Center for Research on Children and Families, McGill University, Montréal, Quebec, Canada.
Child Abuse Negl. 2011 Oct;35(10):831-40. doi: 10.1016/j.chiabu.2011.05.015. Epub 2011 Oct 19.
Although there is growing evidence that the emotional dimensions of child maltreatment are particularly damaging, the feasibility and appropriateness of including emotional maltreatment (EM) in child welfare statutes continues to be questioned. Unlike physical and sexual abuse where investigations focus on discreet incidents of maltreatment, EM is not as easily defined and delimited. Through a review of legislation and child welfare investigation practices in Canada, this paper examines (1) whether Canadian child welfare services respond to EM with the same level of perseverance as with other forms of maltreatment and (2) the extent to which the introduction in 2008 of a more specific EM taxonomy distinguishes between EM and family problems that could lead to EM.
Following an analysis of the legislative framework for EM across Canada, investigations practices in Canada are examined using data from the 1998, 2003 and 2008 cycles of the Canadian Incidence Study of Reported Child Abuse and Neglect (CIS). Using data from the 2008 cycle, EM investigations are compared to other maltreatment investigations for all of Canada (N=15,980). Changes in EM investigations over time are then compared using data from the three cycles of the study, excluding Québec because of limited data availability in 2003 (N=5,360 in 1998, 11,562 in 2003 and 14,050 in 2008).
EM is included as a form of reportable maltreatment in all provincial and territorial statutes in Canada. Over 11,000 cases of EM were substantiated in Canada in 2008, at a rate of 1.86 cases per 1,000 children. While EM investigations were substantiated at a lower rate as other forms of maltreatment, a higher proportion of EM cases were referred for specialized services, kept open for on-going child welfare services, lead to an out of home placement, and lead to an application to child welfare court. Using a broad definition of EM the number of investigations classified as EM in Canada, excluding Québec, nearly tripled from 1998 to 2003. In 2008, using more specific definitions focusing on caregiver definitions, the number of investigations classified as EM nearly returned to their 1998 level, with nearly twice as many cases being classified as risk of future maltreatment.
EM is a well established category for child welfare intervention in Canada, however, more emphasis should be given to distinguishing between EM and family problems that place children at risk of EM.
尽管越来越多的证据表明儿童虐待的情感层面特别具有破坏性,但将情感虐待(EM)纳入儿童福利法规的可行性和适当性仍受到质疑。与身体和性虐待不同,这些虐待的调查重点是虐待的离散事件,而 EM 则不易定义和限定。本文通过审查加拿大的立法和儿童福利调查实践,考察了以下两个问题:(1)加拿大的儿童福利服务机构是否像对待其他形式的虐待一样,坚持不懈地应对 EM;(2)2008 年引入更具体的 EM 分类法在多大程度上区分了 EM 和可能导致 EM 的家庭问题。
在对加拿大各地 EM 的立法框架进行分析后,本文使用加拿大报告的儿童虐待和忽视发生率研究(CIS)1998 年、2003 年和 2008 年周期的数据,考察了加拿大的调查实践。使用 2008 年周期的数据,将 EM 调查与加拿大所有地区的其他虐待调查进行了比较(N=15980)。然后,使用该研究三个周期的数据(不包括 2003 年魁北克省,因为该省的数据可用性有限(1998 年 N=5360,2003 年 N=11562,2008 年 N=14050),比较 EM 调查随时间的变化。
加拿大所有省和地区的法规都将 EM 列为可报告的虐待形式之一。2008 年,加拿大有超过 11000 例 EM 案件得到证实,每千名儿童中有 1.86 例。虽然 EM 调查的证实率低于其他形式的虐待,但更多的 EM 案件被转介接受专门服务,继续接受儿童福利服务,导致儿童离开家庭,并向儿童福利法庭提出申请。使用更广泛的 EM 定义,加拿大的 EM 调查数量(不包括魁北克省)从 1998 年到 2003 年几乎翻了三倍。2008 年,使用更具体的定义,重点关注照顾者的定义,被归类为 EM 的调查数量几乎回到了 1998 年的水平,其中近两倍的案件被归类为未来遭受虐待的风险。
EM 是加拿大儿童福利干预的一个成熟类别,但应更加重视区分 EM 和使儿童面临 EM 风险的家庭问题。