Fourth National Incidence Study of Child Abuse and Neglect (NISâ4)

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Sentinel agencies. Sentinel agency categories in the NIS–4 included:• Law enforcement agencies—sheriff and county police departments, municipalpolice agencies, and juvenile probation departments;• Health services—children’s hospitals, short-stay general hospitals, and publichealth departments;• Schools and day care centers—public K-12 schools and licensed day carecenters; and• Housing, shelters and others—public housing departments, shelters forbattered women and runaway and homeless youth, social service and mentalhealth agencies.Agencies in these categories that were physically located in NIS–4 counties wereeligible for the study (with one exception—the study also included children’s hospitals within 25miles of a NIS–4 county that had none of its own). The above list broadens sentinel coverage byincluding two new agency categories: Public housing and shelters for battered women and forrunaway and homeless youth. Both of these new categories were introduced based on the resultsof explorations in several counties during the NIS–3. Whereas public housing was entirely new,shelters were previously included in NIS but only as part of the varied group of social serviceand mental health agencies.The NIS–4 sentinel agency samples were structured according to local CPSagency/county clusters. For the most part, a cluster reflected a single county. However, smallcounties that were served by the same local CPS agency were handled as a single cluster. Therewere 115 local CPS agency county clusters in the NIS–4.The NIS–4 aimed to approximately double the NIS–3 sentinel agency sample.However, rather than simply doubling the sample in every category, statisticians computed anoptimum allocation of the doubled-sample across the sentinel agency categories. The optimumallocation first took into account both the within-category precision of estimates ofuninvestigated maltreated children and the relative costs of recruiting and collecting data from anagency in the category. The resulting allocation was then modified to attempt to provide eachagency category with at least one representative in each CPS agency-county cluster—with theexception of the law enforcement agencies. Because these computations determined that theA-5
optimal sample sizes from law enforcement agencies were relatively small (with little gain to behad in the precision of national estimates by adding more of these agencies), they were includedin a sample of 62 PSUs (the 14 certainty PSUs and one-half, or 48, of the noncertainty PSUs).With two exceptions, the final allocation plan targeted a sample of one agency foreach category in every CPS agency-county cluster. The allocation plan dictated that moreagencies be sampled to represent day care centers (2 per cluster) and schools (5 per cluster). Inactually implementing this plan, statisticians selected the sentinel agencies in five categories withcertainty—sheriff departments, juvenile probation departments, public health departments,children’s hospitals, and public housing agencies—because there is typically only one suchagency per county. Agencies in the other categories are generally more numerous, so they weresampled for the study. Because size measures were available for schools, general hospitals, andmunicipal police departments, agencies in those categories were sampled by the PPS method.Simple random sampling was applied in the other sampled agency categories (day care centers,shelters, and social service/mental health agencies).On average, 14.6 sentinel agencies were sampled in a given CPS-county cluster, butthis varied, ranging from 5 in a very small site to more than 40 in the largest county. Despite thebroad range, however, the distribution was fairly tight: only 6 clusters had fewer than 10 sentinelagencies sampled, and only 6 had more than 18.The numbers of sentinel agencies selected for the NIS–4 in the different agencycategories are listed in the Sentinel Recruitment discussion.Sentinels. Within each sentinel agency, staff who were eligible to serve as sentinelswere identified and sampled. This process required identifying eligible units within the agency,listing (and sometimes sampling) those units, enumerating the eligible staff, and sampling staffto be recruited as sentinels. Sampling from the staff roster used a probability-based method.First, sentinels in certainty selection units (as defined by the particular job category, such asschool counselors and truancy officers) were all included in the sample. The remaining sentinelswere sampled from the roster of eligible staff using a predetermined sampling rate for the agencyor following standards for targeted minimum sample sizes (e.g., at least one sentinel perfunctional unit and no fewer than two sentinels per agency). For each agency category,Table A–1 identifies the eligible units and eligible staff positions and gives the numbers ofeligible staff that were listed on rosters and sampled as sentinels in each category.A-6
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Fourth National Incidence Studyof C
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Fourth National Incidence Studyof C
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TABLE OF CONTENTSChapterPageEXECUTI
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ChapterPage5.1.2 Differences in Mal
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LIST OF TABLESTablePage2-1 NIS-4 60
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LIST OF FIGURESFigurePage2-1 Levels
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Figure5-265-275-286-16-26-36-46-56-
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EXECUTIVE SUMMARYThis executive sum
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In the NIS classifications, maltrea
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3. The National Incidence of Child
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(36%, or 302,600 children) were emo
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maltreatment outcomes—rates of ch
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details that would exclude legitima
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Grandparents as caregivers. The NIS
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males more often were abusers (62%
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maltreated children to enter CPS in
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with Harm Standard maltreatment and
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differences in maltreatment rates r
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1. INTRODUCTIONThis report presents
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Incorporating the TAG input, DHHS d
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• The NIS-4 Data Collection Repor
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these with the percentages that rec
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Rationale. Although CPS investigate
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eveal the maltreatment to persons i
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Figure 2-3.Schematic Summary of the
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CPS recruitment. In order to undupl
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format: the Sentinel data form desc
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3. Purposive and Avoidable Acts/Omi
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each child substantiated by CPS or
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2.6 Weighting and Estimation 14The
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the population. The estimated total
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2.8 Supplementary StudiesThe NIS pr
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3. INCIDENCE OF CHILD ABUSE AND NEG
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3.1.1 Overall Incidence of Harm Sta
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3.1.2 Incidence of Harm Standard Ab
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children represent 58% of all child
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From inadequate supervision to the
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3.1.5 Severity of Outcomes from Har
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interpreted as less serious than mo
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considered to be endangered by thei
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totals represent national incidence
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Changes since 1986 in the incidence
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The NIS-3 found significant increas
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Moderate harm. Moderate harm due to
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4. DISTRIBUTION OF ABUSE AND NEGLEC
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Sexual Abuse. Girls experienced Har
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Table 4-2. Sex Differences in Incid
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4.2 Age Differences in the Incidenc
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Figure 4-4.Age Differences in Incid
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graph shows, the incidence rate for
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4.2.2 Age Differences in Endangerme
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Physical abuse. The incidence of En
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Figure 4-11.Age Differences in the
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Figure 4-12.Percent Changes since t
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Endangered. Chapter 3 reported that
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significantly higher than that for
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Changes since the NIS-3 in Rates of
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Overall Endangerment Standard Maltr
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Changes since the NIS-3 in Rates of
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4.4.1 Differences in Harm Standard
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Table 4-6. Differences Related to C
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Thus, the incidence rate for childr
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Overall Harm Standard MaltreatmentS
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Table 4-8. Differences Related to C
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Endangerment Standard maltreatment,
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5.1 Differences in the Incidence of
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more than 2 times the rate for chil
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inferring that they were harmed. Th
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Specific Categories of Endangerment
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Endangered. The estimated incidence
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families. The incidence rate for ch
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Educational neglect. Children in fa
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The incidence rate of Endangerment
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Endangered. Children in families of
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Figure 5-1.Incidence of Harm Standa
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Figure 5-2.Incidence of Harm Standa
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higher, the rate for children whose
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maltreatment at a reliably higher r
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Figure 5-6.Percent Changes since NI
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5.3.2 Differences in the Incidence
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Specific Categories of Endangerment
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Figure 5-11.Incidence of Endangerme
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living with a single parent who had
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oth parents showed much smaller cha
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child’s primary caregiver, when t
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Table 5-6. Differences in Incidence
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in households with two children), a
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per 1,000). Also, the rate of moder
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two children, 1.7 times the rate fo
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Emotional abuse. The incidence of E
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Endangered. The estimated incidence
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Figure 5-23.Incidence of Harm Stand
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5.6.2 Differences in Endangerment S
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were 1.5 times more likely to be ph
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Moderate harm. Children residing in
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Second, because multiple persons so
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hierarchy comprises other adults kn
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Table 6-2 also reveals a marked dif
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with the fact that mothers tend to
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Table 6-4. Perpetrator's Sex by Sev
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perpetrator relationship, with the
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earlier (Chapter 4) and did not var
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perpetrator’s alcohol use was a f
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More of the moderately harmed child
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7. RECOGNIZING ABUSED AND NEGLECTED
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classification hierarchy. If more t
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neglected. That is, when school sen
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NIS-4 estimates and rates per 1,000
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largest contributor in this sector,
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schools and social services agencie
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maltreatment situations only to CPS
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that influence sentinels’ respons
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8.1 CPS Investigation of Abused and
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Figure 8-1.Changes in Rates of CPS
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Figure 8-2.CPS Investigation of Mal
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CPS investigated more than one-half
Page 238 and 239: Figure 8-6. CPS Investigation of Ch
Page 240 and 241: children recognized at shelters, al
Page 242 and 243: Figure 8-8.Changes in Rates of CPS
Page 244 and 245: Just as in the Harm Standard, the i
Page 246 and 247: Figure 8-11.Changes in Investigatio
Page 248 and 249: Figure 8-13.CPS Investigation of Ch
Page 250 and 251: maltreated children. With these chi
Page 252 and 253: during the extra month but were alr
Page 254 and 255: Figure 8-15.Uninvestigated Maltreat
Page 256 and 257: columns, providing the presumptive
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Page 260 and 261: Table 8-2 shows the actual and pres
Page 262 and 263: 8.4 Relationship between CPS Invest
Page 264 and 265: investigation rates were lower for
Page 266 and 267: Prioritizing recommended responses
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Page 270 and 271: columns, the educational neglect pe
Page 273 and 274: 9. CONCLUSIONS AND IMPLICATIONSThe
Page 275 and 276: sliding scales for the poorer child
Page 277 and 278: REFERENCESAhlbom, A., & Norell, S.
Page 279 and 280: Youth and Families, Administration
Page 281 and 282: U.S. Census Bureau. (2004). Current
Page 283 and 284: Appendix A Design and Methods Summa
Page 285 and 286: weighted the records (so the sample
Page 287: design. The measure of size was the
Page 291 and 292: CPS RECRUITMENT In order to develop
Page 293 and 294: SENTINEL AGENCY RECRUITMENT The sen
Page 295 and 296: Table A-2.NIS-4 Agency Participatio
Page 297 and 298: DATA COLLECTIONThe goals of the NIS
Page 299 and 300: Table A-5. Participating Sentinel A
Page 301 and 302: • The nature of harm (injuries to
Page 303 and 304: The evaluative coders recorded thes
Page 305 and 306: Table A-9. Agreement Rates for Over
Page 307 and 308: probability-based matching software
Page 309 and 310: WEIGHTING Sampling weights were dev
Page 311 and 312: eport the child to CPS, which in tu
Page 313 and 314: Table A-12. Topics Covered in the 4
Page 315 and 316: CPS SCREENING POLICIES STUDY (SPS)
Page 317 and 318: • 52 agencies provided their own
Page 319 and 320: SENTINEL DEFINITIONS SURVEY (SDS) T
Page 321 and 322: The first surveys were mailed in Ma
Page 323 and 324: TABLE B-1.CATEGORIES OF MALTREATMEN
Page 325 and 326: TABLE B-4.AGE BY CATEGORIES OF MALT
Page 327 and 328: TABLE B-4. (Continued)AGE CLASS = 1
Page 329 and 330: TABLE B-5. (Continued)RACE/ETHNICIT
Page 331 and 332: TABLE B-6. (Continued) NCHILDR = 4
Page 333 and 334: TABLE B-8.CHILDREN COUNTABLE UNDER
Page 335 and 336: TABLE B-8. (Continued)CLASS = NOT I
Page 337 and 338: TABLE B-10.FAMILY STRUCTURE AND PAR
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TABLE B-10. (Continued)FAMILY STRUC
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TABLE B-11. (Continued)FAMILY STRUC
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TABLE B-13. (Continued)PARENTS' EMP
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Appendix C Endangerment Standard Es
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TABLE C-3.SEX BY CATEGORIES OF MALT
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TABLE C-4. (Continued)AGE CLASS = 6
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TABLE C-5.RACE/ETHNICITY BY CATEGOR
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TABLE C-6. (Continued)NCHILDR = 2 C
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TABLE C-7. (Continued)METROSTATUS =
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TABLE C-8. (Continued)CLASS = INVES
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TABLE C-9.PROPORTION OF ENDANGERMEN
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TABLE C-10. (Continued)FAMILY STRUC
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TABLE C-11.FAMILY STRUCTURE BY CATE
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TABLE C-12. (Continued)SOCIOECONOMI
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TABLE C-14.GRANDPARENTS AS CAREGIVE
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APPENDIX DWITHIN STUDY ANALYSES Thi
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Table D-3. T-statistics for age dif
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Table D-3. ContinuedAge 6-8 vs 9-11
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Table D-4. ContinuedAge 0-2 vs 12-1
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Table D-4 ContinuedAge 9-11 vs 12-1
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Table D-6. T-statistics for racial/
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Table D-8. T-statistics for parent'
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Table D-11. T-statistics for family
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Table D-11. ContinuedUnmarried Pare
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Table D-12. ContinuedMarried Parent
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Table D-12. ContinuedSingle ParentW
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Table D-17. T-statistics for metros
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Table D-19. Chi-squared Results for
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APPENDIX E BETWEEN-STUDY ANALYSES T
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Table E-1a. T-statistics for compar
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Table E-3. Chi-squared tables for s
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Table E-3. (Continued)Emotional Neg
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Table E-4. (Continued)Sexual Abuse0
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Table E-4. (Continued)Severity, Mod
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Table E-5. (Continued)Physical Negl
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Table E-6. Chi-squared tables for p
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Table E-6. (Continued)Educational N
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Table E-7. Chi-squared tables for f
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Table E-7. (Continued)Emotional Neg
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Table E-8. (Continued)Sexual AbuseL
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Table E-8. (Continued)Severity, Mod
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Table E-9. (Continued)Emotional Abu
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Table E.9. (Continued)Severity, Inf
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Table E-10. (Continued)Emotional Ab
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Table E-10. (Continued)Severity, In
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Table E-17. T-statistics for Source
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Fourth National Incidence Study of Child Abuse and Neglect (NISâ4)