Child Protective Services

The New York Times brings word of a study with arresting findings published in the Archives of Pediatrics & Adolescent Medicine:

Researchers examined the records of 595 children nationwide, all at similar high risk for maltreatment, tracking them from ages 4 to 8. During those years, Child Protective Services investigated the families of 164 of these children for suspected abuse or neglect. The scientists then interviewed all the families four years later, comparing the investigated families with the 431 families that had not been investigated.

The scientists looked at several factors: social support, family functioning, poverty, caregiver education and depressive symptoms, and child anxiety, depression and aggressive behavior — all known to increase the risk for abuse or neglect. But they were unable to find any differences in the investigated families compared with the uninvestigated in any of these dimensions, except that maternal depressive symptoms were worse in households that had been visited. … They concluded that Child Protective Services investigations had little or no effect.

The researchers considered but rejected the possibility that the investigated households were inherently more dysfunctional than the comparison households but were improved enough by the investigations to achieve similar outcomes. Surprisingly or otherwise, though unable to find a positive effect, the researchers defend the continued existence of the investigation bureaus, contending that they must be doing some good. On the other hand, the pediatric journal, under the editorial headline of “Child Protective Services Has Outlived Its Usefulness,” suggests a shift toward greater reliance on nurses as opposed to investigators in cases where neglect is the issue, backed up by police in cases where treatment of children is actually criminal.

There is a possible money waste involved here, of course: Child Protective Services is a costly program, shaped by federal mandates. But any reckoning must include a less tangible cost: the devastating effects when parents are not in fact abusive or dangerous yet are put through investigations, or worse yet see their children taken away. Indeed, while it’s hard to deny that individual investigations can sometimes identify and help children in trouble, the difficulty of finding any overall effect suggests (if the study’s results are valid) that those successes may be canceled out by the instances in which investigation does harm — perhaps a bit more than canceled out, given that suggestive increase in “maternal depressive symptoms.”

For another angle on the harm investigative mistakes or zealotry can cause, here’s a Des Moines Register editorial:

Iowans are placed on the state’s child abuse registry because social workers determined they were a threat to children. Not a judge. Not a jury. Social workers who conduct abuse investigations. The accused abusers have limited time and opportunity to appeal the decision, and may wait more than a year to get their names removed if they can prove themselves innocent. If not, people remain on the registry for 10 years.

Tagged as: Child Protective Services, Iowa

{ 4 comments }