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1

Bauleni, Esther M., Leesa Hooker, Hassan P. Vally, and Angela Taft. "Intimate-partner violence and reproductive decision-making by women attending Victorian Maternal- and Child-Health services: a cross-sectional study." Australian Journal of Primary Health 24, no. 5 (2018): 422. http://dx.doi.org/10.1071/py17183.

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The reproductive years are a critical period where women experience greater risk of intimate-partner violence (IPV). Most studies investigating the association between IPV and reproductive health have been completed in low- and middle-income countries. This study aimed to examine the relationship between IPV and women’s reproductive decision-making in Victoria, Australia. We analysed secondary data from a cluster-randomised trial of IPV screening that surveyed new mothers attending Maternal- and Child-Health centres in Melbourne. Survey measures included the experience of partner abuse in the past 12 months using the Composite Abuse Scale and four reproductive decision-making indicators. Results showed that IPV affects reproductive decision-making among postpartum women. Women who reported abuse were less likely to plan for a baby (adjusted Odds Ratio 0.48, 95% CI: 0.31–0.75) than were non-abused women, significantly more likely to have partners make decisions for them about contraception (Risk ratio (RR) 4.09, 95% CI: 1.31–12.75), and whether and when to have a baby (RR 12.35, 95% CI: 4.46–34.16), than they were to make decisions jointly. Pregnant and postpartum women need to be screened for partner violence that compromises women’s decision-making power regarding their reproductive rights.
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2

Meddin, Barbara J. "The Future of Decision Making in Child Welfare Practice: The Development of an Explicit Criteria Model for Decision Making." Children Australia 9, no. 4 (1985): 3–6. http://dx.doi.org/10.1017/s0312897000007451.

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AbstractThe paper examines the impact that a decision making model can have on child placement decisions. Using a pre and post test design with three different conditions, the research investigated the ability to increase the consistency of the placement decision by the use of a decision making model that includes explicit criteria.The study found that consistency of decision making was enhanced by the provision of the decision making model and that consistency could be further enhanced by the provision of training in the model. Implications for training of new workers and reduction of worker stress and burnout are discussed.The incident of child abuse and neglect continues to rise. The National Centre on Child Abuse and Neglect estimates that approximately one million children will be abused or neglected this year in the United States. In the State of Illinois alone, during fiscal year 1981 nearly 80,000 reports of abuse or neglect were received. Almost 50% of those reports were found to be actual cases of abuse or neglect.Whether the incident in Australia of child abuse and neglect is increasing or not is difficult to assess, since currently there is no standardised way of collecting data. However, from all indicators a similar increase is indeed occurring. Boss in his book, “On the Side of the Child”, reports that the number of cases seen by the Western Australian Department of Community Welfare has steadily increased. This is corroborated by statistics compiled by that State’s Advisory and Consultative Committee in Child Abuse (ACCCA). Their Statistical Information Report for July-December 1983 indicates an 86% increase in reports of sexual abuse and 12.5% increase in physical abuse. In Queensland the number of child abuse and/or neglect case investigations went from 1 095 in 1981 to 1 631 in 1982 – an increase of more than one third. In Tasmania between 1980 to 1982 the number of reports increased by nearly one-third, from 228-302. The Montrose Child Protection and Family Crisis Unit of the Department of Youth and Community Services in New South Wales report similar increases.On almost a daily basis, social workers are called upon to make far reaching decisions that have the potential to be a life consequential both for the child who is the victim of abuse and/or neglect and that child’s family. Because these decisions, especially the placement decision, have such great ramifications, social workers should be expected to make decisions with great care, consideration and consistency. This may be due, in part because agencies have been slow to explicate, empirically validate, and systematically apply decision making criteria that assist workers in making case decisions.While research indicates that criteria do exist and are used by child welfare workers, the research also indicates that they are not used in any systematic fashion. The result is that idiosyncratic decisions are invited and the potential spectre of gross inequities in the delivery of social services exists. Unless asystematic, consensually based decision making model is used that explicates both the decisions that need to be made along with a specific set of criteria for making these decisions, it is impossible for the child welfare agency to guarantee a minimum level of service delivery.
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3

Faller, Kathleen Coulborn. "Decision-making in cases of intrafamilial child sexual abuse." American Journal of Orthopsychiatry 58, no. 1 (January 1988): 121–28. http://dx.doi.org/10.1111/j.1939-0025.1988.tb01571.x.

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4

Zellman, Gail L. "Report decision-making patterns among mandated child abuse reporters." Child Abuse & Neglect 14, no. 3 (January 1990): 325–36. http://dx.doi.org/10.1016/0145-2134(90)90004-d.

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5

Herman, Steve. "Improving Decision Making in Forensic Child Sexual Abuse Evaluations." Law and Human Behavior 29, no. 1 (February 2005): 87–120. http://dx.doi.org/10.1007/s10979-005-1400-8.

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6

Broadley, Karen. "Making the Decision to Remove a Child from Parental Care: Twelve Decision-Making Criteria." Children Australia 41, no. 2 (November 23, 2015): 90–97. http://dx.doi.org/10.1017/cha.2015.58.

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Removing a child from parental care is an important and difficult decision to make. There are far reaching consequences for the child and family. Whilst there is a plethora of literature in relation to child protection practice generally, research on decision making is minimal. In this practice paper, I present 12 decision-making criteria to assist practitioners make decisions about child removal. It is important for child protection practitioners to apply the same set of principles and consider the same factors when making these decisions. These criteria are as follows: the severity of the abusive incident; the presence of cumulative harm; whether the perpetrator has access to the child; the functioning of the parent; whether the perpetrator has been responsible for child abuse or intimate partner violence in the past; the cooperation of the parent; the intent of the perpetrator; the age of the child; the functioning of the child; the voice and expressed wishes of the child; protective relationships available to the child and the statutory requirement to cause no further harm. Referring to these criteria will assist practitioners be clear and explicit about how they reach a decision, and result in greater consistency of outcome for children and families.
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7

Jill, Bryant, and Milsom Amy. "Child Abuse Reporting by School Counselors." Professional School Counseling 9, no. 1 (October 2005): 2156759X0500900. http://dx.doi.org/10.1177/2156759x0500900106.

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A sample ofschool counselors (N = 263) in one Midwestern state completed questionnaires to share their child abuse reporting behaviors, influences with regard to making a decision to report, and perceived barriers to the reporting process. Participants indicated reporting the majority of suspected cases, and ele-mentary school counselors reported more cases than did high school counselors. Implications and recommendations are presented.
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8

Ban, Paul, and Phillip Swain. "Family Group Conferences, part two: Putting the ‘family’ back into child protection." Children Australia 19, no. 4 (1994): 11–14. http://dx.doi.org/10.1017/s103507720000417x.

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This is the second of two articles examining the establishment of Family Decision Making in Victoria. The first ‘Family Group Conferences – Part One: Australia's first Project in Child Protection’ was presented in the previous edition of Children Australia. This article builds upon the first by presenting an overview of the evaluation of the Victorian Family Decision Making Project, and pointing to practice and other implications of the development of this Project for child welfare services generally.
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9

Keddell, Emily, and Ian Hyslop. "Networked Decisions: Decision-Making Thresholds in Child Protection." British Journal of Social Work 50, no. 7 (November 9, 2019): 1961–80. http://dx.doi.org/10.1093/bjsw/bcz131.

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Abstract Families are significantly affected by decisions made in the child protection context, yet decision outcomes differ even when cases are similar. Understanding the concepts, practices and processes of differentiation that push some cases over the threshold of key decision points, but not other similar cases, is crucial. Drawing on interviews and focus groups with child protection social workers from three site offices in Aotearoa New Zealand (interviews, n = 26; focus groups, n = 25) and using thematic analysis, this study identified the case, internal organisational, inter-site organisational and external elements that contributed to threshold decisions. Case factors such as children’s age, abuse type and chronicity recorded family history and perceptions of family compliance interacted with internal organisational processes and practices, social negotiations and hierarchical power differences to produce decision outcomes. Inter-site differences in decision thresholds resulted from differences in site managers’ perceptions of acceptable case type, site workloads, resources, size and cultural commitment to family preservation. External demographic inequalities were perceived as causing differing levels of site workload. This ‘networked decision-making’ process is theorised drawing on an extended version of the decision-making ecology (DME), by using qualitative methods to examine interactions between the DME elements and their relationship with risk regimes.
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10

Holt, Stephanie. "Domestic Abuse and Child Contact: Positioning Children in the Decision-making Process." Child Care in Practice 17, no. 4 (October 2011): 327–46. http://dx.doi.org/10.1080/13575279.2011.596817.

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11

Greipp, Mary Elizabeth. "Ethical decision making and mandatory reporting in cases of suspected child abuse." Journal of Pediatric Health Care 11, no. 6 (November 1997): 258–65. http://dx.doi.org/10.1016/s0891-5245(97)90081-x.

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12

Sicafuse, Lorie L., Steve M. Wood, Alicia Summers, and Alicia DeVault. "Evaluating the Child Abuse and Neglect Institute: Does Training Affect Decision-Making?" Juvenile and Family Court Journal 66, no. 1 (January 2015): 1–14. http://dx.doi.org/10.1111/jfcj.12023.

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13

Proeve, Michael. "Issues in the Application of Bayes' Theorem to Child Abuse Decision Making." Child Maltreatment 14, no. 1 (February 2009): 114–20. http://dx.doi.org/10.1177/1077559508318395.

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14

Nayda, Robyn. "Influences on registered nurses' decision-making in cases of suspected child abuse." Child Abuse Review 11, no. 3 (2002): 168–78. http://dx.doi.org/10.1002/car.736.

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15

Najdowski, Cynthia J., Kimberly M. Bernstein, and Katherine S. Wahrer. "Do Racial Stereotypes Contribute to Medical Misdiagnosis of Child Abuse?" Wrongful Conviction Law Review 1, no. 2 (September 15, 2020): 153–80. http://dx.doi.org/10.29173/wclawr23.

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Despite growing recognition that misdiagnoses of child abuse can lead to wrongful convictions, little empirical work has examined how the medical community may contribute to these errors. Previous research has documented the existence and content of stereotypes that associate race with child abuse. The current study examines whether emergency medical professionals rely on this stereotype to fill in gaps in ambiguous cases involving Black children, thereby increasing the potential for misdiagnoses of child abuse. Specifically, we tested whether the race-abuse stereotype led participants to attend to more abuse-related details than infection-related details when an infant patient was Black versus White. We also tested whether this heuristic decision-making would be affected by contextual case facts; specifically, we examined whether race bias would be exacerbated or mitigated by a family’s involvement with child protective services (CPS). Results showed that participants did exhibit some biased information processing in response to the experimental manipulations. Even so, the race-abuse stereotype and heuristic decision-making did not cause participants to diagnose a Black infant patient with abuse more often than a White infant patient, regardless of his family’s involvement with CPS. These findings help illuminate how race may lead to different outcomes in cases of potential child abuse, while also demonstrating potential pathways through which racial disparities in misdiagnosis of abuse and subsequent wrongful convictions can be prevented.
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16

Tonmyr, Lil, Susan Jack, Sandy Brooks, Betty Kennedy, and Peter Dudding. "Utilization of the Canadian Incidence Study of Reported Child Abuse and Neglect in First Nations Child Welfare Agencies in Ontario." First Peoples Child & Family Review 4, no. 1 (May 14, 2020): 38–46. http://dx.doi.org/10.7202/1069348ar.

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The goals of this study are: to examine the awareness and utilization of the Canadian Incidence Study of Reported Child Abuse and Neglect (CIS) and the Ontario Incidence Study of Reported Child Abuse and Neglect (OIS) by First Nations child welfare decision-makers in the child welfare policy development process in the Province of Ontario and; to identify ways of making the CIS/OIS more useful to First Nations decision makers. No previous study has focused on assessing the influence and impact that the CIS/OIS data have on policy development with this specific population.
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17

Sorensen, Erik, Jacquelin Goldman, Martin Ward, Ilana Albanese, Linda Graves, and Cindy Chamberlain. "Judicial decision-making in contested custody cases: The influence of reported child abuse, spouse abuse, and parental substance abuse." Child Abuse & Neglect 19, no. 2 (February 1995): 251–60. http://dx.doi.org/10.1016/0145-2134(94)00099-g.

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18

Gubbels, Jeanne, Mark Assink, Peter Prinzie, and Claudia E. van der van der Put. "Why Healthcare and Education Professionals Underreport Suspicions of Child Abuse: A Qualitative Study." Social Sciences 10, no. 3 (March 10, 2021): 98. http://dx.doi.org/10.3390/socsci10030098.

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Education and healthcare professionals are crucial in detecting and reporting child abuse and neglect. However, signs of child abuse are often undetected, and professionals tend to underreport their suspicions of abuse and neglect. This qualitative study aimed to examine experiences, attitudes, perspectives, and decision-making skills of healthcare and education professionals with regard to identifying and reporting child abuse and to gain insight into how detection and reporting can be improved. Semi-structured interviews were conducted with 49 Dutch professionals working in child health care, mental health care, primary schools, and secondary schools. The I-Change model was used as a theoretical framework to organize the results. Many professionals believe they miss child abuse signs in their daily work, partially due to a lack of focus on child abuse. Further, professionals indicated having insufficient knowledge of child abuse, and lack communication skills to detect or discuss signs indicative of child abuse in conversations with parents or children. As for risk assessment, professionals barely use structured instruments even though these are regarded as very helpful in the decision-making process. Finally, professionals experience deficits in the cooperation with child welfare organizations, and in particular with Child Protective Services (CPS). Various directions for improvement were discussed to overcome barriers in child abuse detection and reporting, including developing tools for detecting and assessing the risk of child abuse and improving communication and information transfer between organizations.
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19

Stutey, Diane, and Elysia V. Clemens. "Hidden Abuse Within the Home: Recognizing and Responding to Sibling Abuse." Professional School Counseling 18, no. 1 (September 2014): 2156759X0001800. http://dx.doi.org/10.1177/2156759x0001800119.

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Sibling abuse is a serious phenomenon in our society that often goes unaddressed. Victims of sibling abuse experience psychological effects similar to those of child abuse (Caspi, 2012; Wiehe, 2002). The purpose of this article is to provide school counselors with a definition of sibling abuse and a five-step model to recognize and respond. A decision-making tree for working with students and families serves as a framework for preventative and comprehensive services.
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20

Lindholm, Torun, Rickard L. Sjöberg, and Amina Memon. "Misreporting signs of child abuse: The role of decision-making and outcome information." Scandinavian Journal of Psychology 55, no. 1 (November 28, 2013): 1–9. http://dx.doi.org/10.1111/sjop.12096.

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21

Katz, Mitchell H., Robert L. Hampton, Eli H. Newberger, Roy T. Bowles, and Jane C. Snyder. "Returning children home: Clinical decision making in cases of child abuse and neglect." American Journal of Orthopsychiatry 56, no. 2 (April 1986): 253–62. http://dx.doi.org/10.1111/j.1939-0025.1986.tb02725.x.

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22

Britner, Preston A., and Daniel G. Mossler. "Professionals’ decision-making about out-of-home placements following instances of child abuse." Child Abuse & Neglect 26, no. 4 (April 2002): 317–32. http://dx.doi.org/10.1016/s0145-2134(02)00311-3.

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23

Berger, David Kolmon, Yvette Rolon, Jerry Sachs, and Barbara Wilson. "Child Abuse and Neglect: An Instrument to Assist with Case Referral Decision Making." Health & Social Work 14, no. 1 (February 1989): 60–73. http://dx.doi.org/10.1093/hsw/14.1.60.

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24

Flaherty, E. G., R. D. Sege, J. Griffith, L. L. Price, R. Wasserman, E. Slora, N. Dhepyasuwan, et al. "From Suspicion of Physical Child Abuse to Reporting: Primary Care Clinician Decision-Making." PEDIATRICS 122, no. 3 (September 1, 2008): 611–19. http://dx.doi.org/10.1542/peds.2007-2311.

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25

Jent, Jason F., Cyd K. Eaton, Lauren Knickerbocker, Walter F. Lambert, Melissa T. Merrick, and Susan K. Dandes. "Multidisciplinary child protection decision making about physical abuse: Determining substantiation thresholds and biases." Children and Youth Services Review 33, no. 9 (September 2011): 1673–82. http://dx.doi.org/10.1016/j.childyouth.2011.04.029.

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26

Elliott, Anne, and Chris-Maree Sultmann. "Principles and processes for child protection decision-making: Queensland’s case management framework." Children Australia 23, no. 4 (1998): 9–14. http://dx.doi.org/10.1017/s1035077200008828.

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Many welfare authorities have developed detailed systems for the management of their initial response to child abuse reports. But what happens then? Less attention has been given to frameworks for the management of cases subject to on-going statutory intervention. The Queensland framework is unique in Australia – its methodology ensures an on-going client-focused response which integrates ‘bestpractice’ standards, accountability and dynamic planning and review until the child’s needs have been met.
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27

Thomas, Barbara S. "Computer-assisted decision making: A strategy for primary prevention of substance abuse." Journal of Pediatric Health Care 5, no. 5 (September 1991): 257–63. http://dx.doi.org/10.1016/0891-5245(91)90080-a.

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28

Ban, Paul, and Phillip Swain. "Family group conferences, part one: Australia's first project within child protection." Children Australia 19, no. 3 (1994): 19–21. http://dx.doi.org/10.1017/s1035077200004053.

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Family decision making through Family Group Conferences has been trialled in a pilot project by the Mission of St James and St John, Victoria, for the past 16 months (as of February 1994) in a two year Project. This article, the first of a series of two, intends to briefly explain the technique and how the project was established in Victoria. The theoretical basis, or project assumptions, will be outlined, together with the obstacles which currently prevent the wider implementation of the practice. The project was independently evaluated from October 1992 up to 31 August 1993 (Swain, 1993a; 1993b). Key findings of that evaluation will be discussed in the second article in this series along with practice issues that need further exploration.
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29

Tadei, Alessandro, Johan Pensar, Jukka Corander, Katarina Finnilä, Pekka Santtila, and Jan Antfolk. "A Bayesian Decision-Support Tool for Child Sexual Abuse Assessment and Investigation." Sexual Abuse 31, no. 4 (September 21, 2017): 374–96. http://dx.doi.org/10.1177/1079063217732791.

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In assessments of child sexual abuse (CSA) allegations, informative background information is often overlooked or not used properly. We therefore created and tested an instrument that uses accessible background information to calculate the probability of a child being a CSA victim that can be used as a starting point in the following investigation. Studying 903 demographic and socioeconomic variables from over 11,000 Finnish children, we identified 42 features related to CSA. Using Bayesian logic to calculate the probability of abuse, our instrument—the Finnish Investigative Instrument of Child Sexual Abuse (FICSA)—has two separate profiles for boys and girls. A cross-validation procedure suggested excellent diagnostic utility (area under the curve [AUC] = 0.97 for boys and AUC = 0.88 for girls). We conclude that the presented method can be useful in forensic assessments of CSA allegations by adding a reliable statistical approach to considering background information, and to support clinical decision making and guide investigative efforts.
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30

Renninger, Salina M., Patricia McCarthy Veach, and Paul Bagdade. "Psychologists' knowledge, opinions, and decision-making processes regarding child abuse and neglect reporting laws." Professional Psychology: Research and Practice 33, no. 1 (2002): 19–23. http://dx.doi.org/10.1037/0735-7028.33.1.19.

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31

Fridell, Lorie A. "Decision-Making Of The District Attorney: Diverting Or Prosecuting Intrafamilial Child Sexual Abuse Offenders." Criminal Justice Policy Review 4, no. 3 (October 1990): 249–67. http://dx.doi.org/10.1177/088740349000400304.

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32

Dammeyer, Matthew D. "The assessment of child sexual abuse allegations: using research to guide clinical decision making." Behavioral Sciences & the Law 16, no. 1 (1998): 21–34. http://dx.doi.org/10.1002/(sici)1099-0798(199824)16:1<21::aid-bsl291>3.0.co;2-k.

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33

Cheng, Lingwei, and Alexandra Chouldechova. "Heterogeneity in Algorithm-Assisted Decision-Making: A Case Study in Child Abuse Hotline Screening." Proceedings of the ACM on Human-Computer Interaction 6, CSCW2 (November 7, 2022): 1–33. http://dx.doi.org/10.1145/3555101.

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Algorithmic risk assessment tools are now commonplace in public sector domains such as criminal justice and human services. These tools are intended to aid decision makers in systematically using rich and complex data captured in administrative systems. In this study we investigate sources of heterogeneity in the alignment between worker decisions and algorithmic risk scores in the context of a real world child abuse hotline screening use case. Specifically, we focus on heterogeneity related to worker experience. We find that senior workers are far more likely to screen in referrals for investigation, even after we control for the observed algorithmic risk score and other case characteristics. We also observe that the decisions of less-experienced workers are more closely aligned with algorithmic risk scores than those of senior workers who had decision-making experience prior to the tool being introduced. While screening decisions vary across child race, we do not find evidence of racial differences in the relationship between worker experience and screening decisions. Our findings indicate that it is important for agencies and system designers to consider ways of preserving institutional knowledge when introducing algorithms into high employee turnover settings such as child welfare call screening.
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Postmus, Judy L., and Debora Ortega. "Serving Two Masters: When Domestic Violence and Child Abuse Overlap." Families in Society: The Journal of Contemporary Social Services 86, no. 4 (October 2005): 483–90. http://dx.doi.org/10.1606/1044-3894.3453.

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Does exposure to domestic violence indicate a form of child maltreatment? It is imperative that child welfare workers identify and use interventions that protect families from domestic violence and eliminate harm to children without further stigmatizing victimized women. The research described in this article attempts a first step in understanding the factors involved in the decision making process of child welfare supervisors in domestic violence cases. Findings indicate that the attitudes and beliefs of child welfare supervisors about the overlap between domestic violence and child abuse are influenced by personal experiences, professional longevity, and training.
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35

Walker, Lenore E. A. "Nonjudicial Influence on Family Violence Court Cases." American Behavioral Scientist 64, no. 12 (September 13, 2020): 1749–67. http://dx.doi.org/10.1177/0002764220956688.

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Family courts have rarely considered how their decisions are perpetuating domestic violence and child abuse in the many cases where custody disputes are before them. Rather than judges playing King Solomon themselves, they frequently leave the decision making to mental health professionals and lawyers whose credentials rarely include an understanding of what is needed to recognize, stop current abuse and prevent future violence. This article employs a literature review to examine the consequences of this decision making. Research shows that both male and female judges are skeptical of mothers’ claims of abuse and that their opinions contain negative stereotypes of women on which theories of parental alienation are based. More frighteningly, when guardians-ad-Litem or Custody Evaluators were entrusted with these decisions, research shows an intensification of the courts’ skepticism toward mothers’—but not fathers’—claims of abuse. Traditional family court procedures continue the serious risk of harm to women and children by minimizing domestic violence and child abuse, often using unproven and unscientific alienation theories as an excuse not to protect them. The article concludes with a discussion of the role specialty courts that employ therapeutic jurisprudence can play in improving this process for children.
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Battaglia, Anthony Michael, and Mini Mamak. "Female sexual offenders and judicial decision-making." International Journal of Risk and Recovery 3, no. 2 (December 31, 2020): 6–15. http://dx.doi.org/10.15173/ijrr.v3i2.4123.

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Background: Research examining female sexual offending is limited, and the profile of this unique offender group is not well understood. Female sexual offending has largely been identified as a rare occurrence, typically perpetrated in the context of an unhealthy relationship with a paraphilic male counterpart. Given recent changes in law and minimum sentences for sexual offences—particularly in relation to child pornography and child luring offences—it remains unknown how this has impacted sentencing of female offenders charged with sexual offences. Objectives: The goal of this study is to better understand female offenders convicted of sexual offences and their offence characteristics. Additionally, it seeks to identify patterns in judges’ decision-making with respect to aggravating and mitigating factors that impact sentencing decisions.Methods: A sample of 26 judges’ sentencing decisions between 2000 and 2017 were obtained to investigate the Canadian female sexual offender (FSO) as she enters the justice system. Results: In the study sample, high rates of psychopathology and childhood trauma were important features of this offender group. Offences tended to occur over extended periods, with a male co-offender, and with a young victim that was well known to the offender. Aggravating factors related to the vulnerability of the victim, abuse of power, and lack of insight. Mitigating factors related to accepting responsibility and a desire for self-change. Offenders were generally sentenced for two to five years, with ancillary orders intended to track and restrict further offending, rather than foster rehabilitation. Discussion: Gaining a better understanding of Canadian FSO population is the first step toward improving rehabilitation and prevention.
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Rosenthal, Bruce, Janet Skrbin, Janet Fromkin, Emily Heineman, Tom McGinn, Rudolph Richichi, and Rachel P. Berger. "Integration of physical abuse clinical decision support at 2 general emergency departments." Journal of the American Medical Informatics Association 26, no. 10 (June 14, 2019): 1020–29. http://dx.doi.org/10.1093/jamia/ocz069.

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Abstract Objective The study sought to develop and evaluate an electronic health record–based child abuse clinical decision support system in 2 general emergency departments. Materials and Methods A combination of a child abuse screen, natural language processing, physician orders, and discharge diagnoses were used to identify children &lt;2 years of age with injuries suspicious for physical abuse. Providers received an alert and were referred to a physical abuse order set whenever a child triggered the system. Physician compliance with clinical guidelines was compared before and during the intervention. Results A total of 242 children triggered the system, 86 during the preintervention and 156 during the intervention. The number of children identified with suspicious injuries increased 4-fold during the intervention (P &lt; .001). Compliance was 70% (7 of 10) in the preintervention period vs 50% (22 of 44) in the intervention, a change that was not statistically different (P = .55). Fifty-two percent of providers said that receiving the alert changed their clinical decision making. There was no relationship between compliance and provider or patient demographics. Conclusions A multifaceted child abuse clinical decision support system resulted in a marked increase in the number of young children identified as having injuries suspicious for physical abuse in 2 general emergency departments. Compliance with published guidelines did not change; we hypothesize that this is related to the increased number of children identified with suspicious, but less serious injuries. These injuries were likely missed preintervention. Tracking compliance with guidelines over time will be important to assess whether compliance increases as physician comfort with evaluation of suspected physical abuse in young children improves.
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38

Davis, Gabrielle. "A Systematic Approach to Domestic Abuse-Informed Child Custody Decision Making in Family Law Cases." Family Court Review 53, no. 4 (October 2015): 565–77. http://dx.doi.org/10.1111/fcre.12173.

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39

Ibanez, Elizabeth S., Joaquin Borrego, Joy R. Pemberton, and Sherri Terao. "Cultural factors in decision-making about child physical abuse: Identifying reporter characteristics influencing reporting tendencies." Child Abuse & Neglect 30, no. 12 (December 2006): 1365–79. http://dx.doi.org/10.1016/j.chiabu.2006.06.007.

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Powell, Martine B., and Merrick J. Ilett. "Assessing the Incestuous Family's Readiness for Reconstitution." Families in Society: The Journal of Contemporary Social Services 73, no. 7 (September 1992): 417–23. http://dx.doi.org/10.1177/104438949207300704.

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Given the lack of empirical data concerning factors associated with successful vs. unsuccessful treatment of incestuous families, professionals urgently need to develop systems for coordinating and evaluating ongoing therapeutic efforts. The authors outline the factors that are usually considered important for making decisions about the appropriateness of family reconstitution during or after the treatment of intrafamilial sexual abuse. Attributions of responsibility for the abuse, protection of the child from further abuse, overall level of family functioning, and characteristics of the abuse and the offender are discussed. Problematic assessment issues are discussed in relation to the use of these factors as a guide for decision making, and questions are raised on which to base research regarding each factor's ability to predict further abuse.
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Streif, Werner, Irmina Watzer-Herberth, Gabriele Hahn, Uwe Schmidt, and Ralf Knöfler. "Child Abuse or Bleeding Disorder—An Interdisciplinary Approach." Hämostaseologie 39, no. 01 (January 25, 2019): 028–35. http://dx.doi.org/10.1055/s-0039-1677714.

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AbstractChildren with an unexplained bleeding tendency are frequently referred to a haemostaseologist for further evaluation. Careful standardized history taking and clinical evaluation should allow for distinguishing bleeds after minor injury and trauma which are very common in all children. However, in two groups of children bleeding symptoms may be more significant than expected: those with an underlying coagulation disorder and those who have been subjected to physical child abuse. The coexistence of child abuse and a bleeding disorder must always be considered. An extended coagulation diagnostic is required if the morphology of bleedings is not clearly suspicious for child abuse and in the absence of typical concomitant injuries, e.g., bone fractures. An interdisciplinary approach involving a forensic pathologist and a paediatric haemostaseologist for assessment of bleeding symptoms, the explanation of the clinical findings, and the critical evaluation of laboratory results are essential in such cases. This review is focussed on symptoms in accidental and nonaccidental injuries in children assisting haemostaseologists in decision making in cases of child protection issues.
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Turnham, Helen Lynne, Ariella Binik, and Dominic Wilkinson. "Minority report: can minor parents refuse treatment for their child?" Journal of Medical Ethics 46, no. 6 (February 14, 2020): 355–59. http://dx.doi.org/10.1136/medethics-2019-105702.

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Infants are unable to make their own decisions or express their own wishes about medical procedures and treatments. They rely on surrogates to make decisions for them. Who should be the decision-maker when an infant’s biological parents are also minors? In this paper, we analyse a case in which the biological mother is a child. The central questions raised by the case are whether minor parents should make medical decisions on behalf of an infant, and if so, what are the limits to this decision-making authority? In particular, can they refuse treatment that might be considered best for the infant? We examine different ethical arguments to underpin parental decision-making authority; we argue that provided that minor parents are capable of fulfilling their parental duties, they should have a right to make medical decisions for their infant. We then examine the ethical limits to minor parents’ decision-making authority for their children. We argue that the restricted authority that teenagers are granted to make medical decisions for themselves looks very similar to the restricted autonomy of all parents. That is, they are permitted to make choices, but not harmful choices. Like all parents, minor parents must not abuse or neglect their children and must also promote their welfare. They have a moral right to make medical decisions for their infants within the same ‘zone of parental discretion’ that applies to adult parents. We conclude that adult and minor parents should have comparable decision-making authority for their infants.
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Klettke, Bianca, and Martine Powell. "The Effects of Evidence, Coherence and Credentials on Jury Decision-Making in Child Sexual Abuse Trials." Psychiatry, Psychology and Law 18, no. 2 (May 2011): 263–69. http://dx.doi.org/10.1080/13218719.2010.543400.

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44

Howe, Dooley, and Hinings. "Assessment and decision-making in a case of child neglect and abuse using an attachment perspective." Child & Family Social Work 5, no. 2 (May 2000): 143–55. http://dx.doi.org/10.1046/j.1365-2206.2000.00151.x.

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45

Baldwin, Clive, and Michelle Greason. "Narrative and Argumentation in a Case of Alleged Child Abuse." Narrative Works 9, no. 2 (April 19, 2021): 1–20. http://dx.doi.org/10.7202/1076523ar.

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The relationship between argument and narrative has been the subject of much debate, particularly in the area of law, where a number of theorists have argued for the priority of one over the other in the decision-making process, the premise being that argumentation and narrative are two distinct text forms. Through the rhetorical analysis of a series of expert reports in a case of alleged child abuse, we seek to explore the dynamics between argumentation and narrative. In so doing, we argue that while certain actions may undermine the robustness of an argument, it is these very actions that make possible the telling of a persuasive story. We conclude with a plea for the development of rhetorical skills among social workers so as to be better able to discern future directions for the benefit of service users.
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46

Hickson, Linda, Ishita Khemka, Harriet Golden, and Aikaterini Chatzistyli. "Randomized Controlled Trial to Evaluate an Abuse Prevention Curriculum for Women and Men With Intellectual and Developmental Disabilities." American Journal on Intellectual and Developmental Disabilities 120, no. 6 (November 1, 2015): 490–503. http://dx.doi.org/10.1352/1944-7558-120.6.490.

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Abstract This study was designed (a) to assess the impact of the ESCAPE-DD curriculum on the decision-making skills of adults with intellectual and developmental disabilities (IDD) in hypothetical situations of abuse, (b) to examine the role of problem awareness, and (c) to identify factors associated with posttest decision-making performance. Fifty-eight women and men with IDD were randomly assigned to an intervention group or a wait-list control group. Participants who experienced ESCAPE-DD made significantly greater gains on measures of overall effective decision making and safe-now effective decision-making relative to participants in the control group. Problem awareness was related to decision making, but it did not improve as a result of the intervention. Implications of the findings for future curriculum-development efforts are discussed.
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Stroud, Julia, and Chris Warren-Adamson. "Multi-agency child protection." Social Work and Social Sciences Review 16, no. 3 (August 16, 2013): 37–49. http://dx.doi.org/10.1921/swssr.v16i3.536.

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Public concern over, and recent developments in, the field of child protection are well known (Munro 2012). Within these developments, there has been a strengthening of the role of social work with an increased focus on, and recognition of, professional knowledge, skills and ‘expert’ decision making (Munro 2011; Gilbert et al. 2011). Focus on inter-professional and multi-agency practice has developed alongside (Frost and Lloyd 2006; Frost and Robinson 2007; Ruch 2009), and continues to have a clear focus in the recently issued Working Together to Safeguard Children (H.M. Government 2013).This paper enquires into a relatively under-explored area of multi-agency child protection practice, specifically, that of the police (that is,. non-specialists in child protection) making an urgent, first response to a child protection call, often out of hours and without immediate recourse to the expertise and knowledge of child protection practitioners. In these situations, the police are called upon to make key decisions: for example, whether to immediately protect and remove children using police protection powers (Section 46(1) Children Act 1989), to refer on to local authority social services for a s47 investigation or s17 services, or to take no further action. There is exploration of the issues raised by a request from the police to develop an assessment framework as an aid to practice in these situations. The police had in mind an equivalent instrument to a domestic abuse framework already adopted by them. The paper reviews debates, particularly about predictive efficacy, in the construction of assessment and decision-making tools. The nature and distinction between consensus based and actuarial risk assessment instruments are examined, as are challenges for general multi-agency working, alongside the specific challenges for front line police officers. It is proposed that a consensus based assessment framework to support decision making, drawing on empirically tested, actuarially informed risk assessment evidence, which is collaboratively tested with a multi-agency group, is indicated.
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Francis, Karen, Ysanne Chapman, Kenneth Sellick, Ainlsey James, Maureen Miles, Janet Jones, and Julie Grant. "The decision-making processes adopted by rurally located mandated professionals when child abuse or neglect is suspected." Contemporary Nurse 41, no. 1 (April 2012): 58–69. http://dx.doi.org/10.5172/conu.2012.41.1.58.

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Benbenishty, Rami, Dan Segev, and Tami Surkis. "Information-Search and Decision-Making by Professionals and Nonprofessionals in Cases of Alleged Child-Abuse and Maltreatment." Journal of Social Service Research 28, no. 3 (October 17, 2002): 1–18. http://dx.doi.org/10.1300/j079v28n03_01.

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Murray, Bruce K. Mac. "Prosecutorial Decision Making and Case Attrition for Child Sexual Abuse: A Qualitative Approach to Case Rejection Decisions." Prison Journal 68, no. 2 (October 1988): 11–24. http://dx.doi.org/10.1177/003288558806800204.

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