CHILD NEGLECT--CROSS SECTOR SERVICE PATHS AND OUTCOMES

尽管由于忽视与其他社会问题并存，人们一致认为有必要协调为被忽视儿童及其家庭提供的服务，但我们甚至对这些人口的跨部门服务模式缺乏基本的了解。知识基础中的这一差距严重阻碍了评价服务和政策以提高服务效率和效力的努力。“忽视儿童：跨部门服务途径和结果”(CSSPO)将通过对被忽视儿童及其家庭的跨部门利用进行大规模纵向分析来解决这一差距，这与家庭成果(例如家庭团聚等)有关。和儿童(如死亡、监禁)水平。利用来自教育、卫生、少年司法和社会服务机构的行政数据，这项加速的小组研究比较了接受AFDC的家庭中儿童的跨部门服务路径和结果，并向儿童福利机构报告了以下情况：(1)忽视(n=4,880)，(2)身体虐待(n=1,394)，(3)性虐待(n=358)，以及(4)一种以上虐待(n=1,242)。这些组将与1993年接受AFDC但未向儿童福利机构报告的匹配儿童组进行比较。在每个样本组中，12岁出生的儿童将被分成四个年龄组(出生到3岁、3到6岁、6到9岁和9到11岁)，并跟踪调查8年(1993-2001年)。加速面板设计允许在仅8年的时间内对19年的开发进行统计分析。这项建议解决了目前RFA确定的研究中的几个差距，将重点放在提供服务上，并考虑了与疏忽有关的后果(我们的结果)。这项研究将考察：(1)跨部门服务使用考虑与忽视相关的后果(我们的结果)。这项研究将考察：(1)跨部门服务使用考虑与忽视相关的后果(我们的结果)。这项研究将审查：(1)五个研究组的跨部门服务使用情况(顺序、频率、共现和持续时间)。(2)服务模式与儿童和青少年日后结果的关系(例如死亡率、寄养、接受特殊教育等)。(3)较晚的儿童和青少年结果S(如死亡率、寄养、接受特殊教育等)。(3)儿童福利方面的积极家庭结果与收入维持计划(如就业重聚等)之间的关系。与儿童和青少年的结果有关。将在生态发展框架内进行分析，审查忽视的影响，同时控制儿童、家庭、服务部门的使用和社区一级的因素。这项研究将建立对有效提供服务和制定与向儿童福利机构报告的被忽视的儿童及其家庭有关的政策至关重要的知识。

Despite consensus about the need to coordinate services for neglected children and their families due to the co-morbidity of neglect with other social problems, we lack even a basic understanding of the cross-sector service patterns of this population. This gap in the knowledge base serious hampers efforts to evaluate services and policy in order to improve the efficiency and efficacy of services. "Child Neglect: Cross Sector Service Paths & Outcomes" (CSSPO), will address this gap through a large-scale longitudinal analysis of cross-sector utilization by neglected children and their families which is linked to outcomes at the family (e.g. family reunification, etc.) and child (e.g. death, incarceration) levels. Using administrative data drawn from education, health, juvenile justice and social service, agencies, this accelerated panel study compares the cross sector service paths and outcomes of children in families receiving AFDC and reported to child welfare agencies for (1) neglect (n=4,880), (2) physical abuse (n=1,394), (3) sexual abuse (n=358); and, (4) more than one type of maltreatment (n=1,242). These groups will be compared to a matched group of children in families receiving AFDC in 1993, but not reported to child welfare agencies (n=8,000) Within each sample group, children aged birth to 12 years will be grouped into four age cohorts (birth to 3 years, 3 to 6 years, 6 to 9 years, and 9 to 11 years) and followed for eight years (1993-2001). The accelerated panel designs allows for the statistical analysis of 19 years of development in only eight years. This proposal addresses several gaps in the research as identified by the current RFA, combining a focus on service delivery with consideration of consequences (our outcomes) related to neglect. The study will examine: (1) Cross-sector service use consideration of consequences (our outcomes) related to neglect. The study will examine: (1) Cross-sector service use consideration of consequences (our outcomes) related to neglect. The study will examine: (1) Cross-sector service use (sequence, frequency, co-occurrence & duration) in the five study groups. (2) The relationship of service patterns to later child and adolescent outcomes (e.g. mortality, foster care entry, entry into Special Education, etc.). (3) The later child and adolescent outcome s(e.g. mortality, foster care entry, entry into Special Education, etc.) (3) The association between positive family outcomes in child welfare and income maintenance programs (e.g. employment reunification, etc.) with child and adolescent outcomes. Analyses will be conducted within an ecodevelopmental framework, examining the influence of neglect while controlling for child, family, service sector use and community level factors. This study will build knowledge critical to effective service delivery and policy development related to serving children and their families reported to child welfare agencies for neglect.