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Child, Family and Societal Factors Related to Neglect Recurrence After CPS Investigation
Robin Ortiz1,2,3, Vincent J Palusci1
1Department of Pediatrics, New York University Grossman School of Medicine, New York, NY, USA.
Preventing child neglect recurrence is crucial. Factors across child, family, and state levels influence recurrence, with some services showing promise in reducing repeat cases after child protective services investigation.
Area of Science:
- Child Welfare Research
- Public Health
- Sociology
Background:
- Preventing child neglect recurrence is a key goal for child protection systems and public health initiatives aimed at mitigating Adverse Childhood Experiences (ACEs).
- While factors leading to initial neglect are studied, specific drivers of neglect recurrence post-child protective services (CPS) investigation require further understanding.
Purpose of the Study:
- To describe the patterns of child neglect recurrence.
- To identify child, family, report characteristics, state neglect definitions, and CPS post-investigation service referrals associated with neglect recurrence.
Main Methods:
- Analysis of Child Files from FY2015-2020 from the National Child Abuse and Neglect Data System.
- Inclusion of the Neglect and Prevention Policies Dataset to examine state-level factors.
- Statistical examination of socioecological model exposures, including child, family, and report characteristics, and service referrals.
Main Results:
- Confirmed child maltreatment most frequently recurs as neglect, with a notable proportion of second confirmed reports involving the same maltreatment type.
- Significant associations with neglect recurrence were found across socioecological levels, including child, family, and report factors.
- Broader state neglect definitions correlated with increased confirmed neglect recurrence; racial disparities diminished when adjusted for family financial factors.
- While some post-investigation services showed a reduction in neglect recurrence, most did not demonstrate a significant effect.
Conclusions:
- Child neglect recurrence is influenced by a complex interplay of individual, familial, and systemic factors.
- CPS agencies and states can leverage specific case characteristics to identify at-risk families and implement targeted services to reduce neglect recurrence.
- Further research into effective post-investigation interventions is warranted.
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