Service utilization and association with recurrences of child maltreatment post-reunification

Abstract

ABSTRACT About 30% of children referred to child protective services each year in the US experience recurring maltreatment. Maltreatment has been linked to a myriad of negative developmental outcomes for children, such as externalizing and internalizing behaviors. Yet, few studies have examined services to prevent recurrences of maltreatment among reunified children. Utilizing data from the National Survey of Child and Adolescent Well-being II (NSCAW II), the objective of this study was to investigate types of services that decreased recurrences of child maltreatment post-reunification. The sample included n = 1,168 children who were in out-of-home care at Wave One (2008) and had reunified at Wave Two (2009–2010). These children were followed for 18 months (2011–2012) to compare to those who experienced a substantiated recurrence of child maltreatment after reunification to those who did not. Survival analysis was conducted with time to recurrence as the outcome variable. Results suggest that about one in five children experienced recurrences of maltreatment during the first 18 months of reunification. Rates of parental service utilization were high (63%). Adjusting for covariates, only out-of-home prevention services (HR = 0.42, 95% CI = 0.24–0.75, p <.01) was negatively associated with recurrences of maltreatment. Implications for research, practice, as well as limitations, are discussed.