TY  - JOUR
PY  - 2020//
TI  - Using child protective services case record data to quantify family-level severity of adversity types, poly-victimization, and poly-deprivation
JO  - Child abuse and neglect
A1  - O'Dea, Nicole
A1  - Clough, Meghan
A1  - Beebe, Rebecca
A1  - DiVietro, Susan
A1  - Lapidus, Garry
A1  - Grasso, Damion J.
SP  - e104688
EP  - e104688
VL  - 108
IS  - 
N2  - 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>
LA  - en
SN  - 0145-2134
UR  - http://dx.doi.org/10.1016/j.chiabu.2020.104688
ID  - ref1
ER  -