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儿童虐待报告的来源是否能预测即时和后续报告结果的差异?

Does a child maltreatment report source predict differences in immediate and subsequent report outcomes?

作者信息

Gandarilla Ocampo María, Drake Brett, Simon James, Jonson-Reid Melissa

机构信息

Brown School, Washington University in Saint Louis, One Brookings Drive, St. Louis, MO 63130, United States of America.

School of Social Work, California State University, Los Angeles, 5151 State University Drive, Los Angeles, CA 90032, United States of America.

出版信息

Child Abuse Negl. 2024 Jan;147:106587. doi: 10.1016/j.chiabu.2023.106587. Epub 2023 Dec 2.

Abstract

BACKGROUND

Mandated reporting policies, a core response to the identification of child maltreatment, are widely debated. Currently, there are calls to abolish or scale back these policies to include only certain professionals. These calls warrant evaluation of whether there are any differences in child welfare outcomes based on report source.

OBJECTIVE

To determine if the initial report source predicts immediate and long-term risk of re-referral, substantiation, and placement.

PARTICIPANTS AND SETTING

We used yearly National Child Abuse and Neglect Data System (NCANDS) hotline report and placement data. Children (0-14y) with a first ever hotline report in 2012-2014 were followed for three years. The final sample included 2,101,397 children from 32 states.

METHODS

We use descriptive and bivariate statistics to show initial report outcomes by reporter source type and logistic regression models to evaluate the effect of report source on immediate and subsequent report outcomes.

RESULTS

Professional sources varied in levels of substantiation and placement, with law enforcement, medical, and social service sources showing much higher rates. Reports from professional sources have higher odds of initial report substantiation and foster care entry, and slightly lower odds of later re-report than nonprofessional sources. We found no differences between professional and nonprofessional sources in subsequent foster care entry.

CONCLUSIONS

Reports from professional, nonprofessional, and unclassified sources have varying levels of risk in some of their short- and long-term outcomes. To the degree that child protective services embrace a long-term preventative role, reports by nonprofessional report sources may provide opportunities for prevention.

摘要

背景

强制报告政策作为对儿童虐待识别的核心应对措施,受到广泛争议。目前,有人呼吁废除或缩减这些政策,使其仅适用于某些专业人员。这些呼吁有必要评估基于报告来源的儿童福利结果是否存在差异。

目的

确定初始报告来源是否能预测再次转介、证实和安置的近期及长期风险。

参与者与研究背景

我们使用了年度全国虐待与忽视儿童数据系统(NCANDS)的热线报告和安置数据。对2012 - 2014年首次拨打热线报告的0至14岁儿童进行了为期三年的跟踪。最终样本包括来自32个州的2101397名儿童。

方法

我们使用描述性和双变量统计方法按报告者来源类型展示初始报告结果,并使用逻辑回归模型评估报告来源对近期及后续报告结果的影响。

结果

专业来源在证实和安置水平上存在差异,执法、医疗和社会服务来源的比率要高得多。与非专业来源相比,专业来源的报告在初始报告被证实和进入寄养机构方面的几率更高,而后续再次报告的几率略低。我们发现专业和非专业来源在后续进入寄养机构方面没有差异。

结论

来自专业、非专业和未分类来源的报告在一些短期和长期结果中存在不同程度的风险。就儿童保护服务承担长期预防作用而言,非专业报告来源的报告可能提供预防机会。

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