scholarly journals Association of Housing Stress With Child Maltreatment: A Systematic Review

2020 ◽  
pp. 152483802093913
Author(s):  
Caroline E. Chandler ◽  
Anna E. Austin ◽  
Meghan E. Shanahan
Keyword(s):  
Child Maltreatment ◽  
Child Protective Services ◽  
The United States ◽  
Public Health Issue ◽  
Material Hardship ◽  
Protective Services ◽  
Stress Indicators ◽  
Effective Prevention ◽  
Established Risk Factor ◽  
Significant Public Health

Child maltreatment is a significant public health issue in the United States. Understanding key risk factors for child maltreatment is critical to informing effective prevention. Poverty is an established risk factor for child maltreatment. However, recent research indicates that material hardship (i.e., difficulties meeting basic needs) may serve as a more direct measure of the way in which poverty affects daily life. One form of material hardship that is common among families is housing stress. Previous reviews have summarized the existing literature regarding the association of economic insecurity with child maltreatment, but no reviews have synthesized and critically evaluated the literature specific to the association of various types of housing stress with child maltreatment. We conducted a systematic search of multiple electronic databases to identify peer-reviewed studies conducted in the U.S. regarding the association of housing stress with child maltreatment. We identified 21 articles that used nine distinct measures of housing stress including homelessness or eviction, homeless or emergency shelter stays, foreclosure filing, housing instability, inadequate housing, physical housing risk, living doubled-up, housing unaffordability, and composite housing stress indicators. Overall, results from this body of literature indicate that housing stress is associated with an increased likelihood of caregiver or child self-reported maltreatment, child protective services (CPS) reports, investigated and substantiated CPS reports, out-of-home placements, and maltreatment death. Additional theory-driven research is needed to further our understanding of the contribution of specific types of housing stress to risk for specific types of maltreatment.

scholarly journals What Happened Next

2016 ◽  
Vol 27 (2) ◽  
pp. 155-169 ◽  
Author(s):  
Kristine A. Campbell ◽  
Lenora M. Olson ◽  
Heather T. Keenan ◽  
Susan L. Morrow
Keyword(s):  
Risk Factors ◽  
Child Maltreatment ◽  
Child Protective Services ◽  
The United States ◽  
Policy Changes ◽  
Protective Services ◽  
Vulnerable Children ◽  
Home Placement ◽  
First Time ◽  
Future Practice

Child Protective Services (CPS) identifies over 700,000 victims of child maltreatment in the United States annually. Research shows that risk factors for these children may persist despite CPS intervention. Mothers have unique and often untapped perspectives on the experiences and consequences of CPS intervention that may inform future practice. We explored these perspectives through interviews with 24 mothers after a first-time CPS finding of maltreatment not resulting in out-of-home placement. Male partners were primary perpetrators in 21 cases, with mothers or sitters identified as perpetrators in remaining cases. Data were analyzed using grounded theory. Mothers described risk factors or Roots of maltreatment prior to CPS involvement and reported variable experiences with Recognition of and Response to maltreatment. Divergent Outcomes emerged: I Feel Stronger and We’re No Better. These findings provide an understanding of household experiences around child maltreatment that may support practice and policy changes to improve outcomes for vulnerable children.

The Decision to Substantiate Allegations of Child Maltreatment

2020 ◽  
pp. 173-193
Author(s):  
Sarah A. Font ◽  
Kathryn Maguire-Jack ◽  
Rebecca Dillard
Keyword(s):  
Decision Making ◽  
Child Maltreatment ◽  
Child Protective Services ◽  
Objective Assessment ◽  
The United States ◽  
Family Characteristics ◽  
Protective Services ◽  
Vulnerable Children ◽  
Representative Study ◽  
Nationally Representative

In the United States, the Child Protective Services system is responsible for investigating and responding to allegations of child abuse and neglect. At the conclusion of an investigation, caseworkers are expected to decide whether allegations are “substantiated” (demonstrated to be true) or not. How that decision is made—and whether it reflects an objective assessment of the evidence available—is widely debated. This chapter first presents an overview of the decision-making process and the implications of decision-making for vulnerable children and families. Next, it describes how rates of substantiation vary across and within states. The authors then present data from a nationally representative study of child protective services investigations on the factors associated with the decision to substantiate child maltreatment. They find that agency characteristics are predictive of substantiation, net of child and family characteristics. Overall, the authors conclude that substantiation is unlikely to be a valid indicator of the incidence of child maltreatment, and they discuss possible strategies for improving the consistency and utility of the substantiation decision.

scholarly journals Child Maltreatment During COVID-19: Key Conclusions and Future Directions Based on a Systematic Literature Review

2021 ◽  
pp. 152483802110438
Author(s):  
Amitai Marmor ◽  
Noa Cohen ◽  
Carmit Katz
Keyword(s):  
Child Maltreatment ◽  
Literature Review ◽  
Systematic Literature Review ◽  
Child Protective Services ◽  
The United States ◽  
International Studies ◽  
Protective Services ◽  
Future Directions ◽  
Increased Risk ◽  
The Impact

The COVID-19 pandemic has had a far-ranging impact. As societies struggled to minimize infection, questions arose regarding the consequences for children. Initial research reported the urgent need for child protective services worldwide to adapt existing policies and practices to protect children from maltreatment during this time, which is the rationale for the current systematic literature review. This review examined studies published in peer-reviewed journals from March 2020 to October 2020 on child maltreatment (CM) in the context of COVID-19. Twenty-five manuscripts met the inclusion criteria and were predominantly from the United States, with three international studies. The majority of the studies included CM reports during COVID-19 based on official data. The results clearly demonstrated an increased risk for children alongside a worrisome international decrease in CM reports. Only two studies addressed interventions during the pandemic. The current review highlights that, along with the obligation of scholars to advance the protection of children during COVID-19, there is much that is unknown. Future studies should examine the impact of the pandemic on children and their surrounding systems as well as child protective services’ responses, which face enormous challenges during a pandemic. An additional conclusion is that, since children were not identified as a health risk group during the pandemic, their protection rights may have been jeopardized. Furthermore, the variance identified in the policies of different countries pinpoints the urgent need to establish an international protocol for protecting children from maltreatment during COVID-19, a protocol that will hopefully be a basis for policymakers worldwide.

Who Is and Is Not Served by Child Protective Services Systems? Implications for a Prevention Infrastructure to Reduce Child Maltreatment

2020 ◽  
Vol 692 (1) ◽  
pp. 182-202
Author(s):  
Kristen S. Slack ◽  
Lawrence M. Berger
Keyword(s):  
Child Welfare ◽  
Child Maltreatment ◽  
Child Protective Services ◽  
Child Welfare System ◽  
Community Response ◽  
Welfare System ◽  
Child Safety ◽  
Children And Families ◽  
Protective Services ◽  
Child Maltreatment Prevention

The majority of alleged abuse or neglect reports to the U.S. child welfare system are either screened out prior to an investigation (i.e., at the “hotline” stage) or investigated only to be closed with no finding of immediate child safety concerns. Yet while many of these children and families are at risk of subsequent incidents of child maltreatment or child welfare system involvement, they are not systematically offered services or benefits intended to reduce this risk at the point that child protective services (CPS) ends its involvement. This article provides an overview of the “front end” of the child welfare system, commonly referred to as CPS, highlighting which families are served and which are not. We then argue for a systematic and coordinated child maltreatment prevention infrastructure that incorporates elements of “community response” programs that several U.S. states have implemented in recent years. Such programs are focused on families that have been reported to, and sometimes investigated by, CPS, but no ongoing CPS case is opened. We further argue that such programs need to pay particular attention to economic issues that these families face.

Child Protective Services Guidelines for Substantiating Exposure to Domestic Violence as Maltreatment and Assigning Caregiver Responsibility: Policy Analysis and Recommendations

2021 ◽  
pp. 107755952110026
Author(s):  
Bryan G. Victor ◽  
Ashley N. Rousson ◽  
Colleen Henry ◽  
Haresh B. Dalvi ◽  
E. Susana Mariscal
Keyword(s):  
Domestic Violence ◽  
Child Welfare ◽  
Child Protective Services ◽  
Adult Survivors ◽  
The United States ◽  
Protective Services ◽  
Child Exposure ◽  
Exposure To Domestic Violence ◽  
Welfare Systems ◽  
Child Welfare Systems

The purpose of this study was to examine the range of policy approaches used by child welfare systems in the United States to guide workers in classifying and substantiating child exposure to domestic violence (CEDV) as an actionable form of maltreatment. To that end, we conducted a qualitative document analysis of child protective services (CPS) policy manuals from all state-administered child welfare systems in the U.S. ( N = 41). Our findings indicate that a majority of state-administered systems (71%) have adopted policy requiring workers to demonstrate that children have endured harm or the threat of harm before substantiating CEDV-related maltreatment. Many state systems (51%) also include policy directives that require workers to identify a primary aggressor during CPS investigations involving CEDV, while far fewer (37%) provide language that potentially exonerates survivors of domestic violence from being held accountable for failure to protect on the basis of their own victimization. Based on our findings and identification of policy exemplars, we offer a recommended set of quality policy indicators for states to consider in the formulation of their policy guidelines for substantiating children’s exposure to domestic violence that promotes the safety and wellbeing of both children and adult survivors of domestic violence.

scholarly journals Shigella sonneiBacteremia Presenting with Profound Hepatic Dysfunction

2017 ◽  
Vol 2017 ◽  
pp. 1-5 ◽  
Author(s):  
Oluwaseun Shogbesan ◽  
Andrew Rettew ◽  
Bilal Shaikh ◽  
Abdullateef Abdulkareem ◽  
Anthony Donato
Keyword(s):  
Laboratory Data ◽  
Abdominal Ultrasound ◽  
The United States ◽  
Shigella Sonnei ◽  
Public Health Issue ◽  
Watery Stool ◽  
Normal Limits ◽  
Significant Public Health ◽  
History Of

Worldwide, Shigellosis is a significant public health issue, associated with nearly one million deaths annually. About half a million cases ofShigellainfection are reported annually in the United States.Shigellabacteremia is uncommon and generally seen in children and immunocompromised adults. We present a case of aShigella sonneibacteremia with marked hepatic derangement in a 27-year-old previously healthy homosexual male with history of Roux-en-Y gastric bypass, who presented to the emergency room with a 4-day history of loose watery stool, abdominal cramps, nausea and vomiting, and yellow skin of 2-day duration. He reports similar diarrhea illness in two close contacts in preceding days. On examination, he was fully oriented but dehydrated, icteric, and febrile. Laboratory data revealed WBC of 2200/μL, elevated AST and ALT (201 IU/L, 73 IU/L resp.), normal alkaline phosphatase, elevated total and direct bilirubin of 8.2 mg/dL and 4.4 mg/dL, albumin of 3.2 g/dL, INR of 2.9, prothrombin time of 31.7, and platelet of 96,000/μL. Workup for infectious, autoimmune and medication-induced hepatitis, Wilson’s disease, and hemochromatosis was negative. Abdominal ultrasound and computed tomography of the abdomen showed hepatic steatosis and right-sided colitis. Stool and blood cultures were positive forShigella sonnei. He was treated with ciprofloxacin with improvement in liver function. Follow-up blood test 4 months later was within normal limits.

Intergenerational Continuity in Child Maltreatment: Explicating Underlying Mechanisms

2020 ◽  
pp. 088626052091454
Author(s):  
Tiffany L. Martoccio ◽  
Lisa J. Berlin ◽  
Elizabeth M. Aparicio ◽  
Karen Appleyard Carmody ◽  
Kenneth A. Dodge
Keyword(s):  
Sexual Abuse ◽  
Child Maltreatment ◽  
Child Protective Services ◽  
Protective Services ◽  
Prospective Longitudinal Study ◽  
Physically Abused ◽  
Child Victimization ◽  
History Of ◽  
Underlying Mechanisms ◽  
Prospective Longitudinal

The current study examined direct and indirect effects of a mother’s history of childhood physical and sexual abuse on her child’s officially reported victimization. This prospective, longitudinal study followed a community-based sample of 499 mothers and their children. Mothers (35% White/non-Latina, 34% Black/non-Latina, 23% Latina, and 7% other) were recruited and interviewed during pregnancy, and child protective services records were reviewed for the presence of the participants’ target child between birth and age 3.5. Whereas both types of maternal maltreatment history doubled the child’s risk of child protective services investigation, mothers’ sexual abuse history conferred significantly greater risk. Pathways to child victimization varied by type of maternal maltreatment history. Mothers who had been physically abused later demonstrated interpersonal aggressive response biases, which mediated the path to child victimization. In contrast, the association between maternal history of sexual abuse and child victimization was mediated by mothers’ substance use problems. Study implications center on targeting child maltreatment prevention efforts according to the mother’s history and current problems.

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