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Caseworker assessment of child risk and functioning and their relation to service use in the child welfare system

Author

Listed:
  • Connell, Christian M.
  • Bory, Christopher T.
  • Huang, Cindy Y.
  • Genovese, Maegan
  • Caron, Colleen
  • Tebes, Jacob Kraemer

Abstract

Children within the child welfare system are more likely to experience emotional and behavioral problems than children not involved with the system. Many states have adopted standardized risk and assessment measures to inform decision-making on appropriate levels of care related to placement or service intensity for children within the system. This study examined the relationship of caseworker ratings of risk across multiple domains to youth functioning and service use for a sample of children open to the child welfare system. The study identified a stratified random sample of youth who were between the ages of five and 21 and open to the child welfare system (n = 184). Stratification was based on current placement (i.e., in-home, foster home, congregate care, and juvenile justice placements). Administrative data was used to access caseworker ratings of risk across child, parent, and family domains using a standardized risk assessment tool. Children's caseworkers (n = 103) completed a standardized measure of child functioning and reported on youth utilization of services across multiple sectors including specialty mental health, school-based, juvenile justice, and medical settings. Regression analyses using variance-corrected estimation for clustered data (by caseworker) revealed higher levels of child risk were associated with poorer child functioning, which, in turn, were associated with higher rates of multi-sector service use. Recommendations and future directions are discussed.

Suggested Citation

  • Connell, Christian M. & Bory, Christopher T. & Huang, Cindy Y. & Genovese, Maegan & Caron, Colleen & Tebes, Jacob Kraemer, 2019. "Caseworker assessment of child risk and functioning and their relation to service use in the child welfare system," Children and Youth Services Review, Elsevier, vol. 99(C), pages 81-86.
  • Handle: RePEc:eee:cysrev:v:99:y:2019:i:c:p:81-86
    DOI: 10.1016/j.childyouth.2019.01.027
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    References listed on IDEAS

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    1. Fluke, John D. & Oppenheim, Elizabeth, 2010. "Getting a grip on systems of care and child welfare using opposable thumbs," Evaluation and Program Planning, Elsevier, vol. 33(1), pages 41-44, February.
    2. Farmer, Elizabeth M.Z. & Mustillo, Sarah A. & Wagner, H. Ryan & Burns, Barbara J. & Kolko, David J. & Barth, Richard P. & Leslie, Laurel K., 2010. "Service use and multi-sector use for mental health problems by youth in contact with child welfare," Children and Youth Services Review, Elsevier, vol. 32(6), pages 815-821, June.
    3. Tebes, Jacob Kraemer & Bowler, Susan M. & Shah, Seema & Connell, Christian M. & Ross, Ellen & Simmons, Reginald & Tate, David & Chinman, Matthew Jacob & Kaufman, Joy S., 2005. "Service access and service system development in a children's behavioral health system of care," Evaluation and Program Planning, Elsevier, vol. 28(2), pages 151-160, May.
    4. Huang, Cindy Y. & Bory, Christopher T. & Caron, Colleen & Tebes, Jacob Kraemer & Connell, Christian M., 2014. "Relationship of risk assessment to placement characteristics in a statewide child welfare population," Children and Youth Services Review, Elsevier, vol. 46(C), pages 85-90.
    5. Raghavan, Ramesh & Leibowitz, Arleen A. & Andersen, Ronald M. & Zima, Bonnie T. & Schuster, Mark A. & Landsverk, John, 2006. "Effects of Medicaid managed care policies on mental health service use among a national probability sample of children in the child welfare system," Children and Youth Services Review, Elsevier, vol. 28(12), pages 1482-1496, December.
    6. Courtney, Mark E. & Yin-Ling Irene Wong, 1996. "Comparing the timing of exits from substitute care," Children and Youth Services Review, Elsevier, vol. 18(4-5), pages 307-334.
    7. Connell, Christian M. & Katz, Karol H. & Saunders, Leon & Tebes, Jacob Kraemer, 2006. "Leaving foster care--the influence of child and case characteristics on foster care exit rates," Children and Youth Services Review, Elsevier, vol. 28(7), pages 780-798, July.
    8. Fong, Hiu-fai & French, Benjamin & Rubin, David & Wood, Joanne N., 2015. "Mental health services for children and caregivers remaining at home after suspected maltreatment," Children and Youth Services Review, Elsevier, vol. 58(C), pages 50-59.
    9. Courtney, Mark E., 2000. "Managed care and child welfare services: What are the issues?," Children and Youth Services Review, Elsevier, vol. 22(2), pages 87-91, February.
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