Cumulative risk effect of household dysfunction for child maltreatment after intensive intervention of the child protection system in Japan: a longitudinal analysis
| Autor: | Ryoko Nakajima-Yamaguchi, Nobuaki Morita, Hirotsuna Ohashi, Yui Yamaoka, Yasukazu Ogai, Ichiro Wada |
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| Rok vydání: | 2018 |
| Předmět: |
Male
Domestic Violence Psychological intervention Poison control Suicide prevention Occupational safety and health 0302 clinical medicine Japan Risk Factors Temporary custody Medicine Child Abuse Longitudinal Studies Child Family Characteristics lcsh:Public aspects of medicine Incidence Mental Disorders 05 social sciences General Medicine Child maltreatment recurrence Substance abuse Child protection Caregivers Child Preschool Multi-type maltreatment Female Household dysfunction Mental health 050104 developmental & child psychology Research Article medicine.medical_specialty Adolescent Substance-Related Disorders 03 medical and health sciences 030225 pediatrics Humans 0501 psychology and cognitive sciences Psychiatry business.industry Child Protective Services Public Health Environmental and Occupational Health Infant lcsh:RA1-1270 medicine.disease Adverse childhood experience Intimate partner violence Domestic violence business |
| Zdroj: | Environmental Health and Preventive Medicine Environmental Health and Preventive Medicine, Vol 23, Iss 1, Pp 1-11 (2018) |
| ISSN: | 1347-4715 |
| Popis: | Background Building an effective casework system for child maltreatment is a global issue. We estimated the effect of household dysfunction (i.e., interparental violence, caregiver mental health problems, and caregiver substance abuse) on child maltreatment to understand how to advance the current framework of child welfare. Methods The sample comprised 759 children (1- to 17-year-old; mean age was 10.6; 404 boys and 355 girls) placed in temporary custody units (one of the strongest intervention of the Japanese child protection system). Caseworkers from 180 units across 43 prefectures completed questionnaires on children and their family and were asked whether a child maltreatment report had been made after cancelation of custody in a 15-month follow-up period. The relations of household dysfunction and maltreatment reports were assessed using the Cox proportional hazard model. Results About half (48.4%) of the children had been placed in the unit because of maltreatment, and 88.3% had a history of victimization. Seventy-six cases had maltreatment reports after cancelation. We entered household dysfunction variables individually into the model, and each had a significant relationship with maltreatment reports (hazard ratios for interparental violence, caregiver mental health problem, and substance abuse were 1.69, 1.69, and 2.19, respectively) after covariate adjustment. When treating these three variables as cumulative risk score model of household dysfunction, the hazard ratio increased with increasing number of score (1.96 for score two; 2.35 for score three; score 0 as reference). Conclusions Greater household dysfunction score is a risk of maltreatment after intensive intervention. It is imperative to construct systems facilitating cooperation between child and adult service sectors and to deliver seamless services to children and families. Our findings provide child protect services with risk-stratified interventions for children at victimization risk and promote adult-focused services to be proactive in prevention or intervention for adults with perpetration risk. Electronic supplementary material The online version of this article (10.1186/s12199-018-0703-6) contains supplementary material, which is available to authorized users. |
| Databáze: | OpenAIRE |
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