Our aim is to critique Australian child maltreatment policy, outline abuse trends and provide data on family risk factors.
Method:
We identified policy gaps and reviewed family profiles within selective child maltreatment databases. Data sources included international and Australian literature, Queensland Department of Child Safety reports and a research clinical database.
Results:
Data reviewed suggest that a pattern of co-occurring complex multiple system family problems characterize substantiated abuse cases.
Conclusions:
The presence of multiple family problems suggests the need for a new treatment paradigm. Multisystemic Therapy for child physical abuse and neglect is an evidence-based intervention that matches the therapeutic needs of such families.
Council of Australian Governments. Protecting children is everyone’s business: National Framework for Protecting Australia’s Children 2009-2020. Canberra: Department of Families, Housing, Community Services and Indigenous Affairs (FaHCSIA), 2009.
2.
Australian Institute of Health and Welfare (AIHW). Child protection Australia: 2011–12. Child Welfare series no 55. Canberra: AIHW, 2013.
3.
Australian Institute of Health and Welfare( AIHW). Child protection Australia 2010–11. Canberra: Australian Institute of Health and Welfare (AIHW), 2012.
4.
TilburyC. A “stock and flow” analysis of Australian child protection data. Commun Children Fam Aust2009; 4: 9–17.
5.
SidebothamPHeronJ. Child maltreatment in the “children of the nineties”: a cohort study of risk factors. Child Abuse Negl2006; 30: 497–522.
6.
BromfieldLLamontAParkerR. Issues for the safety and wellbeing of children in families with multiple and complex problems. National Child Protection Clearing House. Australian Institute of Family Studies, 2010, p. 24.
7.
ScottD. Child Protection and Aboriginal and Torres Strait Island Children. Australian Institute of Family Studies. Available at: http://www.aifs.gove.au/cfca/pubs/factsheets/a142117/ (2012, accessed 9 April 2013).
8.
Department of Child Safety. Characteristics of parents involved in the Queensland child protection system. Report 1. Demographic profile. Brisbane: Queensland Government, 2008.
9.
Department of Child Safety. Characteristics of parents involved in the Queensland child protection system. Report 2. Parent risk factors for abuse and neglect. Brisbane: Queensland Government, 2008.
10.
Department of Child Safety. Characteristics of parents involved in the Queensland child protection system. Report 3.History of Contact with the Department. Brisbane: Department of Child Safety, Queensland Government, 2008.
11.
Department of Child Safety. Characteristics of parents involved in the Queensland child protection system. Report 4. Households with High Needs Children. Brisbane: Queensland Government, 2008.
12.
Department of Child Safety. Summary of Key Findings. Brisbane: Queensland Government, 2009.
13.
AchenbachTM. Manual for the child behavior checklist/4–18 and 1991 profile. Burlington (VT): University of Vermont, Department of Psychiatry, 1991.
14.
BriereJ. Trauma symptom checklist for children: professional manual. Odessa, FL: Psychological Assessment Resources, Inc, 1996.
15.
KovacsM. The Children’s Depression Inventory (CDI). Psychopharmacol Bull1985; 21: 995–998.
16.
ArnoldDSO’LearySGWolffLS. The Parenting Scale: a measure of dysfunctional parenting in discipline situations. Psychol Assess1993; 5: 137–144.
17.
DerogatisLRMelisaratosN. The Brief Symptom Inventory: an introductory report. Psychol Med1983; 13: 595–605.
18.
CohenSMermelsteinRKamarckT. Measuring the functional components of social support. In: SarasonLSarasonB (eds). Social support: Theory, research and applications. Boston: Martinus Nijhoff, 1985, p. 73–94.
19.
Australian Bureau of Statistics A. National Survey of Mental Health and Well Being. Summary of Results. Canberra: Commonwealth of Australia, 2008.
20.
SilburnSZubrickSGartonA. Western Australian Child Health Survey: Family and Community Health. Perth, Western Australia: Australian Bureau of Statistics and the TVW Telethon Institute for Child Health Research, 1996.
21.
SawyerMGArneyFMBaghurstPA. The mental health of young people in Australia. Canberra, Australia: Mental Health and Special Programs Branch, Commonwealth Department of Health and Aged Care, 2000.
22.
SwensonCCChaffinM. Beyond psychotherapy: treating abused children by changing their social ecology. Aggress Violent Behav2006; 11: 120–137.
23.
HenggelerSWSchoenwaldSKBorduinCM. Multisystemic therapy for antisocial behavior in children and adolescents (2nd ed.). New York, NY: Guildford Press, 2009.
24.
SwensonCCPenmanJHenggelerSW. Multisystemic Therapy for child abuse and neglect: Revised manual. Charleston: Medical University of South Carolina, 2009.
25.
SwensonCCSchaefferCMTuerkE. Adapting Multisystemic Therapy for co-occurring child maltreatment and parental substance abuse: The Building Stronger Families Project. Emot Behav Disord2009; Winter: 3–8.
26.
SwensonCCSchaefferCMHenggelerSW. Multisystemic therapy for child abuse and neglect: a randomized effectiveness trial. J Fam Psychol2010; 24: 497–507.
27.
Australian Indigenous HealthInfoNet. Western Australian Department of Health’s Multi-systemic therapy (MST) program. Perth: Centre for Indigenous Australian Education and Research, Edith Cowan University, 2012.
