Caseworker-perceived caregiver substance abuse and child protective services outcomes.
The authors used data from the National Survey of Child and Adolescent Well-Being to examine associations of child protective services (CPS) caseworkers' perceptions of caregiver substance abuse with their perceptions of the severity of risk and harm a child experienced as a result of alleged maltreatment, as well as with whether a family experienced a range of CPS outcomes.The outcomes included whether the family received services from CPS, was substantiated for maltreatment, experienced child removal, and was subject to a termination of parental rights (TPR) petition. The authors also compared the magnitude of the association between caseworker-perceived caregiver substance abuse and each outcome to that of the association between other maltreatment-related risk factors and each outcome. Findings suggest that, all else equal, caseworker-perceived caregiver substance abuse is associated with increased caseworker perceptions that children have experienced severe risk and harm and also with an increased probability of each of the CPS outcomes except TPR. Moreover, these associations are equal in magnitude or larger than those between the other risk factors and the outcomes. These findings imply that CPS decisions are heavily influenced by caseworker perceptions of caregiver substance abuse, regardless of the presence of other risk factors for child maltreatment.
Berger
Lawrence M
LM
University of Wisconsin-Madison, WI 53706, USA. Lmberger@wisc.edu
Slack
Kristen S
KS
Waldfogel
Jane
J
Bruch
Sarah K
SK
D000293:Adolescent; D000437:Alcoholism / Q000523:psychology; D017028:Caregivers / Q000523:psychology* / Q000706:statistics & numerical data; D002648:Child; D002649:Child Abuse / Q000706:statistics & numerical data; D002669:Child Welfare / Q000523:psychology / Q000706:statistics & numerical data; D019538:Health Care Surveys; D006801:Humans; D017063:Outcome Assessment, Health Care; D010290:Parents / Q000523:psychology; D010465:Perception; D012307:Risk Factors; D012947:Social Work; D019966:Substance-Related Disorders / Q000523:psychology*
Pediatrics. 1999 May;103(5 Pt 2):1085-99
10224196
Child Maltreat. 2007 May;12(2):137-49
17446567
Child Abuse Negl. 2003 Dec;27(12):1409-25
14644058
Am J Orthopsychiatry. 2002 Jul;72(3):383-91
15792050
Am J Drug Alcohol Abuse. 2006;32(2):149-76
16595321
Child Welfare. 1999 Mar-Apr;78(2):221-39
10418116
Child Maltreat. 2007 May;12(2):125-36
17446566
J Subst Abuse Treat. 2006 Mar;30(2):93-104
16490672
Child Abuse Negl. 1999 Aug;23(8):745-58
10477235
Child Abuse Negl. 1996 Dec;20(12):1183-93
8985609
Child Abuse Negl. 2007 May;31(5):573-88
17537504
Pediatrics. 2007 Feb;119(2):336-44
17272624
Am J Public Health. 1998 Jan;88(1):117-9
9584016
J Subst Abuse Treat. 2003 Sep;25(2):107-16
14629993
Child Abuse Negl. 2006 Feb;30(2):145-56
16464496
J Clin Child Adolesc Psychol. 2004 Sep;33(3):590-600
15271616
Child Abuse Negl. 2002 Jan;26(1):97-114
11860165