title: Commentary: taking a deep breath before reflecting on differential response.
abstract: Although there are certainly limitations to each and every research and evaluation project in child welfare, as with other fields of study, understanding DR as a CPS reform has been fostered through many thoughtful and rigorous studies that have employed random control trial evaluation designs. For each assumption addressed in this commentary, we have raised a few questions. For all interested in CPS reform, other questions arise because child protection and child welfare professionals are trying to encourage more scientific ways of thinking as a means of engendering improvements: 1. Has the research on DR spotlighted the inadequacy of CPS interventions, either AR or IR? A high percentage of CPS responses are short-term. Is it reasonable to expect significant differences between AR and IR families and improvements in the CPS population, given that families often present with problems characterized as intractable but the intensity of the CPS response, coupled with limited service availability and accessibility, may not be sufficient to meet family needs? 2. Has the DR research, which has mainly focused on AR families, also highlighted the glaring absence of quality research in what is effective in producing positive outcomes for families that receive traditional child abuse and neglect investigations? 3. Does the implementation of DR move the CPS field ahead in terms of making better triage decisions, identifying especially those that require CPS involvement as compared to those who will benefit from but might not absolutely need intervention? Is 'triage' an explicit assumption of the DR innovation? Is it an implicit assumption of DR, however defined? If triage is not part of the research, does the ability of child protection to respond both differentially and also correctly to cases needing most, some, or no attention remain unknown? Until there is a reliable and valid way for determining for which families services are most urgently needed, are many reforms in CPS at risk of not producing the outcomes desired? 4. Are there other unintended consequences of either accepting or rejecting DR that might not have been considered? Our current perspective is to state the obvious and point out that rarely are scientifically or "evidence-based" changes in practice achieved or discredited in a decade or two, much more a scant few years. Breathing deeply from time to time, and even pausing for reflection once in awhile, are useful habits for taking on long-range and difficult human endeavors.
authors.affiliation: University of Colorado School of Medicine, USA.
authors.forename: Lisa
authors.initials: L
authors.lastname: Merkel-Holguin
authors.affiliation: University of Colorado School of Medicine, USA.
authors.forename: Donald C
authors.initials: DC
authors.lastname: Bross
mesh_terms: D001315:Australia; D002170:Canada; D002648:Child; D002649:Child Abuse / Q000331:legislation & jurisprudence / Q000517:prevention & control; D002651:Child Advocacy / Q000331:legislation & jurisprudence; D002669:Child Welfare / Q000331:legislation & jurisprudence; D002675:Child, Preschool; D006801:Humans; D010290:Parents / Q000523:psychology; D011368:Professional-Family Relations; D016032:Randomized Controlled Trials as Topic; D012947:Social Work / Q000379:methods / Q000458:organization & administration; D014481:United States