TY  - JOUR
PY  - 2021//
TI  - Cumulative rates of child protection involvement and terminations of parental rights in a California birth cohort, 1999-2017
JO  - American journal of public health
A1  - Putnam-Hornstein, Emily
A1  - Ahn, Eunhye
A1  - Prindle, John
A1  - Magruder, Joseph
A1  - Webster, Daniel
A1  - Wildeman, Christopher
SP  - ePub
EP  - ePub
VL  - ePub
IS  - ePub
N2  - OBJECTIVES. To document the cumulative childhood risk of different levels of involvement with the child protection system (CPS), including terminations of parental rights (TPRs).<br><br>METHODS. We linked vital records for California's 1999 birth cohort (n = 519 248) to CPS records from 1999 to 2017. We used sociodemographic information captured at birth to estimate differences in the cumulative percentage of children investigated, substantiated, placed in foster care, and with a TPR.<br><br>RESULTS. Overall, 26.3% of children were investigated for maltreatment, 10.5% were substantiated, 4.3% were placed in foster care, and 1.1% experienced a TPR. Roughly 1 in 2 Black and Native American children were investigated during childhood. Children receiving public insurance experienced CPS involvement at more than twice the rate of children with private insurance.<br><br>CONCLUSIONS. <br><br>FINDINGS provide a lower-bound estimate of CPS involvement and extend previous research by documenting demographic differences, including in TPRs.Public Health Implications. Conservatively, CPS investigates more than a quarter of children born in California for abuse or neglect. These data reinforce policy questions about the current scope and reach of our modern CPS. (Am J Public Health. Published online ahead of print April 15, 2021: e1-e7. https://doi.org/10.2105/AJPH.2021.306214).<p />  <p>Language: en</p>
LA  - en
SN  - 0090-0036
UR  - http://dx.doi.org/10.2105/AJPH.2021.306214
ID  - ref1
ER  -