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Child Abuse Victims' Involvement in Community Agency Treatment: Service Correlates, Short-Term Outcomes, and Relationship to Reabuse

Western Psychiatric Institute and Clinic University of Pittsburgh School of Medicine

Barbara L. Baumann

Western Psychiatric Institute and Clinic University of Pittsburgh School of Medicine

Nicola Caldwell

Western Psychiatric Institute and Clinic University of Pittsburgh School of Medicine

This study examines the correlates and impacts of child treatment in 68 cases referred to community agency providers after reports of child physical or sexual abuse. Standardized clinical assessments were conducted with child victims and their caregivers at intake and short-term follow-up (FUP-1), supplemented by official record reviews at a long-term follow-up (FUP-2). Child treatment was received by 19% and 50% of the children at FUP-1 and FUP-2, respectively. There were few correlates of initial child treatment involvement (sexual abuse or parent and family services received concurrently). Initial child treatment was not associated with significant gains in child outcomes. Child improvement in abuse-related outcomes was associated with post-traumatic stress disorder and lower adjustment at intake. Initial child treatment was unrelated to reabuse or out-of-home placement by FUP-2. Additional studies are needed to more fully evaluate the process and outcome of referral of child abuse victims to community-based services.

Key Words: child therapy • community treatment • service delivery • service use • abusive families

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