An Exploratory Study of the Knowledge of Personal Safety Skills Among Children with Developmental Disabilitites and Their Parents

Authors
Miller, H.L. Pavlik, K.M. Kim, M.A. Rogers, K.C.
Publication year
2017
Citation Title
An exploratory study of the knowledge of personal safety skills among children with developmental disabilities and their parents
Journal Name
Journal of Applied Research in Intellectual Disabilities
Journal Volume
30
Page Numbers
290-300
DOI
10.1111/jar.12239
Summary
Children with developmental disabilities may have decreased knowledge of personal safety skills, increasing the risk of maltreatment. Structured interviews assessed the personal safety knowledge of children with developmental disabilities referred to a risk reduction program. In addition, a questionnaire was used to obtain parents' perception of their child's personal safety skills. Both child interviews and parent perceptions indicated low personal safety knowledge in several areas including identifying appropriate and responding to inappropriate touch.
Key Findings
The majority of children with developmental disabilities in the study displayed incorrect knowledge of private parts (73%), and could not correctly identify physical changes associated with puberty (86%).
Over half (54%) of the children could not correctly identify appropriate touch.
Few parents (11%) of children with developmental disabilities indicated their child had the skills to keep themselves safe frequently or always.
More than one third (38%) of parents indicated their child rarely or never is able to know how to respond to inappropriate touch.
Implications for Military Professionals
Collaborate with other professionals about ways to provide personal safety skills training to children with special needs in military families
Facilitate activities designed to assist military parents of children with special needs in educating their child about healthy child behaviors
Implications for Program Leaders
Provide education for military parents of children with special needs on strategies for teaching appropriate touch
Enhance programs for military families of children with special needs to include personal safety skills education
Implications for Policy Makers
Encourage the development of programs that assist children with special needs in military families learn personal safety skills
Recommend courses for professionals to learn strategies to assist military parents in teaching their children with special needs healthy development behaviors
Methods
Children with developmental disabilities participating in a risk reduction program and their parents were recruited from a mental health clinic.
Clinicians used structured interviews to assess children's knowledge of personal safety skills.
A questionnaire was used to measure each parent's perception of their child's level of personal safety skills knowledge.
The percentage of children answering each type of personal safety question correctly was determined, and compared to parent perceptions.
Participants
Participants included 37 children between the ages of 7 and 19 years with developmental disabilities and one of their parents.
Most children were male (54%) and most identified as Latino (84%).
In addition to having a developmental disability, all children had at least one psychiatric diagnosis.
Parent demographics were not included.
Limitations
Children in the study were referred to the risk reduction program by a clinical professional that perceived a need; thus, the sample was likely biased toward including higher numbers of children without the appropriate skills.
The majority of children were Latino; therefore, the results may not generalize well to other populations.
Because children were required to have sufficient language skills to comprehend and respond to the interview questions, the results may not generalize to children with more severe language impairments.
Due to the wide age range of children and relatively small sample size, the results may not generalize to more selective age groups.
Avenues for Future Research
Assess the level of personal safety knowledge children with special needs have who were not previously referred to a risk reduction program
Determine the levels of personal safety knowledge in a variety of populations of children with special needs
Explore strategies that effectively increase personal safety knowledge and skills in children with special needs
Design Rating
2 Stars - There are some flaws in the study design or research sample, but those flaws do not significantly threaten the ability to make conclusions based on the data.
Methods Rating
2 Stars - There are no significant biases or deficits in the way the variables in the study are defined or measures and conclusions are appropriately drawn from the analyses performed.
Limitations Rating
1 Star - There are several factors that limit the ability to extend the results to a population and therefore the results can only be extended to a very specific subset of the population.
Focus
Civilian
Population Focus
Abstract
Background This study assessed the knowledge of
personal safety skills among children with
developmental disabilities and their parents’ perceptions
of children’s knowledge.
Method This exploratory study examined the mental
health records of 37 children with developmental
disabilities referred for an abuse risk reduction group in
a community mental health setting. Qualitative analysis
of children’s responses to questions about personal
safety skills (knowledge related to physical development
and personal safety, an appropriate and inappropriate
touch and safety skills to respond to an inappropriate
touch) indicated participants’ varied and inconsistent
levels of knowledge.
Results Consistent with the literature, the results indicate
risk factors for sexual abuse among children with
developmental disabilities, including children’s
difficulty distinguishing between an appropriate and
inappropriate touch and the lack of knowledge
regarding appropriate venues for disclosing an
inappropriate touch. Among parents, a lack of certainty
regarding their children’s knowledge and the ability to
keep themselves safe was identified.
Conclusion Results support the need for education about
personal safety for children with developmental
disabilities and their families.
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