@article{ref1,
title="Using child protective services case record data to quantify family-level severity of adversity types, poly-victimization, and poly-deprivation",
journal="Child abuse and neglect",
year="2020",
author="O'Dea, Nicole and Clough, Meghan and Beebe, Rebecca and DiVietro, Susan and Lapidus, Garry and Grasso, Damion J.",
volume="108",
number="",
pages="e104688-e104688",
abstract="BACKGROUND: Child protective services (CPS) case records contain a vast amount of narrative information that is underutilized for estimating risk, conceptualizing family needs, and planning for services.  OBJECTIVE: The current study applied a novel method for quantifying family-level severity of maltreatment and non-maltreatment-related adversity types to narrative information reflecting a family's full CPS history.  PARTICIPANTS AND SETTING: Cases were randomly sampled (N = 100) from two regions of Connecticut that were referred over a specified 6-month period.  METHODS: De-identified data were extracted through comprehensive chart review of electronic and paper case records. The Yale-Vermont Adversity in Childhood Scale (Y-VACS; Holbrook et al., 2015) was used to quantify adversity severity across a range of intrafamilial and extrafamilial experiences.  RESULTS: Several family-level adversity severity ratings were associated with administrative data on allegations and investigative outcomes. Poly-victimization (β =.47, p <.001) and poly-deprivation (β =.25, p =.005) significantly predicted total allegation types and total substantiation types (β =.30, p =.002; β =.26, p =.008, respectively) across the case history. Poly-victimization significantly predicted the presence of a new allegation within 12 months of the index report, OR = 1.72, SE =.25, p =.027.  CONCLUSIONS: Findings support the feasibility of a novel method that uses narrative case record information to quantify severity of maltreatment and non-maltreatment-related adversity types, as well as cumulative measures of threat- and deprivation-based adversities at the family level. Implications for utilizing case record data to inform CPS intervention are discussed.<p /> <p>Language: en</p>",
language="en",
issn="0145-2134",
doi="10.1016/j.chiabu.2020.104688",
url="http://dx.doi.org/10.1016/j.chiabu.2020.104688"
}