Using Child Protective Services Case Record Data to Quantify Family-Level Severity of Adversity Types, Poly-victimization, and Poly-deprivation.
Adversity Severity
Child Maltreatment
Family Adversity
Poly-deprivation
Poly-victimization
Journal
Child abuse & neglect
ISSN: 1873-7757
Titre abrégé: Child Abuse Negl
Pays: England
ID NLM: 7801702
Informations de publication
Date de publication:
10 2020
10 2020
Historique:
received:
09
12
2019
revised:
06
08
2020
accepted:
11
08
2020
pubmed:
28
8
2020
medline:
24
7
2021
entrez:
28
8
2020
Statut:
ppublish
Résumé
Child protective services (CPS) case records contain a vast amount of narrative information that is underutilized for estimating risk, conceptualizing family needs, and planning for services. The current study applied a novel method for quantifying family-level severity of maltreatment and non-maltreatment-related adversity types to narrative information reflecting a family's full CPS history. Cases were randomly sampled (N = 100) from two regions of Connecticut that were referred over a specified 6-month period. De-identified data were extracted through comprehensive chart review of electronic and paper case records. The Yale-Vermont Adversity in Childhood Scale (Y-VACS; Holbrook et al., 2015) was used to quantify adversity severity across a range of intrafamilial and extrafamilial experiences. Several family-level adversity severity ratings were associated with administrative data on allegations and investigative outcomes. Poly-victimization (β = .47, p < .001) and poly-deprivation (β = .25, p = .005) significantly predicted total allegation types and total substantiation types (β = .30, p = .002; β = .26, p = .008, respectively) across the case history. Poly-victimization significantly predicted the presence of a new allegation within 12 months of the index report, OR = 1.72, SE = .25, p = .027. Findings support the feasibility of a novel method that uses narrative case record information to quantify severity of maltreatment and non-maltreatment-related adversity types, as well as cumulative measures of threat- and deprivation-based adversities at the family level. Implications for utilizing case record data to inform CPS intervention are discussed.
Sections du résumé
BACKGROUND
Child protective services (CPS) case records contain a vast amount of narrative information that is underutilized for estimating risk, conceptualizing family needs, and planning for services.
OBJECTIVE
The current study applied a novel method for quantifying family-level severity of maltreatment and non-maltreatment-related adversity types to narrative information reflecting a family's full CPS history.
PARTICIPANTS AND SETTING
Cases were randomly sampled (N = 100) from two regions of Connecticut that were referred over a specified 6-month period.
METHODS
De-identified data were extracted through comprehensive chart review of electronic and paper case records. The Yale-Vermont Adversity in Childhood Scale (Y-VACS; Holbrook et al., 2015) was used to quantify adversity severity across a range of intrafamilial and extrafamilial experiences.
RESULTS
Several family-level adversity severity ratings were associated with administrative data on allegations and investigative outcomes. Poly-victimization (β = .47, p < .001) and poly-deprivation (β = .25, p = .005) significantly predicted total allegation types and total substantiation types (β = .30, p = .002; β = .26, p = .008, respectively) across the case history. Poly-victimization significantly predicted the presence of a new allegation within 12 months of the index report, OR = 1.72, SE = .25, p = .027.
CONCLUSIONS
Findings support the feasibility of a novel method that uses narrative case record information to quantify severity of maltreatment and non-maltreatment-related adversity types, as well as cumulative measures of threat- and deprivation-based adversities at the family level. Implications for utilizing case record data to inform CPS intervention are discussed.
Identifiants
pubmed: 32854056
pii: S0145-2134(20)30343-4
doi: 10.1016/j.chiabu.2020.104688
pii:
doi:
Types de publication
Journal Article
Randomized Controlled Trial
Langues
eng
Sous-ensembles de citation
IM
Pagination
104688Informations de copyright
Copyright © 2020 Elsevier Ltd. All rights reserved.