@article{ref1,
title="Reports and removals of child maltreatment-related hospitalizations: a population-based study",
journal="Child maltreatment",
year="2020",
author="Rebbe, Rebecca and Mienko, Joseph A. and Martinson, Melissa L.",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="Despite U.S. child protective services (CPS) agencies relying on mandated reporters to refer concerns of child maltreatment to them, there is little data regarding  which children mandated reporters decide to report and not to report. This study  addresses this gap by utilizing a population-based linked administrative dataset to  identify which children who are hospitalized for maltreatment-related reasons are  reported to CPS and which are removed by CPS. The dataset was comprised of all  children born in Washington State between 1999 and 2013 (N = 1,271,416), all  hospitalizations for children under the age of three, and all CPS records. We  identified maltreatment-related hospitalizations using standardized diagnostic  codes. We examined the records for children with maltreatment-related  hospitalizations to identify hospitalization-related CPS reports and if the child  was removed from their parents. We tested for differences in these system responses  using multinomial regression. About two-thirds of children identified as  experiencing a child maltreatment-related hospitalization were not reported to CPS. We found differences in responses by maltreatment subtype and the type of diagnostic  code. Children whose hospitalizations were related to abuse and associated with a  specific maltreatment code had increased odds of being both reported to CPS and  subsequently removed by CPS.<p /> <p>Language: en</p>",
language="en",
issn="1077-5595",
doi="10.1177/1077559520984549",
url="http://dx.doi.org/10.1177/1077559520984549"
}