Kolko D J, Selelyo J, Brown E J
University of Pittsburgh School of Medicine, Western Psychiatric Institute and Clinic, PA 15213, USA.
Child Abuse Negl. 1999 May;23(5):459-76. doi: 10.1016/s0145-2134(99)00022-8.
This study examines the treatment histories, and the service needs, concerns, and involvement of cases referred to Child Protective Services (CPS) following an allegation of child physical or sexual abuse in an effort to document their services experiences.
Standardized clinical assessments were conducted with child victims and their caregivers at intake and at a second assessment following an initial service about 4 to 8 months later (M = 6 mos.). Group differences due to informant type and abuse allegation were examined at each assessment and across time.
Thirty percent of the caregivers and children had a past history of psychiatric hospitalization. Reports from both informants at intake identified a range of perceived service needs, treatment goals, and obstacles to service participation. At the post-service assessment, children and their caregivers reported high rates of family (54%, 51%) and parent counseling (50%, 51%), and lower rates for child treatment (13%, 18%). Some significant differences between the two abuse subgroups were found in their patterns of service involvement and in their ratings of service goals and obstacles. Four variables predicted overall family service use at intake: child is Caucasian, low child anxiety, high parental distress, and parental abuse history as a child.
These findings extend initial descriptions of the service involvement of CPS families and bear implications for both practice and research on the delivery of services in CPS.
本研究调查了在儿童遭受身体虐待或性虐待指控后被转介至儿童保护服务机构（CPS）的案例的治疗史、服务需求、担忧及参与情况，以记录他们的服务经历。
对儿童受害者及其照顾者在入院时以及在初次服务约4至8个月后（平均为6个月）进行第二次评估时进行了标准化临床评估。在每次评估时以及跨时间检查了因信息提供者类型和虐待指控导致的组间差异。
30%的照顾者和儿童有过精神科住院史。入院时两位信息提供者的报告都确定了一系列感知到的服务需求、治疗目标和服务参与障碍。在服务后评估中，儿童及其照顾者报告家庭咨询（54%，51%）和家长咨询（50%，51%）的比例较高，而儿童治疗的比例较低（13%，18%）。在两个虐待亚组之间，在服务参与模式以及服务目标和障碍评级方面发现了一些显著差异。四个变量预测了入院时家庭服务的总体使用情况：儿童为白人、儿童焦虑程度低、父母痛苦程度高以及父母有童年受虐史。
这些发现扩展了对CPS家庭服务参与情况的初步描述，并对CPS服务提供的实践和研究具有启示意义。
