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Published on: June 6, 2020
Developmental needs and individualized family service plans among infants and toddlers in the child welfare system
Cecilia E Casanueva1, Theodore P Cross, Heather Ringeisen
1RTI International, 3040 Cornwallis Road, Research Triangle Park, NC 27709, USA. ccasanueva@rti.org
Insights
Many young children investigated by child protective services show developmental needs. Few receive early intervention services, with access varying by maltreatment substantiation status and child welfare involvement.
Area of Science:
- Child Development
- Social Work
- Public Health
Background:
- Young children investigated by child protective services often exhibit developmental needs.
- Early intervention services are crucial for addressing developmental delays in at-risk populations.
- Understanding service utilization patterns is vital for improving child welfare outcomes.
Purpose of the Study:
- To examine developmental needs in young children investigated by child protective services.
- To estimate the use of early intervention services, specifically Individualized Family Service Plans (IFSPs).
- To analyze variations in need and service use based on maltreatment substantiation status over 5-6 years.
Main Methods:
- Utilized data from the National Survey of Child and Adolescent Well-Being (NSCAW).
- Included a sample of 1,845 children aged 0-36 months at baseline.
- Employed logistic regression with covariate adjustment to assess IFSP association with substantiation status.
Main Results:
- A high prevalence of developmental problems was observed in both substantiated and unsubstantiated maltreatment cases.
- Only a small proportion of children with identified developmental needs had an IFSP.
- Substantiation status and child welfare system involvement significantly predicted IFSP receipt.
Conclusions:
- Children investigated by child protective services, regardless of substantiation, frequently have developmental needs.
- Current early intervention service (IFSP) utilization is low among these vulnerable children.
- Child welfare system involvement and substantiation status are key factors influencing access to early intervention services.
Abstract:
This study examines levels of developmental need in young children investigated by child protective services, estimates early intervention service use, and examines need and service use variations during the 5-6 years after investigation on the basis of maltreatment substantiation status. Data were from the National Survey of Child and Adolescent Well-Being, the first nationally representative study of children investigated for maltreatment. The sample comprised 1,845 children aged 0 to 36 months at baseline. Logistic regression with covariate adjustment was used to examine the relationship between having an Individualized Family Service Plan (IFSP; a proxy and marker of early intervention services through Part C of the Individuals With Disabilities Education Act) and substantiation status. A high prevalence of developmental problems was found among children with substantiated cases and children with unsubstantiated cases. Few children with developmental needs had an IFSP. Substantiation status and level of child welfare system involvement were significantly associated with having an IFSP.
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