Child welfare (CW) agencies are charged with ensuring children's safety; when children live with families impacted by intimate partner violence (IPV), this task can be complex. To better understand how U.S. CW agencies identify and make decisions about child maltreatment (CM) in the presence of IPV, this mixed-methods study used national data (N = 248,654) to investigate whether IPV was more likely to be documented as co-occurring with certain types of CM. This study also explored the intersection of IPV and CM using 19 semi-structured interviews with child welfare stakeholders to gain insight into the mechanisms underpinning reporting processes. Multinomial logistical regression showed that after controlling for other risk factors, children living in a household with IPV were more likely to be determined to be physically abused and emotionally maltreated than neglected, and less likely to be determined to be sexually abused than neglected, compared with children who did not live in a household with IPV. Those children were also more likely to be determined to be emotionally maltreated than physically abused, and less likely to be determined to be sexually abused than physically abused, compared with children who did not live in a household with IPV (all results, p < .0001). Qualitative results revealed IPV and children's exposure to IPV may be categorized as different types of CM by CW agencies and staff, and that this categorization can vary by agency and staff level. Participants also described challenges to addressing IPV within CW systems. Findings suggest national CW data may obscure when IPV and CM co-occur versus when a given type of CM is serving as a proxy for the presence of or children's exposure to IPV, presenting challenges to interpreting child welfare data. Recommendations are presented to improve CW data accuracy and ensure the safety of children and families impacted by IPV.

中文翻译：

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重新审视亲密伴侣暴力和虐待儿童的共同发生。

儿童福利 (CW) 机构负责确保儿童的安全；当孩子与受亲密伴侣暴力 (IPV) 影响的家庭一起生活时，这项任务可能会很复杂。为了更好地了解美国 CW 机构如何在存在 IPV 的情况下识别儿童虐待 (CM) 并做出决定，这项混合方法研究使用国家数据 (N = 248,654) 来调查 IPV 是否更有可能被记录为同时发生与某些类型的 CM。本研究还通过对儿童福利利益相关者进行 19 次半结构化访谈，探讨了 IPV 和 CM 的交集，以深入了解支撑报告流程的机制。多项逻辑回归表明，在控制其他风险因素后，与没有生活在 IPV 家庭中的儿童相比，生活在 IPV 家庭中的儿童更容易被确定为受到身体虐待和情感虐待，而不是被忽视，被确定为性虐待的可能性小于被忽视的可能性。与没有住在 IPV 家庭中的儿童相比，这些儿童也更有可能被确定为精神虐待而不是身体虐待，并且更不可能被确定为性虐待而不是身体虐待（所有结果，p < . 0001）。定性结果显示，IPV 和儿童接触 IPV 可能被 CW 机构和工作人员归类为不同类型的 CM，并且这种分类可能因机构和工作人员级别而异。参与者还描述了在 CW 系统中解决 IPV 的挑战。调查结果表明，当 IPV 和 CM 同时发生时，以及当特定类型的 CM 充当 IPV 存在或儿童暴露于 IPV 的代理时，国家 CW 数据可能会变得模糊，从而对解释儿童福利数据提出挑战。提出了提高 CW 数据准确性并确保受 IPV 影响的儿童和家庭安全的建议。