School of Social Work, Wayne State University, 5447 Woodward Ave, Detroit, MI 48202, USA.
School of Social Work, Wayne State University, 5447 Woodward Ave, Detroit, MI 48202, USA.
Child Abuse Negl. 2021 Dec;122:105321. doi: 10.1016/j.chiabu.2021.105321. Epub 2021 Sep 11.
Despite supervisory neglect being the most prevalent and fatal neglect sub-type, the most common reasons why caregivers are substantiated for this type of maltreatment remains unknown.
Our study describes cases substantiated for supervisory neglect in a Midwestern state in an effort to inform prevention strategies against supervisory neglect.
This study utilized state administrative data from substantiated child maltreatment investigations conducted between May 1st and October 31st, 2019 (N = 11,208).
We first identified the substantiated investigations where supervisory neglect was present and established investigation-level correlates for these cases. We then selected a random sample of investigations with a substantiated allegation of supervisory neglect (n = 150) for a qualitative review of written investigative narratives to uncover the contextual factors of supervisory neglect and identify which factors frequently co-occur.
Supervisory neglect was the most common maltreatment type, present in 71% (n = 7945) of substantiated child welfare investigations. Our qualitative review of 150 randomly selected cases identified ten distinct, non-mutually exclusive contextual factors of supervisory neglect. Child exposure to domestic violence was the most prevalent contextual factor (45%), followed by caregiver's substance-related problems (42%). Childhood exposure to domestic violence and caregiver's substance-related problems was the most common co-occurrence of factors, present in 18% of cases.
Supervisory neglect accounts for the vast majority of child maltreatment incidents. To prevent the largest share of supervisory neglect cases, policy and programs are needed to address domestic violence and substance-related problems among caregivers.
尽管监管疏忽是最普遍和最致命的疏忽亚型，但看护人因这种虐待类型而被证实的最常见原因仍不得而知。
我们的研究描述了在中西部一个州因监管疏忽而被证实的病例，旨在为预防监管疏忽提供策略。
本研究利用了 2019 年 5 月 1 日至 10 月 31 日期间进行的经证实的儿童虐待调查的州行政数据（N=11208）。
我们首先确定了存在监管疏忽的经证实的调查，并为这些案件建立了调查级别的相关性。然后，我们从有监管疏忽经证实指控的调查中随机选择了一个样本（n=150），对书面调查叙述进行定性审查，以揭示监管疏忽的背景因素，并确定哪些因素经常同时发生。
监管疏忽是最常见的虐待类型，在 71%（n=7945）的经证实的儿童福利调查中存在。我们对 150 个随机选择的案例进行的定性审查确定了十个不同的、非相互排斥的监管疏忽背景因素。儿童接触家庭暴力是最普遍的背景因素（45%），其次是看护人与物质相关的问题（42%）。童年时期接触家庭暴力和看护人物质相关问题是最常见的因素共同发生，在 18%的案例中存在。
监管疏忽占儿童虐待事件的绝大多数。为了预防最大比例的监管疏忽案件，需要有政策和方案来解决看护人中间的家庭暴力和与物质相关的问题。
