Caseworker assessment of child risk and functioning and their relation to service use in the child welfare system.

Caseworker assessment of child risk and functioning and their relation to service use in the child welfare system.
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DOI:
10.1016/j.childyouth.2019.01.027
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发表时间:
2019-04
影响因子:
3.3
通讯作者:
Tebes JK
Tebes JK
中科院分区:
法学3区
文献类型:
--
作者:
Connell CM;Bory CT;Huang CY;Genovese M;Caron C;Tebes JK

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儿童福利系统内的儿童比未参与该系统的儿童更有可能经历情感和行为问题。许多州采取了标准化的风险和评估措施,以便就系统内与儿童安置或服务强度有关的适当护理水平作出决策。本研究以儿童福利系统开放的儿童为样本,探讨了多个领域的案例工作者风险评级与青少年功能和服务使用的关系。这项研究确定了一个分层随机抽样的青年谁是年龄在5岁至21岁之间,并开放给儿童福利制度(n = 184)。分层基于当前位置(即,家庭、寄养家庭、集体照料和少年司法安置)。行政数据被用来访问个案工作者的风险评级,在儿童,父母和家庭域使用标准化的风险评估工具。儿童的个案工作者(n = 103)完成了儿童功能的标准化措施,并报告了青少年利用跨多个部门的服务,包括专业精神卫生,学校,少年司法和医疗环境。使用方差校正估计聚类数据(个案工作者)的回归分析显示,较高水平的儿童风险与较差的儿童功能,这反过来又与较高的多部门服务使用率。讨论了建议和未来的方向。
Children within the child welfare system are more likely to experience emotional and behavioral problems than children not involved with the system. Many states have adopted standardized risk and assessment measures to inform decision-making on appropriate levels of care related to placement or service intensity for children within the system. This study examined the relationship of caseworker ratings of risk across multiple domains to youth functioning and service use for a sample of children open to the child welfare system. The study identified a stratified random sample of youth who were between the ages of five and 21 and open to the child welfare system (n = 184). Stratification was based on current placement (i.e., in-home, foster home, congregate care, and juvenile justice placements). Administrative data was used to access caseworker ratings of risk across child, parent, and family domains using a standardized risk assessment tool. Children’s caseworkers (n = 103) completed a standardized measure of child functioning and reported on youth utilization of services across multiple sectors including specialty mental health, school-based, juvenile justice, and medical settings. Regression analyses using variance-corrected estimation for clustered data (by caseworker) revealed higher levels of child risk were associated with poorer child functioning, which, in turn, were associated with higher rates of multi-sector service use. Recommendations and future directions are discussed.
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