Framing Child Neglect: A Content Analysis of National and Regional U.S. Newspaper Coverage Julie B. Arthur A Capstone Project Presented to the Faculty of the School of Communication in Partial Fulfillment of the Requirements for the Degree of Masters of Arts in Public Communication Supervisor: Prof. Caty Borum Chattoo April 25, 2012 FRAMING CHILD NEGLECT ii Copyright © 2012 Julie Beth Arthur All rights reserved. To obtain permission to use material from this work, please submit a written request via email to: julie.b.arthur@gmail.com. FRAMING CHILD NEGLECT iii ABSTRACT Child neglect occurs when a parent or caregiver fails to provide for a child's basic needs or protect the child from harm. Similar to but distinct from child abuse, child neglect is a complex societal issue that receives limited research and media attention. The communication theories of agenda setting and framing explain the media's potential impact on public understanding of topics covered and beliefs about their importance. As such, studying media portrayals of child neglect can offer insight into public knowledge and attitudes on this topic. This study presents the results of a content analysis of child neglect coverage in two national and two regional U.S. newspapers using a constructed week sample of articles published during federal fiscal years 2009 through 2011. Major findings include: a) most articles used episodic framing that focused on individual-level circumstances of child neglect; b) over-represented story elements include child fatalities, non-family perpetrators, and serious perpetrator consequences; and c) national newspapers used more thematic framing, and such articles were more likely to discuss long-term child consequences, contributing factors to maltreatment and system-level issues. This study's results can inform media and child welfare professionals' collaborative efforts to improve child neglect portrayals and increase public understanding. FRAMING CHILD NEGLECT iv TABLE OF CONTENTS Introduction ................................................................................................................................... 1 Goals and Organization of Paper ................................................................................................. 4 Literature Review ......................................................................................................................... 5 Section I: Child Maltreatment and the Professional Response ................................................... 5 Overview of Child Maltreatment ................................................................................................. 5 Overview of Child Neglect .......................................................................................................... 7 Risks and Consequences of Child Neglect .................................................................................. 9 Professional Responses to Child Maltreatment ......................................................................... 10 Section II: Public Understanding of Child Maltreatment and the Media ................................. 13 Public Understanding of Child Maltreatment ............................................................................ 13 Media and the Role of Agenda Setting ...................................................................................... 14 Media and the Role of Framing ................................................................................................. 19 Episodic and Thematic Framing ................................................................................................ 21 Improving Media Coverage of Child Maltreatment .................................................................. 24 Methods ....................................................................................................................................... 26 Results .......................................................................................................................................... 30 Articles ....................................................................................................................................... 30 Maltreatment Type ..................................................................................................................... 31 Specific Cases ............................................................................................................................ 33 Perpetrators ................................................................................................................................ 34 Child Consequences and Fatalities ............................................................................................ 35 Contributing Factors to Child Maltreatment .............................................................................. 36 Blame ......................................................................................................................................... 37 Perpetrator and Family Consequences ....................................................................................... 37 Systemic Factors ........................................................................................................................ 38 National and Regional Coverage ............................................................................................... 39 Episodic and Thematic Frames .................................................................................................. 40 Discussion .................................................................................................................................... 44 Types of Neglect or Abuse ........................................................................................................ 44 Child Consequences and Fatalities ............................................................................................ 45 Perpetrators and Consequences ..................................................................................................46 Contributing and Systemic Factors ............................................................................................ 47 National and Regional Coverage ............................................................................................... 48 Episodic and Thematic Framing ................................................................................................ 49 Conclusion ................................................................................................................................... 51 References ..................................................................................................................................... 54 Appendix: Codebook .................................................................................................................... 61 FRAMING CHILD NEGLECT v List of Figures Figure 1: Percentage of Child Maltreatment Victims by Maltreatment Type, 2010.................... 6 Figure 2: The Vicious Cycle of Child Abuse Coverage in the Media ....................................... 16 Figure 3: Percentage of Articles Mentioning Areas of Analysis ............................................... 31 Figure 4: Percentage of Articles Mentioning Types of Neglect and Abuse .............................. 32 Figure 5: Types Reported in Articles Mentioning Perpetrators ................................................. 34 Figure 6: Consequences Reported in Articles Mentioning Child Consequences ...................... 35 Figure 7: Factors Reported in Articles Mentioning Contributing Factors to Maltreatment ...... 37 Figure 8: Consequences Reported in Articles Mentioning Perpetrator Consequences ............. 38 Figure 9: Factors Reported in Articles Mentioning Systemic Factors ....................................... 39 Figure 10: Significant Differences in Factors Reported in National and Regional Newspapers ........................................................................................ 40 Figure 11: Thematically-Framed Articles by Newspaper ......................................................... 41 Figure 12: Types of Maltreatment in Episodically and Thematically-Framed Articles ............ 42 List of Tables Table 1: Types of Child Neglect and Abuse Covered in the News ........................................... 32 Table 2: Factors Significantly Related to a Report of a Child Fatality ..................................... 36 Table 3: High-Level Comparison of National and Regional Newspapers ................................ 39 Table 4: Significant Differences in Factors Reported in National and Regional Newspapers .. 40 Table 5: Significant Relationships Between Types of Maltreatment in Episodically and Thematically-Framed Articles ......................................................................................... 42 Table 6: Factors Significantly Related to the Use of a Dominant Thematic Frame .................. 43 Table 7: Factors Significantly Related to the Use of a Dominant Episodic Frame ................... 43 FRAMING CHILD NEGLECT 1 INTRODUCTION Seven-year-old Nixzmary Brown died at the hands of her stepfather in January 2006 in Brooklyn, New York, but the fatal wounds she suffered that day told only part of her story. While her stepfather and mother were both convicted of manslaughter and unlawful imprisonment for tying Nixzmary up in the apartment they shared, Nixzmary's mother received an additional charge: endangering the welfare of a child. The prosecution for the case proved she ignored and at times encouraged her husband's beatings of her daughter. At the trial's conclusion, the lead prosecutor declared that the verdict sent a message that Nixzmary's mother was guilty of "acts of omission" and that for parents, sometimes "it's not just what you do, it's what you don't do" (Fahim & Moynihan, 2008, October 18). Records later revealed Nixzmary came to the attention of New York City's child welfare agency several times, but the supervisor and caseworker assigned to those reports missed the signs of the parents' abusive and neglectful behaviors. As a result, the city's court system made an unprecedented decision to charge both workers with criminal negligence for failing to provide adequate services to Nixzmary and her family, services which may have prevented her death (Buckley & Secret, 2011, March 25). The case sparked public outrage and spurred efforts to overhaul the city's child welfare system. To date, nearly 800 news articles have reported on or mentioned Nixzmary's case, including international coverage in Canada, the United Kingdom, Australia and New Zealand. Four years later on the other side of the country, two-year-old Joana Rendon was found alone and crying one summer night in downtown Petaluma in Sonoma County, California. Too young to know her address or parents' names, police canvassed the area and distributed her picture to the media in search of her family. Joana's mother was not identified until the next morning; she was found at her boyfriend's house, unaware for at least 11 hours that her child was FRAMING CHILD NEGLECT 2 missing from the bedroom where she slept and had wandered more than a mile away. The police noted signs the mother had been drinking the night Joana went missing; she had a blood alcohol level of 0.04 when she was tested that morning (Payne, 2010, September 13). To add to the confusion of that night, an ex-girlfriend with a history of climbing into the window of the room where Joana slept had recently confronted Joana's mother and her boyfriend. Joana's mother was charged with a felony count of child neglect, but the charges were dropped after a preliminary hearing resulted in inconclusive evidence. The last news report on the story indicated continued uncertainty among authorities regarding how Joana ended up more than a mile from home, and an assistant district attorney is quoted as reporting that the investigation is ongoing. "When we receive information that somebody is putting children at risk, we need to act on it," she said (Payne, 2010, September 13). Thirteen articles were published about Joana and her family— none reaching beyond the local papers in the San Francisco bay area. The parallels between these stories may not be obvious at first, but they both demonstrate the need to improve media reporting and, thus, public understanding of the complex nature of child maltreatment—and the ways in which child neglect and child abuse differ. Doing so would contribute to societal support for children and families and improve community efforts to identify and respond to warning signs to prevent child maltreatment before it occurs. Not until Nixzmary's tragic death did the city's child welfare agency piece together the many indicators that her family needed help. Though the evidence in Joana's case was not strong enough to take legal action, the potentially troubling indicators of alcohol use and domestic disputes still could have been addressed. Only one of the news reports of Joana's story briefly mentioned child welfare services for her family to determine if she should be removed from home; there were no larger discussions of the need to address the family's risks to try to make sure the incident FRAMING CHILD NEGLECT 3 wouldn't occur again. Meanwhile, Nixzmary received no news coverage before her death. If more stories like Joana's accurately depicted the issues around neglect and ways to prevent it, perhaps more children could be saved from experiencing a similar fate. As Nixzmary and Joana's stories indicate, the neglect of children by their parents and caregivers is a troubling and complex social issue that has the potential to be misunderstood by individuals and misrepresented in the media. Neglect is closely related to child abuse and is often discussed in conjunction with, and in fact eclipsed by, the larger topic of abuse. Together, neglect and physical, sexual and emotional abuse are usually combined into the term "child maltreatment," but it is important to note that all forms of maltreatment have their own unique causes and consequences—as such, neglect is a distinct social issue that deserves its own scholarly pursuits and public awareness efforts (McSherry, 2007). Child neglect is four and eight times more common than physical or sexual abuse, respectively, yet neglect is much less studied in research and covered in the media than abuse (Children's Bureau, 2011; Smith & Fong, 2004). Given the power of the media to shape public perception through agenda setting and framing, studying depictions of child neglect in the media is critical to exploring public understanding of the issue. By choosing which stories to publish on a daily basis, the media can set the agenda regarding which issues the public believes are most important (McCombs, 2004). Beyond agenda setting, journalists can also frame stories in certain ways to influence the audience's understanding of the issue being covered (Druckman, 2011). There are many useful ways that frames can help audiences make sense of an otherwise complicated issue, but when the issue is framed in such a way that does not reflect reality, it can also be detrimental to the audience's understanding (Aubrun & Grady, 2003). When episodic or thematic frames are used, they can FRAMING CHILD NEGLECT 4 even affect the audience's perception of responsibility for addressing an issue, that is, whether individuals are solely responsible for their problems or the society as a whole is expected to help them. (Nisbet, 2007). Goals and Organization of Paper Very little research exists on the way child neglect is portrayed in the media—this study aims to fill that gap. The goals of this research are: a) to describe what types of neglect are covered in U.S. newspapers and what circumstances surrounding child neglect and abuse are addressed; b) to test for differences in national and regional newspaper coverage of child neglect; and c) to examine the use of dominant episodic or thematic frames in stories about child neglect and their potential impact on public understanding of the issue. This paper will present the results of a content analysis of stories about child neglect in two national and two regional U.S. newspapers over a three-year period. The results of this study will equip media and child welfare professionals with information on frames being used to characterize the child welfare system that serves at-risk children and their families and will help professionals improve the coverage of child neglect. Ultimately, the public will benefit from a greater understanding of the issues surrounding child neglect and support for the larger role society can play in preventing child maltreatment and reducing its impact. This research paper is organized in the following ways: First, the literature review that opens the paper provides an overview of child maltreatment, child neglect, its causes and consequences, and the systems that respond to and prevent maltreatment. This section then reviews public understanding of child maltreatment and the impact of the media on the public. To provide a theoretical framework to this research, particular attention will be paid to scholarly literature on agenda setting and episodic and thematic framing in relation to depictions of child FRAMING CHILD NEGLECT 5 abuse in the media and the individual versus societal role for addressing the issue. Finally, this paper details the methods for content analysis and presents results of the research. The paper concludes with a discussion of significant findings and recommendations for practice and future research. LITERATURE REVIEW Section I: Child Maltreatment and the Professional Response Overview of Child Maltreatment Child maltreatment, or child abuse and neglect, is broadly defined by the federal government as: "Any recent act or failure to act on the part of a parent or caretaker which results in death, serious physical or emotional harm, sexual abuse or exploitation; or An act or failure to act which presents an imminent risk of serious harm" (Children's Bureau, 2011, p. vii). Within this broad framework, each state is responsible for defining child maltreatment in law and enforcing criminal and civil penalties against parents and caregivers who commit child maltreatment (Child Welfare Information Gateway, 2011b). The most common categories of child maltreatment are physical abuse, sexual abuse, emotional abuse, and neglect. State child protective services (CPS) agencies are responsible for receiving and responding to reports of child abuse and neglect, in coordination with other state agencies and community-based organizations (Child Welfare Information Gateway, 2011d). CPS agencies are usually located within what are commonly known as child welfare services—the broader system of services that FRAMING CHILD NEGLECT 6 investigates reports of child maltreatment, supports maltreated children and their families and coordinates foster care and adoption for those children who cannot remain with their families (DePanfilis, 2006). The federal government has collected national data on the prevalence of child maltreatment annually since 1990 (Children's Bureau, 2011). According to the most recent statistics, published in the report Child Maltreatment 2010, 3.3 million reports of suspected maltreatment were made in federal fiscal year 2010 involving the safety of roughly 5.9 million children. After screening the reports, state CPS agencies investigated nearly 1.8 million possible cases of child maltreatment. As a result, states determined there were nearly 700,000 unique child victims of maltreatment, or 9.2 victims for every 1,000 children in the population. Figure 1 resents statistics on the percentage of children experiencing different types of maltreatment in 2010 (children can experience more than one type). Figure 1: Percentage of Child Maltreatment Victims by Maltreatment Type, 2010 Source: (Children's Bureau, 2011). FRAMING CHILD NEGLECT 7 According to the Children's Bureau (2011), neglect is by far the most common form of child maltreatment—it is experienced by more than 78 percent of all maltreated children. In comparison, less than 18 percent experience physical abuse and less than 10 percent of maltreated children experience sexual abuse, meaning maltreated children are four to eight times more likely to experience neglect than physical or sexual abuse, respectively. However, as discussed below, numerous sources indicate there is a "neglect of neglect" in both professional and public arenas. For example, a search for child abuse in a scholarly psychology index yielded nearly 10 times more articles than for child neglect, and a basic Google search resulted in roughly 26 times more results for child abuse than for child neglect. Overview of Child Neglect Beyond the broad federal definition, "neglect" is commonly defined in many states' laws as the "failure of a parent or other person with responsibility for the child to provide needed food, clothing, shelter, medical care, or supervision to the degree that the child's health, safety, and well-being are threatened with harm" (Child Welfare Information Gateway, 2011b, p. 3). The most common categories of neglect are: Physical neglect: Abandoning the child or refusing to accept custody; not providing for basic needs like nutrition, hygiene, or appropriate clothing Medical neglect: Delaying or denying recommended health care for the child Inadequate supervision: Leaving the child unsupervised (depending on length of time and child's age/maturity); not protecting the child from safety hazards, inadequate caregivers, or engaging in harmful behavior FRAMING CHILD NEGLECT 8 Emotional neglect: Isolating the child; not providing affection or emotional support; exposing the child to domestic violence or substance abuse Educational neglect: Failing to enroll the child in school or homeschool; ignoring special education needs; permitting chronic absenteeism from school (Child Welfare Information Gateway, 2012) Professionals face a number of practical difficulties applying laws when working with parents who may have neglected their children. Standards are subjective regarding what is considered an appropriate level of child care and they also vary greatly depending on the social norms of the family's culture and the community in which they live (Grayson, 2001). For example, a culture in which shared caregiving is the norm may see no problem with leaving young children in the care of their siblings, perhaps in a way that would be considered inappropriate in the United States (Smith & Fong, 2004). In addition, some state laws include exceptions for determining neglect, such as financial considerations for physical neglect and exemptions for medical neglect based on religious beliefs (Child Welfare Information Gateway, 2011b). Not only is it difficult to address legal exceptions to neglect and varying standards of care, but performing an assessment and proving an instance of neglect is often more difficult than investigating physical or sexual abuse (McSherry, 2007). Neglect usually involves the absence, rather than the presence, of a certain behavior. Whereas abuse often manifests itself in outward signs, such as a bruise on the child's arm or indications of sexual contact, neglect more often results in harm to the child that may not be as easily identifiable except in severe cases (McSherry, 2007). These practical limitations and assessment complications are unfortunate FRAMING CHILD NEGLECT 9 because the consequences of neglect are just as serious as those of physical or sexual abuse, especially as the harm caused by neglect accumulates over time (DePanfilis, 2006). Risks and Consequences of Child Neglect Researchers have identified a number of factors related to the child, parent, family, and larger community that place children at greater risk of neglect. Though one risk factor does necessarily result in child maltreatment, the presence of multiple risk factors increases the cause for concern. Common risks include: Younger children and those with developmental delays Parents with limited parenting or child development knowledge and lack of social support Parents experiencing stress, mental health or substance use problems Families in poverty or those experiencing domestic violence Unsafe or violent communities and those with limited access to supports like child care, health care, and social services (DePanfilis, 2006) Neglected children, especially those who are chronically neglected, may experience the following short- and long-term consequences: Impaired brain development, malnutrition and poor physical health Intellectual or cognitive delays that may result in poor academic performance Difficulty forming relationships and secure attachments to others Behavioral or conduct disorders and delinquent behavior (DePanfilis, 2006) The most tragic consequence of child neglect is death. Of the estimated 1,560 children who died from maltreatment in 2010, neglect caused or contributed to more than 68 percent of all child maltreatment-related deaths (Children's Bureau, 2011). FRAMING CHILD NEGLECT 10 Beyond the detrimental impact on the child and family, neglect affects the larger community and, indeed, the larger society. A recent study funded in part by the Centers for Disease Control and Prevention estimated that just one year of confirmed cases of child maltreatment results in total lifetime costs to society of $124 billion (Fang, Brown, Florence, & Mercy, in press). The estimate includes costs based on physical and mental health care for the victim, services such as child welfare, criminal justice and special education, and lost productivity of the victim and family, especially of children who die due to maltreatment. To underscore the urgent need to address child maltreatment, Fang et al. (in press) noted the cost per case is comparable to that of other prominent public health issues, such as stroke and type 2 diabetes. The authors of the above study concluded that professionals and policymakers must implement and steadfastly support intervention services to reduce the impact of maltreatment when it occurs as well as preventive efforts to stop child maltreatment before it starts. As the next two sections describe, the fields of child maltreatment intervention and prevention have grown in size and effectiveness over the last 50 years, though much work remains to be done to improve public awareness around the issue. Professional Responses to Child Maltreatment The most recent statistics clearly indicate child maltreatment is an issue that touches the lives of millions of Americans. Although general children's aid societies were popular in urban areas in the late 19th century, widespread professional and public attention to child maltreatment only began in the last 50 years. Dr. C. Henry Kempe and colleagues coined the term "battered child syndrome" in a 1962 article published in the journal of the American Medical Association. FRAMING CHILD NEGLECT 11 In the article, the authors described indicators of both abuse and neglect and discussed how pediatricians should respond to signs of maltreatment during visits with families. About the identification of battered-child syndrome, Leventhal (2003) mused some 40 years later: "The authors' point was to inform the reader that physical abuse was not a rarely occurring phenomenon, but rather a common problem that was already recognized (but likely seldom spoken about) across the country." As child maltreatment emerged in the public sphere, a flurry of legislation led to the rapid expansion of research on and services to address the issue. Beginning with the Child Abuse Prevention and Treatment Act in 1974, a number of laws have been passed and amended in the last four decades that provide the foundation for state child welfare services for children and families at risk or impacted by abuse or neglect. States providing child welfare services to families must meet the requirements outlined in federal law to be eligible for certain types of federal funding (Child Welfare Information Gateway, 2011d). Most families found to be abusive or neglectful, or at risk of maltreating their children, receive support and treatment services from the state child welfare agency to ensure child safety and family stability; only in severe cases, usually involving sexual abuse or serious physical abuse, may charges be filed or the police notified (Child Welfare Information Gateway, 2011c). Neglectful families often face risks that also require the support of related service providers, such as substance abuse and mental health services, public welfare, housing, training and workforce development, schools, and community-based organizations. This last form of support is particularly important; state agencies have limited amount resources to offer families, so most professionals highlight the need to activate informal supports such as family, friends, neighbors, FRAMING CHILD NEGLECT 12 and the larger community to help neglectful families (Schene, 2001). In short, state child welfare agencies alone cannot be expected to solve the problems families may face. Beyond serving families after they have maltreated their children, preventing child maltreatment before it occurs is key to reduce risks and increase strengths in families. When responding to reports of child neglect, there is a recognized tendency for CPS agencies to screen out cases of neglect in favor of responding to physical or sexual abuse because abuse appears to present more urgent issues regarding the child's safety (DePanfilis, 2006; Schene, 2001). This tendency poses a significant barrier to prevention, because families reported for neglect are more likely to be reported to CPS again in the future (DePanfilis, 2006). Offering preventive services when families first come to the attention of CPS gives professionals an early opportunity to address the family's risks and reduce the chances of maltreatment. Broadly speaking, child maltreatment prevention focuses on increasing the inherent strengths in families, often called protective factors, in order to reduce risks like those mentioned earlier. Prevention programs often raise awareness of child maltreatment, improve parenting skills and resilience, and increase supports for families, especially those with young children (Child Welfare Information Gateway, 2011a). Despite the promise of child maltreatment prevention and the array of services available to parents who have abused or neglected their children, the size of the issue indicates that more needs to be done. Improving the public's understanding of child maltreatment, its causes and consequences, and ways to prevent it would likely benefit the efforts of child welfare researchers and professionals, but in order to do so, a key public influence must also be examined: the media. The next section discusses the public's understanding of child maltreatment and describes relevant communication theories that impact the depiction of social issues in the media. FRAMING CHILD NEGLECT 13 Section II: Public Understanding of Child Maltreatment and the Media Public Understanding of Child Maltreatment Although the size and sophistication of child welfare and prevention services grew in the last half century, public understanding of child maltreatment failed to match that growth. Many researchers contend this failure is due in large part to the media's influence on public knowledge. For example, Pfohl (1977) describes the media climate after “battered-child syndrome” was introduced in 1962, when news and magazine outlets published sensational stories with, "titles such as 'Cry rises from beaten babies' (Life, June 1963), 'Parents who beat children' (Saturday Evening Post, October 1962), 'The shocking price of parental anger' (Good Housekeeping, March 1964), and 'Terror struck children' (New Republic, May 1964)" (p. 320). At that critical time when child maltreatment was first entering the public sphere, the author suggests those types of news stories subconsciously supported the labeling of abusive parents as "sick" and helped Americans distance themselves from the issue of child maltreatment rather than garner support for parents in need of help. Since that time, the public's understanding of issues related to child maltreatment can best be characterized as waves of panic in each of the decades that followed. The concern for battered children in the 1960s gave way to incest, missing children, child pornography, and cults in the 1970s, followed by ritual abuse and maltreatment in child care institutions in the 1980s (Fister, 2003). In a sweeping review of the "molding" of child abuse in the last 50 years, Hacking (1991) identified two main consequences of media coverage of child maltreatment: although it raised public awareness of the issue, by labeling the abusive parent as evil, the media initiated the trend that continues today which downplays the role of society in addressing child maltreatment. FRAMING CHILD NEGLECT 14 In 1984, the Washington Post published an op-ed by long-time columnist Richard Cohen titled "The new anxiety over child abuse." In that op-ed, Cohen wondered whether the incidence of child maltreatment is increasing, or society is just beginning to pay more attention to it than ever before. He describes the stress experienced by families, particularly those in dual-earner households, and discusses the potential causal relationship between stress and child maltreatment. Cohen concludes: "instead of solving a problem, we simply preach an ethic of overreach in which people are told they should be able to do it all -- and that failure, of course, is their own fault." His op-ed is a harbinger for the problem we still face today: not that child abuse exists, but whether we as a society will accept responsibility for responding to it. Given the effect of the media on public understanding, particularly an issue as complex as child maltreatment, how can communication theories inform our efforts to address it? The following sections describe agenda setting and framing theories and how they apply to the field of child maltreatment. Media and the Role of Agenda Setting Agenda setting theory can offer the field of child maltreatment critical insights into how and why audiences care about certain issues while largely ignoring others. Through agenda building, a function of the media that precedes agenda setting, news organizations have the ability to control the public's agenda by choosing which topics to cover and with what frequency. Although the issues related to agenda building go beyond the scope of this study, this description of agenda building by Nisbet (2008) offers some context: "...news coverage is not a reflection of reality, but rather a manufactured product, determined by a hierarchy of social influences that span levels of analysis" (p. 1). It is important to remember that simply by choosing the topics FRAMING CHILD NEGLECT 15 addressed in the news on a daily basis, the media impact which topics the public believes are important. Agenda setting involves the media's ability to control the topics the public perceives as important (McCombs, 2004; McLeod, Kosicki, & McLeod, 2009). According to agenda setting theory, the frequency with which the media cover certain topics causes the audience to care more about those topics or believe they are more salient in their lives. One key contributor to the agenda setting effect is the audience's limited capacity to attend to multiple topics; since the public cannot pay attention to every topic at all times, the media's choices influence which topics are on the "public agenda" (McCombs, 2004). Agenda setting results in priming the audience to think about the topic in question: through priming, the topic becomes more accessible in the audience's mind when the information is first processed and when it is recalled later (McLeod et al., 2009). In one of the earliest studies demonstrating the effects of agenda setting, McCombs and Shaw (1972) surveyed voters on what they believed to be important issues during the 1968 presidential election and found that the results fluctuated closely with the issues the media covered. The authors noted that simple correlation without causation could not be the reason for the similarities because the media was the primary source of information about the campaign, since at the time it could not be gathered through other means. Although the number of opportunities for the public to gather information has exploded since the article was published, research over the past four decades has confirmed that the media nonetheless continue to have an effect on what topics the public deems important (McLeod et al., 2009). McCombs and Shaw's insights into the audience's information sources are particularly relevant to the issue of child maltreatment, because it remains at times a private topic, one that FRAMING CHILD NEGLECT 16 many Americans are not exposed to except through the media. Thus, the media may be particularly influential when covering child maltreatment. Only in the last two decades have communication scholars begun to examine the idea of agenda setting as it relates to child maltreatment. To gain an overall understanding of depictions of child maltreatment in the media, Chenot (2011) described the "vicious" cycle of child abuse stories and how it influences both public concern and official responses to the issue (see Figure 2). Figure 2: The Vicious Cycle of Child Abuse Coverage in the Media Source: (Chenot, 2011). Chenot (2011) explains that after a grievous case of child abuse or neglect, public pressure to address the issue spikes. The pressure is due in large part to media coverage and, often, a local politician who takes advantage of the concern by demanding investigations of the agencies responsible. The child welfare agency's internal investigations may temporarily change the way services are provided (e.g., a spike in foster care placements to protect children from FRAMING CHILD NEGLECT 17 abuse by their parents), but, after concern dies down, agencies largely return to "business as usual" until a grievous case of abuse occurs again. Chenot concludes that this cycle of media coverage and public concern only serves to give child welfare agencies a bad reputation without seeking lasting changes to improve services for children and families and reinforces the notion that agencies are the only institution responsible for addressing child maltreatment. Although a number of studies support the idea that the media cover the most "grievous" cases of child abuse in a sensationalistic way (Altheide, 2002; Aubrun & Grady, 2003; Barnett, 2006), some researchers question if the media's coverage of child abuse is as inaccurate as those studies imply. For example, to examine the accuracy of child abuse depictions in the media, Cheit (2003) studied the amount and content of all media coverage of child molestation defendants in one Rhode Island newspaper over five years. Among Cheit's results, he found over 50 percent of the defendants' cases were not covered by the media at all, and he identified a few key aspects of the case led to a greater likelihood of being covered: first-degree or multiple charges; multiple victims; additional violence; and long prison sentences. However, overall Cheit found coverage of the cases was brief and the abuse itself was rarely described in detail—findings that contradict the idea that child maltreatment coverage is sensationalistic. The only distortion of coverage the author noted was that the media exaggerated "stranger danger" by more frequently covering abuse perpetrated by strangers instead of intrafamilial abuse even though the latter accounts for more of cases of maltreatment. This study is limited by the fact that only one newspaper in one relatively small state was examined—thus, coverage may be more straight-forward since there is little competition with other newspapers for attention (Cheit, 2003). In the study, Cheit refers to a similar study performed in Western Australia that also found distortions due to excessive coverage of non-familial abusers, as well as FRAMING CHILD NEGLECT 18 of child sexual abuse (thus under-reporting cases of neglect, physical abuse, or emotional abuse) (Wilczynski & Sinclair, 1999, as cited in Cheit (2003)). As the above studies imply, the agenda-setting function of media can also be examined in terms of the way the media cover different types of child maltreatment. Particularly when it comes to the issue of child neglect, the term "child abuse" itself can be troubling. Abuse and neglect are similar in many ways, but they still involve significantly different actions on the part of the caregiver as well as the resulting harm to the child. However, neglect is frequently included under the umbrella term of "child abuse." In fact, the popular media search tool LexisNexis® does not have a separate subject term for child neglect—items that mention neglect are simply labeled with the subject term "child abuse." LexisNexis includes the sub-term "negligence," but the term is not specific to negligence as it relates to child care. Furthermore, it appears a number of articles that discuss child neglect are not labeled with the term "negligence"; they are simply labeled "child abuse." This lack of acknowledgment of child neglect through the use of a separate subject term indicates the news bias toward reporting child abuse. Several researchers have also noted the tendency to combine types of maltreatment into a single term. Beginning with the emergence of battered child syndrome in the early 1960s, Hacking (1991) reviewed indices of newspapers and journals and found that by the late 1960s, the idea of cruelty to children had morphed into the general term "child abuse." The term "incest" was created when concerns about it rose in the 1970s, but by the early 1980s that term ceased to exist and incest was instead considered a subset of child abuse. More recently, McKee (2010) wrote about his concerns with an Australian government inquiry into the "sexualization of children," which he felt included too wide a variety of offenses against children (e.g., marketing to young children, sexual material in the media) under the same umbrella of "child sexual abuse." FRAMING CHILD NEGLECT 19 The author noted that each offense is very distinct, with different contributing factors as well as ways to prevent or respond to them. McKee (2010) concluded that talking about abuse as an umbrella term results in a misunderstanding of abuse and the severity of true child sexual abuse. This misunderstanding harms society as a whole and detracts from the ability to properly respond to abuse. Finally, a study of three subtypes of neglect by Dubowitz, Pitts, and Black (2004) concluded that while there is an overlap among types of neglect, the evidence indicates they represent unique experiences that should be approached differently by both professionals and the public. To summarize, the media's ability to accurately cover child maltreatment and the many nuances of the issue appears average at best. Although studies show the media can cover straightforward stories of abuse, there is an overrepresentation of more serious cases of maltreatment, sexual abuse, and strangers as predators. In addition, the different types of child maltreatment are often combined under the term "child abuse" instead of being treated separately. In terms of agenda setting, this sub-standard coverage can lead to public confusion and lack of concern. But beyond these high-level issues, the next section will discuss the specifics of how child maltreatment is characterized in news stories and how that further impacts audience understanding. Media and the Role of Framing Going beyond agenda setting and priming of certain topics, communication scholars must also take the issue of framing into consideration. According to Nisbet (2007), frames are "'schemata of interpretation' that allow individuals to 'locate, perceive, identify, and label' issues, events, and topics" (p. 12). McLeod et al. (2009) explains that framing involves not only telling a FRAMING CHILD NEGLECT 20 news story in a way that makes it accessible in the audience's mind, but also making aspects of the story applicable to the larger topic being addressed. Framing helps the audience understand a topic in the short term, and also gives them a way to think about the topic that they can draw on later when thinking about the topic in the future. To understand how framing works, Druckman (2011) further explains that there are "frames in thought" (i.e., how audiences think of an issue) and "frames in communication" (i.e., how a speaker or the media describe an issue). If the frame in communication influences the audience's frame in thought around a particular issue, then there is said to be a "framing effect" (Druckman, 2011). The framing effect is important when addressing child maltreatment, as with many other complex social issues, because the way audiences think about abuse can influence how they understand the causes of abuse or neglect, who is responsible for preventing and responding to it, and how they address it in their own lives. Studies have examined framing of a wide variety of issues, but it has only recently started gaining attention in the field of child maltreatment. One review of frames around child maltreatment by Aubrun and Grady (2003) examined 120 news articles and several dozen TV news stories to identify the key frames used in stories about child abuse and neglect. A list and brief description of those frames is provided below: Criminal atrocity: A horrible case of child abuse is perpetrated by a monstrous parent with no rational causes Failure of child protective services: Bureaucratic organizations and incompetent caseworkers are unaccountable and cannot be trusted to protect children from abuse Sexual predators: Perpetrators are outside the family, reinforcing the idea of "stranger danger" FRAMING CHILD NEGLECT 21 The confusing line between discipline and abuse: It is difficult to determine if/when a parent has crossed the hard-to-define line of discipline and abuse The sanctity of the family: Organizations responding to abuse must find the balance between respecting families' parenting decisions and protecting children Aubrun and Grady (2003) conclude the way child maltreatment is discussed in the media limits the audience's ability to understand the issue because it is not as interesting to talk about the nuanced factors that contribute to abuse or neglect (e.g., parenting knowledge, the family's social or economic situation), and it is more difficult for reporters to place child maltreatment within the context of the larger community's role to prevent and respond to it. Beyond the overarching frames that are used in the media to describe child maltreatment stories, one key aspect to consider is whether stories are episodically or thematically framed. Research shows these types of frames, described in the next section, can greatly influence the audience's attribution of responsibility for an issue, that is, whether the individual or society is responsible for addressing a particular issue. Episodic and Thematic Framing Put simply, an episodic frame for a news story focuses on one individual's experiences or one specific event, while a thematic frame explains the issue within a larger societal context (Iyengar, 1991). One common finding regarding the effect of episodic versus thematic frames is that they influence the audience's beliefs about whether the issue being discussed is an individual or societal problem. Iyengar (1991) explains: "exposure to episodic news makes viewers less likely to hold public officials accountable for the existence of some problem and also less likely to hold them responsible for alleviating it" (p. 2). FRAMING CHILD NEGLECT 22 Scholars have examined the use of episodic or thematic frames for news stories on a wide range of issues, such as poverty or domestic violence. While exploring the issue of poverty, Iyengar (1990) found that audiences who saw a story about poverty framed around one person's experience (episodic frame) were more likely believe the individual was responsible for his situation; audiences who saw a story about poverty that discussed the larger factors that contribute to poverty (thematic frame) were more likely to believe society as a whole is responsible for addressing poverty. Examining media coverage of domestic violence before and after a case that gained national attention, Maxwell, Huxford, Borum, and Hornik (2000) measured the use of episodic versus thematic frames in relevant new stories. The authors found that the amount of socially-focused media coverage of domestic violence remained steady after the high-profile case, and that the case did not significantly improve the quality of the national conversation on domestic violence despite advocates' attempts to address the issue. The results of these studies indicate episodic frames of stories about social issues not only influence audience understanding, but can be difficult to change. Since a large portion of audiences are likely unfamiliar with the topic of child abuse and neglect, particularly the many factors that contribute to its occurrence, it is critical to examine episodic and thematic framing around stories about child maltreatment. Returning to Chenot (2011), he contends that the grievous stories of child abuse told by the media are partly to blame for the vicious media cycle, because within those stories, the larger child welfare system is never truly addressed; it is usually blamed solely for the problem of child maltreatment. As a result, audiences do not believe society as a whole is responsible for addressing abuse. Barnett (2006) published a series of articles examining episodic frames used in news stories about mothers who abuse their children, particularly those who kill their children. First, FRAMING CHILD NEGLECT 23 she analyzed 10 cases of maternal infanticide over a 12-year period in the United States. She performed a narrative analysis of 250 news articles using a rhetorical framework that examined "events, characters, settings, narrator, temporal relationships, and causal relationships" (Foss, 1989, as cited in Barnett, 2006, p. 414). Among the key themes, she found: The stories were told as "mysteries" (e.g., Why would a mother kill her child?), with the narrator playing the role of the "shocked observer." Mothers were depicted as flawed caregivers in two distinct, extreme ways: o "Superior nurturers driven to insanity because they cared so much, or o Inferior caretakers who shirked their maternal duties because they cared so little" (p. 411). Although infanticide is not an infrequent occurrence in the United States, each case was treated as "rare" and "spectacular." Barnett (2006) concluded that journalists prefer to tell child fatality stories in line with myths about perfect motherhood; as a result, the mothers were depicted in such extreme ways in order to indicate to audiences that the abusive mothers are deviants, and most normal mothers would never commit such crimes. In addition, even though the stories were framed as "mysteries," only superficial attention was paid to possible causal factors for the child's death. Delving further into one of the cases explored in the above study, Barnett (2005) also published an article examining media depictions of Andrea Yates, beginning immediately after she drowned her five children in 2001 in Texas and continuing through her trial and sentencing phases. The author found that Yates' story was addressed in two ways: 1) describing Yates as a "traitor" who betrayed her children and her role as a mother; and 2) following the saga of a community "quest" to seek legal punishment for Yates. In both cases, the news stories' narratives FRAMING CHILD NEGLECT 24 sought to distance Yates from the community by indicating she fell outside the "norm." Again, the author blames these depictions as journalists' attempts to adhere to the myth that all mothers are natural caregivers. It is clear from these studies that the media play a key role in the way stories of child maltreatment and maltreatment-related fatalities are depicted, which influences audiences' perceptions around the issue. The largely misleading frames used in child maltreatment stories reduce the chances that the public will understand the causes and consequences of maltreatment, especially when episodic frames are used more than thematic frames. By making parents and children the focus of the story and failing to describe the larger context in which the maltreatment occurred, the public also fails to see the role society plays in preventing child maltreatment and supporting at-risk families. The next section acknowledges these faults and begins to identify opportunities to improve media coverage and, as a result, public understanding of child maltreatment. Improving Media Coverage of Child Maltreatment Less than two years ago, a coalition of experts from several prominent child welfare advocacy groups reprimanded the media for many of the faults described above, particularly failing to report about the more than 1,500 children who die each year from abuse or neglect (Aldrich, 2010). The experts described media coverage of child maltreatment and fatalities as seeming to use a template; that is, coverage is largely perfunctory from the time of the incident to the parents' conviction and rarely probes contributing factors or consequences. They urged the media to improve standards for reporting child maltreatment, provide more context in stories, and raise awareness of fatalities related to maltreatment. More recently, another child welfare FRAMING CHILD NEGLECT 25 expert, dismayed by the results of a study of traumatic brain injury and serious damage to physically abused children, called for a national campaign to address the issue (Joelving, 2012). He noted that although physical abuse occurs at a much higher rate than sudden infant death syndrome (SIDS), a robust campaign exists to prevent the latter, but not the former. Both articles highlight the consequences of child maltreatment and the need to address it more responsibly and comprehensively in the media to increase public understanding and prevention efforts. Taking a broader look, Kunkel, Smith, Suding, and Biely (2002) examined coverage of five child-related topics: child abuse and neglect, child care, child health insurance, teen childbearing, and youth crime and violence. The study's goals were to determine not just how frequently, but how thoroughly the media reported on these topics. The authors found although child abuse and neglect and youth crime/violence together accounted for the majority of all coverage, only 11 percent of child maltreatment stories used a thematic frame. The vast majority of child maltreatment stories simply reported individual incidents and legal actions being taken against the perpetrator. Among the other findings in stories about child abuse and neglect: Only 5 percent of the stories offered any contextual information, and parents and children were used as sources less than half the time Statistics and public policy concerns were mentioned only 9 and 17 percent of the time, respectively Almost none (2 percent) of the information was determined to be useful to parents (e.g., parenting tips, sources of support) Kunkel et al. (2002) concluded that the media must strive to reduce the number of stories published on children's issues in isolation. The authors suggested reporters should put the stories in context regarding the communities in which families live and the public policy climate for FRAMING CHILD NEGLECT 26 children's issues—doing so will help the reader place the incident within broader patterns and trends. The literature indicates there is reason for hope that reporting of child maltreatment can be improved. Both Maxwell et al. (2000) and Fister (2003) determined that stories published in newspapers, particularly those with a national audience, tended to provide more balanced reporting and were more likely to use a thematic frame. In addition, in an article published in the Columbia Journalism Review titled "The lives we would like to set right," journalist Michael Shapiro (1996) expressed many similar concerns regarding the sensational and inaccurate reporting of child maltreatment stories, particularly the negative impact such reporting has on the child welfare system and the children and families it serves. For the benefit of those families as well as the larger society the media informs, Shapiro called on other journalists to be more realistic and accurate in their reporting of child maltreatment. This study aims to contribute to these efforts to improve reporting of child maltreatment by examining how child neglect is portrayed in the media. The next section discusses the methods used to examine newspaper articles addressing child neglect at the national and regional levels in the United States, followed by results and a discussion of the findings. METHODS A quantitative content analysis was performed to generate findings on the overarching topics that are addressed and predominant frames that are used in newspaper coverage of child neglect in the United States. There were three primary goals of this research: 1) to summarize the types of neglect covered and the circumstances and consequences of cases of neglect in the FRAMING CHILD NEGLECT 27 news; 2) to determine differences in national and regional newspaper coverage of child neglect; and 3) to compare the use of episodic and thematic frames when covering child neglect. In keeping with framing theory, the results of this analysis will better inform our understanding of public perception of issues surrounding child neglect. Regarding thematic frames, this study focused particularly on systemic factors related to child maltreatment, such as programming for neglectful or at-risk parents and the role of the community in supporting parents. Using publishers' circulation statements (Audit Bureau of Circulations, 2012), four newspapers that fell within the top fifteen highest circulations in the U.S. were selected for inclusion in the study. Two newspapers considered to have a national scope or audience (New York Times, Washington Post) and two newspapers with a more regional focus (San Jose Mercury News, Houston Chronicle) were chosen for comparison purposes; they were also selected for their geographic variety within the United States. The weekday average circulation ranged from 369,000 to 1,150,000 copies; the Sunday edition average circulation ranged from 602,000 to 1,645,000 copies. Articles were collected over three federal fiscal years (FFYs), from October 1, 2008 to September 30, 2011. FFYs were used as the time sample because the U.S. Department of Health and Human Services reports state-by-state statistics on child abuse and neglect using FFYs in its annual Child Maltreatment report (Children's Bureau, 2011). Articles were obtained through the LexisNexis academic database. Because the database contained no clear and relevant subject terms related to child neglect, a unique combination of search terms was used to generate a large sample of articles mentioning child neglect: (infant OR toddler OR child! OR youth OR adolescent OR teenager OR kid) w/3 (neglect! OR negligen! OR endanger! OR abandon! OR unattended OR (left w/2 alone) FRAMING CHILD NEGLECT 28 OR starv! OR manslaughter OR emaciat! OR malnourish! OR (fail! w/2 (protect OR thrive!))) The original search yielded 1207 articles. The San Jose Mercury News yielded 339 articles, followed by 304 articles from the New York Times, 291 articles from the Washington Post, and 271 articles from the Houston Chronicle. The three main types of articles included in the study were news, opinions or editorials, and feature or "lifestyle" stories. To narrow the results, book and movie reviews, letters to the editor and reader comments were excluded, as well as articles with a geographic focus outside of the United States. Because "news briefs" and other short articles would not provide enough detail on elements addressed in this study, articles with fewer than 97 words were excluded. Each article in the original sample was scanned for relevance; articles that did not primarily focus on child neglect were excluded from the study, particularly articles in which only one sentence mentions children. Topical examples of articles excluded due to the subjective relevance scan include illegal child immigration or the international adoption of orphaned children; reimbursement payments for foster care providers; benefit events for children’s organizations; and fatal car crashes involving teen drivers. A total of 528 relevant articles remained after exclusions were applied and the relevancy scan was performed, including 185 articles from the San Jose Mercury News, 138 articles from the Houston Chronicle, 132 articles from the New York Times, and 73 articles from the Washington Post. Given the large number of relevant articles, a sampling procedure was used to generate a reasonable number of articles for inclusion in the study. Rather than selecting a simple random sample of articles, a constructed week sample was created. Constructed week procedures help generate samples more representative of weekly coverage of a topic because the news coverage FRAMING CHILD NEGLECT 29 depth and variety often vary by day of the week. A constructed week sample helps control for day-to-day variation by randomly selecting the same number of articles for each day of the week within each year in the study. Research indicates that as little as two constructed weeks of articles is reliably representative of a year of one newspaper’s coverage (Lacy, Riffe, Stoddard, Martin, & Chang, 2001; Luke, Caburnay, & Cohen, 2011). Given four newspapers and three years of coverage each, two constructed weeks were randomly selected from the original relevant sample from each newspaper for each year, for a total of 168 articles. On eight occasions, two articles were not available for each day of the week, in which case random articles were chosen from an adjacent day of the week. For each article, a codebook was used to collect 78 different data points for each article; see the Appendix for the complete codebook. Listed below are the main types of information collected: Basic article information; Type of child abuse or neglect; Case circumstances regarding the perpetrator and blame, consequences for the child and family, and factors contributing to maltreatment; Systemic factors related to child maltreatment; and Whether the article used a dominant episodic frame (a rich narrative that focused heavily on individuals and/or involved a particular case), or a dominant thematic frame (a rich narrative that heavily discusses larger systemic/societal issues related to maltreatment) FRAMING CHILD NEGLECT 30 RESULTS Results were obtained by analyzing the coded data in SPSS and cross-tabulating for relationships among the data. The results presented below address articles included in the study, maltreatment type, specific cases and perpetrators, child consequences and fatalities, contributing factors, blame, perpetrator and family consequences, systemic factors, national versus regional coverage, and the use of dominant episodic or thematic frames. Articles. As a result of the constructed week sampling, 168 total articles were coded for analysis: two constructed weeks (14 days total) for each of the three years (FFY 2009-2011, October 1, 2008-September 30, 2011) from each of the four newspapers (New York Times; Washington Post; Houston Chronicle; San Jose Mercury News). The word count per article ranged from 97 to 2639, with an average of 545 words per article. News accounted for 78.0 percent of all articles; 11.3 percent were feature stories and 10.7 percent were opinions/editorials. Figure 3 displays the percentage of all articles that mention the high-level areas analyzed in this study and discussed in the results that follow, including: maltreatment type, specific case of child maltreatment, perpetrator type, child consequences, contributing factors, reason for maltreatment, perpetrator or family consequences, and systemic factors related to child maltreatment. FRAMING CHILD NEGLECT 31 Maltreatment type. A specific maltreatment type was mentioned in 86.9 percent of articles; articles could mention more than one maltreatment type. The remaining 13.1 percent of articles mentioned abuse or neglect generally with specifying a type of maltreatment. Among those articles mentioning a specific maltreatment type, 57.1 percent of the articles only addressed neglect, while 42.9 percent addressed both neglect and abuse. A caregiver’s failure to protect a child from harm and/or exposing a child to a hazardous situation was the most common form of maltreatment, mentioned in more than a quarter (26.8 percent) of all articles. The other most common forms of maltreatment mentioned were physical abuse (20.2 percent); abandonment (15.5 percent); and failing to provide for basic needs (13.7 percent). Endangerment due to domestic violence and emotional neglect or abuse were the least mentioned types of maltreatment (0.6 percent each). Figure 4 displays the percentages of each type of maltreatment mentioned; Table 1 lists them along with examples of each type. FRAMING CHILD NEGLECT 32 Table 1: Types of Child Neglect and Abuse Covered in the News Type Neglect Only General neglect Failure to protect, exposing to hazardous situation Percent 57.1 20.8 26.8 Abandonment (i.e., custody) 15.5 Not providing basic needs 13.7 Endangerment due to substance abuse 11.9 Locking up (i.e., chains or not allowing outside) 11.3 Examples “In the weeks before 4-year-old Emma Thompson died of abuse, prosecutors say, her mother worked harder at keeping her outlaw boyfriend from public scrutiny and the law than she did protecting her preschool daughter from him. Abigail Young, 34, is accused of failing to protect Emma, who arrived dead at an emergency room ... with 80 bruises and a fractured skull.” (Langford, 2010, June 30) “A man abandoned his 4-year-old son along a West Texas highway, and the injured boy spent several hours alone in the dark before a passing motorist picked him up.” (Associated Press, 2011, June 30) “Though Kayvon Lewis could not speak, his body told a horror story... He was 3 years old, but was the size of a 6-month-old baby, weighing just 17 pounds... Doctors determined he had been starved, and on Tuesday, his mother ... remained in the Harris County Jail, charged with injury to child causing serious bodily injury by omission, a first-degree felony.” (O'Hare, Hewitt, & Glenn, 2009, October 21) “A father fled the scene of an overnight crash in Dallas, leaving his 5-year-old daughter bleeding in the street and his 6-year-old son injured in the vehicle... Two other children were in the SUV - an 11-month-old girl, Emma, and a 9-year-old, Miguel Jr., who was unhurt. Miguel Jr. flagged down police and told them his father had been drinking heavily.” (Peterson, 2010, November 13) “They lived outside society, hidden from the world in a squalid row house with no heat, electricity or running water. They had no birth certificates, no schooling, no immunizations or evidence of medical care... Police ... are still piecing together how FRAMING CHILD NEGLECT Unsupervised / alone 8.3 Educational neglect 7.1 Medical neglect 6.5 Inadequate supervision 6.5 Left in car 4.8 Endangerment due to domestic violence 0.6 Emotional rejection 0.6 Other neglect Neglect & abuse General abuse Physical abuse 3.6 42.9 20.2 20.2 Sexual abuse 7.1 Emotional abuse 0.6 33 the parents of five children - ranging in age from 2 to 13 - managed to conceal them for so many years.” (Rubinkam, 2010, November 29) “Tata is accused of leaving seven children unattended at a Houston in-home day care with a pot of oil heating on the stove and went shopping at Target.” (Hassan & Carroll, 2011, March 21) “The 11-year-old beaten to death, allegedly by her mother with a mop handle, came to Brooklyn from Mexico about a month ago but was hidden -- never enrolled in school, and unseen by child-welfare officials who visited her family's apartment, even as she suffered repeated abuse...” (Kaufman & Zraick, 2008, October 28) “Wisconsin law, he noted, exempts a parent or guardian who treats a child with only prayer from being criminally charged with neglecting child welfare laws, but only ‘as long as a condition is not life threatening.’ Kara's parents, Judge Howard wrote, ‘were very well aware of her deteriorating medical condition.’” (Johnson, 2009, January 21) “Emmett is believed to have trekked more than three miles in his bare feet...before ending up about a mile from the rural home where on Monday night he wandered off from his mother, who was napping, and his three siblings.” (Lacey, 2010, August 6) “The second time Murphy forgot to drop Ryan at day care, she ... did not see her 2year-old for about seven hours. Her husband went to the day-care center to pick up Ryan and discovered that he was not there. ...by the time Murphy raced out to her minivan on Gentle Shade Drive last month, Ryan was unresponsive in the back seat.” (Roberts, 2011, July 17) “An argument between a husband and wife... ended with both of them being arrested on charges including domestic violence and child endangerment... The couple's two boys... were both taken to the Department of Social Services, and three firearms were confiscated from the home.” (Bay City News Service, 2010, September 20) “The researchers have also identified some superb practices, already proven in other states or in pilot form here in Texas, that specifically attack some of the pipeline's key components: a broken correctional system, emotional neglect and physical abuse.” (Houston Chronicle, 2008, December 29) Restraints in school; Co-sleeping with infant; Midwife performing dangerous delivery “A suburban Phoenix woman has been charged with child neglect and aggravated assault after she reportedly told police that she wanted officers to take her children so she could ‘have fun and play.’ ... Christina Muniz, 29, told officers she was ‘sick of her children.’ She allegedly punched the 11-year-old as he attempted to hug his mother goodbye.” (Associated Press, 2010, June 16) “A man suspected of fathering four children with his teenage daughter faces charges of killing at least one after remains were discovered at the rural home where the family once lived, authorities said Friday. The man, 47, is charged with seconddegree murder, endangering the welfare of a child, statutory rape, two counts of incest and two counts of abandoning a corpse.” (News Service, 2009, January 24) “‘Every child is not abused physically, a lot of times it's emotional or neglect,’ Collins said. ‘I had a child who had 17 broken bones, a brain fracture and bleeding on the brain, but he didn't have any bruises.’” (Williams-Dennis, 2009, April 23) Specific cases. A specific case of child maltreatment was mentioned in 71.4 percent of all articles in the sample. Specific cases were mentioned in 84.7 percent of news articles, 31.6 percent of feature stories and 16.7 percent of opinions/editorials. The San Jose Mercury News FRAMING CHILD NEGLECT 34 published the most articles mentioning specific cases (81.0 percent), followed by the Houston Chronicle (71.4 percent), the New York Times (69.0 percent), and the Washington Post (64.3 percent). Perpetrators. Regardless of whether a specific case was discussed, a specific type of perpetrator was mentioned in slightly more than three-quarters of all articles (75.6 percent); articles could mention more than one perpetrator. Among articles mentioning perpetrators, mothers were the most commonly mentioned perpetrator type (56.7 percent), followed by fathers (28.3 percent), other family members (7.1 percent, most commonly grandparents), and nonfamily members (37.0 percent). Most non-family members mentioned were a boyfriend/girlfriend of the child’s caregiver, a neighbor, or a child care provider, though other non-family members mentioned include a bus driver, doctor, religious leader, or stranger. See Figure 5 below. *Totals more than 100 percent because articles could mention more than one perpetrator FRAMING CHILD NEGLECT 35 Child consequences and fatalities. Regarding consequences for maltreated children, 67.3 percent of articles mentioned any type of consequence experienced by children; articles could mention more than one consequence. Among articles mentioning child consequences, a child fatality was mentioned in 62.0 percent of articles, followed by physical harm (25.7 percent), cognitive or intellectual delays (8.0 percent), emotional or relational harm (7.8 percent), and behavioral or conduct disorders (7.8 percent). In 12.4 percent of articles, the child was described to be unharmed or minimally harmed by maltreatment. See Figure 6 below. *Totals more than 100 percent because children can experience more than one consequence Because fatalities were mentioned in nearly two-thirds of all articles that addressed child consequences of maltreatment, and more than 40 percent of all articles in the study, a separate cross-tabulation was performed to determine factors significantly related to reports of child fatalities in the news. Articles including certain factors were significantly more likely to also mention a child fatality, listed in Table 2, below. FRAMING CHILD NEGLECT 36 Table 2: Factors Significantly Related to a Report of a Child Fatality Factor Percentage of Articles Also Mentioning Fatality Physical abuse 58.8* (n = 20) Neglect: Inadequate supervision 72.7* (n = 69) Medical neglect 72.7* (n = 8) CPS involvement with family 58.0** (n = 29) ** p < .01; * p < .05 Contributing factors to child maltreatment. Slightly less than one-half of the articles (49.4 percent) mentioned any factors that may have contributed to an incident of child maltreatment; articles could mention more than one contributing factor. Among articles mentioning contributing factors, the most common factors were caregiver substance use (33.7 percent), child health/disability or other problems requiring additional care (25.3 percent), poor mental health of the caregiver (22.9 percent), and family poverty or low income (22.9 percent). Contributing factors such as homelessness, caregiver history of maltreatment, and limited experience or access to child care/support were mentioned in only three to six percent of articles. The majority of the "other" contributing factors were related to religious beliefs or the recession. See Figure 7 below. FRAMING CHILD NEGLECT 37 *Totals more than 100 percent because more than one factor may contribute to child maltreatment Blame. Less than one-third of articles (29.8 percent) gave any indication of blame for maltreatment, that is, whether the incident was an accident or the caregiver intended to harm the child. Of those articles that addressed blame for an incident of maltreatment, 36 percent indicated the caregiver intentionally maltreated the child, 24 percent indicated the maltreatment was accidental, and 40 percent depicted both sides without indicating blame for the incident. Perpetrator and family consequences. More than four-fifths of articles (83.9 percent) mentioned the consequences experienced by the perpetrator and/or family of a maltreated child. Among the articles mentioning any consequences for the perpetrator and/or family, the most common consequences were legal charges (74.5 percent) and imprisonment (52.5 percent); services or support being provided to the child/family was the least common consequence reported (12.8 percent). See Figure 8 for details. FRAMING CHILD NEGLECT *Totals more than 100 percent because the perpetrator or family may experience more than one consequence Systemic factors. Less than half (48.8 percent) of articles mentioned any systemic factors related to child maltreatment and support for families. Among articles mentioning systemic factors, the most common factors were child welfare and other programs for families (62.2 percent) and statistics (56.1 percent); the least common were raising awareness of children’s issues and providing contact information for where to go for help or to help others (both 12.2 percent). See Figure 9 below. 38 FRAMING CHILD NEGLECT 39 National and regional coverage. Though the findings were not significant, Table 3 lists some high-level comparisons between national and regional newspaper coverage. Table 3: High-Level Comparison of National and Regional Newspapers Percentage Factors National Regional News articles 73.8 82.1 Opinion/editorials 14.3 7.1 Feature articles 11.9 10.8 Report on specific case of maltreatment 66.7 76.2 Report on child fatality 47.6 34.5 Upon performing a cross-tabulation of national and regional newspaper coverage, certain factors within different areas of analysis were found to be significantly related to the two levels of coverage; Table 4 and Figure 10 list and depict those differences. FRAMING CHILD NEGLECT 40 Table 4: Significant Differences in Factors Reported in National and Regional Newspapers Percentage Factors National Regional Neglect only 48.8 65.5* Neglect and abuse 51.2* 34.5 Child consequence: physical harm 10.7 23.8* Perpetrator: father 14.3 28.6* Contributing factor: child disability or other problems 17.9* 7.1 Systemic factor: child welfare/other programs 41.7** 19.0 Systemic factor: contact information 1.2 10.7** **p < .01; *p < .05 **p < .01; *p < .05 Episodic and thematic frames. A dominant episodic frame was used in 69.6 percent of articles; 30.4 percent used a dominant thematic frame. When examining dominant frames in different types of articles, only 18.3 percent of news articles used a thematic frame, in contrast to 63.2 percent of feature stories and 83.3 percent of opinions/editorials. FRAMING CHILD NEGLECT 41 Of all New York Times articles, 38.1 percent used a dominant thematic frame, followed by the Washington Post (35.7 percent), the Houston Chronicle (26.2 percent), and the San Jose Mercury News (21.4 percent). Overall, 36.9 percent of national newspaper coverage used a dominant thematic frame (n = 31), compared to 23.8 percent of regional newspaper coverage (n = 20), although this finding did not reach significance (p < .065). Figure 11 shows the percentage of all thematically-framed articles by newspaper. Frames and types of maltreatment. Articles reporting certain types of maltreatment were significantly more likely to be episodically or thematically-framed. Table 5 lists the types of maltreatment significantly related to the use of a dominant episodic or thematic frame and the percentage of articles addressing each type, while Figure 12 graphically depicts the differences between frames used for all types of maltreatment and marks those which are significantly related. FRAMING CHILD NEGLECT 42 Table 5: Significant Relationships Between Types of Maltreatment in Episodically and Thematically-Framed Articles Percentage Type Episodic Thematic Neglect Only 65.8** 37.3 General neglect 4.3 58.8** Failure to protect, exposing to hazardous situation 32.5* 13.7 Endangerment due to substance abuse 16.2** 2.0 Neglect and Abuse 34.2 62.7** General abuse 4.3 56.9** Physical abuse 24.8* 9.8 **p < .01; *p < .05 ** p < .01; * p < .05 Factors related to thematic framing. More than half (56.8 percent) of thematicallyframed articles mentioned any child consequence as a result of maltreatment (n = 29, p < .058), however, there was no significant relationship between articles mentioning a child fatality and FRAMING CHILD NEGLECT 43 the use of a dominant frame. Table 6 lists the factors within different areas of analysis that were significantly more likely to be thematically-framed. Table 6: Factors Significantly Related to the Use of a Dominant Thematic Frame Percentage of Articles Also Factor Using a Thematic Frame Child consequences: cognitive/intellectual 66.7* (n = 6) Child consequences: emotional/relational 62.5* (n = 5) Child consequences: behavioral/conduct disorder 100.0** (n = 8) Contributing factor: poverty/low-income 73.7** (n = 14) Contributing factor: unemployment 66.7* (n = 4) Contributing factor: inexperienced caregiver 80.0* (n = 4) Contributing factor: lack of child care/support 80.0* (n = 4) Contributing factor: child disability or other problem 57.1**(n = 12) Family consequence: receiving services 55.6* (n = 10) Systemic factor: child welfare and other programs 78.4** (n = 40) Systemic factor: budget and funding 100.0** (n = 23) Systemic factor: prevention 74.1** (n = 20) Systemic factor: raising awareness 60.0* (n = 6) Systemic factor: Role of community/support 64.0** (n = 16) Systemic factor: Statistics 78.3** (n = 36) **p < .01; *p < .05 Factors related to episodic framing. A dominant episodic frame was used in 97.4 percent of articles reporting on a specific case (n = 114, p < .000). Articles mentioning certain factors were significantly more likely to be episodically-framed, listed in Table 7, below. Table 7: Factors Significantly Related to the Use of a Dominant Episodic Frame Factor Percentage of Articles Also Using a Episodic Frame Family consequence: legal charges 93.3** (n = 98) Family consequence: imprisonment 98.6** (n = 73) Family consequence: court 81.7* (n = 49) **p < .01; *p < .05 The following section highlights major findings and discusses implications for the field of child welfare and the media in improving public understanding of child neglect. FRAMING CHILD NEGLECT 44 DISCUSSION This study described U.S. newspaper coverage of child neglect and circumstances of cases of neglect covered in the news and demonstrated differences in the use of dominant episodic and thematic frames in national and regional newspaper coverage of child neglect. The discussion that follows first addresses agenda setting by reviewing accuracies and inaccuracies in the reporting of maltreatment types, child consequences and fatalities, perpetrators and consequences, and contributing and systemic factors. It then discusses differences in national and regional newspaper coverage as well as the use of dominant episodic and thematic framing, followed by suggestions for the field of child welfare and the media based on the lessons learned in this study. Types of neglect or abuse. Despite this study's emphasis on collecting articles that address child neglect, 42.9 percent of articles also mentioned abuse. This overlap demonstrates the frequency with which the two broad types of maltreatment are discussed together in the news. Though not uncommon for children to experience both neglect and abuse, the small majority of articles that address neglect exclusively may indicate a lack of knowledge or resources among the news media to describe neglect as a distinct issue from abuse. Although current federal statistics do not provide the same level of detail for comparison purposes (Children's Bureau, 2011), several neglect and abuse subtypes stood out as most frequently reported in the news. Certain clear-cut types of maltreatment in which it is easier to determine that abuse or neglect has occurred were the most frequently reported types, including abandonment, physical abuse, or failure to protect the child from harm. These are also maltreatment types which audiences may more identify as atrocities performed by "monster" caregivers (Aubrun & Grady, 2003). In contrast, more subtle neglect types that are more difficult FRAMING CHILD NEGLECT 45 to identify or may cross the barrier of the sanctity of the family (Aubrun & Grady, 2003) were least reported in the news, such as medical neglect and emotional rejection. Child consequences and fatalities. The most frequently mentioned child consequences of maltreatment, fatalities and physical harm, have an immediate and obvious impact on the child and can be reported as straight-forward details of a case of maltreatment. The other consequences, related to cognitive/intellectual delays, emotional/relational problems, and behavioral/conduct disorders, each received coverage in less than 10 percent of articles in the study, and most of those articles were thematically-framed (discussed below). These consequences are likely underreported in the news because they often do not present themselves until later in the child's life and thus can be difficult to identify when a case first occurs (DePanfilis, 2006). Being the most tragic consequence of maltreatment, it is understandable that child fatalities receive extensive news coverage; however, they are grossly over-reported in comparison to national statistics. According to the Children's Bureau (2011), there were 1,537 child fatalities due to maltreatment nationwide in 2010, which accounts for slightly more than two percent of all 695,000 maltreatment victims. In contrast, a fatality was mentioned in more than 40 percent of all articles in this study. This finding supports the idea of the media's tendency to report sensational news stories about child maltreatment (Altheide, 2002; Barnett, 2006). Taking framing theory into consideration, the extensive coverage of child fatalities likely skews the public's understanding of the severity of child maltreatment and overshadows the vast majority of less severe maltreatment cases. One area in which child fatality reporting matched reality more closely is the types of maltreatment that contribute to fatalities: physical abuse, inadequate supervision and medical FRAMING CHILD NEGLECT 46 neglect are in keeping with existing research. Research shows nearly half of the children who died from maltreatment in 2010 suffered physical abuse (Children's Bureau, 2011), and inadequate supervision and medical neglect are two of the most common types of neglect involved in child fatalities (DePanfilis, 2006). Perpetrators and consequences. The perpetrator types identified in this study aligned with the federal statistics on this subject fairly closely in all areas except perpetrators who are not related to the child. While non-family perpetrators accounted for 37 percent of perpetrators mentioned in this study, they represented slightly less than 10 percent of the 2010 national statistics on perpetrators of maltreatment (Children's Bureau, 2011). This discrepancy is in keeping with other studies that identified over-reporting of "stranger danger" in the media, when in truth a large majority of individuals responsible for maltreatment are parents and relatives (Aubrun & Grady, 2003; Cheit, 2003). Police involvement in the form of imprisonment and/or legal charges was reported in half to three-quarters of all articles in this study mentioning perpetrator consequences, while less than 15 percent of articles addressed services or support for the child and family. This finding is in stark contrast to reality—the majority of parents or caregivers who have maltreated their children receive support services to improve child safety, while only the more severe cases involve legal charges or imprisonment (Child Welfare Information Gateway, 2011c). There are likely two reasons for the discrepancy in reported perpetrator consequences: First, because more than 40 percent of articles in the study reported a child fatality, perpetrator consequences were also likely skewed since charges and imprisonment are common results of fatality cases (Child Welfare Information Gateway, 2011c). Second, information on outcomes for the most common child FRAMING CHILD NEGLECT 47 welfare cases are protected from public scrutiny except in certain circumstances, so they are less likely to be reported in the media (Child Welfare Information Gateway, 2010). Regardless, Contributing and systemic factors. Regardless of the reasons for the over-reporting of serious perpetrator consequences, the fact remains that less than half of the articles in this study mentioned contextual information such as factors contributing to child maltreatment and the larger child welfare system. Some of the most common contributing factors reported in the news (caregiver substance use or mental health, child disability or health problems) could all be perceived by the public as individual circumstances in which society should not or cannot intervene. In contrast, factors that may suggest the need for community or systemic changes, such as unemployment, homelessness, or lack of access to child care or support, were the least reported contributing factors. In addition, only 12 percent of articles in this study mentioned the need to raise awareness of children's issues or provided contact information for receiving help or helping others. These findings all suggest a lack of reporting that encourages the reader to understand the larger societal role in preventing child maltreatment and supporting at-risk families. Another notable discrepancy in news coverage of child neglect is that domestic violence was discussed in only 15 percent of articles mentioning contributing factors, while federal statistics from 2010 indicate that 25.7 percent of caregivers involved in a case of child maltreatment were identified as at risk for domestic violence (Children's Bureau, 2011). In addition, one-third of articles in this study mentioned substance abuse as a contributing factor to maltreatment (the most common factor reported), while federal statistics placed caregiver risk for alcohol or drug abuse at 10.9 and 18.0 percent, respectively (Children's Bureau, 2011). The news may over-report cases involving substance abuse and under-report cases involving domestic FRAMING CHILD NEGLECT 48 violence because including the facts of the case related to substance use is more straight-forward than addressing the potential privacy issues and sometimes difficult family dynamics involved with domestic violence. Overall, it is clear from the above results that the media has the ability to set the public agenda regarding the factors and consequences that are understood to be related to child neglect. Though certain areas of coverage were accurate, there were some misrepresentations in the articles regarding child fatalities, non-family members as perpetrators, and the seriousness of perpetrator consequences. Media professionals likely see these three factors as more sensational and thus more newsworthy, which reduces the frequency with which more common circumstances surrounding child maltreatment are reported. As a result, the more nuanced contributing factors to maltreatment and systemic issues surrounding the child welfare system are not discussed, to the detriment of public understanding of child neglect. National and regional coverage. Though the finding was not significant, regional newspapers covered specific cases of maltreatment more frequently than national newspapers— in keeping with the focus of regional media on more local news and individual cases than systemic issues. There was a clear distinction between the San Jose Mercury News, in which more than 80 percent of articles addressed specific cases, and the Washington Post, in which less than 65 percent of articles addressed specific cases. However, the differences between coverage in the Houston Chronicle and the New York Times were not as stark, leading to the inconclusive finding overall. Somewhat related to the above finding is the fact that regional newspaper articles were significantly more likely to include contact information for where to go for help or to help others, whereas national newspaper articles were more likely to discuss the systemic issues surrounding FRAMING CHILD NEGLECT 49 child welfare and other programs for families. Again, this finding suggests that regional newspapers provide readers with localized information while national newspapers are more likely to place topics within their larger context. Although the finding did not reach significance, more than one-third of national newspaper coverage used a thematic frame while less than one-quarter of regional newspaper coverage did so. This finding is in keeping with studies performed by Maxwell et al. (2000) and Fister (2003), who both performed national-level studies and identified a tendency for newspapers to contain more thematic coverage than other forms of media. Episodic and thematic framing. Overall, the study's findings related to episodic and thematic framing confirmed the role of these types of framing in focusing on issues at the individual or system levels. Because this study identified dominant episodic frames as those with rich narratives about individuals impacted by child maltreatment, the findings were expected that most news articles were episodically framed while most longer feature stories and opinions/editorials were thematically framed, since the latter are less focused strictly on news and allow for greater detail and context about larger systemic issues. Similarly, it is not surprising that stories focused solely on neglect were significantly more likely to be episodically framed while stories including both neglect and abuse were more likely to be thematically framed, since thematic coverage addressing larger systemic child welfare issues is likely to address child maltreatment as a whole instead of just neglect. In addition, the finding that articles addressing legal charges, imprisonment and court involvement for perpetrators of maltreatment were significantly more likely to use episodic framing is expected since those consequences are most often discussed in the context of individual cases. FRAMING CHILD NEGLECT 50 As was mentioned earlier, long-term child consequences of maltreatment were infrequently reported in articles in this study, but when they were, the articles were significantly more likely to use a dominant thematic frame. Also, nearly half of the contributing factors and all but one of the systemic factors examined in the articles in this study were significantly more likely to be thematically framed. These findings confirm the importance of using thematic frames in the news—such frames help the reader understand the larger societal context in which child maltreatment occurs and thus encourages more community-level action to prevent maltreatment and minimize its impact when it occurs. Altogether, the results of this study can help child welfare professionals understand how child neglect is portrayed to the public and help media professionals understand ways in which those portrayals could be improved. In particular, it is clear that greater reporting accuracy is needed regarding certain facts of child neglect cases. In addition, more context is needed in media reports on child neglect to describe the factors that contribute to maltreatment and the societal role to address it. Professionals who work with children and families and the organizations in which they work are well suited to provide those facts and context. More formal opportunities for collaboration between child welfare organizations and the media could improve child neglect reporting—the Journalism Center on Children and Families (www.journalismcenter.org) is one such example. While some of this study's findings show promise regarding the systemic factors addressed in thematically-framed articles, there are many improvements that could be made to child neglect reporting to increase the public's understanding and support for community and societal-level changes to address child maltreatment. FRAMING CHILD NEGLECT 51 CONCLUSION Child neglect is a much more common form of maltreatment than child abuse, but it receives less attention in the media, and thus, is not well understood by the public. There are several different types of neglect, which broadly involve the parent or caregiver's failure to provide basic needs or protect the child from harm, and each has the potential to impact children just as negatively as abuse. In order to improve formal services and informal supports for children and families at risk for neglect, it is important to examine the public's understanding of the issues surrounding child neglect—one way to do so is to study media portrayals of neglect. According to agenda setting theory, the stories the media choose to cover can influence which issues the public considers important. In addition, theories regarding episodic and thematic framing (i.e., whether stories are told from an individual or societal level) indicate the need to examine the causes, consequences and related factors the media address within the stories they tell about child neglect. Because little research exists on media portrayals of child neglect, this study sought to analyze coverage of child neglect in the news to determine the accuracy of reporting on the subject and describe differences in episodic and thematic framing of the topic. The purpose of this study was to contribute to the knowledge base on media coverage of child welfare-related issues in order to identify ways to improve coverage and, eventually, improve public understanding of child neglect and increase support for societal-level interventions to address the issue. A content analysis was performed of two regional newspapers and two national newspapers from geographically diverse locations using a constructed week sample of articles published during federal fiscal years 2009 through 2011 (October 1, 2008, through September FRAMING CHILD NEGLECT 52 30, 2011). Data was collected on dominant episodic and thematic framing of the articles as well as within several high-level areas of analysis, including maltreatment type, child and perpetrator consequences, contributing factors and systemic issues related to child maltreatment. Among the major findings, this study identified some accuracy in media reports of child neglect, particularly in the areas of family members as perpetrators and types of maltreatment that contribute to child fatalities. However, certain aspects of child neglect were misrepresented: child fatalities were grossly over-reported in comparison to statistics on the rate of occurrence; non-family members as perpetrators were depicted too frequently; and the consequences for perpetrators of child neglect were portrayed as more serious than those commonly faced by parents and families involved in cases of child maltreatment. National newspapers were somewhat more likely to use a dominant thematic frame than regional newspapers, and overall, thematically-framed articles more frequently mentioned long-term child consequences of maltreatment, contributing factors to maltreatment and systemic factors related to the larger child welfare system that serves at-risk children and families. One of this study's key limitations is the lack of a second coder to analyze the articles and confirm the reliability of the data and results. In addition, time constraints precluded the analysis of more articles and/or more years of newspaper coverage, which could strengthen the study's findings. Similarly, since only four newspapers were included in the study, the selection of different national or regional newspapers for the study would have likely resulted in different findings or possible areas of analysis. Because the study of communications related to child welfare is relatively new, there are numerous possibilities for variations of or improvements upon this study for future research. First and foremost, a more focused study of the media's episodic and thematic framing of child FRAMING CHILD NEGLECT 53 neglect stories that digs deeper into the nuances of the issues experienced by at-risk families could result in a specific set of suggestions to help media professionals more accurately report such situations. In addition, it is unclear why certain types of maltreatment, such as failure to protect and endangerment due to substance use, were more likely to be episodically framed; an analysis of media coverage of each maltreatment type may be helpful to individuals working with families affected by those types of maltreatment. Although this study did not identify useful information regarding depictions of blame in specific incidents of child neglect, such a study could help inform the public's beliefs regarding not only who is to blame, but how those individuals should be treated in society. 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FRAMING CHILD NEGLECT 61 APPENDIX Codebook Finalized March 23, 2012 Y = 1, N = 0 ---Section A—Article Details ID: [3 digits] Newspaper 1 New York Times 2 Washington Post 3 Houston Chronicle 4 San Jose Mercury News Pub Date: [dd-mmm-yy] Day of Week 1 Monday 2 Tuesday 3 Wednesday 4 Thursday 5 Friday 6 Saturday 7 Sunday Word Count: [2-4 digits] Type 1 News 2 Opinion/Editorial 3 Feature/Lifestyle YN Reports a Specific Case / potential case of abuse/neglect YN EPISODIC: Rich narrative that is heavily focused solely on individuals involved with the case YN THEMATIC: Rich narrative that heavily discusses larger systemic / societal issues related to maltreatment FRAMING CHILD NEGLECT 62 Section B—Type of Abuse or Neglect YN YN YN Reports a Specific Abuse/Neglect Type Mentions General Abuse Mentions General Neglect [Mentions any of the following specific types of abuse/neglect] YN YN YN YN YN YN YN YN Abandoning (i.e., custody; leaving the child with the intent not to return or resume care) Leaving unsupervised / home alone Leaving in a car "Locking up" (i.e., chained; in a closet; not allowing contact with outside world) Not providing basic needs (food/nutrition, shelter, clothing, hygiene) Endangering due to domestic violence Endangering due to substance abuse (drunk driving w/child; harm while parent is drunk; in utero exposure) Inadequate supervision (With the child, but distracted, asleep, or not tending closely; Being incapable of caring for a child) Failure to protect from harm or exposure to hazards (Putting child in dangerous situation (besides DV / SA), e.g., in the presence of guns, in middle of fight, with dangerous person) Emotional rejection; Not providing affection, emotional support or guidance; emotionally isolating Failing to enroll in school / homeschool; ignoring special education needs; permitting truancy Delaying or denying recommended health care / not tending to health needs YN YN YN Physical abuse, direct contact causing physical harm Sexual abuse Emotional / verbal abuse (constant criticism, threats) YN -- Other Input field YN YN Just Neglect Neglect + Abuse YN YN YN YN Section C—Child Consequences YN Are any child consequences mentioned? YN YN YN Fatality Physical harm, malnutrition, poor health Cognitive / Intellectual delays, poor academic performance FRAMING CHILD NEGLECT YN YN YN Emotional / Relational, psychological, depression, difficulty forming relationships or secure attachments Behavioral / Conduct disorders, delinquent behavior Child is unharmed, minimally harmed but going to be ok Section D—Perpetrator YN Does the article specify the relationship of the perpetrator to the victim? YN YN YN -YN -YN Mother Father Other Family Member Input notes Non-Family Member Input notes Behavioral / Conduct disorders, delinquent behavior Section E—Contributing Factors YN Does the article mention any possible issues experienced by the perpetrator or contributing factors to abuse or neglect? YN YN YN YN YN YN YN YN YN YN YN YN YN -- Substance abuse Domestic violence Mental health Stress Poverty or low-income Homeless Unemployed History of abuse Young Inexperienced, limited parenting knowledge No access to child care or support Child with disabilities or other problems that contributed to perpetrator’s actions Other Input notes Section F—Reason YN Does the article state or imply the reason for the abuse or neglect? YN YN Implied or stated accident, no fault to parent or caregiver Implied intent or purposeful fault 63 FRAMING CHILD NEGLECT YN 64 Both sides are depicted, making it unclear if the abuse/neglect was accidental or intentional Section G—Perpetrator/Family Consequences YN Does the article describe the consequences facing the perpetrator and/or the resulting impact on the family? YN YN YN YN YN YN Legal action—charges Legal action—imprisonment In court / going to court Child welfare / child protective services is involved with the family and/or investigating Child was removed from the caregiver and placed in foster care or with a relative Other support services are being provided to the parent or family (beyond investigation) Section H—Systemic Factors YN Does the article go beyond the individual case to discuss larger systemic issues? YN Discussion of how programming for families works, how to improve it or what went wrong Funding programming for families, Budgets Prevention of maltreatment or fatalities (support services, parent education, home visiting) Raise awareness of children’s issues with those uninformed, or at a higher level Role of community members and social support in families' lives; Involvement of community in a case Statistics Contact for how to report, where to go for help, how to help others YN YN YN YN YN YN