Substantiation and Recidivism

Drake, Brett; Jonson‐Reid, Melissa; Way, Ineke; Chung, Sulki

doi:10.1177/1077559503258930

Cited by 239 publications

(185 citation statements)

References 20 publications

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“…[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. In a randomised controlled trial of home visiting for children with substantiated physical abuse conducted in Canada, 47% of 160 children followed for 3 years had at least one recurrent physical abuse event but none of these children 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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“…It should be emphasized that according to the harm/ evidence model of substantiation, a substantiated report is not equivalent to verifying the presence of maltreatment but rather a label used when sufficient evidence and/or risk of harm exists to permit family court intervention if needed. [18] In Missouri, both substantiated and unsubstantiated cases have been eligible to receive in-home or foster care intervention for many years. RPS cases are not cases that are "bogus" or refused for investigation but includes serious family problems like homelessness that require referrals but do not rise to the legislative standard for abuse and neglect.…”

Section: Official-report Maltreatment/foster Datamentioning

confidence: 99%

“…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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“…Cases that return to the attention of child welfare are of major concern because they represent a short-or long-term lack of protection, are costly, and are associated with negative long-term developmental outcomes for the children. Depending on the length of follow-up, studies have found rates of rereport to be in the 30% to 60% range (DePanfilis, 1995;DePanfilis & Zuravin, 1998;Drake et al, 2003;English et al, 2002;Fryer & Miyoshi, 1994). Predictably, those studies that feature longer follow-up periods (e.g., Drake et al, 2003) show higher rates.…”

Section: Substantiation and Future Harmmentioning

confidence: 99%

Time to Leave Substantiation Behind

Kohl¹,

Jonson‐Reid²,

Drake³

2009

Child Maltreat

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334

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Data from the National Survey of Child and Adolescent Well-being, a national probability study of children and families investigated for child maltreatment, were analyzed to answer the question: Do substantiated and unsubstantiated cases differ in rates of recidivism over 36 months? Recidivism was classified as (a) any re-reports, (b) substantiated re-reports and (c) subsequent foster care placements. Bivariate (survivor functions estimated by the Kaplan-Meier method) and multivariate (Cox regression modeling) analyses were conducted. The results revealed that risk of recidivism was similar regardless of substantiation status of the index investigation. We suggest that the substantiation label be removed from field use. Instead, we suggest that agencies record service needs in the families they serve, and also record whether or not the family meets criteria for referral to the family court. These would be far more practical and meaningful ways to measure child welfare services.

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Substantiation and Recidivism

Cited by 239 publications

References 20 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

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

Time to Leave Substantiation Behind

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