Cumulative risk effect of household dysfunction for child maltreatment after intensive intervention of the child protection system in Japan: a longitudinal analysis
Abstract Background Building an effective casework system for child maltreatment is a global issue. We estimated the effect of household dysfunction (i.e., interparental violence, caregiver mental health problems, and caregiver substance abuse) on child maltreatment to understand how to advance the...
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| Format: | Article |
| Language: | English |
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Komiyama Printing Co. Ltd
2018-04-01
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| Series: | Environmental Health and Preventive Medicine |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s12199-018-0703-6 |
| _version_ | 1818014712323899392 |
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| author | Hirotsuna Ohashi Ichiro Wada Yui Yamaoka Ryoko Nakajima-Yamaguchi Yasukazu Ogai Nobuaki Morita |
| author_facet | Hirotsuna Ohashi Ichiro Wada Yui Yamaoka Ryoko Nakajima-Yamaguchi Yasukazu Ogai Nobuaki Morita |
| author_sort | Hirotsuna Ohashi |
| collection | DOAJ |
| description | Abstract Background Building an effective casework system for child maltreatment is a global issue. We estimated the effect of household dysfunction (i.e., interparental violence, caregiver mental health problems, and caregiver substance abuse) on child maltreatment to understand how to advance the current framework of child welfare. Methods The sample comprised 759 children (1- to 17-year-old; mean age was 10.6; 404 boys and 355 girls) placed in temporary custody units (one of the strongest intervention of the Japanese child protection system). Caseworkers from 180 units across 43 prefectures completed questionnaires on children and their family and were asked whether a child maltreatment report had been made after cancelation of custody in a 15-month follow-up period. The relations of household dysfunction and maltreatment reports were assessed using the Cox proportional hazard model. Results About half (48.4%) of the children had been placed in the unit because of maltreatment, and 88.3% had a history of victimization. Seventy-six cases had maltreatment reports after cancelation. We entered household dysfunction variables individually into the model, and each had a significant relationship with maltreatment reports (hazard ratios for interparental violence, caregiver mental health problem, and substance abuse were 1.69, 1.69, and 2.19, respectively) after covariate adjustment. When treating these three variables as cumulative risk score model of household dysfunction, the hazard ratio increased with increasing number of score (1.96 for score two; 2.35 for score three; score 0 as reference). Conclusions Greater household dysfunction score is a risk of maltreatment after intensive intervention. It is imperative to construct systems facilitating cooperation between child and adult service sectors and to deliver seamless services to children and families. Our findings provide child protect services with risk-stratified interventions for children at victimization risk and promote adult-focused services to be proactive in prevention or intervention for adults with perpetration risk. |
| first_indexed | 2024-04-14T06:47:50Z |
| format | Article |
| id | doaj.art-cd5ea094bdd945bab7ba8fb40652256d |
| institution | Directory Open Access Journal |
| issn | 1342-078X 1347-4715 |
| language | English |
| last_indexed | 2024-04-14T06:47:50Z |
| publishDate | 2018-04-01 |
| publisher | Komiyama Printing Co. Ltd |
| record_format | Article |
| series | Environmental Health and Preventive Medicine |
| spelling | doaj.art-cd5ea094bdd945bab7ba8fb40652256d2022-12-22T02:07:07ZengKomiyama Printing Co. LtdEnvironmental Health and Preventive Medicine1342-078X1347-47152018-04-0123111110.1186/s12199-018-0703-6Cumulative risk effect of household dysfunction for child maltreatment after intensive intervention of the child protection system in Japan: a longitudinal analysisHirotsuna Ohashi0Ichiro Wada1Yui Yamaoka2Ryoko Nakajima-Yamaguchi3Yasukazu Ogai4Nobuaki Morita5Department of Social Psychiatry and Mental Health, Faculty of Medicine, Graduate School of Comprehensive Human Sciences, University of TsukubaDepartment of Social Welfare, Hanazono UniversityDepartment of Health Service Research, Faculty of Medicine, University of TsukubaDepartment of Social Psychiatry and Mental Health, Faculty of Medicine, University of TsukubaDepartment of Social Psychiatry and Mental Health, Faculty of Medicine, University of TsukubaDepartment of Social Psychiatry and Mental Health, Faculty of Medicine, University of TsukubaAbstract Background Building an effective casework system for child maltreatment is a global issue. We estimated the effect of household dysfunction (i.e., interparental violence, caregiver mental health problems, and caregiver substance abuse) on child maltreatment to understand how to advance the current framework of child welfare. Methods The sample comprised 759 children (1- to 17-year-old; mean age was 10.6; 404 boys and 355 girls) placed in temporary custody units (one of the strongest intervention of the Japanese child protection system). Caseworkers from 180 units across 43 prefectures completed questionnaires on children and their family and were asked whether a child maltreatment report had been made after cancelation of custody in a 15-month follow-up period. The relations of household dysfunction and maltreatment reports were assessed using the Cox proportional hazard model. Results About half (48.4%) of the children had been placed in the unit because of maltreatment, and 88.3% had a history of victimization. Seventy-six cases had maltreatment reports after cancelation. We entered household dysfunction variables individually into the model, and each had a significant relationship with maltreatment reports (hazard ratios for interparental violence, caregiver mental health problem, and substance abuse were 1.69, 1.69, and 2.19, respectively) after covariate adjustment. When treating these three variables as cumulative risk score model of household dysfunction, the hazard ratio increased with increasing number of score (1.96 for score two; 2.35 for score three; score 0 as reference). Conclusions Greater household dysfunction score is a risk of maltreatment after intensive intervention. It is imperative to construct systems facilitating cooperation between child and adult service sectors and to deliver seamless services to children and families. Our findings provide child protect services with risk-stratified interventions for children at victimization risk and promote adult-focused services to be proactive in prevention or intervention for adults with perpetration risk.http://link.springer.com/article/10.1186/s12199-018-0703-6Household dysfunctionTemporary custodyChild maltreatment recurrenceIntimate partner violenceSubstance abuseMental health |
| spellingShingle | Hirotsuna Ohashi Ichiro Wada Yui Yamaoka Ryoko Nakajima-Yamaguchi Yasukazu Ogai Nobuaki Morita Cumulative risk effect of household dysfunction for child maltreatment after intensive intervention of the child protection system in Japan: a longitudinal analysis Environmental Health and Preventive Medicine Household dysfunction Temporary custody Child maltreatment recurrence Intimate partner violence Substance abuse Mental health |
| title | Cumulative risk effect of household dysfunction for child maltreatment after intensive intervention of the child protection system in Japan: a longitudinal analysis |
| title_full | Cumulative risk effect of household dysfunction for child maltreatment after intensive intervention of the child protection system in Japan: a longitudinal analysis |
| title_fullStr | Cumulative risk effect of household dysfunction for child maltreatment after intensive intervention of the child protection system in Japan: a longitudinal analysis |
| title_full_unstemmed | Cumulative risk effect of household dysfunction for child maltreatment after intensive intervention of the child protection system in Japan: a longitudinal analysis |
| title_short | Cumulative risk effect of household dysfunction for child maltreatment after intensive intervention of the child protection system in Japan: a longitudinal analysis |
| title_sort | cumulative risk effect of household dysfunction for child maltreatment after intensive intervention of the child protection system in japan a longitudinal analysis |
| topic | Household dysfunction Temporary custody Child maltreatment recurrence Intimate partner violence Substance abuse Mental health |
| url | http://link.springer.com/article/10.1186/s12199-018-0703-6 |
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