Rates of Emotional Disturbance Among Children in Foster Care: Comparing Federal Child Welfare Data and Medicaid Records in Two States.

IF 4.5 2区社会学 Q1 FAMILY STUDIES

Child Maltreatment Pub Date : 2024-02-01 Epub Date: 2022-08-11 DOI:10.1177/10775595221118931

Lindsey Palmer, Sarah Font, Toria Herd, John Prindle, Emily Putnam-Hornstein

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Abstract

The purpose of this study is to estimate the rate of emotional disturbance (ED) among children in foster care and assess the validity of the national foster care census data (AFCARS) measure of ED. This study used linked child protection and Medicaid records from 2014 and 2015, for the states of California and Wisconsin, as well as data from AFCARS, a federal population census of children in foster care which states are mandated to contribute to. ED is defined by AFCARS and includes an array of mental and behavioral health diagnoses. According to AFCARS, 13% of CA children in foster care and 15% of WI children in foster care had an ED, whereas Medicaid claims produce rates of 45% and 48%, respectively. Rates of ED among children in congregate care were underestimated by 43-46 percentage points, with substantial proportions having diagnoses of disruptive behavioral disorders. Despite the AFCARS ED measure being cited in congressional testimonies and its wide use in research, results from this study suggest that the AFCARS ED estimates are an unreliable metric for use in research, policy, or practice.

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寄养儿童的情感障碍率：比较两个州的联邦儿童福利数据和医疗补助记录。

本研究的目的是估算寄养儿童中的情绪障碍（ED）发生率，并评估全国寄养普查数据（AFCARS）衡量 ED 的有效性。本研究使用了加利福尼亚州和威斯康星州 2014 年和 2015 年的儿童保护和医疗补助（Medicaid）关联记录，以及 AFCARS 的数据。根据 AFCARS 的定义，ED 包括一系列精神和行为健康诊断。根据 AFCARS 的数据，13% 的加利福尼亚州寄养儿童和 15%的威斯康星州寄养儿童患有 ED，而医疗补助计划的报销率分别为 45% 和 48%。在集中照料的儿童中，ED 的比率被低估了 43-46 个百分点，其中很大一部分被诊断为破坏性行为障碍。尽管 AFCARS ED 指标在国会证词中被引用，并在研究中被广泛使用，但本研究的结果表明，AFCARS ED 估计值在研究、政策或实践中是一个不可靠的指标。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Child Maltreatment Multiple-

CiteScore

6.80

自引率

7.80%

发文量

期刊介绍： Child Maltreatment is the official journal of the American Professional Society on the Abuse of Children (APSAC), the nation"s largest interdisciplinary child maltreatment professional organization. Child Maltreatment"s object is to foster professional excellence in the field of child abuse and neglect by reporting current and at-issue scientific information and technical innovations in a form immediately useful to practitioners and researchers from mental health, child protection, law, law enforcement, medicine, nursing, and allied disciplines. Child Maltreatment emphasizes perspectives with a rigorous scientific base that are relevant to policy, practice, and research.