Department of Social Work, School of Health and Welfare, Jönköping University, Jönköping, Sweden.
Department of Social Work, School of Health and Welfare, Jönköping University, Jönköping, Sweden.
Child Abuse Negl. 2022 Dec;134:105918. doi: 10.1016/j.chiabu.2022.105918. Epub 2022 Oct 14.
Many children referred to the child welfare services are not screened in for further investigation. Factors related to intake decisions have been found on several levels. Many studies, however, lack information about the children's own experiences of child maltreatment and/or behavioral problems.
To examine case factors relating to decision to investigate referrals to the child welfare services in Sweden.
Data are used from a prospective longitudinal multisource program (LoRDYA) in Sweden studying two cohorts of adolescent children in four municipalities (n = 1884).
By linking annual self-rating data with registry data from the child welfare services, data are analyzed through latent-class analysis and Poisson regression.
Most children who are self-rated severely exposed to maltreatment and/or behavioral problems are never investigated by the child welfare services (74.2 %). Referrals concerning girls are more likely to be investigated than referrals concerning boys (crudeAME = 0.09 p = ***). For girls, prior referrals (adjAME = 0.16, p = ***), household poverty (adjAME = 0.09, p = *) and any form of self-rated severe exposure to maltreatment and/or behavioral problems (adjAME = 0.14, p = ***) increased the chance of a decision to investigate. For boys, prior referrals (adjAME = 0.24, p = ***) increased the chance of a decision to investigate, while achieved age (adjAME = -0.03, p = *), and being referred on suspicions of neglect and behavioral problems (adjAME = -0.15, p = **) decreased the chance of a decision to investigate.
Child welfare services assess referrals on boys and girls differently, which may explain why boys have in crude numbers a decreased chance of decisions to investigate.
许多被转介到儿童福利服务机构的儿童没有被进一步调查。在多个层面上发现了与受理决定相关的因素。然而，许多研究缺乏关于儿童自身遭受虐待和/或行为问题经历的信息。
检查与瑞典儿童福利服务转介调查决定相关的案例因素。
数据来自瑞典一项前瞻性纵向多源计划（LoRDYA），该计划在四个城市研究了两组青少年儿童（n=1884）。
通过将年度自我评估数据与儿童福利服务的登记数据相链接，使用潜在类别分析和泊松回归对数据进行分析。
大多数自我评估严重遭受虐待和/或行为问题的儿童从未被儿童福利服务调查过（74.2%）。涉及女孩的转介比涉及男孩的转介更有可能被调查（粗AME=0.09，p=）。对于女孩，先前的转介（adjAME=0.16，p=）、家庭贫困（adjAME=0.09，p=）以及任何形式的自我评估严重遭受虐待和/或行为问题（adjAME=0.14，p=）增加了决定调查的机会。对于男孩，先前的转介（adjAME=0.24，p=）增加了决定调查的机会，而达到年龄（adjAME=-0.03，p=）和被转介怀疑忽视和行为问题（adjAME=-0.15，p=**）则降低了决定调查的机会。
儿童福利服务机构对男孩和女孩的转介评估方式不同，这可能解释了为什么男孩在决定调查的机会方面总体数量减少的原因。
