An independent process evaluation of Mellow Dads

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“In there but not in there”:Sibling sexual abuse as a disruptor in the field of child sexual abuse

In this commentary paper, which draws on the authors’ own past research and practice experience in the field of child sexual abuse prevention as well as a thorough knowledge of the extant literature, we argue that sibling sexual abuse challenges conventional thinking about child sexual abuse, both in terms of how the general public conceptualises child sexual abuse and in terms of our practice responses to it. Traditional service responses are often inadequate and inappropriate in situations involving sexual abuse between siblings. The question is further raised as to whether traditional service responses are appropriate for other forms of child sexual abuse. We argue that instead of siloed, individualist therapy and criminal or youth justice responses, whole-family responses are required, which draw on the principles of family therapy and restorative justice

'If I cannot access services then there is no reason for me to test': the impact of health service charges on HIV testing and treatment amongst migrants in England

Policy governing entitlement to access government health care for foreign nationals in England is a subject of debate, controversy and confusion. Of particular concern to health providers has been the impact of National Health Service charges on delaying HIV testing and anti-retroviral treatment uptake and adherence amongst certain migrant groups. Data obtained through focus groups with 70 migrants from southern Africa, suggest that confusion over health care entitlements exists amongst those seeking health care and is reported amongst health service providers. This confusion, as well as financial difficulties and fears over deportation facing some migrants, can in turn be a factor influencing their decisions to avoid formal health services, resort to alternative and often ineffective or potentially adverse forms of therapy, and delay HIV testing and treatment uptake

Density-functional investigation of the rhombohedral to simple cubic phase transition of arsenic

We report on our investigation of the crystal structure of arsenic under compression, focusing primarily on the pressure-induced A7 to simple cubic (sc) phase transition. The two-atom rhombohedral unit cell is subjected to pressures ranging from 0 GPa to 200 GPa; for each given pressure, cell lengths and angles, as well as atomic positions, are allowed to vary until the fully relaxed structure is obtained. We find that the nearest and next-nearest neighbor distances give the clearest indication of the occurrence of a structural phase transition. Calculations are performed using the local density approximation (LDA) and the PBE and PW91 generalized gradient approximations (GGA-PBE and GGA-PW91) for the exchange-correlation functional. The A7 to sc transition is found to occur at 21+/-1 GPa in the LDA, at 28+/-1 GPa in the GGA-PBE and at 29+/-1 GPa in the GGA-PW91; no volume discontinuity is observed across the transition in any of the three cases. We use k-point grids as dense as 66X66X66 to enable us to present reliably converged results for the A7 to sc transition of arsenic.Comment: To be published in Physical Review B; material supplementary to this article is available at arXiv:0810.169

Sibling sexual abuse: why don't we talk about it?

Aims and objectivesTo explore two hypotheses for explaining why there is little written about sibling sexual abuse and to raise awareness of the subject in order better to protect children and to facilitate sensitive patient care.BackgroundWhile there is no universal agreement over its definition, sibling sexual abuse is acknowledged internationally as a prevalent form of child sexual abuse but tends not to be recognised by health professionals. It is also under-represented within the literature in comparison to other forms of intrafamilial sexual abuse. Understanding why this is may help to illuminate the potential barriers to effective professional responses. Two explanations which emerge strongly are the existence of a sibling incest taboo and a prevailing belief that sibling sexual behaviour is largely harmless.DesignDiscursive position paper.MethodThe paper examines the two hypotheses through exploration of the extant literature on sibling incest and sibling sexual abuse. ConclusionsSibling sexual abuse accounts for a significant minority of child sexual abuse and has the potential to be as harmful as sexual abuse by a parent. An abhorrence at the thought of sibling sexual activity and a prevailing view of its harmlessness may hinder nurses’ detection of and appropriate responses to sibling sexual abuse, but do not provide convincing explanations for the dearth of literature. Instead, a deeply-held perspective of sibling relationships as non-abusive offers a more profound explanation. Relevance to clinical practiceA knowledge of sibling sexual abuse and its consequences are important both for the effective protection of children and the sensitive and appropriate treatment of patients who present with a variety of physical and mental health concerns. A perspective that sibling relationships are non-abusive provides a deeper level of understanding of the powerful obstacles to raising awareness of and responding appropriately to this form of abuse

"It's Just the Abuse that Needs to Stop": Professional Framing of Sibling Relationships in a Grounded Theory Study of Social Worker Decision Making Following Sibling Sexual Behavior

Sibling abuse is a global problem, arguably the most prevalent form of family violence, and as harmful as other familial abuse. There is evidence internationally that sibling abuse often goes unrecognized or is minimized by professionals from education, health and social care. The responses of social workers are of particular interest as key decision makers in child welfare, yet research has focused on concerns about parental abuse rather than risks presented by children within a family. This paper presents findings from research examining social worker decision-making in cases involving sibling sexual behavior. Interviews were conducted across six Scottish local authorities with twenty-one social workers having responsibility for such cases. Forty-five hours of in-depth interviews regarding 21 families and 54 children involved in sibling sexual behavior were audiotaped, transcribed verbatim, and analysed using constructivist grounded theory. The study found that social workers frame sibling relationships as non-abusive and of intrinsic value, and when faced with contradictory evidence engage in a number of mechanisms to maintain this frame. This paper makes a significant contribution to the sociology of siblinghood and provides an explanation that is more profound than existing theories for the internationally recognized problem of the marginalization of sibling abuse