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Re: restraints in substitute care placement
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<DIV><FONT size=2>Restraint Information Resources:</FONT></DIV>
<DIV><FONT size=2></FONT> </DIV>
<DIV><FONT size=2>Wanda Mohr, PhD, Rutgers University</FONT></DIV>
<DIV><FONT size=2><A
href="mailto:mohr@nursetech.rutgers.edu";>mohr@nursetech.rutgers.edu</A></FONT></DIV>
<DIV><FONT size=2></FONT> </DIV>
<DIV><FONT size=2><FONT size=3>Jean Mercer, PhD,Richard Stockton
College<BR></FONT><A href="mailto:petedempsey@worldnet.att.net";><FONT
size=3>petedempsey@worldnet.att.net</FONT></A><BR></FONT></DIV>
<DIV><FONT size=2>Linda Rosa, RN, National Council Against Health
Fraud</FONT></DIV>
<DIV><FONT size=2><A
href="mailto:rosa@ezlink.com";>rosa@ezlink.com</A></FONT></DIV>
<DIV><FONT size=2></FONT> </DIV>
<DIV><FONT size=2><A title=RESTRAINT_INFO@yahoogroups.com
href="mailto:RESTRAINT_INFO@yahoogroups.com";>RESTRAINT_INFO@yahoogroups.com</A>
</FONT></DIV>
<DIV><FONT size=2></FONT> </DIV>
<DIV><FONT size=2>Alan Misbach, LCSW, Children's Justice Center</FONT></DIV>
<DIV><FONT size=2><A
href="mailto:alan@misbach.org";>alan@misbach.org</A></FONT></DIV>
<DIV><FONT size=2></FONT> </DIV>
<DIV><FONT size=2></FONT> </DIV>
<BLOCKQUOTE
style="PADDING-RIGHT: 0px; PADDING-LEFT: 5px; MARGIN-LEFT: 5px; BORDER-LEFT: #000000 2px solid; MARGIN-RIGHT: 0px">
<DIV style="FONT: 10pt arial">----- Original Message ----- </DIV>
<DIV
style="BACKGROUND: #e4e4e4; FONT: 10pt arial; font-color: black"><B>From:</B>
<A title=bill_higginsus@yahoo.com href="mailto:bill_higginsus@yahoo.com";>bill
higgins</A> </DIV>
<DIV style="FONT: 10pt arial"><B>To:</B> <A
title=CHILD-MALTREATMENT-RESEARCH-L@cornell.edu
href="mailto:CHILD-MALTREATMENT-RESEARCH-L@cornell.edu";>Child Maltreatment
Researchers</A> </DIV>
<DIV style="FONT: 10pt arial"><B>Sent:</B> Wednesday, June 12, 2002 12:09
PM</DIV>
<DIV style="FONT: 10pt arial"><B>Subject:</B> restraints in substitute care
placement</DIV>
<DIV><BR></DIV>Is there any research on restraints (for behavioral<BR>issues)
in out of home placements? I am particularly<BR>interested in the
frequency of restraints and how this<BR>may impact the completion of program
goals.<BR><BR>Thanks.<BR><BR>Bill
Higgins<BR><BR><BR><BR>__________________________________________________<BR>Do
You Yahoo!?<BR>Yahoo! - Official partner of 2002 FIFA World Cup<BR><A
href="http://fifaworldcup.yahoo.com";>http://fifaworldcup.yahoo.com</A><BR><BR><BR></BLOCKQUOTE></BODY></HTML>
</x-html>From ???@??? Mon Jun 17 10:39:30 2002
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From: "Niki Delson" <niki@delko.net>
To: Child Maltreatment Researchers <CHILD-MALTREATMENT-RESEARCH-L@cornell.edu>
Subject: Pediatricians Alerted to the Dangers to Children Living With Men Unrelated to Them
Date: Fri, 14 Jun 2002 21:04:27 -0700
Message-ID: <MNEHLGEMLDNLJIKNKCAACEIOCMAA.niki@delko.net>
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There has been a flurry in the news in recent weeks about a monograph in the
April issue of the journal Pediatrics in which pediatricians are alerted to
the presence of a mother’s boyfriend or stepfather as a risk factor for
abuse of children. The article says that
Objective. Approximately 2000 children die annually in the United States
from maltreatment. Although maternal and child risk factors for child abuse
have been identified, the role of household composition has not been
well-established. Our objective was to evaluate household composition as a
risk factor for fatal child maltreatment.
Methodology. Population-based, case-control study using data from the
Missouri Child Fatality Review Panel system, 1992-1994. Households were
categorized based on adult residents' relationship to the deceased child.
Cases were all maltreatment injury deaths among children <5 years old.
Controls were randomly selected from natural-cause deaths during the same
period and frequency-matched to cases on age. The main outcome measure was
maltreatment death.
Results. Children residing in households with adults unrelated to them were
8 times more likely to die of maltreatment than children in households with
2 biological parents (adjusted odds ratio [aOR]: 8.8; 95% confidence
interval [CI]: 3.6-21.5). Risk of maltreatment death also was elevated for
children residing with step, foster, or adoptive parents (aOR: 4.7; 95% CI:
1.6-12.0), and in households with other adult relatives present (aOR: 2.2;
95% CI: 1.1-4.5). Risk of maltreatment death was not increased for children
living with only 1 biological parent (aOR: 1.1; 95% CI: 0.8-2.0).
Conclusions. Children living in households with 1 or more male adults that
are not related to them are at increased risk for maltreatment injury death.
This risk is not elevated for children living with a single parent, as long
as no other adults live in the home. Pediatrics 2002; 109:615-621;
epidemiology, injury, child abuse and neglect, fatalities, mortality,
maltreatment, case-control study, death, risk factors, behavior.
***************************************************************************
Niki Delson at Delson-Kokish Associates, P.O. Box 476, Trinidad, CA 95570
Clinical and Forensic Evaluations, Consultation & Training
(707)677-3181-voice (707)677-0187-fax
niki@delko.net www.delko.net
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