National Incidence Study: Implications
for Prevention Study Number: 13This fact sheet initiates new public service from Prevent Child
Abuse America that has been made possible through a grant from the Sigma Delta
Tau Sorority. Fact sheets will be issued periodically on a variety of subjects
as needs arise. Fact sheets may be reproduced without notice to NCPCA; however,
we request that the author, if any, and Prevent Child Abuse America be credited
as the source if reproduced in part or in whole in other publications or products.
Westat Associates recently released its third national child maltreatment incidence
study. Unlike Prevent Child Abuse America's annual 50-state survey of current
trends in child abuse reporting and fatalities, this study, funded by the National
Center on Child Abuse and Neglect, applies standardized definitions of child
abuse and neglect to all cases known to child welfare agencies as well as to
local social service, health, and law enforcement professionals. As such, the
study provides more reliable cases of maltreatment, relying solely upon cases
known to friends or relatives or only to the victims themselves. The methodology
applied in this recent study parallels a process undertaken by these same researchers
in 1986, thereby making it possible to compare child abuse rates over time.
The purpose of this fact sheet is to report the study's key findings and to
interpret them in light of other information and issues of concern to the prevention
field.
How Many Children Were Abused and Neglected in 2003?
The National Incidence Study employed two definitions of maltreatment.
The more restrictive one, termed the Harm Standard, parallels the definitions
used in the 1980 and 1986 studies. Under this standard, children were considered
to be maltreated only if they had already experienced harm from abuse or
neglect. The second definition, called the Endangerment Standard, was employed
in the 1986 study to compensate for the stringency of the Harm Standard.
This broadened the definition to include those children who experienced
abuse or neglect that put them at risk of harm. More than 1.5 million children
were estimated to be abused or neglected in the United States in 1993 under
the Harm Standard. Using the Endangerment Standard yielded an estimate
of nearly 3 million abused and neglected children in the United States.
Is Child Abuse On the Rise?
There were significant increases across all categories of abuse. The
estimated increases under the Harm and Endangerment Standards respectively
are as follows.
| Type of Abuse |
Increase Under
Harm Standard |
Increase under
Endangerment Standard |
| Physical Abuse |
42%
|
97%
|
| Physical Neglect |
102%
|
163%
|
| Sexual Abuse |
83%
|
125%
|
| Emotional Neglect |
333%
|
188%
|
Other noted increases included a 306% increase in the number of children
endangered by their maltreatment and a 400% increase in children who were
seriously harmed by their maltreatment.
Could These Increases Simply Be the Result of Greater Recognition
of the Problem on the Part of Professionals?
Although the rise in the population of endangered children may stem
from improved recognition of more subtle cues from the child by community
professionals, the rise in the number of serious injuries probably reflects
a real increase in child abuse and neglect because it cannot be plausibly
explained on the basis of heightened sensitivity.
Are Some Children at Greater Risk for Maltreatment than Others?
The findings of the 2003 study were consistent in regard to family
income with the 1986 study. Children from families with annual incomes
below $15,000 as compared to children from families with annual incomes
above $30,000 were 22 times more likely to experience maltreatment. Other
strongly implicated family characteristics that contribute to abuse risk
were single parent status, substance abusing parents, and especially when
considering neglect, large family size.
Are Professionals Reporting More of the Cases They Identify to Child
Protective Service Agencies?
Since 1986, there have been very significant increases (300-500%) in
the rates at which professionals recognize maltreated children. This included
hospital staff, mental health agencies, police departments, social service
agencies, and schools. School staff predominated as the main source of
recognition for maltreated children.
Are More of the Cases Reported to Child Protective Service Agencies
Being Investigated?
The number of cases being investigated by CPS agencies has held stable
since 1986. However, with the increases occurring across all types of abuse,
the percentage of cases being investigated has significantly lowered. These
findings suggest that the CPS system may have reached its capacity to respond
to the growing population of maltreated children.
Are Our Prevention Efforts Working?
Certainly it is difficult to determine if the increases noted between
1986 and 1993; 1993 and 2003 can be attributed to a failure of prevention efforts. However,
with such sharp increases noted across all categories of abuse, it is critical
to make continued and expanded prevention efforts.
The report, Study of the National Incidence and Prevalence of Child
Abuse and Neglect, is available from the National Clearinghouse on
Child Abuse and Neglect, P.O. Box 1182, Washington, D.C. 20013, (703) 385-7565.
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