racial disparities in child protective services principal investigator: susan j. wells; research...
TRANSCRIPT
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Racial Disparities in Child Protective Services
Principal Investigator: Susan J. Wells; Research Assistant: Margaret (Griesgraber) Skrypek
Minnesota DHS Coordinator: Maxie Rockymore
Data Analysis Contributors: Ila Kamath, Scotty Daniels, Alex Beutel,
Mary Pfohl, Louis B. Carter, Dinorah Martinez-Osorio, and Nancey Riley
Qualitative study presented by: Margaret (Griesgraber) Skrypek, Susan J. Wells
and Maxie RockymoreUniversity of Minnesota School of Social Work
Contact: [email protected] Study of the African American Racial Disparities Committee, the Minnesota Department of
Human Services and four Minnesota counties
Based on January 19, 2008 PresentationIntroducing the Qualitative Story
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Study Background
and
Quantitative Findings
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Analyses Completed Quantitative - assigning numerical values to
variables in order to understand behavior by statistical modeling and measurement
Qualitative - subjective judgment based on non-quantifiable information, such as text, notes and comments
Quantitative analysis is a powerful tool for evaluation, but the story is more complete when it is combined with
qualitative analysis.
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Selection of Cases All neglect cases in 4 counties Selection requirements
a single type of maltreatment. children not previously placed race: all African American or all white; no children identified as Hispanic ethnicity ages 0 through 11 parents born in the USA
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Total Cases Selected
Total of 1,095 Substantiated for neglect From four Minnesota counties in 2001 African American (58%) and Caucasian
(48%) children
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Matched Case Study
103 pairs of cases were matched on: Age group (0-5 and 6-11) Reason for referral - type of neglect Gender County
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Evolution of Number of Cases or Pairs 1,095 original cases After case matching, 103 original pairs – 206 cases Some cases were eliminated later
For example: Child was of more than one race Family was immigrant or other culture
81 pairs remained – 162 cases(If pairs of eliminated cases were included - 180 cases)
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Descriptive Data for Study
Anoka 18 children Hennepin 76 children Olmsted 20 children Ramsey 48 children
N = 162
Counties
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Descriptive Data for Study (cont.)
Abandonment: 4 Educational neglect: 28 Endangerment: 52 Inadequate Supervision: 14 Neglect (food, clothing, shelter): 58 Prenatal exposure: 6
N=162
Type of Neglect
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Three Parts of Record Review Questionnaire (for Paired Cases)
Assessment – 162 cases
81 pairs
Case Management – 55 cases
13 original pairs
Reunification - 39 cases
7 original pairs
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Today’s Focus Very quick review of 162 – 81 pairs Overview of quantitative analysis
of 180 cases Qualitative analysis of 180 cases
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Qualitative Variables Used for Quantitative Study History of maltreatment
Extensive; multi-generational Interaction of worker and family
Worker negative; parent uncooperative Poverty: yes or no Substance abuse extensive Relative was a resource Primary problem contributing to maltreatment Family moved, case outcome unclear Police arranged informal placement
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N=68 56.8%
27.2%
84 N=1324 7.4 8.6 16
N=81 64.2%
35.8%
100%
No
Yes
African American Child of Pair
Total
No Yes
Caucasian Child Of Pair
Total
McNemar level of significance p = .004significant finding
Family Composition at Assessment
Percentage of Pairs with Biological Father in Household
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Other Significant Differences at Assessment
Yes forAfrican
American
Yes forCaucasian
McNemar Level of
Significance
No for Caucasian
No for African
American
Worker Noted Alcohol Abuse Problem 3.7% 14.8% p = .035
Mother Noted to be on Public Assistance 24.7% 7.4% p = .009
Mother Noted to be Involved in Domestic Violence 27.2% 12.3% p= .050
Mother Noted with Physical Disability or Cognitive or Mental Health Problem
11.1% 27.2% p = .029
Biological Father was a Perpetrator 11.1% 25.9% p = .043
N = 81 pairs
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Police Involvement at Assessment
N=79
85.2% 12.3% 97.5%
N=2
2.5% .0% 2.5%
N=81
87.7% 12.3% 100.0%
No
Yes
African AmericanChild of Pair
Total
No Yes
CaucasianChild of Pair
Total
Percentage of Pairs in Which Police Arranged an Informal Placement
McNemar level of significance p = .039significant finding
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Cases Opened for Case Management Services
Percentage of Pairs in which the Case was Opened for Case Management Services
McNemar level of significance p = 1.0Not significant
Caucasian Child of Pair
TotalNo Yes
African American Child of Pair
No
48.1% 18.5%
N=54
66.7%
Yes
17.3% 16.0%
N=27
33.3%
Total 65.4% 34.6%
N=81
100%
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Cases Opened for Reunification Services
Percentage of Pairs in which the Case was Opened for Reunification Services
Caucasian Child of Pair
TotalNo Yes
African American Child of Pair
No
60.5% 13.6%
N=60
74.1%
Yes
17.3% 8.6%
N=21
25.9%
Total 77.8% 22.2%
N=81
100%
McNemar level of significance p = .690Not significant
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Similarities among Cases
There were no significant differences in parental drug abuse, inadequate housing, felony history, contact with the law, father’s disabilities, termination of parental rights for older siblings, or death of one or both parents.
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Multivariate Analysis
That is, was the case referred for Reunification Services at any time during the intervention process?
(Does not include cases that were in placement initially but went home right away.)
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New Variables Several scales were created to reduce the
number of variables Three variables of particular interest follow…
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Maltreatment Summative Scale (0-3) None of the following Maltreatment history found at investigation Maltreatment extensive (qualitative var.) Maltreatment multi-generational (qual.var.)
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Mom Drug and Law Probs Scale No drug problems or problems with the law (0) Problems with drugs or problems with the law (1) Problems with drugs and problems with the law (2)
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Parent-Worker Relationship (0-1) Worker negative And/Or Parent uncooperative
This is not a scale; there is only a yes/no answer
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Multivariate Analysis ResultsCharacteristic Signif. Odds
Number children in household <.001 .43
Wrkr Negative or Prnt Uncoop <.001 7.5
Ages 1 to 4 .028 1.2
Ages 1 to 4 * AA .026 .10
Maltreatment Scale .531 1.2
Maltreatment Scale *AA .013 2.9
Mom drug/law prob scale .001 2.9
Substance abuse extensive .001 7.2Constant .001 .09
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Variables in the EquationB S.E. Sig. Exp(B) 95.0% C.I.for EXP(B)
Lower Upper
Q01children -.849 .237 .000 .428 .269 .680
WrkrJudgPrnt
UncoopScale 2.011 .424 .000 7.471 3.252 17.167
Ages1_4 1.507 .684 .028 4.512 1.180 17.243
AfricanAmerican
by Ages1_4 -2.327 1.043 .026 .098 .013 .753
MaltreatHistScale .214 .342 .531 1.239 .634 2.421
AfricanAmerican
by MaltreatHistScale 1.067 .427 .013 2.906 1.258 6.714
MomDrugLawProbs 1.062 .321 .001 2.892 1.541 5.427
SubsAbuse_Extensive 1.979 .616 .001 7.237 2.164 24.208
Constant -2.418 .684 .000 .089
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Other Important Variables Bio Dad in the household Mom cognitive, physical or MH disabilities County Source of report was health Relative is a resource
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Percent Children Placed when Parent Uncooperative by Race
African American Uncooperative or Worker Negative-> Yes=29, No=58Caucasian Uncooperative or Worker Negative-> Yes=29, No=65
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Percent Children Placed:Maltreatment History by Race
0
10
20
30
40
50
60
70
80
None 1 2 3
African American
Caucasian
Number of Children – Maltreatment History Scale by Race0 1 2 3 Total
African 29 33 21 4 87AmericanCaucasian 36 31 24 2 93
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Percent Children Placed:Maltreatment History by Race
Number of Children – Maltreatment History Scale by Race0 1 2 or 3 Total
African 29 33 25 87AmericanCaucasian 36 31 26 93
0%
10%
20%
30%
40%
50%
60%
0 1 2 or 3
Maltreatment History Scale
%>
0 f
or
Ca
se
wa
s r
efe
rre
d f
or
reu
nif
ica
tio
ns
se
rvic
es
(C
las
s 3
an
d 4
)
African AmericanCaucasian
Maltreatment History ScaleIndicates the number of instances of the following: history of maltreatment, maltreatment extensive, and/or multigenerational maltreatment.
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Percent Referred for Placement (in Which Referral for Reunification Services was Made) by Age
0
20
40
60
80
100
120
-1 0 1 2 3 4 5 6 7 8 9 10 11
African American
Caucasian
Number of Children - Age by Race -1 0 1 2 3 4 5 6 7 8 9 10 11 Total African 1 13 4 6 4 2 11 10 6 7 9 7 7 87AmericanCaucasian 3 14 5 7 5 5 4 7 7 12 5 11 8 93Total 4 27 9 13 9 7 15 17 13 19 14 18 15 180
Children Identified as Both African American & Caucasian are not included on this graph.
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Qualitative Study
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So, What Can We Know From the Qualitative Study?
Examples of questions we had:
What was the problem financial difficulties about?
How did age differences work?
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Introduction to the Qualitative Study Use of the same data sources as the
quantitative study Opportunity to clarify findings from the
quantitative study Deeper look at whether and how race may
affect case decisions and outcomes
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Qualitative Methods – Step 1 Researchers re-read all 206 original case
record surveys When data was confusing or unclear,
researchers re-read the case record to fill in missing information
Text from these readings and selected quantitative variables were used to create a new qualitative database
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Qualitative Method – Step 2
Data in the database was checked and rechecked against the surveys and the case records for accuracy
Data was imported into NVIVO software – a specialized system for qualitative analysis
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Qualitative Methods – Step 3 To gain insight from community members with child
welfare experience, a sample study was completed with 36 selected cases
3 community members and 2 researchers participated in the sample study
The cases were selected randomly but were representative of the larger group of 206 cases
Using lessons learned from the sample reading, a full qualitative analysis was completed on the text of 162 cases
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Age Discovered to be a Defining Variable
Child’s age was important in understanding differences among placement decisions and race. The following age groups were established:
Less than one year old One to four years old Five to nine years old Ten or eleven years old
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Highlights Themes that emerged across age groups:
Parental competence Disinterest Inability (might include mental health)
Crisis Resources (educational neglect) Domestic Violence
Drugs/Alcohol Use Other involvement
Racial patterns within these case categories vary by age!
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Highlights (continued) Themes that occurred across age groups with
consistent racial patterns: Police involvement
Arrests Formal vs. informal placements
County may also be important
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Children Less than One Year Old (N=30)
Positive toxicology and pre-natal cases Similar outcomes regardless of race Omitted from further qualitative analysis
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Children One to Four Years Old (N=30)
Percentage of Cases by Category
13%
33%
54%
Parental CompetenceCrisisExtensive Substance Abuse
Parental Competence Case Types:
Parental disinterest
Inability to parent
Child emotional or physical problems
Crisis Case Types:
Short-term emergencies
Domestic violence
Extensive Substance Abuse* Case Types:
Multiple relapses during case management
Methamphetamine use
*Indicates possible racial pattern
26 of the 30 cases in this age group (86.7%) were in three categories.
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Patterns in 1 – 4 Age Group (N=30)
Caucasian families more likely to experience long term placement and to undergo TPR/TLC.
Police were involved in 12 cases Racial pattern observed in
whether police made formal placements or allowed informal placements
0
1
2
3
4
5
6
No Placement Informal Placement Allowed Formal Placement
Numb
er of
Cas
es Caucasian
AfricanAmerican
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Children Five to Nine Years Old (N=74)
Percentage of Cases by Category
40%
19%
7%
34%
Crisis & Parental Competence - Minor Incidents
Educational Neglect
Parent Out of Home
Parent or Child Mental Health
Crisis & Parental Competence* Case Types:
Domestic violence
Poor parenting
Alcohol use
Educational Neglect Case Types:
Resource deficit
Mental health of caregiver
Parent Out of Home* Case Types:
Police involvement*
Abandonment
Parent/Child Mental Health* Case Type
*Indicates possible racial pattern67 of 74 cases in this age group (91%) were in four categories
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Patterns in 5 – 9 Age Group (N=74)
0
1
2
3
4
5
6
Informal Placement Allowed Formal Placement
Numb
er of
Case
s
Caucasian
African American
African American children more likely to enter long term placement for this age range.
All cases (6) that resulted in a child being placed permanently outside the home were TLCs to relatives.
Police were involved in many of these cases, 10 of which included out of home placements. All 10 cases were either drug raids,
parental substance abuse, or criminal activity.
6 cases were arrests - all were African American parents (one during case management.)
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Children Ten or Eleven Years Old (N=30)
Percentage of Cases by Category
17%
20% 23%
40%
Parent Drugs or Alcohol
Educational Neglect
Parental Competence
Short-term Crisis
Parent Drugs/Alcohol* Case Types:
Parental substance abuse
Police drug raids
Educational Neglect Case Types:
Resource deficit
Parent or child mental health
Parental Competence Case Types:
Disinterest in parenting
Inability to parent
Short-term Crisis Case Types:
Domestic violence
Resource issues*Indicates possible racial pattern
30 of 30 cases in this age group (100%) were in four categories
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Patterns in 10-11 Age Group (N=30) African American and Caucasian children equally
unlikely to enter long term placement Police arranged out of home placements in 3 cases in
this age range. One formal placement for a Caucasian child whose
homeless mother requested 72 hour hold for child. Two informal relative placements for children whose
parents were arrested for drug raids. One of these children was Caucasian and one was African American.
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Other factors to consider Several cases closed early because the family
moved, which may affect the data related to case outcomes.
What is the impact of parents’ perceived level of cooperation on workers’ attitudes?
More Caucasian families using other mechanisms to avoid child welfare involvement – i.e. family court to transfer custody to a non-custodial parent.
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Implications Case types differ by race So, to some extent, other differences might be
expected Nevertheless, what can we learn from every
day practice about potential differences? How can we keep children out of the system
when they don’t need to be there?
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Conclusion
Thank you for your attention
Questions?