Child Protective Services Reports in the Context of Intimate Partner Violence: A Delphi Process Examining Best Practices

Ragavan, Maya I.; Skinner, Camille M; Killough, Emily; Henderson, Cynterria; Eichman, Adelaide L; Randell, Kimberly A.

doi:10.1016/j.acap.2022.02.019

Cited by 4 publications

(2 citation statements)

References 28 publications

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“…While most state‐based CPS policies recommend CPS investigators substantiate IPV‐related reports based on a “harm or threat‐of‐harm threshold,” no specific guidelines exist for frontline providers when encountering children exposed to IPV 25 . Ragavan et al 43 performed a Delphi review of experts in IPV and child abuse to develop best practices for providers when reporting to CPS in the setting of IPV. Experts reached consensus about reporting when child abuse was clearly present and not reporting for exposure to IPV alone.…”

Section: Discussionmentioning

confidence: 99%

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Child safety assessments during a caregiver's evaluation in emergency departments after intimate partner violence

Butala

Asnes

Gaither

et al. 2022

Academic Emergency Medicine

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Background Physical abuse of children is reported to occur in 30%–60% of homes with intimate partner violence (IPV). IPV in adult victims presenting to emergency departments (EDs) represents a critical opportunity to evaluate for child safety. Objectives The primary objective was to determine the frequency of child safety assessments (CSAs), defined as any documented inquiry about the presence of children in the household, when adults presented to EDs for IPV. The secondary aims were to assess (1) the impact of demographic factors, ED type, and social work (SW) involvement on the likelihood of CSAs; (2) the nature of children's exposure; and (3) the frequency of child protective services (CPS) reports. Methods We performed a chart review of encounters with ICD‐10‐CM codes for patients aged 18–60 with IPV presenting to three EDs in Connecticut from 2017 through 2019. Results CSAs were completed in 179/277 encounters (78.9%) and were more likely to be completed in encounters with SW involvement than without (162/171 [94.7%] vs. 17/56 [30.3%], p < 0.001). A total of 143 children lived in the home at the time of the incident; of the 107 children for whom the nature of exposure was known, 10 (9.3%) were physically involved and 26 (24.2%) were direct witnesses to the violence. CPS reports were made in 52.4% of the encounters in which children lived in the home. Conclusions CSAs were omitted in one‐fifth of encounters for IPV. Given the high prevalence of children involved in IPV episodes, ED encounters for IPV represent an opportunity to improve the safety of children.

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Section: Discussionmentioning

confidence: 99%

“…42 While most state-based CPS policies recommend CPS investigators substantiate IPV-related reports based on a "harm or threat-of-harm threshold," no specific guidelines exist for frontline providers when encountering children exposed to IPV. 25 Ragavan et al 43…”

Section: Cps Reportsmentioning

confidence: 99%

Child safety assessments during a caregiver's evaluation in emergency departments after intimate partner violence

Butala

Asnes

Gaither

et al. 2022

Academic Emergency Medicine

View full text Add to dashboard Cite

show abstract

Supporting Intimate Partner Violence Survivors and Their Children in Pediatric Healthcare Settings

Ragavan

Murray

2023

Pediatric Clinics of North America

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Intimate Partner Violence and Children: Essentials for the Pediatric Nurse Practitioner

Hornor

2023

Journal of Pediatric Health Care

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Child Protective Services Reports in the Context of Intimate Partner Violence: A Delphi Process Examining Best Practices

Cited by 4 publications

References 28 publications

Child safety assessments during a caregiver's evaluation in emergency departments after intimate partner violence

Child safety assessments during a caregiver's evaluation in emergency departments after intimate partner violence

Supporting Intimate Partner Violence Survivors and Their Children in Pediatric Healthcare Settings

Intimate Partner Violence and Children: Essentials for the Pediatric Nurse Practitioner

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