| 000 | 02625nab a22003377a 4500 | ||
|---|---|---|---|
| 999 |
_c7233 _d7233 |
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| 005 | 20250625151554.0 | ||
| 008 | 210721s2021 ||||| |||| 00| 0 eng d | ||
| 040 | _aAFVC | ||
| 100 |
_aAzzopardi, Corry _910163 |
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| 245 |
_aChild welfare system involvement among children with medical complexity _cCorry Azzopardi, Eyal Cohen, Karine Pépin, Kathy Netten, Catherine Birken and Sheri Madigan |
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| 260 |
_bSage, _c2021 |
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| 500 | _aChild Maltreatment, 2021, Advance online publication, 5 July 2021 | ||
| 520 | _aChildren with medical complexity may be at elevated risk of experiencing child maltreatment and child welfare system involvement, though empirical data are limited. This study examined the extent of child welfare system involvement among children with medical complexity and investigated associated health and social factors. A retrospective chart review of children with medical complexity (N = 208) followed at a pediatric hospital-based complex care program in Canada was conducted. Descriptive statistics and odds ratios using logistic regression were computed. Results showed that nearly one-quarter (23.6%) had documented contact with the child welfare system, most commonly for neglect; of those, more than one-third (38.8%) were placed in care. Caregiver reported history of mental health problems (aOR = 3.19, 95%CI = 1.55–6.56), chronic medical conditions (aOR = 2.86, 95%CI = 1.09–7.47), and interpersonal violence or trauma (aOR = 17.58, 95%CI = 5.43–56.98) were associated with increased likelihood of child welfare system involvement, while caregiver married/common-law relationship status (aOR = 0.35, 95%CI = 0.16–0.74) and higher number of medical technology supports (aOR = 0.75, 95%CI = 0.57–0.99) were associated with decreased likelihood. Implications for intervention and prevention of maltreatment in children with high healthcare needs are discussed. (Authors' abstract). Record #7233 | ||
| 650 |
_aCHILD ABUSE _9103 |
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| 650 |
_aCHILD NEGLECT _9114 |
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| 650 |
_aCHILD PROTECTION _9118 |
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| 650 |
_aCHILDREN _9127 |
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| 650 |
_aHEALTH _9283 |
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| 650 | 4 |
_aSOCIAL SERVICES _9555 |
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| 651 |
_aINTERNATIONAL _93624 |
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| 651 | 4 |
_aCANADA _92602 |
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| 700 |
_aCohen, Eyal _910164 |
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| 700 |
_aPépi, Karine _910165 |
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| 700 |
_aNetten, Kathy _910166 |
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| 700 |
_aBirken, Catherine _99071 |
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| 700 |
_aMadigan, Sheri _94180 |
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| 773 | 0 | _tChild Maltreatment, 2021, Advance online publication, 5 July 2021 | |
| 830 |
_aChild Maltreatment _94886 |
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| 856 |
_uhttps://doi.org/10.1177/10775595211029713 _zDOI: 10.1177/10775595211029713 |
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| 942 |
_2ddc _cARTICLE |
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