglect, and adult functioning and health problems. The more adverse events a child experiences, the more serious the health outcomes are in adulthood. Some long-term consequences relate to adults trying to cope with the psychological pain of their adverse childhood experiences by adopting maladaptive behaviors, such as use of alcohol or other drugs, smoking, or overeating. An increasing number of studies show the lasting effects of child maltreatment on brain development and the hypothalamic-pituitary-adrenal axis.

Longitudinal studies of maltreated children and comparison children have demonstrated long-term consequences, including intergenerational effects. Thus, children who have experienced abuse or neglect in childhood are at increased risk of committing violent crimes as young adults.6 Girls who have experienced intrafamilial sexual abuse are at increased risk of teen pregnancy, and their children are about 10 times more  likely to be reported to CPS than are the children of sociodemographically similar girls who were not sexually abused.7


The effects of maltreatment extend to the family and society as a whole. For example, families may be disrupted by the placement of children in foster care or by the arrest of the perpetrator in cases of sexual or physical abuse. Fang et al8 estimated that in 2008 the total lifetime economic burden resulting from child maltreatment was approximately $124 billion.

TREATMENT AND PREVENTION DO WORK
During the last few decades, mental health interventions targeting children and families who have experienced trauma, such as sexual abuse or domestic violence, have been developed, tested in clinical trials, and disseminated through networks such as the NCTSN (National Child Traumatic Stress Network). Less attention has been paid to developing interventions to help parents who have neglected their children, although the SafeCare model, which has been evaluated in Oklahoma, has shown a marked decrease in repeat reporting of children for abuse or neglect by focusing home-based services on parent-child interactions, home safety and cleanliness, nutrition, and medical care.9


Efforts at prevention have included changing a community's approach to helping children and families; providing home visiting to socially high-risk, first-time mothers for extended periods during the prenatal period and when the child is young; and targeting specific behaviors, such as the prevention of shaken baby syndrome. Several home visiting models aimed at preventing abuse and neglect have been shown effective. Among these is the Nurse Family Partnership, which has demonstrated a significant reduction in physical abuse and neglect over the lifespan of children whose first-time mothers received 2½ years of services during pregnancy and early childhood.10


WHAT WOULD KEMPE THINK OF ALL THIS?

If Henry Kempe were alive today, how might he view this progress, and what concerns would he have? He would be surprised at the enormous medical and psychological literature on maltreatment, he would be most pleased about the proliferation of Children's Trust Funds (first suggested by his colleague, Ray Helfer) that focus on the prevention of abuse and neglect, and he would be impressed with the quality and quantity of home visitation programs. He also would be pleased by the number of physicians engaged in the field of child maltreatment. But he would be disappointed by the lack of any committed federal funding dollars for research and training focused on child maltreatment, and he would be vocal in his criticism of a child protection system that often fails to provide adequate treatment services for children and families.


Fifty years later, there is still much work to do. Now is the time to redouble efforts to get on with it.

AUTHOR INFORMATION
Corresponding Author: John M. Leventhal, MD, Department of Pediatrics, Yale University School of Medicine, PO Box 208064, 333 Cedar St, New Haven, CT 06520-8064 (john.leventhal@yale.edu).

Conflict of Interest Disclosures: The authors have completed and submitted the ICMJE Form for Disclosure of Potential Conflicts of Interest. Dr Leventhal reported serving as an expert witness in cases related to child abuse; receiving child abuse program funding from Connecticut state agencies, including the Department of Public Health, Department of Social Services, Department of Children and Families, and Office of Victim Services; receiving payment for serving as a guest speaker at the University of Pennsylvania; and receiving travel expenses from the American Academy of Pediatrics and the National Center on Shaken Baby Syndrome. Dr Krugman reported no disclosures.


REFERENCES
1
Kempe CH, Silverman FN, Steele BF, Droegemueller W, Silver HK. The battered-child syndrome.  JAMA. 1962;181(1):17-24
PubMed
2
US Department of Health and Human Services, Administration on Children, Youth and Families.  Child Maltreatment 2010. US Department of Health and Human Services website. http://www.acf.hhs.gov/programs/cb/pubs/cm10/. 2011. Accessed February 1, 2012
3
Finkelhor D, Jones L, Shattuck A. Updated Trends in Child Maltreatment, 2009. University of New Hampshire website. http://unh.edu/ccrc/pdf/Updated_Trends_in_Child_Maltreatment_2009.pdf. Accessed February 1, 2012
4
Leventhal JM, Gaither JR. Has the incidence of serious physical abuse in children changed in the U.S. from 1997 to 2009? Presented at: Pediatric Academic Societies Annual Meeting; April 28, 2012; Boston, MA. Abstracts2View website. http://www.abstracts2view.com/pas/view.php?nu=PAS12L1_194 Accessed June 9, 2012
5
Felitti VJ, Anda RF, Nordenberg D,  et al.  Relationship of childhood abuse and household dysfunction to many of the leading causes of death in adults: the Adverse Childhood Experiences (ACE) Study.  Am J Prev Med. 1998;14(4):245-258
PubMed
6
Widom CS, Maxfield MG. An Update on the “Cycle of Violence.” National Criminal Justice Reference Service website. https://www.ncjrs.gov/pdffiles1/nij/184894.pdf. February 2001. Accessed May 1, 2012
7
Trickett PK, Noll J, Putnam FW. The impact of sexual abuse on female development: lessons from a multigenerational, longitudinal research study.  Dev Psychopathol. 2011;23(2):453-476
8
Fang X, Brown DS, Florence CS, Mercy JA. The economic burden of child maltreatment in the United States and implications for prevention.  Child Abuse Negl. 2012;36(2):156-165
PubMed
9
Chaffin M, Hecht D, Bard D, Silovsky JF, Beasley WH. A statewide trial of the SafeCare home-based services model with parents in Child Protective Services.  Pediatrics. 2012;129(3):509-515
PubMed
10
Olds DL, Eckenrode J, Henderson CR Jr,  et al.  Long-term effects of home visitation on maternal life course and child abuse and neglect: fifteen-year follow-up of a randomized trial.  JAMA. 1997;278(8):637-643
PubMed
User Comments

Submit a Response
Copyright ©2012 American Medical Association