Vanderbilt University, Department of Psychology & Human Development, Peabody 552, 230 Appleton Place, Nashville TN, 37203, United States.
Vanderbilt University, Department of Psychology & Human Development, Peabody 552, 230 Appleton Place, Nashville TN, 37203, United States.
Child Abuse Negl. 2020 Jan;99:104283. doi: 10.1016/j.chiabu.2019.104283. Epub 2019 Nov 22.
Many children who are removed from a dangerous or neglectful home and placed in state custody subsequently experience additional disruptions while in custody, which can compound the effects of ongoing stress and instability. As such, placement stability has been identified as a critical objective and a key indicator of success for children residing in substitutive care.
To examine the utility of child protective services data in identifying predictors of placement disruption.
The current study examined data from youth in Tennessee state custody who had been assessed using the Child and Adolescent Needs and Strengths (CANS) assessment within 30-days of their first, out-of-home placement. The sample included 8,853 youth ages 5-19 years old (M = 13.1; SD = 4.0; 44.8 % female).
Demographics, placement information, and the CANS assessment were collected by the Tennessee Department of Children's Services for all child welfare episodes for children as part of the system's usual standard of care. Bivariate correlation and linear regression models were conducted.
Multiple risk indices from the CANS appeared to significantly increase risk of placement disruption, including child internalizing and externalizing symptoms, school difficulties, youth affect dysregulation, and child age.
The current findings suggest that data collected as part of standard practice by child welfare workers such as the CANS is both feasible and has utility for identifying sources of risk for placement disruptions and to inform possible targets of intervention to enhance placement stability.
许多儿童因身处险境或遭受忽视而被带离家庭，并交由州政府监护，随后在监护期间经历了更多的变故，这可能会加剧持续的压力和不稳定的影响。因此，安置稳定已被确定为替代性照料中儿童的关键目标和成功的关键指标。
研究儿童保护服务数据在识别安置中断预测因素方面的效用。
本研究检查了田纳西州监护下的青少年的数据，这些青少年在首次离家安置后的 30 天内使用儿童和青少年需求与优势（CANS）评估进行了评估。样本包括 8853 名年龄在 5-19 岁之间的青少年（M=13.1；SD=4.0；44.8%为女性）。
田纳西州儿童服务部收集了所有儿童福利案例的人口统计数据、安置信息和 CANS 评估，作为该系统常规护理标准的一部分。进行了双变量相关和线性回归模型。
CANS 中的多个风险指标似乎显著增加了安置中断的风险，包括儿童的内在和外在症状、学业困难、青年情感失调以及儿童年龄。
目前的研究结果表明，儿童福利工作者在标准实践中收集的数据，如 CANS，不仅可行，而且具有识别安置中断风险源的效用，并为加强安置稳定的可能干预目标提供信息。
