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Experienced Abuse (experience + abuse)
Selected AbstractsAdoption, permanent care and foster care: Home-based care in and beyond the 1990sJOURNAL OF PAEDIATRICS AND CHILD HEALTH, Issue 5 2000C O'Neill Abstract: Home-based care in Australia has changed considerably in the past two decades. The majority of children in adoptive, permanent care and foster families are likely to have experienced abuse, neglect and multiple placements. The disruptive behaviours displayed by these children undermine the potential for attachment offered by their new families. While the needs of the child will be obvious, the challenge for paediatricians is to recognize the relative instability of these newly established families and the high levels of stress they experience. [source] Prevalence and associations of partner abuse in women attending general practice: a cross-sectional surveyAUSTRALIAN AND NEW ZEALAND JOURNAL OF PUBLIC HEALTH, Issue 5 2002Kelsey L. Hegarty Objective: To deter mine the prevalence and socio-demographic associations of physical, emotional and sexual abuse by a partner or ex-partner for women attending Australian general practices. Method: In 1996, women attending 20 randomly chosen Brisbane inner south region general practices were screened for a history of partner abuse using a self-report questionnaire. Multivariate analyses were conducted on the data, using presence of abuse or not adjusting for cluster effect to obtain prevalence rate ratios for socio-demographic background data and history of violence in the family of origin. Results: Thirty-seven per cent (CI 31.0,42.4) of the survey participants (n=1,836, response rate 78.5%) admitted to having ever experienced abuse in an adult intimate relationship. One in four women (23.3%) had ever experienced physical abuse, one in three (33.9%) emotional abuse and one in 10 (10.6%) sexual abuse. Abused women were 64.1 (CI 44.4,94.1) times more likely to have ever been afraid of any partner than non-abused women. Of women in current relationships (n=1,344), 8.0% self-reported physical or emotional or sexual abuse in the past 12 months and 1.5% all three types of abuse. Associations of abuse included being younger (<60 years), separated or divorced, having a history of child abuse or domestic violence between their parents. Conclusion: Partner abuse is very common in women attending general practices and clinicians need to be alert to possible indications of partner abuse (age, marital status, past history of abuse). [source] Overcoming the barriers to disclosure and inquiry of partner abuse for women attending general practiceAUSTRALIAN AND NEW ZEALAND JOURNAL OF PUBLIC HEALTH, Issue 5 2001Kelsey L. Hegarty Objectives: To determine the barriers to and rates of disclosure of partner abuse by women attending GPs. Methods: In a qualitative study, abused Melbourne women were interviewed about their experiences with GPs. Following this, adult women attending a random sample of Brisbane general practices were surveyed. Multivariate analyses were conducted on the data, using levels of disclosure and GP inquiry adjusting for cluster effect to obtain prevalence rate ratios. Results: Thirty-seven per cent of the survey participants (n=1836, response rate 78.5%) admitted to having ever experienced abuse in an adult intimate relationship. One-third (36.7%) of these abused women (n=674) had ever told a GP and 87.8% had never been asked by their GP about partner abuse. Women who disclosed were almost twice as likely than women who have not: to be middle aged, have experienced combined physical, emotional and sexual abuse and be afraid of their partner. They were more than twice as likely to have been asked about abuse. A GP's good communication skills facilitated disclosure. The main barriers to disclosure were that women saw the problem as their own i.e. internal barriers. The data from the qualitative study (n=20) are used to illustrate these findings. Conclusion: Educational interventions that improve GPs' communication skills might result in increased disclosure and early intervention in partner abuse. GPs need sensitive attitudes, greater skills, knowledge and support to manage the consequences of disclosure. [source] The outcomes of a longitudinal study of non-organic failure-to-thriveCHILD ABUSE REVIEW, Issue 4 2003Dorota Iwaniec Abstract Individuals who had failed-to-thrive for non-organic reasons received psychosocial intervention which was tailor-made to their particular needs during childhood. Their progress was followed up over 20 years later, including their physical growth and social and cognitive functioning. Not all clients showed the same outcomes. The quality of the parental relationship and the reason for the growth-faltering were found to be related to the outcomes at 20 years. Unless they experienced a positive and sustained change in their life or circumstances, individuals who had experienced abuse showed poorer outcomes than those whose growth-faltering had been thought due to neglect, lack of parenting or feeding dif,culties. Abuse tended to be a contributing factor to growth-faltering more frequently in families where the parents were observed to have a poor relationship with each other. However, a signi,cant change in the quality of care given to the child and the emotional environment experienced by them resulted in positive outcomes 20 years later despite experiencing abuse during childhood. Copyright © 2003 John Wiley & Sons, Ltd. [source] | ||||||||||