Child Maltreatment Among Children in Out-of-Home Care: Secondary Analysis of NCANDS and AFCARS Data

Amy Dworsky1, Svetlana Shpiegel2, Julie S McCrae1

  • 1Chapin Hall, Chicago, IL, USA.

Child Maltreatment
|July 4, 2025
PubMed

Insights

Children in out-of-home care (OOHC) face maltreatment risks, with disabled children being more vulnerable. Reports of maltreatment in OOHC are less likely to be substantiated, highlighting a critical need for improved child protection.

Area of Science:

  • Child Welfare Research
  • Pediatric Health
  • Social Work Studies

Background:

  • Children in out-of-home care (OOHC) are a vulnerable population with unique risks.
  • Understanding maltreatment incidence and characteristics within OOHC is crucial for child protection.
  • Existing data systems like NCANDS and AFCARS provide valuable insights into child welfare.

Purpose of the Study:

  • To examine the incidence and nature of child maltreatment within OOHC.
  • To investigate the relationship between OOHC maltreatment and child characteristics.
  • To analyze the substantiation rates of maltreatment reports involving children in OOHC.

Main Methods:

  • Utilized data from the National Child Abuse and Neglect Data System (NCANDS).
  • Employed data from the Adoption and Foster Care Analysis and Reporting System (AFCARS).
  • Conducted statistical analysis on child characteristics, maltreatment types, and report sources.

Main Results:

  • 6.5% of children in OOHC received a maltreatment report; 0.9% were substantiated victims.
  • Children with disabilities experienced higher rates of maltreatment in OOHC.
  • Maltreatment in OOHC was less likely to be substantiated compared to other cases.

Conclusions:

  • Children in OOHC, particularly those with disabilities, face significant maltreatment risks.
  • The lower substantiation rate for OOHC maltreatment warrants further investigation and intervention.
  • Findings emphasize the need for enhanced protective measures for children in substitute care.

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