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Multicenter Study
. 2010 Oct;164(10):943-9.
doi: 10.1001/archpediatrics.2010.166.

Household, family, and child risk factors after an investigation for suspected child maltreatment: a missed opportunity for prevention

Kristine A Campbell  1 , Lawrence J Cook, Bonnie J LaFleur, Heather T Keenan
Affiliations
Multicenter Study

Household, family, and child risk factors after an investigation for suspected child maltreatment: a missed opportunity for prevention

Kristine A Campbell et al. Arch Pediatr Adolesc Med. 2010 Oct.

Abstract

Objective: To determine whether a Child Protection Services investigation for suspected child maltreatment is associated with subsequent improvements in household, caregiver, and child risk factors.

Design: Retrospective cohort study.

Setting: The Longitudinal Studies of Child Abuse and Neglect, a multicenter cohort study of the antecedents and consequences of child maltreatment.

Participants: A total of 595 children with the same maternal caregiver responding to Longitudinal Studies of Child Abuse and Neglect surveys at ages 4 and 8 years.

Main exposure: Investigation for suspected child maltreatment between ages 4 and 8 years.

Main outcome measures: Adjusted differences in 7 modifiable risk factors (social support, family functioning, poverty, maternal education, maternal depressive symptoms, anxious or depressive child behaviors, and aggressive or destructive child behaviors) at age 8 years.

Results: Of 595 subjects, 164 (27.6%) experienced an investigation for suspected child maltreatment between ages 4 and 8 years. At age 8 years, investigated subjects were not perceptibly different from noninvestigated subjects in social support, family functioning, poverty, maternal education, or child behavior problems after adjusting for baseline risk factors. Mothers of investigated subjects did have more depressive symptoms than mothers of noninvestigated peers at the child's age of 8 years. Substantiation of child maltreatment by Child Protective Services did not alter these findings.

Conclusions: Our finding that an investigation for suspected child maltreatment is not associated with relative improvements in common, modifiable risk factors suggests that we may be missing an opportunity for secondary prevention of maltreatment and maltreatment consequences.

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Conflict of interest statement

The authors have no conflicts of interest to disclose.

Comment in

References

    1. U.S. Department of Health and Human Services. Child Maltreatment 2007. Washington, DC: U.S. Government Printing Office; 2009. Administration of Children, Youth and Families.
    1. Drake B, Jonson-Reid M, Way I, Chung S. Substantiation and recidivism. Child Maltreat. 2003 Nov;8(4):248–260. - PubMed
    1. Flaherty EG, Thompson R, Litrownik AJ, et al. Effect of early childhood adversity on child health. Arch Pediatr Adolesc Med. 2006 Dec;160(12):1232–1238. - PubMed
    1. Hussey JM, Marshall JM, English DJ, et al. Defining maltreatment according to substantiation: distinction without a difference? Child Abuse Negl. 2005 May;29(5):479–492. - PubMed
    1. Jonson-Reid M, Chance T, Drake B. Risk of death among children reported for nonfatal maltreatment. Child Maltreat. 2007 Feb;12(1):86–95. - PubMed

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