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

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strategy, additional follow-up questions asked how changes in key features of the base vignettewould affect the sentinel’s response; specifically, would their answers be different depending onwho the perpetrator was (not a parent but another adult left in charge of the child, or anadolescent left in charge, or another person not responsible for the child’s care) or would theiranswers differ depending on features such as the child’s age, the harm or injury that resulted,whether there was a history of similar events, the duration or frequency of the maltreatmentevent, or the family’s financial resources.Samples and method. The SDS included all 60 SPS vignettes. However, in orderto reduce respondent burden, the SDS used a factorial design in which each questionnaireincluded only a subset of 10 of the 60 vignettes. Thus, the 60 vignettes were divided into 6groups of 10 vignettes each. The allocation of vignettes across these subsets attempted todistribute examples of the major categories of maltreatment (physical, sexual and emotionalabuse, and physical, educational, and emotional neglect). Also, in order to minimize anyinfluence that unique combinations of vignettes might have, 4 different divisions of the 60vignettes were constructed. Thus, there were 24 unique versions of the questionnaire (4divisions of the set of 60 vignettes, with 6 groups of 10 vignettes in each division).Respondents for the SDS were actual sentinels who had participated in the NIS–4.They were eligible for the SDS if they had participated during the last two weeks of the NIS–4reference period and the sentinel sampling system included their name and address information.Survey questionnaires were mailed to all eligible sentinels in all agencies except schools.Because there were many more school sentinels (see the Samples section) and because thesecond reference period in spring 2006 ended just before the start of summer break, schoolsentinels were sampled from those eligible in the first reference period (fall 2005). Sentinelswere classified into the four main groups listed in Table A–13, which also gives the sample sizeof each group.To avoid any potential influence on sentinels’ submissions during the NIS–4 mainstudy, SDS questionnaires were mailed after the end of the sentinels’ reference period. Themailings ensured that the 24 questionnaire versions were evenly distributed across the 4 sentinelgroups. The instructions assured sentinels that, after they returned their completed questionnaire,their names and addresses would be destroyed, so their survey responses would be anonymous.Until then, their contact information was used to send follow-up mailings to those who had notyet responded. The initial mailing was followed by a series of follow-ups (a postcard reminder,another full mailing containing a paid Fed-Ex return envelope, and a final postcard reminder).A-37
The first surveys were mailed in March 2006 and nearly all returns were receipted by September2006, with only a few late arrivals.As shown in Table A–13, 41% of the sentinels responded, for a total of 2,455completed questionnaires. Response rates were similar across the four sentinel groups.Analyses will examine variations in responses to different types of maltreatment andwill identify differences across the sentinel groups. In addition, the data will be examined todetermine whether changing the perpetrator makes a difference and which factors, such as ageand harm, are most important to sentinels in deciding what to do about cases of suspected childmaltreatment.Table A–13. SDS Samples and Response RatesSentinel GroupSDS SampleCompletedSurveysResponse RateHealth (children’s hospitals, general hospitals,public health agencies) 929 405 44%Law Enforcement (sheriffs, county police,municipal police, juvenile probation agencies 939 395 42%School (teachers, administrators, counselors) 3,499 1389 40%Other (day care centers, shelters, public housing,social services, mental health services) 682 266 39%Total 6,049 2,455 41%A-38
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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
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Figure 8-6. CPS Investigation of Ch
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children recognized at shelters, al
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Figure 8-8.Changes in Rates of CPS
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Just as in the Harm Standard, the i
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Figure 8-11.Changes in Investigatio
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Figure 8-13.CPS Investigation of Ch
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maltreated children. With these chi
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during the extra month but were alr
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Figure 8-15.Uninvestigated Maltreat
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columns, providing the presumptive
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determining whether the child would
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Table 8-2 shows the actual and pres
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8.4 Relationship between CPS Invest
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investigation rates were lower for
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Prioritizing recommended responses
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maltreatment directly to CPS. Among
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 and 288: design. The measure of size was the
Page 289 and 290: optimal sample sizes from law enfor
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: SENTINEL DEFINITIONS SURVEY (SDS) T
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
Page 339 and 340: TABLE B-10. (Continued)FAMILY STRUC
Page 341 and 342: TABLE B-11. (Continued)FAMILY STRUC
Page 343 and 344: TABLE B-13. (Continued)PARENTS' EMP
Page 345 and 346: Appendix C Endangerment Standard Es
Page 347 and 348: TABLE C-3.SEX BY CATEGORIES OF MALT
Page 349 and 350: TABLE C-4. (Continued)AGE CLASS = 6
Page 351 and 352: TABLE C-5.RACE/ETHNICITY BY CATEGOR
Page 353 and 354: TABLE C-6. (Continued)NCHILDR = 2 C
Page 355 and 356: TABLE C-7. (Continued)METROSTATUS =
Page 357 and 358: TABLE C-8. (Continued)CLASS = INVES
Page 359 and 360: TABLE C-9.PROPORTION OF ENDANGERMEN
Page 361 and 362: TABLE C-10. (Continued)FAMILY STRUC
Page 363 and 364: TABLE C-11.FAMILY STRUCTURE BY CATE
Page 365 and 366: TABLE C-12. (Continued)SOCIOECONOMI
Page 367 and 368: TABLE C-14.GRANDPARENTS AS CAREGIVE
Page 369 and 370: 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)