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Child fatality in families with prior CPS history: Do those with and without intimate partner violence differ?
Journal of Family Violence ( IF 2.7 ) Pub Date : 2022-04-07 , DOI: 10.1007/s10896-022-00383-9
Melissa Jonson-Reid 1 , Mary Katherine Shires 1 , Brett Drake 1 , Shih-Ying Cheng 2
Affiliation  

Research indicates many children who experience maltreatment are also exposed to intimate partner violence (IPV). Some studies find that children with child protective services (CPS) history have higher risk of preventable child fatality (CF). It is not known if there are unique characteristics of families with combined CPS and IPV histories that could inform service plans to reduce risk of later CF. Information from documents published in the Innocents Lost Database was extracted and analyzed, and linked to county level census data. The sample includes CFs from 501 Florida families that occurred from 2008 to 2015. Families had a history of CPS contact, but cause of death varied. Bivariate (t-test, chi-square, correlation) and logistic regression analyses compared CF cases with and without IPV mentioned in the full sample (n = 501) and the reduced sample (n = 155 with in-depth documentation). Prevalence of IPV ranged from 34 to 46% (full and reduced sample respectively) with violent death more common for this group. CFs with noted IPV histories were more likely to involve school-aged children from larger families. Such cases were more likely to include primary caregivers with noted mental health and substance abuse concerns, and/or prior criminal justice system contact and secondary caregivers with criminal justice histories. IPV was common among preventable CFs with prior CPS histories. Caregivers in these families had substantial prior contact with both CPS and other adult service and criminal justice systems. Implications for risk screening and preventive services within adult-serving systems and schools are discussed.



中文翻译:

有 CPS 病史的家庭的儿童死亡率:有和没有亲密伴侣暴力的家庭有什么不同吗?

研究表明,许多遭受虐待的儿童也面临亲密伴侣暴力 (IPV)。一些研究发现,有儿童保护服务 (CPS) 历史的儿童发生可预防儿童死亡 (CF) 的风险更高。目前尚不清楚具有合并 CPS 和 IPV 历史的家庭的独特特征是否可以为服务计划提供信息,以降低后期 CF 的风险。来自Innocents Lost 数据库中发布的文件的信息被提取和分析,并与县级人口普查数据相关联。样本包括 2008 年至 2015 年发生在佛罗里达州的 501 个家庭的 CF。这些家庭有 CPS 接触史,但死因各不相同。双变量(t 检验、卡方、相关性)和逻辑回归分析比较了完整样本(n = 501)和减少样本(n = 155,有深入的文档)中提到的有和没有 IPV 的 CF 病例。IPV 的患病率范围为 34% 至 46%(分别为完整样本和减少样本),该组的暴力死亡更为常见。具有显着 IPV 历史的 CF 更有可能涉及来自大家庭的学龄儿童。此类病例更有可能包括有明显心理健康和药物滥用问题的主要照顾者,和/或以前的刑事司法系统联系人和具有刑事司法历史的二级护理人员。IPV 在有 CPS 病史的可预防 CF 中很常见。这些家庭的看护人之前与 CPS 和其他成人服务和刑事司法系统有大量接触。讨论了成人服务系统和学校中风险筛查和预防服务的影响。

更新日期:2022-04-07
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