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Double Jeopardy: Child Abuse and Substance Abuse

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Double Jeopardy: Child Abuse and Substance Abuse Calvin R. Trent, PhD, MEd Health Director and Public Health Officer Detroit Department of Health and Wellness ... – PowerPoint PPT presentation

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Title: Double Jeopardy: Child Abuse and Substance Abuse


1
Double Jeopardy Child Abuse and Substance
Abuse
  • Calvin R. Trent, PhD, MEd
  • Health Director and Public Health Officer
  • Detroit Department of Health and Wellness
    Promotion (DHWP)
  • April 21, 2009

2
Objectives
  • To discuss
  • The magnitude of child abuse and neglect in
    Detroit
  • Risk factors or conditions that promote child
    abuse
  • Why child abuse is a public health issue
  • How the abuse of alcohol and other drugs
    exacerbates the problem of child abuse and
  • Project FAIR a prevention strategy for child
    abuse and substance abuse.

3
Magnitude of Child Abuse and Neglect in the City
of Detroit
4
Child Abuse and Neglect 2006 Data5,15
  • United States 3.6 million suspected cases
  • 1.8 million (50) reported cases were
    investigated.
  • 450,000 (25) were substantiated (assessment
    determined existence of abuse or neglect).
  • Michigan 126,000 suspected cases
  • 70,000 (56) reported cases were investigated.
  • 17,523 (25) were substantiated.

5
City of Detroit Cases of Child Abuse and
Neglect Confirmed 4,5,19
  • During the 2003 2006 period
  • -15,782 children were victims of child
    abuse/neglect.
  • - 37 were children less the 5 years old.
  • In 2007, the Wayne County Department of Human
    Services Child Protective Services received
    7,958 reports of child abuse/neglect for Detroit.
  • -2,628 went on to become substantiated child
    abuse cases (33)
  • -The 7,958 referrals accounted for 60 of all
    referrals from the southeastern part of Wayne
    County.

6
City of Detroit Cases of Child Abuse and
Neglect Confirmed 4,5,19
  • In 2006, the Wayne County Department of Human
    Services Child Protective Services received
    8,867 reports of child abuse/neglect for Detroit.
  • -3,772 went on to become substantiated child
    abuse cases (42)
  • -The 8,867 referrals accounted for 95 of all
    referrals from the southeastern part of Wayne
    County.

7
United States, Michigan and City of
Detroit Victimization Rate (2001 2006) 17,19
Number of substantiated reports of
abuse/maltreatment per 1,000 children
8
City of Detroit Geographic Distribution of
Cases19
  • The highest rates of child abuse/neglect cases
    are clustered in five zip codes located in
    central Detroit
  • 48208 (25.2 per 1,000) 48202 (19.6) 48206
    (19.5) 48238 (19.1) and 48203 (18.7).
  • In 2006, the average child abuse rate was 13.9
    per 1,000 across the 27 zip codes. In 2007, the
    child abuse rate was 11.2 per 1,000 children.

9
(No Transcript)
10
City of Detroit Children Removed From Their
Homes
  • In 2007, 45 (1,173 out of 2,628) of child
    victims were removed from their homes.
  • In 2006, 37 (1,406 out of 3,772) of child
    victims were removed from their homes. Initially
    they were
  • Placed in a relatives home (47)
  • Placed in a licensed unrelated foster care (37)
  • Place in other parental home (8).

11
City of Detroit Children Placed in Foster Care
  • 2000 85 (5,090 of all displaced children) were
    in foster care.
  • 2004 4,310 children were in foster care.
  • 2006 82 (3,651 of all displaced children)
    were in foster care.

12
City of Detroit Number of Abused and Neglected
Children Placed in Foster Care (2000, 2004,
2006)4,5
13
Risk Factors
14
Risk Factors6
  • Younger children under the age of 5.
  • Parents or caregivers under the age of 30.
  • Substance abuse among caregivers.
  • Low income, single parent families experiencing
    major stress.
  • Children left with male caregivers who lack
    emotional attachment to child.
  • Children with emotional and/or health problems.
  • Lack of suitable child care.
  • Parents and caregivers with unrealistic
    expectations of child development and behavior.

15
Child Abuse A Public Health Concern
16
Abused Children
  • Suffer from a wide variety of physical, emotional
    and developmental problems
  • Require health and social care
  • Are less likely to lead healthy and productive
    lives and
  • Are more likely to have difficulty in school,
    problems with substance abuse and engage in
    criminal behavior.

17
Impact of Substance Abuse on Child Abuse
18
Substance Abuse Child Abuse
  • An estimated 70 of abused children live in
    families with AOD problems
  • Parents who are substance abusers are three times
    more likely to abuse their children and four
    times more likely to neglect them
  • An estimated 67 of parents in the child welfare
    system require substance abuse services.

19
Substance Abuse Treatment Is Necessary
  • Substance abuse treatment helps to prevent and
    end the cycle of child abuse.
  • According to SAMHSA, 44 of women and 15 of men
    report they entered treatment to retain or regain
    custody of their children.

20
Think Prevention Project FAIR (Families
Achieving Independence Through Recovery)
21
Project FAIR Partners
  • Bureau of Substance Abuse Prevention, Treatment
    and Recovery
  • Michigan Department of Human Services (DHS) Child
    Protective Services (formerly FIA-Family
    Independence Agency) facilitated at all Detroit
    offices.

22
Project FAIR A Prevention Strategy
  • Prevents Family Disorganization
  • Prevents Substance Abuse and
  • Prevents Child Abuse and Neglect

23
Project FAIR A Prevention Strategy
  • Designed to keep families together
  • Provides integrated substance abuse services
    through a continuum of care
  • -assessment
  • -treatment
  • -supportive services
  • -aftercare services

24
Project FAIR A Prevention Strategy
  • Reduces the number of days a child is absent from
    parent/guardian
  • Increases the number of children who successfully
    remain with or are reunified with their families

25
Project FAIR Services
  • Substance abuse treatment screenings and
    referrals to parents/guardians who have child
    protective service involvement due to substance
    abuse
  • Screenings are offered by telephone or walk-in
    services and
  • Clients are directed for services through the
    child protective service worker or foster care
    worker.

26
Project FAIR Eligibility Requirements
  • City of Detroit Resident
  • Have Medicaid Insurance or Be Uninsured.

27
Project FAIR Accomplishments
  • Increasing number of clients due to effective
    communication between partners
  • On avg., 30 individuals each month are referred
    to a treatment facility after completing
    screening process with the Women and Family
    Specialist and
  • An avg. 24 individuals each month are admitted
    for follow-up services

28
Project FAIR Accomplishments
  • Partners meet on a monthly basis to address
    issues and identify strategies/approaches and
  • Staff have been properly trained and are
    constantly updated about the program.

29
References
  • Chalk R., Gibbons A., Scarupa H.(2002). The
    multiple dimensions of child abuse and neglect
    New insights into an old problem.
  • Child Information Gateway. Child Abuse and
    Neglect Fatalities Statistics US Department of
    Health and Human Services. NCANDS Database
    2001-2006.
  • Child Trends. Child Abuse Neglect, 2004.
  • Fight Crime Invest in Kids Michigan. New Hope
    for Preventing Child Abuse and Neglect in
    Detroit Proven Solutions to Save Lives and
    Prevent Crime, 2008.
  • Kids Count in Michigan. Trends in Child
    Well-Being. 2007 Data Book.
  • Michigan Public Health Institute, 2006.
  • Michigan Chapter of Prevent Child Abuse America.
    Childrens Trust Fund. 2005-2006 Fiscal Report.
  • National Center on Elder Abuse. A Response to
    the Abuse of Vulnerable Adults. 2003.
  • National Center on Elder Abuse. 2004 Survey of
    State Adult Protective Services Abuse of Adults
    60 Years of Age and Older. 2006.
  • National Center on Elder Abuse. Elder Abuse
    Information Series. Reporting of Elder Abuse in
    Domestic Settings. 1997.
  • National Center on Elder Abuse. Fact Sheet. Elder
    Abuse Prevalence and Incidence. 2005
  • State of Michigan. Department of Human Services.
    2007 Trends Summary Report on Child Abuse.
  • US Department of Health and Human Services. Child
    Maltreatment 1999.
  • US Department of Health and Human Services. Child
    Maltreatment 2001.
  • US Department of Health and Human Services. Child
    Maltreatment and Fatality Statistics, 2006.
  • US Department of Health and Human Services. Child
    Maltreatment 2006.
  • NCANDS databases 2001-2006. US Department of
    Health and Human Services.
  • State of Michigan. Department of Human Services.
    2007 Trends Summary Report on Child Abuse.
  • Mayors Task Force to Prevent Child Abuse and
    Neglect, 2006 Report to the Community.
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