Alternative responses to child protective services: emerging issues and concerns

Child Abuse Negl. 2000 Mar;24(3):375-88. doi: 10.1016/s0145-2134(99)00151-9.

Abstract

Problem: Increased calls to "do something" about child protective services (CPS) have resulted in proposals or new "paradigms" for services to at-risk or abusive families. These new paradigms call for the reform or revamping of CPS through the development of a community-based alternative response to some reports of child abuse and/or neglect.

Method: This article reports on outcomes for 1,263 "low" risk CPS referrals diverted to a community-based alternative response system. Data on child, family, and case characteristics and services provided are presented as well as outcomes associated with re-referral and placement post service provision.

Results: The risk level and severity of some of the referrals to alternative response systems seems inappropriately high. The rates of re-referral were similar for families who did or did not engage in assessment services, and were highest for families where domestic violence was present.

Conclusions: Criteria for diversion to community alternatives to CPS must be clearly articulated and applied. Both CPS and alternative response system workers must have the skills required to address a family's recognition of the problem and degree of motivation to engage in problem resolution, and to understand their relationship to continued risk of CA/N.

MeSH terms

  • Adult
  • Child
  • Child Abuse / legislation & jurisprudence
  • Child Abuse / prevention & control*
  • Child Welfare / legislation & jurisprudence*
  • Family Relations
  • Female
  • Humans
  • Male
  • Public Policy*
  • Referral and Consultation
  • Risk Assessment
  • Social Work*