Defining child neglect based on child protective services data.
OBJECTIVE
To compare neglect defined by Child Protective Services official codes with neglect defined by a review of CPS narrative data, and to examine the validity of the different neglect measures using children's functioning at age 8 years.


METHODS
Data are from 740 children participating in a consortium of longitudinal studies on child abuse and neglect; 481 had at least one CPS report prior to age 8. CPS records were reviewed to ascertain both broad CPS types of neglect as well as specific subtypes of neglect using a modified version of the Maltreatment Classification System (MMCS). Frequencies of, and correlations among, the types and subtypes of neglect were examined. The validity of the neglect measures was evaluated by examining their relationships with children's functioning at age 8.


RESULTS
The CPS neglect types and MMCS subtypes were moderately correlated, as were the MMCS subtypes of neglect. In general, neglect was only modestly associated with children's functioning at age 8 (r2=1-4%), with few differences between the CPS neglect types and the MMCS subtypes. There were significant associations with children's total and externalizing behavior problems, impaired socialization, and impaired daily living skills. Among the specific subtypes, neglect of children's medical needs was related to externalizing behavior problems, impaired socialization, and impaired daily living skills. Neglect of children's hygiene needs was related to impaired socialization.


CONCLUSIONS
The moderate correlations among CPS and MMCS types and subtypes of neglect and their similar associations with children's functioning suggest that the considerable effort involved in coding neglect subtypes from CPS narrative data may yield limited incremental knowledge regarding the types of neglect children experience and their sequelae. However, the MMCS does offer useful descriptive information on the nature of neglect children experience, and may guide future research and practice on optimal ways to conceptualize neglect.
Dubowitz
Howard
H
Department of Pediatrics, University of Maryland School of Medicine, 520 W. Lombard Street, 1st Floor, Baltimore, MD 21201, USA.
Pitts
Steven C
SC
Litrownik
Alan J
AJ
Cox
Christine E
CE
Runyan
Desmond
D
Black
Maureen M
MM
D002649:Child Abuse / Q000145:classification*; D002652:Child Behavior; D002669:Child Welfare / Q000706:statistics & numerical data*; D002675:Child, Preschool; D004282:Documentation; D005260:Female; D006301:Health Services Needs and Demand; D006801:Humans; D006920:Hygiene; D008137:Longitudinal Studies; D008297:Male; D012919:Social Behavior; D014481:United States