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Re-referral for Complex Child Abuse and Neglect Concerns: The Influence of Family and Child Factors in a 25 Year Data Set

Published online by Cambridge University Press:  30 January 2013

Melissa Kaltner*
Affiliation:
Queensland Health, Queensland, Australia

Abstract

Objective

The study reviewed a 25-year dataset of child abuse and neglect concerns, examining child and family factors associated with re-referral.

Methods

Suspected child abuse and neglect data collated from a variety of sources including child protection, health, police and education by a multidisciplinary Suspected Child Abuse and Neglect team for the 25-year period of 1980 to 2005 was entered for analysis. Case referral criteria for the team included clinician perception of the case as being complex and necessitating multidisciplinary case planning. The dataset contained 6669 cases of child abuse and neglect concerns, relating to 5943 unique children.

Results

The majority of children (90.5%) experienced only one referral to the team, with the remaining experiencing between 2–6 referrals. Through the utilisation of regression analysis, the factors of number of abuse types present at the initial concern, parental abuse as a child, parental intellectual disability, parental history of violence, perpetrator of intrafamilial origin, disabled children in family, and financial stress in family were found to significantly predict complex case re-referral respectively.

Conclusions

Children within this Australian sample of complex cases experienced rates of re-referral similar to those reported internationally. Family and child factors identified as predictors of re-referral in this 25-year dataset support previous international studies on statutory child protection re-referral, and evidence for the association between previously unstudied variables and re-referral likelihood for complex cases.

Type
Articles
Copyright
Copyright © The Authors 2013

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Footnotes

This study was funded by a grant provided by the Royal Children's Hospital Foundation, Brisbane

References

Bae, H., Solomon, P.L., & Gelles, R.J. (2009). Multiple child maltreatment recurrence relative to single recurrence and no recurrence. Children and Youth Services Review, 31 (6), 617624.CrossRefGoogle Scholar
Casanueva, C., Martin, S.L., & Runyan, D.K. (2009). Repeated reports for child maltreatment among intimate partner violence victims: Findings from the National Survey of Child and Adolescent Well-Being. Child Abuse and Neglect, 33 (2), 8493.CrossRefGoogle ScholarPubMed
Child Safety Services (2009). Child Protection Queensland 2007-08 Performance Report. Retrieved August 10, 2009, from http://www.childsafety.qld.gov.au/performance/publications/2007-08.htmlGoogle Scholar
Courtney, M.E. (1995). Re entry to foster care of children returned to their families. Social Service Review, 69 (2), 226241.CrossRefGoogle Scholar
DePanfilis, D., & Zuravin, S.J. (2002). The effect of services on the recurrence of child maltreatment. Child Abuse and Neglect, 26 (2), 187205.CrossRefGoogle ScholarPubMed
Finkelhor, D. (2005). The main problem is under-reporting child abuse and neglect. In Loseke, D.R., Gelles, R.J., & Cavanaugh, M.M. (Eds.), Current Controversies on Family Violence (pp. 299310). Thousand Oaks, CA: Sage.CrossRefGoogle Scholar
Fluke, J.D., Yuan, Y.T., & Edwards, M. (1999). Recurrence of maltreatment: An application of the national child abuse and neglect data system (NCANDS). Child Abuse and Neglect, 23 (7), 633650.CrossRefGoogle ScholarPubMed
Fuller, T.L., Wells, S.J., & Cotton, E.E. (2001). Predictors of maltreatment recurrence at two milestones in the life of a case. Children and Youth Services Review, 23 (1), 4978.CrossRefGoogle Scholar
Goddard, C.R., Saunders, B.J., Stanley, J.R., & Tucci, J. (1999). Structured risk assessment procedures: Instruments of abuse? Child Abuse Review, 8 (4), 251263.3.0.CO;2-M>CrossRefGoogle Scholar
Hussey, J.M., Marshall, J.M., English, D.J., Knight, E.D., Lau, A.S., Dubowitz, H., & Kotch, J.B. (2005). Defining maltreatment according to substantiation: distinction without a difference? Child Abuse and Neglect, 29 (5), 479492.CrossRefGoogle ScholarPubMed
IBM (2010). IBM SPSS Statistics for Windows, Version 19.0. Armonk, NY: IBM Corp.Google Scholar
Inkelas, M., & Halfron, N. (1997). Recidivism in child protective services. Children and Youth Services Review, 19 (3), 139161.CrossRefGoogle Scholar
Jonson-Reid, M., Drake, B., Chung, S., & Way, I. (2003). Cross-type recidivism among child maltreatment victims and perpetrators. Child Abuse and Neglect, 27 (8), 899917.CrossRefGoogle ScholarPubMed
Levy, H., Markovic, J., Chaudry, U., Ahart, S., & Torres, H. (1995). Re-abuse rates in a sample of children followed for 5 years after discharge from a child abuse inpatient assessment program. Child Abuse and Neglect, 19 (11), 13631377.CrossRefGoogle Scholar
Lipien, L., & Forthofer, M.S. (2004). An event history analysis of recurrent child maltreatment reports in Florida. Child Abuse and Nelgect, 28 (9), 947966.CrossRefGoogle ScholarPubMed
Lumey, T., Diehr, P., Emerson, S., & Chen, L. (2002). The importance of the normality assumption in large public health sets. Annual Review of Public Health, 23 (1), 151169.CrossRefGoogle Scholar
McGlade, A., Ware, R., & Crawford, M. (2009). Child Protection Outcomes for Infants of Substance-Using Mothers: A Matched-Cohort Study. Pediatrics, 124 (1), 285293.CrossRefGoogle ScholarPubMed
National Council on Crime and Delinquency Children's Research Center. (2012). Structured Decision Making® (SDM) System. Retrieved August 30, 2012, from: http://www.nccdglobal.org/assessment/structured-decision-making-sdm-systemGoogle Scholar
Sledjeski, E.M., Dierker, L.C., Brigham, R.B., & Breslin, E. (2008). The use of risk assessment to predict recurrent maltreatment: A classification and regression tree analysis (CART). Prevention Science, 9 (1), 2837.CrossRefGoogle ScholarPubMed
Walsh, C., MacMillan, H., & Jamieson, E. (2002). The relationship between parental psychiatric disorder and child physical and sexual abuse: findings from the Ontario health supplement. Child Abuse and Neglect, 26 (1), 1122.CrossRefGoogle ScholarPubMed
Wolock, I., Sherman, P., Feldman, L.H., & Metzger, B. (2001). Child abuse and neglect referral patterns: A longitudinal study. Children and Youth Services Review, 23 (1), 2147.CrossRefGoogle Scholar