Putnam-Hornstein Emily, Ahn Eunhye, Prindle John, Magruder Joseph, Webster Daniel, Wildeman Christopher
Emily Putnam-Hornstein is with the School of Social Work, University of North Carolina at Chapel Hill. Eunhye Ahn and John Prindle are with the Suzanne Dworak-Peck School of Social Work, University of Southern California, Los Angeles. Joseph Magruder and Daniel Webster are with the School of Social Welfare, University of California, Berkeley. Christopher Wildeman is with the Department of Sociology, Duke University, Durham, NC.
Am J Public Health. 2021 Jun;111(6):1157-1163. doi: 10.2105/AJPH.2021.306214. Epub 2021 Apr 15.
To document the cumulative childhood risk of different levels of involvement with the child protection system (CPS), including terminations of parental rights (TPRs). We linked vital records for California's 1999 birth cohort (n = 519 248) to CPS records from 1999 to 2017. We used sociodemographic information captured at birth to estimate differences in the cumulative percentage of children investigated, substantiated, placed in foster care, and with a TPR. Overall, 26.3% of children were investigated for maltreatment, 10.5% were substantiated, 4.3% were placed in foster care, and 1.1% experienced a TPR. Roughly 1 in 2 Black and Native American children were investigated during childhood. Children receiving public insurance experienced CPS involvement at more than twice the rate of children with private insurance. Findings provide a lower-bound estimate of CPS involvement and extend previous research by documenting demographic differences, including in TPRs. Conservatively, CPS investigates more than a quarter of children born in California for abuse or neglect. These data reinforce policy questions about the current scope and reach of our modern CPS.
记录儿童与儿童保护系统（CPS）不同程度接触的累积童年风险，包括终止父母权利（TPR）。我们将加利福尼亚州1999年出生队列（n = 519248）的生命记录与1999年至2017年的CPS记录相链接。我们利用出生时获取的社会人口学信息来估计接受调查、被证实、被安置在寄养机构以及经历TPR的儿童累积百分比差异。总体而言，26.3%的儿童因虐待行为接受调查，10.5%被证实，4.3%被安置在寄养机构，1.1%经历了TPR。大约每2名黑人儿童和美国原住民儿童中就有1人在童年时期接受过调查。接受公共保险的儿童经历CPS接触的比率是拥有私人保险儿童的两倍多。研究结果提供了CPS接触的下限估计，并通过记录人口差异（包括TPR方面的差异）扩展了先前的研究。保守估计，CPS对加利福尼亚州四分之一以上出生儿童进行过虐待或忽视方面的调查。这些数据强化了有关现代CPS当前范围和覆盖范围的政策问题。
