Intimate partner violence (IPV) is challenging to measure yet systematic surveillance of IPV is critical to informing public health prevention and response efforts. Administrative medical data ...provide opportunities for such surveillance, and often use the International Classification of Diseases (ICD). The primary purpose of this systematic review was to document which ICD codes have been used in empirical literature to identify IPV, understand the justification used to select specific codes to develop IPV case definitions, and identify the data sources and types of research questions addressed by the existing literature. We searched 11 databases and of the initial 2182 results, 21 empirical studies from 2000 to 2020 met the study inclusion criteria including using ICD codes to measure IPV. The majority of these studies (90.5%) used either national samples of data or population-based administrative data from emergency departments (52.4%) or inpatient hospitalizations (38.1%). We found wide variation of ICD diagnostic codes to measure IPV and categorized the sets of codes used based on the number of codes. The most commonly used ICD-9 codes were E967.3, 995.81, 995.80, 995.85 and the most common ICD-10 codes were T74.1 and Z63.0. Few studies validated the ICD codes used to measure IPV. Most included studies (81.0%) answered epidemiological research questions. The current study provides suggestions for future research, including justifying the selection of ICD codes and providing a range of estimates based on narrow and broad sets of codes. Implications for policy and practice, including enhanced training for healthcare professionals in documenting IPV, are discussed.
Research on youth in foster care has focused on those placed for reasons of maltreatment rather than delinquency, yet most states provide foster care services to youth under probation supervision. ...This analysis generated knowledge about youth in probation-supervised foster care (PSFC) in California by examining the relationship between past child protective services (CPS) involvement and exit type. CPS records were extracted to identify 17-year-old youths in PSFC between 2008 and 2012 (N = 11,188). The relationship between allegations of maltreatment and exit type was assessed using regression models. Of the PSFC youth, 64.6% had previous allegations of maltreatment and a quarter had been reported at least 6 times. Youth with a history of placement in CPS foster care were more likely to age out relative to achieving permanency in comparison to PSFC youth with no maltreatment history (relative risk ratio = 2.20; 95% confidence interval 1.90, 2.55). As the number of reports increased, the likelihood of exiting care by aging out increased relative to achieving permanency (p < .001). The findings suggest a majority of PSFC youth had maltreatment histories, the overlap between CPS and probation was constant, and maltreatment records may characterize youth in PSFC at risk of negative exits from care.
Intimate partner violence (IPV) negatively affects children. Although IPV-related reports frequently come to the attention of child protective services (CPS), there is neither a unified standard for ...how CPS systems should respond, nor sufficient research documenting that reaction. The current study used population-based administrative records from California to assess how CPS responds to reported allegations of IPV, with and without physical abuse and/or neglect allegations. We used multinomial regression to model the likelihood of investigation outcomes. Results indicate that 20.7% of CPS reports had IPV alleged during hotline screening, and of those, just 3.2% were screened out compared to 20.2% for reports where IPV was not alleged. Almost half (45.5%) of IPV-alleged reports came from law enforcement, in contrast to 15.2% of reports that did not allege IPV. IPV-alleged reports were more likely to have allegations substantiated without a case opened for services, but less likely to result in foster care placements. Several statistically significant differences were identified by the type of alleged maltreatment co-reported with IPV. This study contributes to an understanding of how CPS responds to IPV-alleged reports.
Maltreatment that begins during infancy is likely to be chronic in duration and developmentally consequential if the appropriate intervention is not delivered. Repeated reports of maltreatment may ...signal unmet service needs. This study prospectively followed infants who remained at home following an initial report of maltreatment to determine the rate of re-reporting within 5 years. Birth records for all children born in California in 2006 were linked to statewide child protection records through 2012; 5.2% (n = 29,135) of children were reported for abuse or neglect prior to age 1. Following an initial report, 81.9% of infants remained in the home, the majority (60.7%) of whom were re-reported within 5 years. The highest rate of re-reporting was observed among infants whose initial allegation was substantiated and who had a case opened for family maintenance services (69.1%). Infants whose initial allegation was not investigated had re-reporting rates that were equal to or higher than other infants remaining in the home without services. Findings highlight that most families with infants reported for maltreatment are not formally served through the child protection system. High rates of re-reporting underscore the challenge of delivering services that remedy conditions necessitating child protection follow-up and call attention to the importance of accessing data from community service providers.
Background
In 2011, California enacted its public safety realignment initiative (realignment) motivated by a U.S. Supreme Court ruling to reduce state prison overcrowding and in effort to reduce ...recidivism. Realignment transferred authority for lower-level felony offenders from the state to the counties, leading to a rapid reduction in state prison incarceration levels.
Objective
This study drew on a unique dataset to assess the effects of California’s efforts to downsize the prison system on maternal incarceration levels and to better understand the characteristics of incarcerated mothers and their children.
Methods
Incarceration records concerning all women in California state prisons between 2010 and 2012 (
N
= 16,917) were linked to 7.5 million vital birth records dating to 1999 to identify incarcerated women who had given birth. Multinomial logistic regression models were specified to better understand offense type differences among incarcerated mothers versus nonmothers.
Results
Findings indicate that realignment disproportionately affected women. The number of men entering prison decreased 67.8% between 2010 and 2012. In comparison, the number of women entering prison decreased 78.5%. Further, more than half of incarcerated women had given birth. Mothers were more likely than nonmothers to be convicted of nonviolent crimes.
Discussion
This study underscores how prison downsizing can disproportionately reduce incarceration levels for women. Given that such large proportion of incarcerated women were mothers, this policy change may have potential spillover next-generation benefits. Finally, this work reinforces the potential to use linked administrative records to study incarcerated populations.
Abstract Purpose Research has demonstrated a link between out-of-home foster care and subsequent juvenile justice involvement. Understanding factors that may contribute to dual system involvement for ...young people who entered foster care is essential for disrupting this relationship. Method We used population-based linked administrative records to examine the prevalence of juvenile delinquency court petitions among individuals placed in out-of-home foster care in Los Angeles County from birth to age 18. By integrating records from child welfare and probation, this analysis of individuals born between 1998 and 2001 and who lived in the county’s out-of-home foster care system ( N = 29,434) showed that 2,554 (8.7%) had encountered a juvenile delinquency court petition prior to turning 18. Results Regression results showed an increased rate of dual system involvement among young people in foster care who experienced unstable living conditions, periods of absence from care, commercial sexual exploitation, or group homes. Instability in living situations (staying in care for more than a year, with three or more homes or placements; RR = 1.31; CI = 1.16, 1.48) and history of group home care (RR = 1.43; CI = 1.25, 1.64) were significantly associated with a heightened rate of dual system involvement. As shown in the gender-stratified models, the magnitude of associations between dual system involvement and foster care experiences differed by gender. Discussion The current study aligns with prior studies showing a relationship between residential instability and group homes to subsequent delinquency court involvement. Findings set a baseline so future work can explore if policies aiming to reduce reliance on group care are associated with changes in the likelihood of dual system involvement.
Young people in foster care frequently experience early parenting, and U.S. law requires the documentation of parents in care. The extent to which the child protection system (CPS) has accurately ...collected information on parents in care remains largely unknown and has ramifications for the planning and delivery of services.
Using California as a case study, this study documented young mothers in care using birth records, determined the proportion of mothers correctly identified in CPS records, and compared characteristics and placements of mothers who were or were not identified.
All mothers aged 15–21 years documented by vital birth records (2014 and 2019) were probabilistically linked to CPS records, yielding 3199 mothers in care.
We compared mothers who were or were not identified in CPS records using bivariate statistics. A chi-square test for trends examined differences in documentation over time.
A third of mothers were not identified as such in CPS records (n = 1136). The proportion of mothers identified by caseworkers rose from 50 % in 2014 to 71.5 % in 2019 (p < .001). Nonminor dependent mothers and those placed in supervised independent living programs were more likely to be misclassified in CPS data.
Motherhood may not be documented in CPS records; however, significant improvements were evident. Results suggest that all nonminor dependents should be informed of available services for expectant and parenting individuals, especially if they are living in less restrictive placements, given they are more likely to give birth and less likely to be identified in CPS records than minor dependents.
Although kinship guardianship is an increasingly important foster care exit pathway for children in the United States, research on the factors leading to kinship guardianship breakdown is lacking. ...This study examines the factors associated with guardianship breakdown for children who exited foster care to kinship guardianship in California between 2003 and 2010 (N = 18,831). Specifying time-dependent Cox relative risk models, children’s age trajectories are directly accounted for in the analysis. This allows differentiation between duration dependence (i.e., time spent in guardianship) and children’s development (expressed as age). Overall, 17.3% of children reentered care by 2017. Early adolescents, age 13–15 years (HR = 1.63, p < .001), and late adolescents, age 16–17 years (HR = 1.93, p < .001), had an increased hazard of reentry compared with children under the age of six. Children with a history of mental health concerns had more than twice the hazard of reentering than children without such a history (HR = 2.18, p < .001). Our findings indicate that transition to adolescence was associated with increased risk of reentry into care, highlighting the need for guardianship support services leading up to, and during, this child developmental stage.
An Empirical Test of Dual System Pathways Herz, Denise C.; Eastman, Andrea Lane; Suthar, Himal
Youth violence and juvenile justice,
07/2023, Letnik:
21, Številka:
3
Journal Article
Recenzirano
Although a growing body of research has documented the characteristics and experiences of young people with child welfare and juvenile justice system contact (i.e., dual system involvement), less is ...known about the pathways leading to dual system involvement. Sequence analysis was used to empirically identify pathways by plotting child welfare and juvenile justice spells for a cohort of 4404 dual system youth in Los Angeles County between 2014 to 2016. Procedures produced a five-cluster model delineated by the extent of child welfare involvement and the ages at which involvement occurred. Comparisons across pathways demonstrated that youth with less child welfare involvement in childhood had the least intrusive juvenile justice experiences and lower recidivism than youth experiencing longer and deeper child welfare involvement in late childhood and adolescence. Pathway findings have significant implications for building a delinquency prevention continuum prior to system involvement and after involvement for young people and their family members who enter the child welfare system.
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