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National Incidence Study:
Implications for Prevention
Study Number: 13

This 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 1993?
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 1993 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 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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