Reabuse rates in a sample of children followed for 5 years after discharge from a child abuse inpatient assessment program

Levy, Howard B.; Markovic, John; Chaudhry, Urmila; Ahart, Sharon; Torres, Heriberto

doi:10.1016/0145-2134(95)00095-p

Cited by 71 publications

(60 citation statements)

References 21 publications

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“…Overall, these studies found that repeated episodes of physical abuse within the next 12 months occurred in 7-25% of physically abused children who came to the attention of social services or police. [108][109][110][111][112][113] The reported recurrence rate increased to between 40% and 80% in studies looking at high-risk children, or an extended time at risk, or in studies with a low threshold for recording abuse. 54,112,114,115 Only a minority of repeated episodes of suspected abuse were substantiated 116 or referred to social services, 117 and few attended hospital.…”

Section: Review Resultsmentioning

confidence: 99%

Performance of screening tests for child physical abuse in accident and emergency departments

Woodman¹,

Pitt²,

Wentz³

et al. 2008

Health Technol Assess

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How to obtain copies of this and other HTA Programme reports. An electronic version of this publication, in Adobe Acrobat format, is available for downloading free of charge for personal use from the HTA website (www.hta.ac.uk). A fully searchable CD-ROM is also available (see below).Printed copies of HTA monographs cost £20 each (post and packing free in the UK) to both public and private sector purchasers from our Despatch Agents.Non-UK purchasers will have to pay a small fee for post and packing. For European countries the cost is £2 per monograph and for the rest of the world £3 per monograph.You can order HTA monographs from our Despatch Agents:-fax (with credit card or official purchase order) -post (with credit card or official purchase order or cheque) -phone during office hours (credit card only).Additionally the HTA website allows you either to pay securely by credit card or to print out your order and then post or fax it. Contact details are as follows: Payment methods Paying by chequeIf you pay by cheque, the cheque must be in pounds sterling, made payable to Direct Mail Works Ltd and drawn on a bank with a UK address. Paying by credit cardThe following cards are accepted by phone, fax, post or via the website ordering pages: Delta, Eurocard, Mastercard, Solo, Switch and Visa. We advise against sending credit card details in a plain email. Paying by official purchase orderYou can post or fax these, but they must be from public bodies (i.e. NHS or universities) within the UK. We cannot at present accept purchase orders from commercial companies or from outside the UK. How do I get a copy of HTA on CD?Please use the form on the HTA website (www.hta.ac.uk/htacd.htm). Or contact Direct Mail Works (see contact details above) by email, post, fax or phone. HTA on CD is currently free of charge worldwide.The website also provides information about the HTA Programme and lists the membership of the various committees. HTA NIHR Health Technology Assessment ProgrammeT he Health Technology Assessment (HTA) Programme, part of the National Institute for HealthResearch (NIHR), was set up in 1993. It produces high-quality research information on the effectiveness, costs and broader impact of health technologies for those who use, manage and provide care in the NHS. 'Health technologies' are broadly defined as all interventions used to promote health, prevent and treat disease, and improve rehabilitation and long-term care. The research findings from the HTA Programme directly influence decision-making bodies such as the National Institute for Health and Clinical Excellence (NICE) and the National Screening Committee (NSC). HTA findings also help to improve the quality of clinical practice in the NHS indirectly in that they form a key component of the 'National Knowledge Service'. The HTA Programme is needs led in that it fills gaps in the evidence needed by the NHS. There are three routes to the start of projects. First is the commissioned route. Suggestions for research are actively sought from people working in t...

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Section: Review Resultsmentioning

confidence: 99%

Performance of screening tests for child physical abuse in accident and emergency departments

Woodman¹,

Pitt²,

Wentz³

et al. 2008

Health Technol Assess

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“…gender, race), and initial type of maltreatment (i.e. neglect only, abuse only, multiple types) (Fluke, Yuan, & Edwards, 1999;Fryer & Miyoshi, 1994;Fuller et al, 2001;Levy, Markovic, Chaudhry, Ahart, & Torres, 1995;McDonald & Marks, 1991). In the present study, the number of children involved in an investigation served as a proxy measure for family size.…”

Section: Methodsmentioning

confidence: 95%

The Use of Risk Assessment to Predict Recurrent Maltreatment: A Classification and Regression Tree Analysis (CART)

et al. 2008

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Research has suggested that recurrent maltreatment may be best predicted by a combination of factors that vary across families. The present study set out to determine whether a pattern-centered analytic approach would better predict families at high risk for recurrence when compared to logistic regression methods. Archival data from substantiated investigations during 2003 were collected from a Connecticut Department of Children and Families county branch. Families (n=244) with a substantiated index case were followed for 18 months to identify the presence of additional substantiated cases within the CPS system. Classification and Regression Tree (CART) analyses revealed that prior CPS involvement was the best predictor of recurrent maltreatment. Further, risk items that were associated with recurrence were different for families with and without previous CPS investigations. Families with only prior unsubstantiated CPS investigations and poor child visibility within the community were at high risk for recurrence. Families without prior CPS involvement that were not actively involved in case planning and had a history of domestic violence were at high risk for recurrence. These findings suggest that pattern-centered analyses may be a useful approach to informing site-specific predictors of maltreatment recurrence by creating clear decision points that delineate high risk subgroups.Keywords child abuse and neglect; recurrent maltreatment; risk assessment; classification and regression tree analysis The primary goal of child protective services (CPS) is to reduce the likelihood of child maltreatment and its recurrence by providing appropriate services to families (Brookes & Webster, 1999); however, approximately 1/3 to 1/2 of families will have a recurret episode of maltreatment with subsequent reentry into the CPS system (DePanfilis & Zuravin, 1998;DePanfilis & Zuravin, 1999; Fluke, Shusterman, Hollinshead, & Yuan, 2005;Inkelas & Halfon, 1997). Risk assessment instruments were developed to aid caseworkers in identifying children who were at high risk for future abuse and neglect (Cash, 2001;Jagannathan & Camasso, 1996;Johnson & L'Esperance, 1984;Pecora, 1991). Although these assessments are now routinely administered during CPS investigations in 42 states (US Department of Health and Human Services, 2003); there remains no standard risk assessment model that clearly informs caseworker case planning and management (Schwalbe, 2004 Camasso & Jagannathan, 1995; Fluke et al., 2005;Hindley, Ramchandani, & Jones, 2006;Johnson & L'Esperance, 1984;Marks & McDonald, 1989;McDonald & Marks, 1991). Families are classified as low, moderate, or high risk for recurrence based on caseworker ratings of these items. An early review comparing eight risk assessment instruments (McDonald & Marks, 1991) found that perpetrator access predicted recurrent maltreatment in three prospective studies (Baird, 1988;Johnson & L'Esperance, 1984; Weedon, Torti, & Zunder, 1988) and a large family size predicted reabuse in two prospective ...

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“…Reports of incidence may also be impacted by children who experience recurring episodes of NAT. The reported risk of recurrence ranges from 9.3% to 43.8% [17,18,25,29]. To determine a much more accurate incidence of NAT, there needs to be a population-based surveillance program conducted through primary care providers, similar to the study conducted in Wales [43].…”

Section: Discussionmentioning

confidence: 99%

The Epidemiology of Nonaccidental Trauma in Children

Mulpuri

Slobogean

Tredwell

2011

Clinical Orthopaedics &Amp; Related Research

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Background Abuse of children is abhorrent in Western society and, yet, is not uncommon. Nonaccidental trauma (NAT) is the result of a complex sociopathology. Not all of the causative factors of NAT are known, many are incompletely described, not all function in each case, and many are secondary to preexisting pathology in other areas. Questions/purposes We therefore addressed the following questions in this review: (1) Conclusions It is important to consider child, family, and societal factors when confronted with suspicions of child abuse. Our review demonstrates the currently limited information on the true incidence of NAT. To determine a much more accurate incidence of NAT, there needs to be a population-based surveillance program conducted through primary care providers.

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Reabuse rates in a sample of children followed for 5 years after discharge from a child abuse inpatient assessment program

Cited by 71 publications

References 21 publications

Performance of screening tests for child physical abuse in accident and emergency departments

Performance of screening tests for child physical abuse in accident and emergency departments

The Use of Risk Assessment to Predict Recurrent Maltreatment: A Classification and Regression Tree Analysis (CART)

The Epidemiology of Nonaccidental Trauma in Children

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