Abstract
Child welfare systems in the Caribbean tend not to take multi-type maltreatment into account when assessing and treating victims of child maltreatment. This study aimed to provide evidence of the prevalence of multi-type maltreatment and patterns of co-occurrence of child abuse and neglect among children and adolescents in community residences across Trinidad. One hundred and two children and adolescents completed the Childhood Trauma Questionnaire which captured five abuse and neglect types: emotional abuse, physical abuse, sexual abuse, physical neglect and emotional neglect. The correlation analyses revealed significant positive relationships among the three types of abuse and a moderate positive correlation between the two types of neglect. T-test results indicated that girls were more likely than boys to experience physical abuse, emotional abuse and sexual abuse, however boys also reported high levels of abuse and neglect. The findings suggest that children are likely to face multiple forms of abuse and neglect that may contribute to its alarming severity and chronicity. Children in community residences are a population of particular interest given that residential care may be considered either a risk or a protective factor depending on the quality of care provided. Recommendations for future research and intervention strategies are proposed.
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References
Alaggia, R., & Millington, G. (2008). Male child sexual abuse: A phenomenology of betrayal. Clinical Social Work Journal, 36(3), 265–275.
Arata, C. M., Langhinrichsen-Rohling, J., Bowers, D., & O’Farrill-Swails, L. (2005). Single versus multi-type maltreatment. Journal of Aggression, Maltreatment & Trauma. https://doi.org/10.1300/J146v11n04_02.
Belsky, J. (1980). Child maltreatment: An ecological integration. American Psychologist, 36(3), 322–323. https://doi.org/10.1037/0003-066X.36.3.322.
Bernstein, D. P., & Fink, L. (1997). Childhood trauma questionnaire: A retrospective self-report: Manual. San Antonio: Psychological Corporation, Harcourt, Brace & Company.
Bronfenbrenner, U. (1974). Developmental research, public policy, and the ecology of childhood. Child Development, 45(1), 1. https://doi.org/10.2307/1127743.
Castle, J., Groothues, C., Bredenkamp, D., Beckett, C., O’Connor, T., & Rutter, M. (1999). Effects of qualities of early institutional care on cognitive attainment. American Journal of Orthopsychiatry, 69(4), 424–437. https://doi.org/10.1037/h0080391.
CDC–Kaiser Permanent ACE (2016). The ACE Study Survey Data [Unpublished Data].
Child Maltreatment. (2007). U.S. Department of Health and Human Services, Administration for Children and Families, administration on children, youth and families, Children’s bureau. Washington, DC: U.S. Government Printing Office. Retrieved from http://www.ncdsv.org/images/HHS-Children%27sBureau_ChildMaltreatment2010.pdf.
Children's Authority of Trinidad and Tobago. (2017). Statistical report on cases October 2016 to September 2017. Port of Spain: Children's Authority of Trinidad and Tobago. Retrieved from http://www.ttchildren.org/images/CA_ANNUAL_REPORT_FINAL_2016-2017_OCTOBER_1.pdf.
Cicchetti, D., & Lynch, M. (1993). Toward an ecological/transactional model of community violence and child maltreatment: Consequences for children’s development. Psychiatry, 56(1), 96–118. Retrieved from 10.1080/00332747.1993.11024624.
Claussen, A. H., & Crittenden, P. M. (1991). Physical and psychological maltreatment: Relations among types of maltreatment. Child Abuse & Neglect, 15(1–2), 5–18. https://doi.org/10.1016/0145-2134(91)90085-R.
Davidson-Arad, B., Englechin-Segal, D., & Wozner, Y. (2003). Short-term follow-up of children at risk: Comparison of the quality of life of children removed from home and children remaining at home. Child Abuse and Neglect, 27(7), 733–750. https://doi.org/10.1016/S0145-2134(03)00113-3.
Finkelhor, D., Ormrod, R., Turner, H., & Holt, M. (2009). Pathways to poly-victimization. Child Maltreatment, 14(4), 316–329. https://doi.org/10.1177/1077559509347012.
Finkelhor, D., Turner, H., Hamby, S., & Ormrod, R. (2011, October). Polyvictimization: Children’s exposure to multiple types of violence, crime and abuse (juvenile justice bulletin). Washington, DC: Office of Juvenile Justice and Delinquency Prevention, U.S. Department of Justice. Retrieved from http://ojs.library.okstate.edu/osu/index.php/FICS/article/view/1649.
Ford, T., Vostanis, P., Meltzer, H., & Goodman, R. (2007). Psychiatric disorder among British children looked after by local authorities: Comparison with children living in private households. British Journal of Psychiatry, 190, 319–325. 10.1192/bjp.bp.106.025023.
Hager, A. D., & Runtz, M. G. (2012). Physical and psychological maltreatment in childhood and later health problems in women: An exploratory investigation of the roles of perceived stress and coping strategies. Child Abuse & Neglect, 36, 393–403. https://doi.org/10.1016/j.chiabu.2012.02.002.
Higgins, D. J., & McCabe, M. P. (2001). Multiple forms of child abuse and neglect: Adult retrospective reports. Aggression and Violent Behavior, 6(6), 547–578. https://doi.org/10.1016/S1359-1789(00)00030-6.
Hines, D. A., Kantor, G. K., & Holt, M. K. (2006). Similarities in siblings’ experiences of neglectful parenting behaviors. Child Abuse & Neglect, 30(6), 619–637. https://doi.org/10.1016/j.chiabu.2005.11.008.
Hodges, J., & Tizard, B. (1989). Social and family relationships of ex-institutionalinal adolescents. Journal of Child Psychology and Psychiatry, 30(1), 77–97. Retrieved from https://pdfs.semanticscholar.org/3220/6d646fe2361b6cdb07b952d82a17ed44250b.pdf.
Jones, A., & Sogren, M. (2005). A study of children’s home in Trinidad and Tobago. St. Augustine, Trinidad: Social Work Unit, Department of Behavioural Sciences, The University of the West Indies.
Jones, A.D. & Trotman Jemmott, E. (2009) Child Sexual Abuse in the Eastern Caribbean: Perceptions of, attitudes to, and opinions on child sexual abuse in the Eastern Caribbean. Retrieved from http://eprints.hud.ac.uk/id/eprint/8923/.
Kim, K., Mennen, F. E., & Trickett, P. K. (2017). Patterns and correlates of co-occurrence among multiple types of child maltreatment. Child and Family Social Work, 22(1), 492–502. https://doi.org/10.1111/cfs.12268.
Merz, E. C., & McCall, R. B. (2010). Behavior problems in children adopted from psychosocially depriving institutions. Journal of Abnormal Child Psychology, 38(4), 459–470. https://doi.org/10.1007/s10802-009-9383-4.
O’Connor, T. G., & Rutter, M. (2000). Attachment disorder behavior following early severe deprivation: Extension and longitudinal follow-up. Journal of the American Academy of Child & Adolescent Psychiatry, 39(6), 703–712. https://doi.org/10.1097/00004583-200006000-00008.
O’Leary, P., & Barber, J. (2008). Gender differences in silencing following childhood sexual abuse. Journal of Child Sexual Abuse, 17(2), 133–143.
Reid, S. D., Reddock, R., & Nickenig, T. (2014). Breaking the silence of child sexual abuse in the Caribbean: A community-based action research intervention model. Journal of Child Sexual Abuse, 23(3), 256–277. https://doi.org/10.1080/10538712.2014.888118.
Schilling, C., Weidner, K., Brähler, E., Glaesmer, H., Häuser, W., & Pöhlmann, K. (2016). Patterns of childhood abuse and neglect in a representative German population sample. PLoS One, 11(7). https://doi.org/10.1371/journal.pone.0159510.
Schilling, C., Weidner, K., Schellong, J., Joraschky, P., & Pöhlmann, K. (2015). Patterns of childhood abuse and neglect as predictors of treatment outcome in inpatient psychotherapy: A typological approach. Psychopathology, 48, 91–100. https://doi.org/10.1159/000368121.
Sigal, J. J., Perry, J. C., Rossignol, M., & Ouimet, M. C. (2003). Unwanted infants: Psychological and physical consequences of inadequate orphanage care 50 years later. American Journal of Orthopsychiatry, 73(1), 3–12. https://doi.org/10.1037/0002-9432.73.1.3.
UN Women (2018). Gender based violence in Trinidad and Tovago. Office of the Prime Minister, Child and geder affairs. Retrieved from https://www.undp.org/content/dam/unct/caribbean/docs/20181011%20AF%20Trinidad%20and%20Tobago%20Health%20for%20digital.pdf
UNICEF. (2015). Procedure for ethical standards in research evaluation and data collection and analysis (p. 23). New York City: UNICEF. Accessed at: http://www.unicef.org/supply/files/ATTACHMENT_IV-UNICEF_Procedure_for_ethical_standards.PDF.
Viner, R. M., Taylor, B., Risley-Curtiss, C., & Heisler, A. (2005). Adult health and social outcomes of children who have been in public care: Population-based study. Pediatrics, 115(4), 894–899. https://doi.org/10.1542/peds.2004-1311.
Vorria, P., Papaligoura, Z., Dunn, J., Van Ijzendoorn, M. H., Steele, H., Kontopoulou, A., & Sarafidou, Y. (2003). Early experiences and attachment relationships of Greek infants raised in residential group care. Journal of Child Psychology and Psychiatry and Allied Disciplines, 44(8), 1208–1220. https://doi.org/10.1111/1469-7610.00202.
Witt, A., Münzer, A., Ganser, H. G., Fegert, J. M., Goldbeck, L., & Plener, P. L. (2016). Experience by children and adolescents of more than one type of maltreatment: Association of different classes of maltreatment profiles with clinical outcome variables. Child Abuse & Neglect, 57, 1–11. https://doi.org/10.1016/J.CHIABU.2016.05.001.
Wolff, P. H., & Fesseha, G. (1998). The orphans of Eritrea: Are orphanages part of the problem or part of the solution? American Journal of Psychiatry, 155(10), 1319–1324. https://doi.org/10.1176/ajp.155.10.1319.
Acknowledgments
This study was supported by the University of the West Indies Campus Research and Publication Fund (CRP.3. NOV15.6). We would also like to thank the managers of the community residences in Trinidad for their continued support throughout the data collection process.
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Ethical Standards and Informed Consent
All procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation [institutional and national] and with the Helsinki Declaration of 1975, as revised in 2000. Informed consent was obtained from all patients for being included in the study.
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Descartes, C.H., Maharaj, P.E., Quammie, M. et al. It’s Never One Type: the Co-Occurrence of Child Abuse and Neglect among Children Living in Community Residences in Trinidad. Journ Child Adol Trauma 13, 419–427 (2020). https://doi.org/10.1007/s40653-019-00293-x
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DOI: https://doi.org/10.1007/s40653-019-00293-x