Under-ascertainment from healthcare settings of child abuse events among children of soldiers by the U.S. Army Family Advocacy Program

Wood, Joanne N.; Griffis, Heather; Strane, Douglas; Harb, Gerlinde C.; Mi, Lanyu; Song, Lihai; Lynch, Kevin G.; Rubin, David M.

doi:10.1016/j.chiabu.2016.11.007

Cited by 10 publications

(6 citation statements)

References 25 publications

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“…The present study extends previous literature to examine risk factors prior to birth and explore their associations with both suspected and met-criteria maltreatment outcomes during the first two years of life. The study employs big data methods (Hawkins et al, 2017) to link survey data from the Millennium Cohort Study (Gray et al, 2002; Ryan et al, 2007), DoD operational records, FAP data on met-criteria maltreatment, and TRICARE medical records of suspected maltreatment from the Birth and Infant Health Research (BIHR) program (Wood et al, 2017). These data provide a more complete picture of demographic, parent health, birth-related, and military-specific risk factors, which are hypothesized to increase risk for maltreatment in this population.…”

Section: The Current Studymentioning

confidence: 99%

Pre- and Perinatal Risk Factors for Child Maltreatment in Military Families Across the First Two Years of Life

et al. 2022

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Military families are exposed to a unique constellation of risk factors, which may impact maltreatment outcomes. The present study examined prospective relationships between demographic, health, birth-related, and military-specific risk factors identified prior to a child’s birth on their risk for maltreatment in the first two years of life. Data from the Millennium Cohort Study, Department of Defense (DoD) operational records and Family Advocacy Program data on met-criteria maltreatment, and Birth and Infant Health Research program data on suspected maltreatment were linked for 9076 service member parents. Discrete time survival analysis showed that preterm birth increased risk of maltreatment while parents’ older age, physical health, and service in the Navy or Air Force decreased risk. Building on DoD’s New Parent Support Program, findings suggest the need for universal and targeted prevention efforts, beginning during pregnancy, which limit or eliminate risk factors for maltreatment in military families.

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Section: The Current Studymentioning

confidence: 99%

Pre- and Perinatal Risk Factors for Child Maltreatment in Military Families Across the First Two Years of Life

et al. 2022

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“…This flexibility allows child welfare agencies to begin serving families that have not (yet) been reported—a vast departure from traditional policy and practice—and to provide enhanced services to reunified families. This is particularly important in light of evidence that child abuse and neglect are, in general, underreported (Flaherty et al 2008; Wood et al 2017), coupled with recent evidence that underreporting (and thus underinclusion in the formal child welfare system of children and families for whom abuse or neglect has occurred) has increased in the context of the COVID-19 pandemic and associated lockdowns and school closures (Welch and Haskins 2020). It is also important given a paucity of resources targeted to reunified families, many of which will experience a subsequent child removal (Font, Sattler, and Gershoff 2019).…”

Section: What Are the Key Challenges Facing The Contemporary Us Chimentioning

confidence: 99%

The Contemporary U.S. Child Welfare System(s): Overview and Key Challenges

Berger¹,

Slack²

2020

The ANNALS of the American Academy of Political and Social Scie

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This volume of The ANNALS aims to increase awareness among scholars, policy-makers, and practitioners of the size, scope, and functions of child welfare services in the United States. We aim to promote a wider understanding of the broad impacts of child welfare policies and point to ways in which child welfare services can be better incorporated into cross-cutting social policy debates. The articles in this volume offer concrete recommendations for policies and practices that can reduce child maltreatment, and for systemic approaches—both within the purview of child welfare services and across the broader community and social policy landscape—that can better identify and respond to the needs of children and families in which maltreatment has already occurred or where there is a risk of abuse and neglect. This introduction sets a foundation for understanding the contents of the volume: we provide an overview of child welfare services in the United States and highlight current challenges that the U.S. child welfare systems face.

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“…Deployment and relocation stressors are concerning for an increased risk of child maltreatment. 40 Cozza et al 41 demonstrated an increased risk of neglect among deployed families compared with families that were never deployed, and a systematic review found an increased risk of child maltreatment, including neglect and physical abuse. 36 Furthermore, there is an increased risk at the time of redeployment, 1 making it important to continue to provide resources once a service member who was deployed returns.…”

Section: Abuse And/or Neglectmentioning

confidence: 99%

“…Because civilian providers may not be aware of the FAP, they may report concerns about child maltreatment to local child protective services without also notifying the local FAP office. Wood et al 40 found that only 42% of cases of medically diagnosed maltreatment were reported to the FAP, compared with 90% reported to child protective services, meaning that many families do not receive timely and appropriate militaryspecific services.…”

Section: Abuse And/or Neglectmentioning

confidence: 99%

Health and Mental Health Needs of Children in US Military Families

Huebner¹,

Kimball-Eayrs

Burnett

et al. 2019

Pediatrics

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Children in US military families share common experiences and unique challenges, including parental deployment and frequent relocation. Although some of the stressors of military life have been associated with higher rates of mental health disorders and increased health care use among family members, there are various factors and interventions that have been found to promote resilience. Military children often live on or near military installations, where they may attend Department of Defense-sponsored child care programs and schools and receive medical care through military treatment facilities. However, many families live in remote communities without access to these services. Because of this wide geographic distribution, military children are cared for in both military and civilian medical practices. This clinical report provides a background to military culture and offers practical guidance to assist civilian and military pediatricians caring for military children.

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Under-ascertainment from healthcare settings of child abuse events among children of soldiers by the U.S. Army Family Advocacy Program

Cited by 10 publications

References 25 publications

Pre- and Perinatal Risk Factors for Child Maltreatment in Military Families Across the First Two Years of Life

Pre- and Perinatal Risk Factors for Child Maltreatment in Military Families Across the First Two Years of Life

The Contemporary U.S. Child Welfare System(s): Overview and Key Challenges

Health and Mental Health Needs of Children in US Military Families

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