Children's Data Network, School of Social Work, School of Social Work, University of Southern California, United States.
Children's Data Network, School of Social Work, School of Social Work, University of Southern California, United States; California Child Welfare Indicators Project, School of Social Welfare, University of California, Berkeley, United States.
Child Abuse Negl. 2019 Feb;88:317-325. doi: 10.1016/j.chiabu.2018.11.002. Epub 2018 Dec 13.
This study identified children born to mothers in foster care and documented Child Protective Service (CPS) involvement among children.
Probabilistically linked birth and CPS records from California (2009-2012) were used to identify all mothers in foster care on or after conception. Children were followed prospectively using linked records to identify CPS involvement occurring during the first three years of life. Differences between reported and unreported children were examined using χ2 tests. The Latent Class Analysis (LCA) identified classes of children born to mothers in care who were at increased risk of CPS involvement. Model fit was assessed using the Bayesian Information Criterion, entropy, and likelihood ratio tests. For each of the classes, the relationship to the distal outcome (i.e., a maltreatment report by age three), was examined.
Findings indicate that 53% of children born to mothers in care were reported. The proportion of children reported to CPS for maltreatment declined over time, from 63% of children born to mothers in foster care in 2009, to 46% in 2012. The LCA documented three distinct classes of mother-child dyads with varying risk of report. More than one third of children in Class 1 and nearly 70% of children in Class 3 were reported.
This study was the first to develop multi-dimensional class profiles of two-generation CPS involvement among mother-child dyads. This study documents that mothers' experiences in care and mental health conditions vary widely, underscoring the importance of providing services that fit the needs of dyads.
本研究确定了由寄养母亲所生的儿童,并记录了儿童保护服务(CPS)的介入情况。
使用加利福尼亚州(2009-2012 年)的概率链接出生和 CPS 记录来确定所有在受孕后或受孕时处于寄养状态的母亲。使用链接记录对儿童进行前瞻性随访,以确定在生命的头三年期间发生的 CPS 介入情况。使用 χ2 检验比较报告和未报告的儿童之间的差异。潜在类别分析(LCA)确定了处于 CPS 介入风险增加的照顾母亲所生儿童的类别。使用贝叶斯信息准则、熵和似然比检验来评估模型拟合度。对于每个类别,都检查了与远端结果(即三岁时的虐待报告)的关系。
研究结果表明,53%的由照顾母亲所生的儿童被报告。向 CPS 报告虐待的儿童比例随时间呈下降趋势,从 2009 年寄养母亲所生儿童的 63%下降到 2012 年的 46%。LCA 记录了具有不同报告风险的母婴对子的三个不同类别。1 类中有三分之一以上的儿童和 3 类中有近 70%的儿童被报告。
本研究首次开发了母婴对子两代 CPS 介入的多维类别分析。本研究记录了母亲在照顾和心理健康状况方面的经历差异很大,这强调了提供符合母子对子需求的服务的重要性。