Citation

Dakil SR, Sakai C, Lin H, Flores G. Arch. Pediatr. Adolesc. Med. 2011; 165(11): 1006-1012.

Affiliation

Department of Pediatrics, University of Texas Southwestern Medical Center and Children's Medical Center, Dallas.

Copyright

(Copyright © 2011, American Medical Association)

DOI

10.1001/archpediatrics.2011.129

PMID

21727259

Abstract

OBJECTIVE: To identify risk clusters that are associated with higher or lower risk of new abuse reports (rereports) and substantiated rereports (reabuse) in children who remain in the home after an abuse report. DESIGN: A 5-year prospective cohort study. SETTING: National Survey of Child and Adolescent Well-Being. PARTICIPANTS: Children reported to the child protection system for child abuse. Main Exposure  Remaining in the home after an abuse report. Main Outcome Measure  Incidence of rereports and reabuse. RESULTS: A total of 2578 children remained in the home following an abuse report, and 44% were rereported within the follow-up period. In bivariate analyses, children with behavior problems (49% vs 38%), caregivers with an abuse history (33% vs 16%) or a child welfare history (38% vs 25%), and families with an annual income lower than $20 000 (70% vs 60%) were more likely to be rereported. Forty-five percent of rereports were substantiated reabuse, but 2 risk clusters had a higher incidence: (1) the cluster with a substantiated index report, having a caregiver without parenting class, non-African American race/ethnicity, and caregiver younger than 41.5 years (54%); and (2) the cluster with a substantiated index report, a caregiver with parenting class, and child age younger than 8.5 years (60%). The lowest risk group for reabuse had a substantiated index report, a caregiver without parenting class, non-African American race/ethnicity, and a caregiver 41.5 years or older (26%). CONCLUSIONS: Among children remaining in the home following an abuse report, specific risk groups have higher and lower incidence of rereports and reabuse. These risk-group categories may be useful to child protection services and others in identifying at-risk children and making decisions about placement and services.

Language: en