Child protection in Sweden: are routine assessments reliable?
OBJECTIVE
To study the validity of the decision not to investigate mandatory reports of suspected child maltreatment.


METHODS
Written files of 220 reports indicating possible child maltreatment were analysed and re-evaluated. As a measure of the justification for the decisions, a 5-y follow-up study was done.


RESULTS
We determined that 76% of the reports still indicated child maltreatment after the initial assessment was done. In the follow-up study, 45% of the children had been investigated. The social worker used the family as the only source of information in 74% of the cases, in 6% someone outside the family was contacted, and in 11% no further information in addition to the report was collected. In 9%, data on information sources were missing.


CONCLUSIONS
The findings are rather discouraging, as they challenge the belief that a report is a means of ensuring that maltreatment does not continue. The study shows that, depending upon the way in which the initial assessments are made, maltreated children may run a risk of not being identified, even though the maltreatment has been reported. This suggests that there may be a need for national guidelines concerning the reporting of maltreatment.
Cocozza
Madeleine
M
Division of Child and Adolescent Psychiatry, Linköping University, Linköping, Sweden. madeleine.cocozza@lio.se
Gustafsson
Per A
PA
Sydsjö
Gunilla
G
D000293:Adolescent; D002648:Child; D002669:Child Welfare / Q000706:statistics & numerical data*; D002675:Child, Preschool; D003657:Decision Making / Q000941:ethics; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D019221:Mandatory Reporting / Q000941:ethics*; D015588:Observer Variation; D012947:Social Work / Q000706:statistics & numerical data*; D013548:Sweden