Maltreatment re-reports among child welfare-involved families with intellectually disabled caregivers

Families with intellectually disabled caregivers are more likely than families without intellectually disabled caregivers to experience poor child welfare outcomes, including high rates of substantiation. However, little research has examined child maltreatment re-reports among this population. The objectives of this study were to begin to address this gap by examining maltreatment re-report rates, and factors associated with maltreatment re-reports, among child welfare-involved families with intellectually disabled caregivers. Survival analysis was conducted using restricted release data from the National Survey of Child and Adolescent Well-Being (NSCAW) to examine the hazard rate and survival rate of maltreatment re-reports for cases with, and without, intellectually disabled caregivers. Multivariate discrete-time hazard models were run using logistic regression to examine the relationship between various predictors and the hazard of maltreatment re-reports. Results revealed that child protection cases involving caregivers with intellectual disabilities were no more likely than cases without intellectually disabled caregivers to experience maltreatment re-reports. Predictors of maltreatment re-reports varied based on whether or not a case involved a caregiver with an intellectual disability. Child gender, child disability, and child race/ethnicity were significant predictors for cases involving caregivers with intellectual disabilities, whereas prior involvement with CPS, caretaker drug problems, and initial allegation substantiation were significant predictors for cases not involving caregivers with intellectual disabilities. These preliminary findings suggest that prevention, screening, and intervention strategies should consider variability of predictive factors based on caregiver intellectual disability status.