Defining maltreatment according to substantiation: distinction without a difference?

Hussey, Jon M.; Marshall, Jane; English, Diana J.; Knight, Elizabeth; Lau, Anna S.; Dubowitz, Howard; Kotch, Jonathan B.

doi:10.1016/j.chiabu.2003.12.005

Cited by 408 publications

(235 citation statements)

References 22 publications

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“…Despite substantial research documenting the relative equivalent risk for unsubstantiated or substantiated reports of child maltreatment [18][19][20][21][22], a records purge cycle was enacted by law in 2003, which mandated the purging of any unsubstantiated case without recurrence or service within 3 years and any substantiated cases without recurrence or services within 10 years. In other words, either the subsequent receipt of formal service or a recurrence before the purge date extends the retention period for the record.…”

Section: Official-report Maltreatment/foster Datamentioning

confidence: 99%

Effects of Child Maltreatment and Inherited Liability on Antisocial Development: An Official Records Study

Jonson‐Reid

Presnall

Drake

et al. 2010

Journal of the American Academy of Child & Adolescent Psych

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Objective-Evidence is steadily accumulating that a preventable environmental hazard, child maltreatment, exerts causal influences on the development of long-standing patterns of antisocial behavior in humans. The relationship between child maltreatment and antisocial outcome, however, has never previously been tested in a large-scale study in which official-reports (rather than familymember reports) of child abuse and neglect were incorporated, and genetic influences comprehensively controlled for.Method-We cross-referenced official-report data on child maltreatment from the Missouri Division of Social Services (DSS) with behavioral data from 4,432 epidemiologically-ascertained Missouri twins from the Missouri Twin Registry (MOTWIN). We performed a similar procedure for a clinically-ascertained sample of singleton children ascertained from families affected by alcohol dependence participating in the Collaborative Study on the Genetics of Alcoholism (COGA, n=428) in order to determine whether associations observed in the general population held true in an "enriched" sample at combined inherited and environmental risk for antisocial development.Results-For both the twin and clinical samples, additive effects (not interactive effects) of maltreatment and inherited liability on antisocial development were confirmed, and were highly statistically significant.Conclusions-Child maltreatment exhibited causal influence on antisocial outcome when controlling for inherited liability in both the general population and in a clinically-ascertained sample. Official-report maltreatment data represents a critical resource for resolving competing hypotheses on genetic and environmental causation of child psychopathology, and for assessing intervention outcomes in efforts to prevent antisocial development KeywordsConduct Disorder; genetics; child abuse; administrative data; externalizing behavior We continue to be inspired by our memories of Henri Begleiter and Theodore Reich, founding PI and Co-PI of COGA, and also owe a debt of gratitude to other past organizers of COGA, including Ting-Kai Li, P. Michael Conneally, Raymond Crowe, and Wendy Reich, for their critical contributions.

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Section: Official-report Maltreatment/foster Datamentioning

confidence: 99%

Effects of Child Maltreatment and Inherited Liability on Antisocial Development: An Official Records Study

Jonson‐Reid

Presnall

Drake

et al. 2010

Journal of the American Academy of Child & Adolescent Psych

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“…Except in cases where CPS contact is available, it can be difficult to determine definitively whether an abuse or neglect claim has been legally substantiated, although the multi-source assessment does permit validation of claims across different reporters. Still, research by Hussey et al (2005) has shown that behavioral and mental health symptoms typically do not vary as the function of whether maltreatment reports are substantiated or unsubstantiated. Through all components of the maltreatment assessment, clinicians adhered to the legal definitions of child abuse and neglect codified in state law.…”

Section: Measures/sources Of Data: Overviewmentioning

confidence: 99%

Effects of multiple maltreatment experiences among psychiatrically hospitalized youth

Boxer

Terranova

2008

Child Abuse & Neglect

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Objective-Relying on indicators coded from information collected routinely during intake assessments at a secure inpatient psychiatric facility, this study examined the extent to which different forms of maltreatment accounted for variations in youths' emotional and behavioral problems.Methods-Clinical information was reviewed for a large (N = 401) and diverse sample (mean age = 13.9 years; 53% male; 54.6% racial/ethnic minority) of youth admitted to a publicly funded psychiatric hospital. Data were drawn from intake narratives, standardized psychopathology rating scales, and psychiatric diagnostic ratings.Results-Findings provide some support for a hierarchical classification of multiple maltreatment experiences with sexual abuse identified as the specific form of maltreatment most reliably associated with poor adjustment. Support also was obtained for a cumulative classification approach, as the number of different types of maltreatment experiences was linked positively to elevated psychopathology ratings.Conclusions-Even in this high-risk, atypical sample, maltreatment experiences account for variation in levels of psychopathology. These results have implications for classifying multiple maltreatment and enhancing clinical care for atypical youth who have been maltreated.Practice implications-Clinicians working in youth psychiatric populations should implement maltreatment-specific psychotherapy approaches for maltreated youth, even as adjunctive treatments in a therapeutic milieu.

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“…Results showed that the rate of each characteristic was very similar between the 2 groups, with no characteristics significantly different at P #. 10. It therefore appears that the NSCAW children were successfully matched to similar children in the MAX file.…”

Section: Resultsmentioning

confidence: 82%

“…However, current research suggests that health outcomes between these groups are not significantly different. 10 Second, it was not possible to identify CM in our comparison sample from the Medicaid MAX data. If children in our matched comparison sample were maltreated and had resulting increased expenditures, this means that our estimates of expenditure differences are too low.…”

Section: Discussionmentioning

confidence: 99%

“…This assumption is based on several studies comparing children with unsubstantiated cases with those with substantiated cases, which found no significant differences between these 2 groups on several developmental and mental health outcomes that are associated with maltreatment. 10 The NSCAW sample used in this study will be referred to as "maltreated" in the remainder of the article, regardless of the disposition of their CPS case.…”

Section: Methodsmentioning

confidence: 99%

See 1 more Smart Citation

Health Care Costs Associated With Child Maltreatment: Impact on Medicaid

2013

PEDIATRICS

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Defining maltreatment according to substantiation: distinction without a difference?

Cited by 408 publications

References 22 publications

Effects of Child Maltreatment and Inherited Liability on Antisocial Development: An Official Records Study

Effects of Child Maltreatment and Inherited Liability on Antisocial Development: An Official Records Study

Effects of multiple maltreatment experiences among psychiatrically hospitalized youth

Health Care Costs Associated With Child Maltreatment: Impact on Medicaid

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