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Involvement with child protective services: is this a useful question in population-based surveys?
Hayley A Hamilton1, Angela Boak, Robert E Mann
1Centre for Addiction and Mental Health, 33 Russell Street, Toronto, ON, M5S 2S1, Canada; Dalla Lana School of Public Health, University of Toronto, Toronto, ON, Canada.
Insights
Investigating child maltreatment in surveys is challenging. Asking about involvement with child protective services (CPS) may serve as a viable proxy for identifying adverse childhood experiences and their health impacts.
Area of Science:
- Public Health
- Child Psychology
- Sociology
Background:
- Direct questioning on child maltreatment in population surveys faces ethical and methodological barriers.
- This limitation hinders research on early adversity and its links to health and behavior.
Purpose of the Study:
- To explore the utility of using child protective services (CPS) involvement as a proxy measure for child maltreatment in population-based research.
- To assess the consistency of CPS involvement data with established relationships between maltreatment and adverse outcomes.
Main Methods:
- A school-based adolescent survey was conducted.
- The survey included a question assessing child and family involvement with child protective services (CPS).
- Results were compared with existing literature on child maltreatment and health/behavioral outcomes.
Main Results:
- Findings indicated that CPS involvement was generally consistent with known associations between child maltreatment and outcomes like psychological distress, delinquency, bullying, and health service use.
- Despite lacking specifics on maltreatment type or reason for involvement, CPS involvement reflected shared familial experiences of adversity.
Conclusions:
- Questions regarding child and family involvement with child protective services (CPS) may serve as a reasonable proxy for child maltreatment in population-based surveys.
- CPS involvement data can be a valuable tool for researchers studying early adverse experiences and their long-term consequences.
Abstract:
Direct questions on child maltreatment in population-based surveys are often limited by ethical and methodological issues. This restricts the ability of researchers to examine an important aspect of early adversity and its relationship to health and behavior. An alternative to excluding issues of maltreatment entirely in population-based surveys is to include questions on child and family involvement with child protective services (CPS). A school-based adolescent survey that included a question on child and family involvement with CPS yielded results that were generally consistent with other studies relating child maltreatment to health and behavioral outcomes such as psychological distress symptoms, delinquency, aspects of bullying, and health service utilization. Such findings suggest that questions on involvement with CPS may be a reasonable proxy for child maltreatment. Despite the lack of information on the reason for involvement or specific categories of maltreatment, CPS involvement questions highlight the shared familial experience that surrounds CPS involvement and serves as a general reflection of an adverse experience that can be utilized by researchers interested in early experiences.
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