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Gnanamanickam ES, Segal L. Receipt of parenting, disability, unemployment, and other income support payments in persons aged 16 to 33 years - the associations with child maltreatment. CHILD ABUSE & NEGLECT 2024; 154:106925. [PMID: 38996579 DOI: 10.1016/j.chiabu.2024.106925] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/19/2024] [Revised: 06/20/2024] [Accepted: 06/25/2024] [Indexed: 07/14/2024]
Abstract
BACKGROUND Child maltreatment (CM) is a major public health concern with life-long effects. Its impact on income support has rarely been studied. OBJECTIVE To examine the association between CM and receipt of income support payments and the budgetary impact for persons 16 to 33 years. PARTICIPANTS AND SETTING A South Australian birth cohort, born 1986 to 2004 (n = 339,411). METHODS We linked child protection (CP) administrative records with national welfare payment records, ending March 2020. Receipt of income support payments and mean payment amounts were described by CP contact (adjusted for child and family attributes). Budget impact was modelled at the national level. RESULTS Adjusted odds ratio (AOR) for receipt of any income support payment was 3.01 (2.95-3.07) for individuals with any CP contact versus no CP contact. Among those receiving any payment, adjusted annualised mean benefit payment was $3754 (US$1446) among individuals with no CP contact, $6262 (US$4,307) in persons with any CP contact, and $9,747 in persons who'd been in OOHC. Cumulative payments modelled from age 16 to 33 years totalled $38,570 (US$26,652) for individuals with no CP contact, and $181,743 (US$125,003) for individuals who'd been in OOHC. Modelled for the Australian population to age 33, the extra cost associated with CP contact added 39 % to the government income support budget. CONCLUSION CM is strongly associated with receipt of income support payments. Investment in effective preventive and protective strategies for CP involved children could address this core social determinant of health, while providing budget savings.
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Affiliation(s)
| | - Leonie Segal
- Health Economics and Social Policy Group, University of South Australia, Adelaide, Australia
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Tzoumakis S, Whitten T, Laurens KR, Dean K, Harris F, Carr VJ, Green MJ. Levels of Involvement with Child Protection Services Associated with Early Adolescent Police Contact as a Victim and Person of Interest. JOURNAL OF INTERPERSONAL VIOLENCE 2024; 39:2708-2732. [PMID: 38254307 PMCID: PMC11071604 DOI: 10.1177/08862605231223468] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/24/2024]
Abstract
The relationship between childhood maltreatment and subsequent offending/victimization is well established. However, the magnitude of this relationship for different levels of child protection services (CPS) involvement is poorly understood, due to measurement issues, lack of longitudinal data, and reliance on reports of substantiated maltreatment, which can underestimate the impact of maltreatment. This study examined associations between CPS involvement during childhood (ages 0 to <11 years) and police services contact (as a victim and/or a person of interest) for criminal incidents in early adolescence (11 to ~14 years), differentiated according to levels of CPS involvement (i.e., no risk of significant harm [non-ROSH], unsubstantiated ROSH, substantiated ROSH, and out-of-home care; each examined relative to no CPS contact). Data for 71,465 children were drawn from the New South Wales Child Development Study, an intergenerational, longitudinal investigation that uses administrative records from CPS and police alongside other health, justice, and education data. Multinomial regression analyses were conducted to determine associations between increasing levels of CPS involvement and police contact as a victim only, a person of interest only, and as both victim and person of interest while accounting for covariates (i.e., child's sex, Aboriginal, and/or Torres Strait Islander background, socioeconomic status, maternal age at child's birth, and parental offending history). Children exposed to any of the four levels of CPS involvement had higher odds of police contact, relative to children with no CPS involvement. Odds ratios were higher for contact with police as both a victim and a person of interest, compared to police contact as a victim or a person of interest only. These findings highlight that children with even unsubstantiated CPS reports (i.e., non-ROSH and unsubstantiated ROSH reports) are at heightened risk of police contact compared to children who are unknown to CPS, underlining the need to support all families in contact with CPS.
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Affiliation(s)
- Stacy Tzoumakis
- School of Criminology and Criminal Justice, Griffith University, Southport, QLD, Australia
- Griffith Criminology Institute, Mt Gravatt, QLD, Australia
- Discipline of Psychiatry and Mental Health, University of New South Wales, Sydney, NSW, Australia
| | - Tyson Whitten
- Discipline of Psychiatry and Mental Health, University of New South Wales, Sydney, NSW, Australia
- Centre for Law and Justice, Charles Sturt University, Port Macquarie, NSW, Australia
| | - Kristin R. Laurens
- Discipline of Psychiatry and Mental Health, University of New South Wales, Sydney, NSW, Australia
- School of Psychology and Counselling, Queensland University of Technology, Brisbane, QLD, Australia
| | - Kimberlie Dean
- Discipline of Psychiatry and Mental Health, University of New South Wales, Sydney, NSW, Australia
- Justice Health and Forensic Mental Network, Matraville, NSW, Australia
| | - Felicity Harris
- Discipline of Psychiatry and Mental Health, University of New South Wales, Sydney, NSW, Australia
| | - Vaughan J. Carr
- Discipline of Psychiatry and Mental Health, University of New South Wales, Sydney, NSW, Australia
- Neuroscience Research Australia, Sydney, NSW, Australia
- Department of Psychiatry, Monash University, Melbourne, VIC, Australia
| | - Melissa J. Green
- Discipline of Psychiatry and Mental Health, University of New South Wales, Sydney, NSW, Australia
- Neuroscience Research Australia, Sydney, NSW, Australia
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Soltani A, Edward Harrison J, Ryder C, Flavel J, Watson A. Police and hospital data linkage for traffic injury surveillance: A systematic review. ACCIDENT; ANALYSIS AND PREVENTION 2024; 197:107426. [PMID: 38183692 DOI: 10.1016/j.aap.2023.107426] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/14/2023] [Revised: 12/07/2023] [Accepted: 12/12/2023] [Indexed: 01/08/2024]
Abstract
This systematic review examines studies of traffic injury that involved linkage of police crash data and hospital data and were published from 1994 to 2023 worldwide in English. Inclusion and exclusion criteria were the basis for selecting papers from PubMed, Web of Science, and Scopus, and for identifying additional relevant papers using PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) and supplementary snowballing (n = 60). The selected papers were reviewed in terms of research objectives, data items and sample size included, temporal and spatial coverage, linkage methods and software tools, as well as linkage rates and most significant findings. Many studies found that the number of clinically significant road injury cases was much higher according to hospital data than crash data. Under-estimation of cases in crash data differs by road user type, pedestrian cases commonly being highly under-counted. A limited number of the papers were from low- and middle-income countries. The papers reviewed lack consistency in what was reported and how, which limited comparability.
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Affiliation(s)
- Ali Soltani
- Injury Studies, FHMRI, Bedford Park, Flinders University, SA 5042, Australia; Urban Planning Department, Shiraz University, Shiraz, Iran.
| | | | - Courtney Ryder
- Injury Studies, FHMRI, Bedford Park, Flinders University, SA 5042, Australia; George Institute for Global Health, Newtown, NSW 2042, Australia; School of Population Health, UNSW, Kensington, NSW 2052, Australia.
| | - Joanne Flavel
- Injury Studies, FHMRI, Bedford Park, Flinders University, SA 5042, Australia; Stretton Institute, University of Adelaide, SA 5005, Australia.
| | - Angela Watson
- The Australian Centre for Health Services Innovation (AusHSI), Queensland University of Technology, Qld 4000, Australia; School of Public Health & Social Work, Queensland University of Technology, Qld 4000, Australia.
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McKenzie EF, Thompson CM, Hurren E, Tzoumakis S, Stewart A. Intergenerational (Dis)continuity of Child Maltreatment: Variation by Parents' Childhood Victimization Experiences and Sex. CHILD MALTREATMENT 2024; 29:24-36. [PMID: 36418194 DOI: 10.1177/10775595221138551] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/16/2023]
Abstract
This longitudinal population-based study examines the association between maltreatment victimization experiences and the likelihood of intergenerational (dis)continuity of maltreatment. Our data include all individuals born in 1983/1984 in Queensland (QLD), Australia who are registered as parents via birth records and who experienced system contacts for maltreatment victimization in childhood (n = 2906). Child safety data on system contacts as a child victim and person responsible for harm to a child were obtained from the Department of Children, Youth Justice and Multicultural Affairs. Out-of-home care experiences and maltreatment frequency, timing, and type were examined. Results indicated that childhood maltreatment experiences significantly differed between parents who were not subsequently responsible for harm to a child (cycle breakers) and parents who were subsequently responsible for harm to a child (cycle maintainers). Different patterns of association were observed across sex. These findings highlight the importance of recognizing the heterogeneity of victim maltreatment experiences and associated risk of maltreatment for their children, and can inform effective and targeted interventions by tailoring these by sex and developmental period.
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Affiliation(s)
- Emma F McKenzie
- School of Criminology and Criminal Justice, Griffith University, Brisbane, QLD, Australia
- Griffith Criminology Institute, Griffith University, Brisbane, QLD, Australia
| | - Carleen M Thompson
- School of Criminology and Criminal Justice, Griffith University, Brisbane, QLD, Australia
- Griffith Criminology Institute, Griffith University, Brisbane, QLD, Australia
| | - Emily Hurren
- School of Criminology and Criminal Justice, Griffith University, Brisbane, QLD, Australia
- Griffith Criminology Institute, Griffith University, Brisbane, QLD, Australia
| | - Stacy Tzoumakis
- School of Criminology and Criminal Justice, Griffith University, Brisbane, QLD, Australia
- Griffith Criminology Institute, Griffith University, Brisbane, QLD, Australia
| | - Anna Stewart
- School of Criminology and Criminal Justice, Griffith University, Brisbane, QLD, Australia
- Griffith Criminology Institute, Griffith University, Brisbane, QLD, Australia
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Fazel M, Soneson E. Current evidence and opportunities in child and adolescent public mental health: a research review. J Child Psychol Psychiatry 2023; 64:1699-1719. [PMID: 37771261 DOI: 10.1111/jcpp.13889] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 08/22/2023] [Indexed: 09/30/2023]
Abstract
BACKGROUND A public mental health lens is increasingly required to better understand the complex and multifactorial influences of interpersonal, community and institutional systems on the mental health of children and adolescents. METHODS This research review (1) provides an overview of public mental health and proposes a new interactional schema that can guide research and practice, (2) summarises recent evidence on public mental health interventions for children and adolescents, (3) highlights current challenges for this population that might benefit from additional attention and (4) discusses methodological and conceptual hurdles and proposes potential solutions. RESULTS In our evidence review, a broad range of universal, selective and indicated interventions with a variety of targets, mechanisms and settings were identified, some of which (most notably parenting programmes and various school-based interventions) have demonstrated small-to-modest positive effects. Few, however, have achieved sustained mental health improvements. CONCLUSIONS There is an opportunity to re-think how public mental health interventions are designed, evaluated and implemented. Deliberate design, encompassing careful consideration of the aims and population-level impacts of interventions, complemented by measurement that embraces complexity through more in-depth characterisation, or 'phenotyping', of interpersonal and environmental elements is needed. Opportunities to improve child and adolescent mental health outcomes are gaining unprecedented momentum. Innovative new methodology, heightened public awareness, institutional interest and supportive funding can enable enhanced study of public mental health that does not shy away from complexity.
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Affiliation(s)
- Mina Fazel
- Department of Psychiatry, University of Oxford, Oxford, UK
| | - Emma Soneson
- Department of Psychiatry, University of Oxford, Oxford, UK
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Haider K, Kaltschik S, Amon M, Pieh C. Why Are Child and Youth Welfare Support Services Initiated? A First-Time Analysis of Administrative Data on Child and Youth Welfare Services in Austria. CHILDREN (BASEL, SWITZERLAND) 2023; 10:1376. [PMID: 37628375 PMCID: PMC10453160 DOI: 10.3390/children10081376] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/05/2023] [Revised: 07/31/2023] [Accepted: 08/09/2023] [Indexed: 08/27/2023]
Abstract
Even if numerous children and young people are looked after by child and youth welfare, there are only a few scientific studies on the reasons for this support. The aim of this retrospective descriptive study was to examine the reasons why child and youth welfare was initiated. Therefore, administrative data, collected by the Lower Austrian Child and Youth Welfare Service, from the year 2021 will be presented. On the one hand, the frequencies of the different justifications provided by the social workers and, on the other hand, whether these are primarily based on problems of the parents/caregivers or the children are reported. In 2021, a total of 7760 clarifications of child welfare endangerments were initiated. The descriptive statistical analyses showed that the most frequent concerns were parental overload (49%), behavioral issues (10%), and difficult economic conditions (9%). Although a classification according to the caregiver or child level cannot always be clearly distinguished, there is a trend that in many cases (84% to 99% depending on the type of support) the problems lie at the caregiver level. Further studies are necessary so that the care of such vulnerable groups of people will be better supported by scientific findings.
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Affiliation(s)
- Katja Haider
- Department of Psychosomatic Medicine and Psychotherapy, University for Continuing Education Krems, 3500 Krems, Austria (M.A.); (C.P.)
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