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RE: Assessment package for treatment of abused/neglected children
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<DIV><SPAN class=480103614-17052001><FONT color=#000000 face=""><FONT
face=Arial><FONT size=3>V, Brooks wrote:</FONT></FONT></FONT></SPAN><FONT
size=3><FONT face=Arial></FONT></FONT></DIV>
<DIV><SPAN class=480103614-17052001><FONT color=#000000 face=Arial
size=2></FONT></SPAN> </DIV>
<DIV><SPAN class=480103614-17052001><FONT color=#000000 face=Arial
size=3>"</FONT></SPAN>For example, who decided that 2 missed visits is
worth 4pts and that smoking marijuana, using heroin, drinking a six pack of beer
should be of equal weight? <SPAN class=480103614-17052001><FONT color=#000000
face=Arial size=3>"</FONT></SPAN></DIV>
<DIV><SPAN class=480103614-17052001><FONT color=#000000 face=Arial
size=3></FONT></SPAN> </DIV>
<DIV><SPAN class=480103614-17052001><FONT color=#000000 face=Arial size=3>I
think that using blanket substance abuse criteria like those mentioned above is
a mistake. The use, per se, of psychoactive drugs has virtually no meaning
when it comes to identifying cases of child maltreatment. I am not in
favor of parents using any kind of drug, but there are numerous cases of
individuals using any one of the drugs mentioned without any negative effect on
their parenting, nor their occupational, social, recreational or interpersonal
functioning. Addressing one of the criteria specifically, the average
person can drink one bottle/can of beer per hour for six hours and never reach
0.08 BAL (the national standard for impaired driving), let alone become
intoxicated. Thus, where is the problem? If the parent has been
found to be addicted (i.e., substance dependent as per DSM-IV) and CPS and the
courts order no alcohol or other drug (AOD) use, fine, but drawing an arbitrary
line at a "six pack" does not address the primary issue: the health,
safety and well-being of the child or children. In some cases, a parent
may actually function better after having used AOD. Not a great situation,
but it is true in some cases. </FONT></SPAN></DIV>
<DIV><SPAN class=480103614-17052001><FONT color=#000000 face=Arial
size=3></FONT></SPAN> </DIV>
<DIV><SPAN class=480103614-17052001><FONT color=#000000 face=Arial size=3>-Randy
Webber </FONT></SPAN></DIV>
<P><FONT color=#000000 face=Arial size=2><SPAN class=480103614-17052001><FONT
color=#000000 face=Arial size=2>J</FONT></SPAN>. Randall (Randy) Webber,
M.P.H.</FONT><U> <FONT color=#0000ff face=Arial
size=2>rwebber@chestnut.org<BR></FONT></U><FONT color=#000000 face=Arial
size=2>Director of Training and Publications<BR>Chestnut Health
Systems<BR>Lighthouse Institute<BR>720 W. Chestnut Street<BR>Bloomington,
IL 61701<BR>(309) 829-1058 Ext 3411<BR></FONT><U><FONT color=#0000ff
face=Arial size=2><<A href="http://www.chestnut.org/li/"
target=_blank>http://www.chestnut.org/li/</A>></FONT><FONT color=#0000ff
face=Arial> </FONT></U></P>
<P><FONT color=#000000 face=Arial>"</FONT><FONT color=#000000 face=Arial
size=2>All people are equal, it is not birth, it is virtue alone that makes the
difference. "</FONT><BR><FONT color=#000000 face=Arial size=2>-
Voltaire</FONT> </P>
<DIV> </DIV>
<BLOCKQUOTE>
<DIV class=OutlookMessageHeader><FONT face="Times New Roman"
size=2>-----Original Message-----<BR><B>From:</B>
owner-CHILD-MALTREATMENT-RESEARCH-L@cornell.edu [<A
href="mailto:owner-CHILD-MALTREATMENT-RESEARCH-L@cornell.edu">mailto:owner-CHILD-MALTREATMENT-RESEARCH-L@cornell.edu</A>]<B>On
Behalf Of</B> vernon brooks carter<BR><B>Sent:</B> Thursday, May 17, 2001
11:23 AM<BR><B>To:</B> Child Maltreatment Researchers<BR><B>Subject:</B> Re:
Assessment package for treatment of abused/neglected
children<BR><BR></FONT></DIV>
<DIV><FONT face=Arial size=2>Some CPS offices have started using the
Structured Decision Making (SDM) model to assist them and/or bolster their
decision to reunify or not to reunify. The SDM has a checklist of risk
factors with a cutoff score. Families whose scores are less than the cutoff
can be deemed ready for reunification and those who score above the cutoff
are not. Of course things are rarely black and white. The CPS worker can use
the scores to support a court report to either reunify or not. The courts do
not have to accept the results of the SDM model on face value. They probably
shouldn't. I haven't seen much in the way of validity or reliability
referenced for the SDM models. In addition, the issue of
"weighting" is a weakness for most checklists. For example,
who decided that 2 missed visits is worth 4pts and that smoking marijuana,
using heroin, drinking a six pack of beer should be of equal weight? Or
should there be zero tolerance once you are involved with the CPS? Without
extensive research to back up the rationale for SDM, the courts and some
workers are using SDM when the results support the desired
outcome.</FONT></DIV>
<BLOCKQUOTE
style="BORDER-LEFT: #000000 solid 2px; MARGIN-LEFT: 5px; MARGIN-RIGHT: 0px; PADDING-LEFT: 5px; PADDING-RIGHT: 0px">
<DIV style="FONT: 10pt arial">----- Original Message ----- </DIV>
<DIV
style="BACKGROUND: #e4e4e4; FONT: 10pt arial; font-color: black"><B>From:</B>
<A href="mailto:CHILIDOLL@aol.com"
title=CHILIDOLL@aol.com>CHILIDOLL@aol.com</A> </DIV>
<DIV style="FONT: 10pt arial"><B>To:</B> <A
href="mailto:CHILD-MALTREATMENT-RESEARCH-L@cornell.edu"
title=CHILD-MALTREATMENT-RESEARCH-L@cornell.edu>Child Maltreatment
Researchers</A> </DIV>
<DIV style="FONT: 10pt arial"><B>Sent:</B> Tuesday, May 15, 2001 8:56
AM</DIV>
<DIV style="FONT: 10pt arial"><B>Subject:</B> Re: Assessment package for
treatment of abused/neglected children</DIV>
<DIV><BR></DIV><FONT face=arial,helvetica><FONT size=2>In a message
dated 5/15/2001 11:40:03 AM Eastern Daylight Time, <BR><A
href="mailto:BRubin525@aol.com">BRubin525@aol.com</A> writes:
<BR><BR><BR>
<BLOCKQUOTE
style="BORDER-LEFT: #0000ff solid 2px; MARGIN-LEFT: 5px; MARGIN-RIGHT: 0px; PADDING-LEFT: 5px"
TYPE = CITE>by CPS and a reunification plan would be in place.
I am interested in <BR>having <BR>measures that would assess
treatment effectiveness. This would be helpful <BR>for both
clinical reasons and for having a set of evaluation measures for
<BR>receiving future foundation support for our work. <BR>Does
anyone have any suggestions about this issue. Thanks, Bart
Rubin, <BR>Ph.D. <BR>BRubin525@aol.com <BR><BR></BLOCKQUOTE><BR><BR>I
have question. What determines that "reunification should
happen?" Who <BR>says it should? <BR><BR>Thanks</FONT>
</FONT></BLOCKQUOTE></BLOCKQUOTE></BODY></HTML>
</x-html>From ???@??? Tue Jun 26 13:51:56 2001
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From: "J. Randall Webber" <rwebber@chestnut.org>
To: Child Maltreatment Researchers <CHILD-MALTREATMENT-RESEARCH-L@cornell.edu>
Subject: RE: family reunification in incest cases
Date: Tue, 26 Jun 2001 12:09:37 -0500
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<DIV><SPAN class=00420317-26062001><FONT color=#000000 face=Arial size=3>I don't
know if this will help, but if the perpetrator is not sentenced to prison but is
instead put on probation, there should be a supervision team comprised of the
victim's therapist/caseworker, the perpetrator's therapist, and the probation
officer. Increasing the number of people who are involved in the case
makes supervision and prevention of further incidents less likely. This
can not be solely a child welfare issue, but must involve multiple
agencies. This model of community supervision model is typical in the case
of sex offenders, whether they are incest perpetrators, extrafamilial child
molesters, or any other type of sex offender.</FONT></SPAN></DIV>
<DIV><SPAN class=00420317-26062001><FONT color=#000000 face=Arial
size=3></FONT></SPAN> </DIV>
<DIV><SPAN class=00420317-26062001><FONT color=#000000 face=Arial size=3>-Randy
Webber </FONT></SPAN></DIV>
<P><FONT color=#000000 face=Arial size=2>J. Randall (Randy) Webber,
M.P.H.</FONT><U> <FONT color=#0000ff face=Arial
size=2>rwebber@chestnut.org<BR></FONT></U><FONT color=#000000 face=Arial
size=2>Director of Training and Publications<BR>Chestnut Health
Systems<BR>Lighthouse Institute<BR>720 W. Chestnut Street<BR>Bloomington,
IL 61701<BR>(309) 829-1058 Ext 3411<BR></FONT><U><FONT color=#0000ff
face=Arial size=2><<A href="http://www.chestnut.org/li/"
target=_blank>http://www.chestnut.org/li/</A>></FONT><FONT color=#0000ff
face=Arial> </FONT></U></P>
<P><FONT color=#000000 face=Arial>"</FONT><FONT color=#000000 face=Arial
size=2>All people are equal, it is not birth, it is virtue alone that makes the
difference. "</FONT><BR><FONT color=#000000 face=Arial size=2>-
Voltaire</FONT> </P>
<DIV> </DIV>
<BLOCKQUOTE>
<DIV class=OutlookMessageHeader><FONT face="Times New Roman"
size=2>-----Original Message-----<BR><B>From:</B>
owner-CHILD-MALTREATMENT-RESEARCH-L@cornell.edu
[mailto:owner-CHILD-MALTREATMENT-RESEARCH-L@cornell.edu]<B>On Behalf Of</B>
CHILIDOLL@aol.com<BR><B>Sent:</B> Monday, June 25, 2001 5:25
PM<BR><B>To:</B> Child Maltreatment Researchers<BR><B>Subject:</B> Re:
family reunification in incest cases<BR><BR></FONT></DIV><FONT
face=arial,helvetica><FONT size=2>In a message dated 6/25/2001 2:13:39 PM
Eastern Daylight Time, <BR>vfish@facstaff.wisc.edu writes: <BR><BR><BR>
<BLOCKQUOTE
style="BORDER-LEFT: #0000ff solid 2px; MARGIN-LEFT: 5px; MARGIN-RIGHT: 0px; PADDING-LEFT: 5px"
TYPE = CITE>Are any of you aware of any empirical studies that have
looked specifically <BR>at family reunification in incest cases,
particularly when the perpetrator <BR>is a parent who has been removed
from the home and is being returned? <BR>Thanks very much, <BR>Vince
<BR><BR></BLOCKQUOTE><BR><BR>I would like to look at studies that look
specifically at reunification in <BR>incest cases particularly when the
perpetrator is sibling. Perpetrator was <BR>convicted and victims are being
court ordered against their wishes to be <BR>reunited. <BR><BR>Physical
victim is also diagnosed with Pervasive Developmental Disorder. <BR>Thank
you <BR>Renee</FONT> </FONT></BLOCKQUOTE></BODY></HTML>
</x-html>From ???@??? Thu Jun 28 15:10:57 2001
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From: "J. Randall Webber" <rwebber@chestnut.org>
To: Child Maltreatment Researchers <CHILD-MALTREATMENT-RESEARCH-L@cornell.edu>
Subject: Mental Health Services for Youths in Foster Care and Disabled Youth
Date: Thu, 28 Jun 2001 14:04:13 -0500
Message-ID: <000801c10005$20f13640$b514a8c0@li-rwebber-95.chestnut.org>
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<BODY><FONT face=Arial>Just received today: dosReis, S, Zito, JM, Safer,
DJ & Soeken, KL (2001). Mental Health Services for Youths in
Foster Care and Disabled Youth. <EM>American Journal of Public
Health</EM>, 91(7): 1094-1099. <BR><BR></FONT>
<P><FONT size=2>J. Randall (Randy) Webber, M.P.H. <A
href="mailto:rwebber@chestnut.org">rwebber@chestnut.org</A><BR>Director of
Training and Publications<BR>Chestnut Health Systems<BR>Lighthouse
Institute<BR>720 W. Chestnut Street<BR>Bloomington, IL 61701<BR>(309)
829-1058 Ext 3411<BR><<A href="http://www.chestnut.org/li/"
target=_blank>http://www.chestnut.org/li/</A>><BR><BR>"All people are equal,
it is not birth, it is virtue alone that makes<BR>the difference. "<BR>-
Voltaire<BR><BR></FONT></P></BODY></HTML>
</x-html>From ???@??? Tue Jul 24 15:50:36 2001
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From: "J. Randall Webber" <rwebber@chestnut.org>
To: Child Maltreatment Researchers <CHILD-MALTREATMENT-RESEARCH-L@cornell.edu>
Subject: papers in current Archives of Pediatrics and Adolescent Medicine
Date: Fri, 13 Jul 2001 14:20:00 -0500
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FYI.
-Randy Webber
J. Randall (Randy) Webber, M.P.H. rwebber@chestnut.org
Director of Training and Publications
Lighthouse Institute
Bloomington, IL
(309) 829-1058 Ext 3411
<http://www.chestnut.org/li/>
&
School of Social Work
Illinois State University
Normal, IL
"All people are equal, it is not birth, it is virtue alone that makes
the difference. "
- Voltaire
ARCHIVES OF PEDIATRICS & ADOLESCENT MEDICINE
Table of Contents - July 2001
Vol 155, No 7, pp 749-864
http://archpedi.ama-assn.org/issues/v155n7/toc.html
_____________________________
Maternal and Paternal Recreational Drug Use and Sudden Infant Death Syndrome
Hillary Klonoff-Cohen, PhD; Phung Lam-Kruglick, MA
http://archpedi.ama-assn.org/issues/v155n7/abs/poa00422.html
Treatment of Child Abuse: Common Ground for Mental Health, Medical, and
Legal
Practitioners
Donald C. Bross, JD, PhD
http://archpedi.ama-assn.org/issues/v155n7/ffull/pbk0701-1.html
(c) Copyright 2001, American Medical Association, all rights reserved