Risk of maltreatment recurrence after exiting substitute care: Impact of placement characteristics

Hélie, Sonia; Poirier, Marie-Andrée; Turcotte, Daniel

doi:10.1016/j.childyouth.2014.09.002

Cited by 24 publications

(9 citation statements)

References 39 publications

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“…Regarding treatment after cancelation of temporary custody, we found that in-home services were associated with a higher risk of a maltreatment report than institutional or foster-parent care. Many studies have identified several important risk factors such as intensity of CPS investigation level, service type, and result of intervention [ 10 , 49 , 51 ]. In Japan, children placed in institutional care are prone to receiving continuous social protection, and thus, they are not likely to be exposed to maltreatment again.…”

Section: Discussionmentioning

confidence: 99%

Cumulative risk effect of household dysfunction for child maltreatment after intensive intervention of the child protection system in Japan: a longitudinal analysis

Ohashi

Wada

Yamaoka

et al. 2018

Environ Health Prev Med

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BackgroundBuilding an effective casework system for child maltreatment is a global issue. We estimated the effect of household dysfunction (i.e., interparental violence, caregiver mental health problems, and caregiver substance abuse) on child maltreatment to understand how to advance the current framework of child welfare.MethodsThe sample comprised 759 children (1- to 17-year-old; mean age was 10.6; 404 boys and 355 girls) placed in temporary custody units (one of the strongest intervention of the Japanese child protection system). Caseworkers from 180 units across 43 prefectures completed questionnaires on children and their family and were asked whether a child maltreatment report had been made after cancelation of custody in a 15-month follow-up period. The relations of household dysfunction and maltreatment reports were assessed using the Cox proportional hazard model.ResultsAbout half (48.4%) of the children had been placed in the unit because of maltreatment, and 88.3% had a history of victimization. Seventy-six cases had maltreatment reports after cancelation. We entered household dysfunction variables individually into the model, and each had a significant relationship with maltreatment reports (hazard ratios for interparental violence, caregiver mental health problem, and substance abuse were 1.69, 1.69, and 2.19, respectively) after covariate adjustment. When treating these three variables as cumulative risk score model of household dysfunction, the hazard ratio increased with increasing number of score (1.96 for score two; 2.35 for score three; score 0 as reference).ConclusionsGreater household dysfunction score is a risk of maltreatment after intensive intervention. It is imperative to construct systems facilitating cooperation between child and adult service sectors and to deliver seamless services to children and families. Our findings provide child protect services with risk-stratified interventions for children at victimization risk and promote adult-focused services to be proactive in prevention or intervention for adults with perpetration risk.Electronic supplementary materialThe online version of this article (10.1186/s12199-018-0703-6) contains supplementary material, which is available to authorized users.

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Section: Discussionmentioning

confidence: 99%

Cumulative risk effect of household dysfunction for child maltreatment after intensive intervention of the child protection system in Japan: a longitudinal analysis

Ohashi

Wada

Yamaoka

et al. 2018

Environ Health Prev Med

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“…Cox regression estimates the probability that an event will occur while taking into account the censored data as well as the time that it takes for the event to happen. Since this type of regression considers unequal observation periods and censored data, it produces a more accurate prediction than a logistical regression in the current context (Hélie, Poirier, & Turcotte, 2014). Censored data indicate that the participants do not experience the targeted event during the observation period (Klein & Moeschberger, 2003).…”

Section: Methodsmentioning

confidence: 99%

Moderating Role of the Form of Maltreatment Experienced by Children on the Effectiveness of a Parent Training Program

et al. 2018

Self Cite

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The study examines whether the form of maltreatment experienced by the child moderates the effects of a parent training program (PTP) on the probability that the child's case will be closed. This study involved 736 children on whom the Montreal child protective services (CPS) agency had an active file between 2007 and 2015. The experimental group was composed of all children with a parent who participated in the PTP Incredible Years ( n = 368). A control group was matched with the experimental group based on a propensity score. Cox regression revealed that once parents have participated in the PTP, the probability that their children's cases will be closed increases more for children being followed because of neglect than for those being followed because of emotional maltreatment. Results show that a parent's participating in a PTP is associated with an increase of the probability that his or her child's CPS case will be closed and hence with a reduction of the length of time that the child must receive protective services.

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“…There are also numerous examples in the extant literature that highlight the promise of using administrative data to explore recurrence (e.g., [ 35 , 36 , 37 , 38 , 39 ]). Studies conducted in Quebec, Canada by Hélie and colleagues [ 36 , 40 ] are also notable examples.…”

Section: Ontario Child Welfare: the Data Practice And Policy Landmentioning

confidence: 99%

How Can Data Drive Policy and Practice in Child Welfare? Making the Link in Canada

Fallon

Filippelli

Black

et al. 2017

IJERPH

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Formal university–child welfare partnerships offer a unique opportunity to begin to fill the gaps in the child welfare knowledge base and link child welfare services to the realities of practice. With resources from a knowledge mobilization grant, a formal partnership was developed between the University of Toronto, clinicians, policy analysts, and researchers from child welfare agencies across Ontario. The key objectives of the grant included: (1) enhancing the capacity of service providers to access and analyze child welfare data to inform service and policy decisions; (2) integrating clinical expertise in service and policy decisions; and (3) developing a joint research agenda addressing high-priority knowledge gaps. This partnership was an opportunity to advance the evidence base with respect to service provision in Ontario and to create a culture of knowledge and evidence that would eventually support more complex research initiatives. Administrative data was analyzed for this partnership through the Ontario Child Abuse and Neglect Data System (OCANDS)—the first child welfare data system in Ontario to track child welfare-involved children and their families. Child welfare agencies identified recurrence as an important priority and agency-driven analyses were subsequently conducted on OCANDS generated recurrence Service Performance Indicators (SPI’s). Using an urgent versus chronic investigative taxonomy for analyses, findings revealed that the majority of cases did not recur within 12 months and cases identified as chronic needs are more likely to return to the attention of child welfare authorities. One of the key outcomes of the partnership — helping agencies to understand their administrative data is described, as are considerations for next steps for future partnerships and research.

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Risk of maltreatment recurrence after exiting substitute care: Impact of placement characteristics

Cited by 24 publications

References 39 publications

Cumulative risk effect of household dysfunction for child maltreatment after intensive intervention of the child protection system in Japan: a longitudinal analysis

Cumulative risk effect of household dysfunction for child maltreatment after intensive intervention of the child protection system in Japan: a longitudinal analysis

Moderating Role of the Form of Maltreatment Experienced by Children on the Effectiveness of a Parent Training Program

How Can Data Drive Policy and Practice in Child Welfare? Making the Link in Canada

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