Smith Brenda D, Test Mark F
School of Social Welfare, University at Albany, State University of New York, 12222, USA.
Child Abuse Negl. 2002 Jan;26(1):97-114. doi: 10.1016/s0145-2134(01)00307-6.
This study seeks to: (1) assess the relationship between identified prenatal substance use and the risk of subsequent maltreatment allegations among families involved with child protective services; and (2) compare the types of safety threats encountered by children whose parents had substance-exposed infant (SEI) allegations to the types of safety threats faced by children whose parents had other types of allegations.
Survey data from a probability sample of parents were linked to state administrative data over a 33-month time frame. Cox regression models were conducted to assess the relative risk of subsequent allegations associated with parents whose child welfare case opened following an SEI allegation (the SEI group) compared to parents whose case opened following other types of allegations.
The likelihood of subsequent allegations is greater among parents in the SEI group. However, the increased risk stems almost entirely from subsequent SEI-related allegations. Parents in the SEI group are not more likely to incur other types of allegations such as physical abuse or lack of supervision.
An increased risk of subsequent maltreatment has been used to justify opening child protective cases on the basis of an SEI allegation alone. By looking closely at the types of subsequent allegations as well as the incidence of subsequent allegations, this research helps to clarify the maltreatment risks associated with SEI cases.
本研究旨在：（1）评估已确定的产前物质使用情况与涉及儿童保护服务的家庭中随后遭受虐待指控风险之间的关系；（2）比较父母有婴儿受物质暴露（SEI）指控的儿童所面临的安全威胁类型与父母有其他类型指控的儿童所面临的安全威胁类型。
在33个月的时间框架内，将来自概率抽样父母的调查数据与州行政数据相链接。进行Cox回归模型，以评估与因SEI指控而开启儿童福利案件的父母（SEI组）相比，因其他类型指控而开启案件的父母随后被指控的相对风险。
SEI组父母随后被指控的可能性更大。然而，风险增加几乎完全源于随后与SEI相关的指控。SEI组的父母遭受其他类型指控（如身体虐待或监管不力）的可能性并不更高。
随后遭受虐待风险的增加已被用来仅基于SEI指控就为开启儿童保护案件提供理由。通过仔细研究随后指控的类型以及随后指控的发生率，本研究有助于阐明与SEI案件相关的虐待风险。
