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Provincial Forum on Improving Outcomes for Children, Youth & Families Edmonton, Alberta May 27 th , 2009. Using National and Provincial Data to Inform Outcomes for Child Welfare. Bruce MacLaurin Faculty of Social Work University of Calgary. Overview of Presentation.
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Provincial Forum on Improving Outcomes for Children, Youth & FamiliesEdmonton, AlbertaMay 27th, 2009 Using National and Provincial Data to Inform Outcomes for Child Welfare Bruce MacLaurin Faculty of Social Work University of Calgary
Overview of Presentation • Overview of the Canadian Incidence Study of Reported Child Abuse and Neglect (CIS-2003) methodology • Understanding the increase in child maltreatment in Canada between 1998 and 2003 • Review key findings of the Alberta Incidence Study of Reported Child Abuse and Neglect (AIS-2003) related to indicators of child welfare outcomes • Examine the relationship to the National Outcomes Indicator Matrix (NOM)
Canadian Incidence Study of Reported Child Abuse and Neglect (CIS-2003) • CIS-2003 Presentation Team: Nico Trocmé, Barbara Fallon, Bruce MacLaurin, Tara Black, Caroline Felstiner, Della Knoke & Catherine Roy
Second national study examining the incidence of reported child abuse and neglect. A national child health surveillance activity initiated by the Public Health Agency of Canada (PHAC), Injury and Child Maltreatment Section of the Health Surveillance and Epidemiology Division. A partnership with PHAC, provincial and territorial governments, the First Nations Child and Family Caring Society, and Bell Canada. Conducted by a team of researchers from the Universities of McGill, Toronto, Calgary, Quebec, and Memorial. CIS 2003 Background
Objectives of the CIS-2003 • produce national estimates of the incidence of investigated maltreatment in Canada in 2003; • document changes from 1998 to 2003 & explore reasons for the change; • examine variations in types and severity of maltreatment; • explore the role of selected child and family characteristics on the incidence of maltreatment and on key service outcomes.
Used a modified version of the CIS-1998 instrument to document nature of maltreatment, key child and family characteristics and post-investigation services. Data collected directly from investigating social workers (except administrative data used in Quebec). Sample: 11,562 child investigations conducted by 936 child welfare workers in 55 sites across Canada + administrative data on 2,638 investigations in 6 sites in Quebec. Limitations: Limited to reports investigated by child welfare services. Most data from Quebec could not be directly included. Study not designed to make regional comparisons. No follow-up beyond investigation CIS 2003 Methods
Rates and Numbers of Reported & Substantiated Investigations (CIS 2003, excluding Quebec) 45.68 / 1,000 children Unsubstantiated85,969 Suspected28,053 217,319 Substantiated103,297
Increasing Rates of Reports & Substantiated Investigations (CIS 98-03, excluding Quebec) 45.68/1000 86% ► 24.55/1000 47% substan-tiated 125% ► 39% substan-tiated
Rates of reports per child vs. per family (CIS 98-03, excluding Quebec) 86% ► 41%►
Differential Trends by Form of Substantiated Maltreatment: CIS 98/03 (excluding Quebec)
125% increase in incidence of substantiated maltreatment: Increase in substantiation rates. More siblings per family being investigated. Explosion of reports of emotional maltreatment and exposure to domestic violence. Summary Explanation of Increase in Investigations (CIS-1998-2003)
Alberta Incidence Study of Reported Child Abuse and Neglect (AIS-2003) • AIS-2003 Presentation Team: Bruce MacLaurin, Nico Trocmé, Barbara Fallon, Megan McCormack & Lisa Pitman
Physical Harm Noted For Cases of Substantiated Maltreatment (AIS-2003) 4% of Substantiated Child Maltreatment Investigations Indicate Serious Physical Harm Requiring Medical Treatment
Recurrence of Maltreatment For Cases of Substantiated Maltreatment (AIS-2003) 68% of Substantiated Maltreatment Investigations Have Previous Involvement with ACYS
Placement in Care for Cases of Substantiated Maltreatment (AIS-2003)
Child Functioning Issues for Cases of Substantiated Maltreatment (AIS-2003)
Caregiver Risk Factors For Cases of Substantiated Maltreatment (AIS-2003)
Household Risk Factors in Cases of Substantiated Maltreatment (AIS-2003)
Placement of Aboriginal and non-Aboriginal Children for Substantiated Cases (AIS-2003)
National Child Welfare Outcomes Indicator Matrix (NOM) Family & Community Support Permanence Well-Being Safety 8 Parenting Risks9 Family Moves & 10 Ethno-cultural Placement Matching 5 Placement6 Moves in care & 7 Time in care 3 School delay4 Child Functioning 1 Recurrence2 Injury Trocme, MacLaurin, Fallon, Shlonsky, Mulcahy & Esposito (2009)
Bruce MacLaurin Assistant Professor Faculty of Social Work University of Calgary Tel: (403) 220-4698 Email: bmaclaur@ucalgary.ca Contact Information