Takaoka, K., Mizoguchi, F., Wada, I., Nakazato, M., Shiraishi, T., Ando, S., ... & Shimizu, E.2016-12-072016-12-072016Takaoka, K., Mizoguchi, F., Wada, I., Nakazato, M., Shiraishi, T., Ando, S., ... & Shimizu, E. (2016). How parents suspected of child maltreatment change their cognition and behavior: A process model of outreach and child protection, generated via grounded theory. Children and Youth Services Review, 71, 257-265.http://www.sciencedirect.com/science/article/pii/S0190740916304340http://hdl.handle.net/11212/3085Although considerable efforts have been made to improve relationships between professionals and parents suspected of child maltreatment, little research has been conducted to examine the ways in which parents escalate their negative cognition and behavior involving professionals. This study developed a model of parents' negative reinforcement of their cognitive behavior and the factors influencing reductions in this reinforcement. Interview data were collected from 21 parents, who had experienced outreach and child protection issues, and analyzed using the grounded theory approach. In the outreach phase, the analysis initially produced the negative image of help-seeking behavior category, followed by the dissatisfaction with outreach and reinforcement of negative cognition categories. In this phase, the analysis also identified the social support and support groups step as a means of reducing negative cognition. In contrast, in the child protection phase, the analysis produced the anger and psychological conflict with child protection services and unwilling consent categories. In this phase, the analysis also identified the psychoeducation and timely feedback step as an acceptable means of minimizing the escalation of negative cognition. The hypothetical model revealed the ways in which parents changed their cognition and behavior and demonstrated the factors influencing reductions in the reinforcement of negative cognition and behavior. These results could be useful for practice in child maltreatment cases.enresearchJapanInternational Resourceschild maltreatmentneglectcognitive-behavioral therapychild protectiongrounded theoryclient viewsparentsArticle