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Journal Article


Drake B, Jonson-Reid M, Kim H. Int. J. Environ. Res. Public Health 2017; 14(9): e14090971.


Brown School of Social Work and Public Health, Washington University in St. Louis, Campus Box 1196, Washington University in St. Louis, One Brookings Drive, Saint Louis, MO 63130, USA.


(Copyright © 2017, MDPI: Multidisciplinary Digital Publishing Institute)






BACKGROUND: Children are believed to be more likely to be reported for maltreatment while they are working with mental health or social service professionals. This "surveillance bias" has been claimed to inflate reporting by fifty percent or more, and has been used to explain why interventions such as home visiting fail to reduce official maltreatment reporting rates.

METHODS: We use national child abuse reporting data (n = 825,763), supplemented by more detailed regional data from a multi-agency administrative data study (n = 7185). We determine the percentage of all re-reports made uniquely by mental health and social service providers within and across generations, the report sources which could be subject to surveillance bias.

RESULTS: At three years after the initial Child protective services (CPS) report, the total percentage of national reports uniquely made by mental health or social service providers is less than 10%, making it impossible that surveillance bias could massively inflate CPS reporting in this sample. Analysis of national data find evidence of a very small (+4.54%) initial surveillance bias "bump" among served cases which decays to +1.84% within three years. Our analysis of regional data showed similar or weaker effects.

CONCLUSIONS: Surveillance bias effects appear to exist, but are very small.

Language: en


child abuse and neglect; child maltreatment; nurse home visiting; surveillance bias; visibility bias


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