Abstract
Typically, when children are placed into out-of-home care due to child maltreatment concerns, people assume that this decision is based on action or inaction on behalf of the child’s caregivers. While such elements are likely the main drivers of the decision, a growing body of research suggests that other factors contribute to caseworkers’ decisions on the child welfare cases they serve. Drawing from the decision-making ecology (DME), this study examines the extent to which caseworker and organizational factors, in addition to case characteristics, play a role in decisions to remove a child from their home. Survey data from 118 investigation or assessment workers in a southeastern state were paired with administrative data from 10,568 child protective services (CPS) responses assigned to the surveyed workers for analysis. Multi-level modeling (cases, and cases within workers) results identified that, controlling for case characteristics and using 95% confidence intervals, workers who were male (aOR: 0.71 [0.50–0.998]), perceived the agency as more supportive (aOR: 0.87 [0.80–0.94]), and those indicating a strong orientation towards family preservation compared to child safety (aOR: 0.58 [0.42–0.81]) were associated with lower odds of placing children into out-of-home care. Staff who felt more cohesion with their co-workers (aOR: 1.37 [1.19–1.57]) were more likely to place children on their caseloads. These results indicate that the current system of decision-making and case trajectories are prone to influences from caseworkers’ personal biases and perceptions of support. Implications for CPS workforce selection, development, support, and case assignment are discussed.
Similar content being viewed by others
References
Barth, R. P., Wildfire, J., & Green, R. L. (2006). Placement into foster care and the interplay of urbanicity, child behavior problems, and poverty. American Journal of Orthopsychiatry, 76(3), 358–366. https://doi.org/10.1037/0002-9432.76.3.358
Bartelink, C., Knorth, E., López López, M., Koopmans, C., Ten Berge, I., Witteman, C., & Van Yperen, T. (2018). Reasons for placement decisions in a case of suspected child abuse: The role of reasoning, work experience and attitudes in decision-making. Child Abuse & Neglect, 83, 129–141. https://doi.org/10.1016/j.chiabu.2018.06.013
Baumann, D. J., Fluke, J., & Kern, H. (1997). Foundations of the decision making ecology and overview. In H. Kern, D. J. Baumann, & J. Fluke (Eds.), Worker improvements to the decision and outcome model (WISDOM): The child welfare decision enhancement project. U.S. Department of Health and Human Services, Administration on Children, Youth and Families, Children’s Bureau.
Baumann, D. J., Dalgleish, L., Fluke, J., & Kern, H. (2011). The decision-making ecology. American Humane Association.
Baumann, D. J., Fluke, J., Dalgleish, L., & Kern, H. (2014). The decision-making ecology. In A. Shlonsky & R. Benbenishty (Eds.), From evidence to outcomes in child welfare: An international reader. Oxford University Press.
Benbenishty, R., & Fluke, J. D. (2020). Frameworks and models in decision-making and judgment in child welfare and protection. In J. D. Fluke, M. LópezLópez, R. Benbenishty, E. J. Knorth, & D. J. Baumann (Eds.), Decision making and judgement in child welfare and protection: Theory, research, and practice. Oxford University Press.
Benbenishty, R., Davidson-Arad, B., López, M., Devaney, J., Spratt, T., Koopmans, C., & Hayes, D. (2015). Decision-making in child protection: An international comparative study on maltreatment substantiation, risk assessment and interventions recommendations, and the role of professionals’ child welfare attitudes. Child Abuse & Neglect, 49, 63–75. https://doi.org/10.1016/j.chiabu.2015.03.015
Bhatti-Sinclair, K., & Sutcliffe, C. (2012). What determines the out-of-home placement of children in the USA? Children and Youth Services Review, 34(9), 1749–1755. https://doi.org/10.1016/j.childyouth.2012.05.004
Chapin Hall at the University of Chicago. (2020). Tennesse's IV-E waiver demonstration project final evaluation report. Chapin Hall.
Dalgleish, L. I. (2003). Risk, needs and consequences. In M. C. Calder (Ed.), Assessments in child care: A comprehensive guide to frameworks and their use (pp. 86–99). Russell House Publishing.
Dalgleish, L. (2010). Balance of work focus in child welfare: Work practice and values scales for child protection. American Humane Association.
Davidson-Arad, B., & Benbenishty, R. (2008). The role of workers’ attitudes and parent and child wishes in child protection workers’ assessments and recommendation regarding removal and reunification. Children and Youth Services Review, 30(1), 107–121. https://doi.org/10.1016/j.childyouth.2007.07.003
Davidson-Arad, B., & Benbenishty, R. (2010). Contribution of child protection workers’ attitudes to their risk assessments and intervention recommendations: A study in Israel. Health & Social Care in the Community, 18(1), 1365–2524. https://doi.org/10.1111/j.1365-2524.2009.00868.x
Davidson-Arad, B., Englechin-Segal, D., Wozner, Y., & Gabriel, R. (2003). Why social workers do not implement decisions to remove children at risk from home. Child Abuse & Neglect, 27(6), 687–697. https://doi.org/10.1016/S0145-2134(03)00106-6
Dettlaff, A., Rivaux, S., Baumann, D., Fluke, J., Rycraft, J., & James, J. (2011). Disentangling substantiation: The influence of race, income, and risk on the substantiation decision in child welfare. Children and Youth Services Review, 33(9), 1630–1637. https://doi.org/10.1016/j.childyouth.2011.04.005
Dettlaff, A., Graham, C., Holzman, J., Baumann, D., & Fluke, J. (2015). Development of an instrument to understand the child protective services decision-making process, with a focus on placement decisions. Child Abuse & Neglect, 49, 24–34. https://doi.org/10.1016/j.chiabu.2015.04.007
Dettlaff, A., Hollinshead, D., Baumann, D., & Fluke, J. (2020). Instrumentation to understand the child protective services decision-making processes. In J. Fluke, M. Lopez-Lopez, R. Benbenishty, D. Baumann, & E. Knorth (Eds.), Decision-making and judgement in child welfare and protection: Theory, research, and practice (pp. 81–108). Oxford Press.
del Valle, J. F. (2013). Out of home care in child protection: An international overview. Psychosocial Intervention, 22(3), 161–257. https://doi.org/10.5093/in2013a19
Doyle, J. J. (2008). Child protection and adult crime: Using investigator assignment to estimate causal effects of foster care. Journal of Political Economy, 116(4), 746–770. https://doi.org/10.1086/590216
Ellett, A. (2009). Intentions to remain employed in child welfare: The role of human caring, self-efficacy beliefs, and professional organizational culture. Children and Youth Services Review, 31, 78–88. https://doi.org/10.1016/j.childyouth.2008.07.002.
English, D. J., Thompson, R., & White, C. R. (2015). Predicting risk of entry into foster care from early childhood experiences: A survival analysis using LONGSCAN data. Child Abuse & Neglect, 45, 57–67. https://doi.org/10.1016/j.chiabu.2015.04.017
Fallon, B., Chabot, M., Fluke, J., Blackstock, C., MacLaurin, B., & Tonmyr, L. (2013). Placement decisions and disparities among aboriginal children: Further analysis of the Canadian incidence study of reported child abuse and neglect part A: Comparisons of the 1998 and 2003 surveys. Child Abuse & Neglect, 37(1), 47–60. https://doi.org/10.1016/j.chiabu.2012.10.001
Fallon, B., Chabot, M., Fluke, J., Blackstock, C., Sinha, V., Allan, K., & Maclaurin, B. (2015). Exploring alternate specifications to explain agency-level effects in placement decisions regarding Aboriginal children: Further analysis of the Canadian Incidence Study of Reported Child Abuse and Neglect. Child Abuse & Neglect, 49, 97–106.
Fluke, J., Yuan, Y. T., & Edwards, M. (1999). Recurrence of maltreatment: An application of the national child abuse and neglect data system (NCANDS). Child Abuse & Neglect, 23(7), 633–650. https://doi.org/10.1016/S0145-2134(99)00039-3
Fluke, J. D., Chabot, M., Fallon, B., MacLaurin, B., & Blackstock, C. (2010). Placement decisions and disparities among aboriginal groups: An application of the Decision-Making Ecology through multi-level analysis. Child Abuse & Neglect, 34(1), 57–69. https://doi.org/10.1016/j.chiabu.2009.08.009
Fluke J. D., Baumann D. J., Dalgleish L. I., & Kern H. D. (2014). Decisions to protect children: A decision making ecology. In J. Korbin & R. Krugman (Eds.), Handbook of child maltreatment. Child maltreatment (Contemporary Issues in Research and Policy), vol. 2. Springer. https://doi.org/10.1007/978-94-007-7208-3_25
Fluke, J., Corwin, T. W., Hollinshead, D. M., & Maher, E. J. (2016). Family preservation or child safety? Associations between child welfare workers’ experience, position, and perspectives. Children and Youth Services Review, 69, 210–218. https://doi.org/10.1016/j.childyouth.2016.08.012
Fuller, T., Nieto, M., & Zhang, S. (2013). Differential response in Illinois: final evaluation report. Children and Family Research Center, School of Social Work, University of Illinois at Urbana-Champaign.
Font, S. A., & Maguire-Jack, K. (2015). Decision-making in child protective services: Influences at multiple levels of the social ecology. Child Abuse & Neglect, 47, 70–82. https://doi.org/10.1016/j.chiabu.2015.10.011
Font, S. A., Maguire-Jack, K., & Dillard, R. (2020). The decision to substantiate allegations of child maltreatment. In J. D. Fluke, M. LópezLópez, R. Benbenishty, E. J. Knorth, & D. J. Baumann (Eds.), Decision making and judgement in child welfare and protection: Theory, research, and practice. Oxford University Press.
Glisson, C., & Hemmelgarn, A. (1998). The effects of organizational climate and interorganizational coordination on the quality and outcomes of children’s service systems. Child Abuse & Neglect, 5, 401–421. https://doi.org/10.1016/S0145-2134(98)00005-2
Graham, J. C., Dettlaff, A. J., Baumann, D. J., & Fluke, J. D. (2015). The decision-making ecology of placing a child into foster care: A structural equation model. Child Abuse & Neglect, 49, 12–23. https://doi.org/10.1016/j.chiabu.2015.02.020
Horwitz, S. M., Hurlburt, M. S., Cohen, S. D., Zhang, J., & Landsverk, J. (2011). Predictors of placement for children who initially remained in their homes after an investigation for abuse or neglect. Child Abuse & Neglect, 35(3), 188–198. https://doi.org/10.1016/j.chiabu.2010.12.002
Jud, A., Fallon, B., & Trocmé, N. (2012). Who gets services and who does not? Multi-level approach to the decision for ongoing child welfare or referral to specialized services. Children and Youth Services Review, 34(5), 983–988. https://doi.org/10.1016/j.childyouth.2012.01.030
Khoo, E., Skoog, V., & Dalin, R. (2012). In and out of care. A profile and analysis of children in the out-of-home care system in Sweden. Children and Youth Services Review, 34(5), 900–907. https://doi.org/10.1016/j.childyouth.2012.01.019
Lightfoot, E., Hill, K., & LaLiberte, T. (2011). Prevalence of children with disabilities in the child welfare system and out of home placement: An examination of administrative records. Children and Youth Services Review, 33(11), 2069–2075. https://doi.org/10.1016/j.childyouth.2011.02.019
Loman, L. A., & Siegel, G. L. (2004). Minnesota alternative response evaluation: Final report. Retrieved from the Institute of Applied Research website http://www.iarstl.org. Accessed 10 Oct 2013.
Loman, L. A., & Siegel, G. L. (2015). Effects of approach and services under differential response on long term child safety and welfare. Child Abuse & Neglect, 39, 86–97. https://doi.org/10.1016/j.chiabu.2014.05.014
Lwin, K., Fluke, J., Trocmé, N., Fallon, B., & Mishna, F. (2018). Ongoing child welfare services: Understanding the relationship of worker and organizational characteristics to service provision. Child Abuse & Neglect, 80, 324–334. https://doi.org/10.1016/j.chiabu.2018.04.001
Merkel-Holguín, L. A., Kaplan, C., & Kwak, A. (2006). National study on differential response in child welfare. American Humane Association and Child Welfare League of America.
Nikolova, K., Lwin, K., & Fluke, J. (2016). Attitudes on the responsibility for child safety: Key child protection worker characteristics. Journal of Public Child Welfare, 11(3), 318–338.
Putnam-Hornstein, E., Needell, B., King, B., & Johnson-Motoyama, M. (2013). Racial and ethnic disparities: A population-based examination of risk factors for involvement with child protective services. Child Abuse & Neglect, 37, 33–46. https://doi.org/10.1016/j.chiabu.2012.08.005
Skrypek, M., Woodmass, K., Rockymore, M., Johnson, G., & Wells, S. J. (2017). Examining the potential for racial disparity in out-of-home placement decisions: A qualitative matched-pair study. Children and Youth Services Review, 75, 127–137. https://doi.org/10.1016/j.childyouth.2017.02.010
Smith, C., Fluke, J., Fallon, B., Mishna, F., & Decker Pierce, B. (2018). Child welfare organizations: Do specialization and service integration impact placement decisions? Child Abuse & Neglect, 76, 573–582. https://doi.org/10.1016/j.chiabu.2017.09.032
Summers, A. (2015). Disproportionality rates for children of color in foster care (fiscal year 2013). Retrieved from http://www.ncjfcj.org/Dispro-TAB-2013. Accessed 20 Sept 2017.
Thaler, R. H., & Sunstein, C. (2009). Nudge: Improving decisions about health, wealth, and happiness. Penguin. ISBN 0–14–311526-X.
Toros, K. (2012). Factors that affect decision-making in child protection assessment in Estonia: The removal of children from home. International Journal of Business and Social Science, 3(22), 81–91.
Tversky, A., & Kahneman, D. (1981). The framing of decisions and the psychology of choice. Science, 211(30), 453–457.
Vanderloo, M. J. (2017). Caseworker factors that influence removal decisions in child welfare investigations. Doctoral Dissertation. University of Utah. College of Social work.
Wells, S. J., Fluke, J. D., & Brown, C. H. (1995). The decision to investigate: Child protection practice in 12 local agencies. Children and Youth Services Review, 17(4), 523–546. https://doi.org/10.1016/0190-7409(95)00037-D
Westbrook, T., Ellett, A., & Deweaver, K. (2009). Development and validation of a measure of organizational culture in public child welfare agencies. Research on Social Work Practice, 19(6), 730–741. https://doi.org/10.1177/1049731508330226
Winokur, M., Ellis, R., Drury, I., & Rogers, J. (2015). Answering the big questions about differential response in Colorado: Safety and cost outcomes from a randomized controlled trial. Child Abuse & Neglect, 39, 98–108. https://doi.org/10.1016/j.chiabu.2014.06.005
Wulczyn, F., Barth, R., Yuan, Y.-Y., Harden, B., & Landsverk, J. (2006). Beyond common sense: Child welfare, child well-being, and the evidence for policy reform. Transaction.
Acknowledgements
We would like to thank the federal and state administrators, supervisors, and caseworkers who supported this research.
Funding
This work was supported by the U.S. Department of Health and Human Services, Administration for Children and Families, Title IV-E Waiver Demonstration Grant program.
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Disclaimer
The content of this publication does not necessarily reflect the views or policies of the funder, nor does mention of trade names, commercial products, or organizations imply endorsement by the US Department of Health and Human Services.
Additional information
Publisher's Note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Rights and permissions
About this article
Cite this article
Hollinshead, D., Currie, D., Kroll, K. et al. Associations Between Case, Staff, and Agency Characteristics and the Decision to Place a Child in Out-of-Home Care. Int. Journal on Child Malt. 4, 325–347 (2021). https://doi.org/10.1007/s42448-021-00083-9
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s42448-021-00083-9