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Child maltreatment by nursing staff and caregivers in German institutions: A population-representative analysis

Vera Clemens1, Ulrike Hoffmann1, Elisa König1

  • 1Department of Child and Adolescent Psychiatry/Psychotherapy, University of Ulm, Steinhövelstr. 5, 89073 Ulm, Germany.

Child Abuse & Neglect
|June 24, 2019
PubMed

Insights

Child maltreatment by caregivers in German institutions is prevalent, with significant rates reported in medical settings, schools, and care facilities. Increased awareness is crucial to address this issue and protect children.

Area of Science:

  • Pediatrics
  • Public Health
  • Sociology

Background:

  • Child maltreatment significantly contributes to overall maltreatment rates.
  • Existing research often focuses on individual maltreatment components or specific institutional types.

Purpose of the Study:

  • To assess the prevalence rates of child maltreatment by caregivers in various German institutions.
  • To investigate the scope of maltreatment across hospitals, rehabilitation centers, disability facilities, schools, kindergartens, and residential care.

Main Methods:

  • A cross-sectional survey was conducted on a representative sample of 2,516 German individuals aged 14 and above.
  • Participants were questioned retrospectively about experiencing physical, emotional, or sexual abuse and neglect by institutional caregivers.

Main Results:

  • A high prevalence of child maltreatment in German institutions was found.
  • 19.0% experienced maltreatment by nursing staff in medical institutions, 30.3% by teachers in schools, and 11.6% by caregivers in care facilities.
  • Multiple forms of maltreatment were reported across institutions, with younger respondents showing lower prevalence rates, possibly due to increased awareness.

Conclusions:

  • Child maltreatment by caregivers within institutions is a widespread problem.
  • Enhanced awareness of caregivers as potential perpetrators in schools, medical facilities, and care settings is necessary.
  • Urgent action is needed to improve the situation and ensure child safety.
Abstract

Keywords:
CaregiversChild abuseChild maltreatmentChild neglectEpidemiologyInstitutions

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