Kolko David J, Baumann Barbara L, Caldwell Nicola
Special Services Unit, Western Psychiatric Institute and Clinic, University of Pittsburgh School of Medicine, PA 15213, USA.
Child Maltreat. 2003 Nov;8(4):273-87. doi: 10.1177/1077559503257101.
This study examines the correlates and impacts of child treatment in 68 cases referred to community agency providers after reports of child physical or sexual abuse. Standardized clinical assessments were conducted with child victims and their caregivers at intake and short-term follow-up (FUP-1), supplemented by official record reviews at a long-term follow-up (FUP-2). Child treatment was received by 19% and 50% of the children at FUP-1 and FUP-2, respectively. There were few correlates of initial child treatment involvement (sexual abuse or parent and family services received concurrently). Initial child treatment was not associated with significant gains in child outcomes. Child improvement in abuse-related outcomes was associated with post-traumatic stress disorder and lower adjustment at intake. Initial child treatment was unrelated to reabuse or out-of-home placement by FUP-2. Additional studies are needed to more fully evaluate the process and outcome of referral of child abuse victims to community-based services.
本研究调查了68例在报告儿童遭受身体虐待或性虐待后被转介至社区机构服务提供者处接受治疗的案例中儿童治疗的相关因素及其影响。在儿童受害者及其照料者初次就诊时和短期随访（随访1）时进行了标准化临床评估，并在长期随访（随访2）时辅以官方记录审查。在随访1和随访2时，分别有19%和50%的儿童接受了儿童治疗。初次参与儿童治疗的相关因素较少（性虐待或同时接受的父母及家庭服务）。初次儿童治疗与儿童结局的显著改善无关。儿童在与虐待相关结局方面的改善与创伤后应激障碍及初次就诊时较低的适应能力有关。初次儿童治疗与随访2时再次受虐或被安置到家庭外环境无关。需要开展更多研究以更全面地评估虐待儿童受害者转介至社区服务的过程及结果。
