Differential Response and the Reduction of Child Maltreatment and Foster Care Services Utilization in the US From 2004 to 2017
Differential Response and the Reduction of Child Maltreatment and Foster Care Services Utilization in the US From 2004 to 2017
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DOI：
10.1177/10775595211065761
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发表时间：
2022-01-21
影响因子：
5.1
通讯作者：
Fluke, John
中科院分区：
文献类型：
--
作者：
Johnson-Motoyama, Michelle;Ginther, Donna K.;Fluke, John
到2014年，美国大多数州都实施了差别反应（DR），这是一项系统政策，旨在通过家庭参与，从正式的儿童保护服务调查中转移，以及提供服务，为低至中度儿童虐待风险的家庭提供服务。然而，DR计划对儿童福利动态的影响尚未在全国范围内使用因果关系方法进行评估。使用准实验研究设计，从2004年至2017年的国家虐待儿童和儿童数据系统中提取数据，我们发现与没有DR计划的州相比，有DR计划的州的经证实的报告减少了约19%，被忽视的儿童减少了25%，寄养服务利用率降低了17%。我们发现这些估计对阿片类药物流行和监禁率是稳健的。需要更多的研究来更好地描述DR计划并在地理上隔离DR计划的影响。
By 2014, the majority of U.S. states had implemented differential response (DR), a system policy that seeks to serve families of low-to moderate-risk for child maltreatment through family engagement, diversion from formal child protective services investigations, and service provision. However, the effects of DR programs on child welfare dynamics have yet to be evaluated nationally using causal methods. Using a quasi-experimental study design with data drawn from the National Child Abuse and Neglect Data System from 2004 to 2017, we found states with DR programs had approximately 19% fewer substantiated reports, 25% fewer children substantiated for neglect, and a 17% reduction in foster care services utilization when compared to states without DR programs. We find these estimates to be robust to the opioid epidemic and incarceration rates. Additional research is needed to better characterize DR programs and isolate the effects of DR programs geographically.