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

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An estimated 2,905,800 children experienced some form of EndangermentStandard maltreatment during the 2005–2006 study year. This corresponds to anincidence rate of 39.5 children per 1,000, which is equivalent to about 4 children per 100,or one child in 25 in the general U.S. child population.Comparison with the Harm Standard estimate of all maltreatedchildren. The Endangerment Standard included an additional 1,649,200 maltreatedchildren, beyond those who were countable under the Harm Standard. TheEndangerment Standard estimate of the maltreated population of 2,905,800 (or 39.5 per1,000) is 131% higher than the Harm Standard estimate of 1,256,600 (or 17.1 per 1,000).An alternative way of viewing this is to note that Harm Standard children represent 43%of the Endangerment Standard estimate of all maltreated children.Changes since 1986 in the incidence of Endangerment Standardmaltreatment. The right-hand section in Table 3–3 reveals that the NIS–4 estimate ofEndangerment Standard maltreatment is not significantly different from the NIS–3 level,but is significantly higher than the NIS–2 level. In fact, the total number of children whoexperienced Endangerment Standard abuse or neglect more than doubled since the NIS–2(from 1,424,400 in 1986 to 2,905,800 in 2005–2006), while the incidence rate increasedby 75% (from 22.6 to 39.5 children per 1,000). This rise in the incidence means that achild had one and three-quarters times greater risk of experiencing EndangermentStandard abuse or neglect in 2005–2006 than in 1986.3.2.2 Incidence of Endangerment Standard Abuse and NeglectTable 3–3 also gives estimates for children who were abused or neglected.As with the Harm Standard, the Endangerment Standard abuse estimate includesphysical, sexual, and emotional abuse and the Endangerment Standard neglect estimateincludes physical, emotional, and educational neglect. However, the EndangermentStandard neglect estimate also includes forms of neglect that are not countable under theHarm Standard, such as lack of preventive health care, unspecified neglect allegations,and child support problems.An estimated 835,000 children experienced Endangerment Standard abuseand an estimated 2,251,600 children suffered Endangerment Standard neglect. These3–16
totals represent national incidence rates of 11.3 abused children per 1,000 and 30.6neglected children per 1,000. The majority of children maltreated under theEndangerment Standard (77%) were neglected, whereas less than one-third (29%) wereabused. Again, children who were both abused and neglected are included in bothcategories, so these estimates sum to more than the total number of maltreated children.Comparison with the Harm Standard abuse and neglect estimates. TheEndangerment Standard abuse estimate is 51% higher than the Harm Standard abuseestimate, while the Endangerment Standard neglect estimate is 192% higher than theHarm Standard neglect estimate. The less stringent Endangerment Standard requirementsbrought substantially more children into the neglect estimates (an additional 1,479,900children) than into the abuse estimates (where the more lenient standard added 281,700children). This pattern was also true in the NIS–2 and the NIS–3. In the NIS–3, HarmStandard children accounted for 61% of the Endangerment Standard abuse total, and 45%of the Endangerment Standard neglect total. In the NIS–2, Harm Standard childrenrepresented 86% of the Endangerment Standard abuse total, and 52% of theEndangerment Standard neglect total.Changes since 1986 in the incidence of Endangerment Standard abuseand neglect. Endangerment Standard abuse decreased significantly since 1993. Thetotal number of children who experienced Endangerment Standard abuse decreased by32% and the rate per 1,000 children in the population decreased by 38%. Although theNIS–4 estimate of the incidence of Endangerment Standard neglect appears slightlyhigher than the NIS–3 estimate for 1993, the rates do not differ statistically.The incidence of both Endangerment Standard abuse and neglect increasedbetween the NIS–2 and the NIS–3. Despite the recent decrease between the NIS–3 andthe NIS–4 in the incidence of Endangerment Standard abuse, the NIS–4 rate for thiscategory is still 20% higher than it was in 1986 at the time of the NIS–2. This is astatistically marginal difference. Also, because the rate of Endangerment Standardneglect has shown no discernable change since 1993, it remains significantly higher thanit was in 1986. Specifically, children’s risk of Endangerment Standard neglect in 2005–2006 is more than double its 1986 level (i.e., it is 110% higher than the earlier rate).3–17
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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%
Page 31 and 32: maltreated children to enter CPS in
Page 33 and 34: with Harm Standard maltreatment and
Page 35 and 36: differences in maltreatment rates r
Page 37 and 38: 1. INTRODUCTIONThis report presents
Page 39 and 40: Incorporating the TAG input, DHHS d
Page 41 and 42: • The NIS-4 Data Collection Repor
Page 43: these with the percentages that rec
Page 46 and 47: Rationale. Although CPS investigate
Page 48 and 49: eveal the maltreatment to persons i
Page 50 and 51: Figure 2-3.Schematic Summary of the
Page 52 and 53: CPS recruitment. In order to undupl
Page 54 and 55: format: the Sentinel data form desc
Page 56 and 57: 3. Purposive and Avoidable Acts/Omi
Page 58 and 59: each child substantiated by CPS or
Page 60 and 61: 2.6 Weighting and Estimation 14The
Page 62 and 63: the population. The estimated total
Page 64 and 65: 2.8 Supplementary StudiesThe NIS pr
Page 67 and 68: 3. INCIDENCE OF CHILD ABUSE AND NEG
Page 69 and 70: 3.1.1 Overall Incidence of Harm Sta
Page 71 and 72: 3.1.2 Incidence of Harm Standard Ab
Page 73 and 74: children represent 58% of all child
Page 75 and 76: From inadequate supervision to the
Page 77 and 78: 3.1.5 Severity of Outcomes from Har
Page 79 and 80: interpreted as less serious than mo
Page 81: considered to be endangered by thei
Page 85 and 86: Changes since 1986 in the incidence
Page 87 and 88: The NIS-3 found significant increas
Page 89 and 90: Moderate harm. Moderate harm due to
Page 91 and 92: 4. DISTRIBUTION OF ABUSE AND NEGLEC
Page 93 and 94: Sexual Abuse. Girls experienced Har
Page 95 and 96: Table 4-2. Sex Differences in Incid
Page 97 and 98: 4.2 Age Differences in the Incidenc
Page 99 and 100: Figure 4-4.Age Differences in Incid
Page 101 and 102: graph shows, the incidence rate for
Page 103 and 104: 4.2.2 Age Differences in Endangerme
Page 105 and 106: Physical abuse. The incidence of En
Page 107 and 108: Figure 4-11.Age Differences in the
Page 109 and 110: Figure 4-12.Percent Changes since t
Page 111 and 112: Endangered. Chapter 3 reported that
Page 113 and 114: significantly higher than that for
Page 115 and 116: Changes since the NIS-3 in Rates of
Page 117 and 118: Overall Endangerment Standard Maltr
Page 119 and 120: Changes since the NIS-3 in Rates of
Page 121 and 122: 4.4.1 Differences in Harm Standard
Page 123 and 124: Table 4-6. Differences Related to C
Page 125 and 126: Thus, the incidence rate for childr
Page 127 and 128: Overall Harm Standard MaltreatmentS
Page 129 and 130: Table 4-8. Differences Related to C
Page 131: 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
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columns, the educational neglect pe
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9. CONCLUSIONS AND IMPLICATIONSThe
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sliding scales for the poorer child
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REFERENCESAhlbom, A., & Norell, S.
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Youth and Families, Administration
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U.S. Census Bureau. (2004). Current
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Appendix A Design and Methods Summa
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weighted the records (so the sample
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design. The measure of size was the
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optimal sample sizes from law enfor
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CPS RECRUITMENT In order to develop
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SENTINEL AGENCY RECRUITMENT The sen
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Table A-2.NIS-4 Agency Participatio
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DATA COLLECTIONThe goals of the NIS
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Table A-5. Participating Sentinel A
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• The nature of harm (injuries to
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The evaluative coders recorded thes
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Table A-9. Agreement Rates for Over
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probability-based matching software
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WEIGHTING Sampling weights were dev
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eport the child to CPS, which in tu
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Table A-12. Topics Covered in the 4
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CPS SCREENING POLICIES STUDY (SPS)
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• 52 agencies provided their own
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SENTINEL DEFINITIONS SURVEY (SDS) T
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The first surveys were mailed in Ma
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TABLE B-1.CATEGORIES OF MALTREATMEN
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TABLE B-4.AGE BY CATEGORIES OF MALT
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TABLE B-4. (Continued)AGE CLASS = 1
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TABLE B-5. (Continued)RACE/ETHNICIT
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TABLE B-6. (Continued) NCHILDR = 4
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TABLE B-8.CHILDREN COUNTABLE UNDER
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TABLE B-8. (Continued)CLASS = NOT I
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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)