Childhood maltreatment, including abuse and neglect, has been identified as a prevalent and severe public health issue that can lead to a myriad of negative outcomes across the life course. Prevalence rates of maltreatment vary dependent on the type of abuse or neglect. Self-reported incident rates demonstrate that supervision neglect (i.e., being left home alone as a child) is the most common form of maltreatment. According to The National Longitudinal Adolescent Health study (Hussey, Chang, & Kotch,, 2006), 41.5% of respondents indicated that they had been left home alone as a child. Physical assault was the second most common form of maltreatment (28.4%), followed by physical neglect (11.8%) and contact sexual abuse (4.5%). Within the entire country, approximately 37.4% of children under the age of 18 experience being the subject of a childhood maltreatment investigation at some point in their lifetime (Kim, Wildeman, Jonson-Reid, & Drake, 2017), with Black youth being most likely to be involved in such investigations (53%) and Asian youth least likely (10.2%). Socio-economic status (SES) has also been found to be related to neglect, with children belonging to lower SES families experiencing higher rates of neglect (Vanderminden et al., 2019). Additionally, it is estimated that 1 year of childhood maltreatment investigations costs the country approximately $585 billion, roughly 4% of the US gross domestic product in 2010 (Fang, Brown, Florence, & Mercy, 2012).
Childhood abuse and neglect also has long-lasting psychological effects on children. On this score, all forms of maltreatment (supervisory neglect, physical assault, physical neglect, and sexual assault) have been associated with increased trauma symptoms and suicidal thoughts in children aged 10–17, as well as an increased risk of underage drinking and illicit drug use (Vanderminden et al., 2019). Child abuse has also been linked to issues throughout adulthood, including a higher likelihood of mental health problems such as depression, and a decrease in intellectual and cognitive development (Anda et al., 2006; Lansford et al., 2002; Sousa et al., 2018). Individuals who have experienced childhood maltreatment also demonstrate a limited ability to deal with stress and an increase in antisocial behavior (Currie & Tekin, 2012; McCrory, De Brito, & Viding, 2011; Widom, Fisher, Nagin & Piquero, 2018). Additionally, the effects of maltreatment lead to worsened health across the lifespan and are linked to increased mortality in adulthood (Anda et al., 2006; Jonson-Reid, Chance, & Drake, 2007).
Risk factors for maltreatment have been extensively studied in the literature. Distinct demographic, socioeconomic, and familial factors have been found to be associated with childhood abuse and neglect. As aforementioned, children in lower SES families are more likely to be subjected to childhood maltreatment. At the county level, rates of neglect have been positively associated with rates of births by teens, percentage of births by unmarried mothers, drug-related offenses, and percentages of children receiving supplemental nutrition program (SNAP) benefits (Morris et al., 2019). More proximal factors that increase risk of childhood maltreatment include mother’s unhappiness, stress and reactivity, father’s drinking, and children’s problem behavior. Parents’ age has also been inversely related to maltreatment, with younger parents being more likely to abuse and neglect their children (Black, Heyman, & Slep, 2001).
The COVID-19 stay-at-home orders are creating major disruptions in daily life. The cessation of many face-to-face interactions due to the mandated responses to the pandemic has disrupted the lives of all Americans, especially the lives of families with children. These families are struggling to figure out how to meet the health, well-being, and educational needs of their children. Caregivers are coping with closures to schools and childcare facilities and they must now take on the daily demands of overseeing the educational needs of their children. Risk for child maltreatment may be elevated when families and caregivers are dealing with such stressful conditions. Caregiver adversities and strains have been repeatedly identified as key risk markers that increase the likelihood of child abuse and neglect (see Agnew, Rebellon, & Thaxton, 2000). Agnew et al. (2000) theorized that caregiver strain produces negative emotions in the caregiver, which are commonly expressed by caregivers withdrawing from or neglecting their nurturing responsibilities. Caregiver strains and family adversity, including lack of social support, economic hardship, unsupportive family structure and domestic violence may result in failed nurturing and child maltreatment (Agnew et al., 2000).
Most importantly, mandated responses to the COVID-19 pandemic have altered the availability of health and social service resources typically relied upon by vulnerable children and their families. Reduced social and educational support is particularly challenging for those families whose members have behavioral or mental health needs, medical needs, families with co-custody arrangements, or children in foster care or at risk for child maltreatment. School and childcare personnel function as guardians for children at risk for maltreatment and provide the highest percentage of referrals to child protection agencies (U.S. Department of Health & Human Services, 2020). With children mandated to stay home rather than attend school or go to childcare, many incidents of abuse may go undetected or unreported.
Beyond the effects of the stay-at-home order on child maltreatment, another important consideration is the amount of conflict between partners. Researchers have confirmed that varied forms of family violence often occur in tandem, with strong associations between partner abuse and child maltreatment (Herrenkohl, Sousa, Tajima, Herrenkohl, & Moylan, 2008).
Similar themes are evident within the context of family, domestic, and intimate partner violence. Due to the COVID-19 pandemic, levels of family adversity have increased in unprecedented ways. Many have lost their jobs and sources of income, while others are worried over future economic uncertainties. Times of financial stress and problems at work, possibly moderated by alcohol use, have been linked to perpetration of partner abuse by both men and women (Capaldi, Knoble, Shortt & Kim, 2012). As partner abuse can be driven by a need for power and control, when life spins out of control at work or financially, individuals find it difficult to cope with these pressures and may become abusive toward their family members.
Stay-at-home orders may have unintentionally compounded the threat for domestic violence victimization by trapping at-risk partners at home and disrupting access to social support and social service resources typically available to them. The mandated stay-at-home orders even mimic common forms of partner abuse such as forcing isolation from friends and family, preventing the victim from working or attending school, and generally controlling the victim’s associations, movements, and activities (National Domestic Violence Hotline, n.d.). With stay-at-home orders, those at risk for partner abuse are unable to seek safety or assistance from family, friends, or service providers.