Fuller Tamara, Zhang Saijun
1 Children and Family Research Center, School of Social Work, University of Illinois at Urbana-Champaign, Urbana, IL, USA.
Child Maltreat. 2017 Aug;22(3):183-193. doi: 10.1177/1077559517709996. Epub 2017 May 24.
Despite decades of debate about the most effective ways to intervene with families reported to child protective services (CPS), little evidence exists regarding the types of services or approach that reduce children's risk of additional maltreatment. The current study used data collected during a statewide experimental evaluation of CPS to examine the impact of numerous service variables, family engagement, and family characteristics on the risk of maltreatment re-reports and substantiated re-reports among families initially reported for neglect and risk of harm. The sample included 4,868 families with screened-in reports that were randomly assigned to receive either an investigation or an assessment. The results of the Cox regression analyses found that service duration, intensity, and breadth were unrelated to maltreatment re-report or substantiated re-reports, but caseworker ratings of the service-need match were associated with both. The provision of domestic violence services was related to decreased risk of maltreatment re-reports. Increased levels of family engagement were associated with lowered risk of both maltreatment re-reports and substantiated re-reports. Once the effects of services, engagement, and family characteristics were taken into account, CPS response pathway (investigation or assessment) had no relationship to maltreatment re-reports or substantiated re-reports.
尽管数十年来一直在争论干预向儿童保护服务机构（CPS）报告的家庭的最有效方法，但关于减少儿童遭受更多虐待风险的服务类型或方法的证据却很少。当前的研究使用了在对CPS进行的全州范围实验评估期间收集的数据，以检验众多服务变量、家庭参与度和家庭特征对最初因忽视和伤害风险而被报告的家庭中虐待再报告和经证实的再报告风险的影响。样本包括4868个经筛选的报告家庭，这些家庭被随机分配接受调查或评估。Cox回归分析的结果发现，服务持续时间、强度和广度与虐待再报告或经证实的再报告无关，但服务需求匹配的个案工作者评分与两者均相关。提供家庭暴力服务与虐待再报告风险降低有关。家庭参与度的提高与虐待再报告和经证实的再报告风险降低均相关。一旦考虑到服务、参与度和家庭特征的影响，CPS的应对途径（调查或评估）与虐待再报告或经证实的再报告无关。
