The Pennsylvania State University, University Park, PA, USA.
Children's Data Network, University of Southern California, Los Angeles, CA, USA.
Child Maltreat. 2024 Feb;29(1):96-105. doi: 10.1177/10775595221114144. Epub 2022 Jul 13.
Most child protective services (CPS) investigations involve allegations of neglect. Broad and vague definitions have led to concerns that CPS-investigated neglect is driven by poverty-based material hardship. In a representative sample of 295 neglect investigations in California in 2017, structured data and narrative text fields were used to characterize the types of neglect and concurrent parental risk factors investigated by CPS and to assess the rate and nature of investigated physical neglect, defined as inadequate food, housing, or hygiene. The most common types of neglect were inadequate supervision (44%) and failure to protect (29%), followed by physical neglect (14%). Common risk factors identified in neglect investigations were parental substance use (41%), domestic violence (21%), mental illness (18%), and co-reported physical or sexual abuse (29%). Nearly all investigations of physical neglect (99%) included concerns related to substance use, domestic violence, mental illness, co-reported abuse or an additional neglect allegation (i.e., abandonment). Given concerns identified in neglect investigations, economic supports are likely insufficient without an array of behavioral-health supports.
大多数儿童保护服务 (CPS) 调查都涉及忽视指控。广泛而模糊的定义导致人们担心 CPS 调查的忽视是由基于贫困的物质困难驱动的。在 2017 年加利福尼亚州 295 起代表性的忽视调查中，使用结构化数据和叙述文本字段来描述 CPS 调查的忽视类型和并发父母风险因素，并评估调查的身体忽视的发生率和性质，定义为食物、住房或卫生条件不足。最常见的忽视类型是监督不足 (44%) 和未能保护 (29%)，其次是身体忽视 (14%)。在忽视调查中发现的常见风险因素包括父母的物质使用 (41%)、家庭暴力 (21%)、精神疾病 (18%) 和共同报告的身体或性虐待 (29%)。几乎所有身体忽视的调查 (99%) 都包括与物质使用、家庭暴力、精神疾病、共同报告的虐待或其他忽视指控 (即遗弃) 相关的担忧。鉴于忽视调查中发现的问题，如果没有一系列行为健康支持，经济支持可能是不够的。
